Permit (99) CITY OF TIGARD ELECTRICAL PERMIT
°1 COMMUNITY DEVELOPMENT Permit#: ELC2019-00481
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2019
Parcel: 2S101 DD00500
Jurisdiction: Tigard
Site address: 6755 SW SANDBURG ST
Project: Reece Security Subdivision: SALEM FREEWAY SUBDIVISION Lot: 2
Project Description: Sign lighting for(3)sets of internally illuminated channel letters.
Contractor: MEYER SIGN CO OF OREGON Owner: REECE HOLDINGS LLC
15205 SW 74TH AVE 25977 SW CANYON CREEK RD, STE E
TIGARD, OR 97224 WILSONVILLE, OR 97070
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
3 ea Sign or Outline Lighting 07/16/2019 $203.52
Specifics:
1 ea 12%State Surcharge- 07/16/2019 $24.42
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $227.94
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Special Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days . issuanc , or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow t - . -.opted by the Oregon Utility N•ification C nter. Those rules are set forth in OAR,
952-001-0010 through OAR 952-001-0090. Y• ..-. •. - -•co. of the rules or.irect questions to OUNC by c- ing 503.232. 987 or 0.332.234 j \�,C,/•
Issued By: y / eP rmittee Signatur
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1
Electrical Permit Application FOR OFFICE ['SE ONLY
City of Tigard " .'- � Received
IN , 13125 SW Hall Blvd.,Tigard,OR 9722 se `i `' DateR
a Plan Review
s Related Permit#:IL
Phone: 503.718.2439 Fax: 503.598.1960 , 1 � ,jOng Date/B : LA 4 Z 1 ""a 1t,
Inspection Line: 503.639.4175 i 1.J1 t Ready Date/By: Juris: H See Page 2 for
I I G A R D Internet: www.tigard-or.gov Notified/Method
OFr. �tl`"'. Supplemental Information
YPF OF W® t
... s 'Vii, ,...>... . .. rfl�. y'
Please check all that apply submit 2 sets of
❑New construction Addition/altera a / Cement pP Y plans w/items checked): a
O Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other: where the available fault current
0 Marinas and boatyards.
'' �' CAT RY{OF CONSTRUCTION • ` , exceeds 10,000 amps at 150 volts or ❑Floating buildings.
CI 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
SOB,Sfi'ii.,;INFORMATIONAND LOCATION ❑Emergency system. larger separately derived
O Addition of new motor load of system.
Job#: Job site address: 475i 6-0 fk!0 /j oilb tfT. IOOHP or more. ❑"A","E", °1-2° °°t-3",
0 Six or more residential units. occupancy.
City/State/ZIP: tL/� 7 a 30 Recreational vehicle
0Health-care facilities. parks.
Suite/bldg./apt.#: I Project name: ////`"`1`-4-4-r 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: r,EF..SC DULE ;.
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
z'_tx - I ` � ' C ' q ( ' Limited energy,residential
j rf /' ,p with above sq.ft.) 75.00 2
/'v" 0 `5' 775 4; /iflñi/y
1/It t,J `d 61e-'
Limited energy,mul.)-famil
tris 7/-5 F'/trft! y ii c .' -&i 7 C i 7 i,- J73 flf 7- �t-.St� ,w;. 'q 9 fr.) 75.00 2
residentiallwith above s
/..)
Renewable 2
El NAN 4 LY ) Services or feedersEnergy installationzalteration❑ SeePage,and/or relocation
Name: l( -�"'ee i! °t(i✓O i.J 65 1-1-C - 200 amps or less 100.70 2
Address: / 5,/ S7 i tJ (,4-A.y e,� C9/,,,, 201 amps to 400 amps 133.56 2
/ 401 amps to 600 amps 200.34 2
City/State/ZIP: �� rl//f`� /L 7e L) 601 amps to 1,000 amps 301.04 2
�
Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature Date: 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per panel
APP)I.TCA i CONTACT I+) RSt N .. A.Fee for branch circuits with
Business name: m4Tc/L 1/6 a l t lfkrill above service or feeder fee, 7.42 2
each branch circuit
Contact name: d4j661, , Ck___ B.Fee for branch circuits without
service or feeder fee,first
Address: /5'2,e e 7(i" /416- branch circuit 56.18 2
City/State/ZIP: .---7-,,,_, J D', I7c/ - Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(17! ) 1 Q Fax: : 67.84 2
1i J I ( ) Each manufactured or modular
dwelling,service and/or feeder
Email: /tfUlA_&f3 e, /Lt J 11t-.5.I1,3 �. e,,
Reconnect only 67.84 2
. «3,. ,, .. . ,. .. Pumpor irrigation on circle 67.84 2
ghslneSS name: E Tr 1 g V 6 .
� Sign or outline lighting � _ 67.84 2
r
Address: 15/65 ti 791''' 4i Signal circuit(s)or limited-energy g
't panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: 1-/114-/-t
/1''/ PA-- 7))-11 Each additional inspection over allowable in any of the above
/ Additional inspection(1 hr min) 66.25/hr
Phone:(97/ ) /3Z 5-1)2-1 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email: (�L7 .L15e 4/€4-y t-c.5 �t j� e�7 (�}�� Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lic.: 441-0
l if Electrical Lic.: ill-1`ll t L$Suprv.Lic.: �� 0-'26' specifically listed(''1A hr min)
/\ ------.. 't, i : 4r 1 : '
`:.. .+is'.•m. ; .
-
Suprv.Electrician si ature, -s uired ,dd j Subtotal
Print nam zmo4A- , 4. � : 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signat e: /1-2/ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: / / e-- �h t Date: d/2_///y days after it has been accepted as complete.
/ * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-46157(11/05/COM/WEB