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Permit • „. CITY OF TIGARD ELECTRICAL PERMIT o "'ov j �i DEVELOPMENT SERVICES PE PERMIT #: ELC97 -0696 � DATE ISSUED: 10/30/97 _.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL 2S 1 1 2i'••iC- ►1 1 o0 SITE ADDRESS...2 7319 SW KABLE LN #500 SUB D I V I S I ON. = ..: FANNO CREEK ACRE TRACTS BLOCK... .......2 LOT - q n,� o_- r �� e a t 1 TURISDICTION2 TIG Project Description; Installing a pre ®anent 43 sq. ft. wall sign - - -- RESIDENTIAL UNIT_ - -- -- -TEMP SRVC/FEEDERS---- --MISCELLANEOUS-- 1 +00 SF OR LESS....: 0 0 -- 200 amp.... - .. a 0 PUMP / I RR I CAT I Oft.... 4 0 EACH ADD' L 5008F...2 0 201 - 400 amp - a . - - a e o 0 SIGN /OUT LINE LTG. u a 1 LIMITED ENERGY.....: 0 401 - 600 amp.......: 0 SIGNAL/PANEL.......: 0 MANE. HM/ SVC /C=DR.. 1 0 & 1A—amps-1000 volts.: 0 MINOR LABEL ( 10) , � a > 10 --- -- SERVICE /FEEDER - - -- - -- -- BRANCH CIRCUITS- .__ - -- -- -ADD' L T NSPECT I ONS - -__. 0 -• 200 amp. -- ... o 0 W /SERVICE OR FEEDER: 0 PER INSPECTION- - o d- o 0 20+1 - 400 amp.. - ...: 0 1st W/O SRVC OR FDR.: 0 PER HOUR.. - n . - .. - . o e 0 401 • -. GOO amp.... a 0 EP ADD' L BRNCH CIRC: 121 IN PLANT. , ....... , . a 0 601 - 1000 amp..... 2 0 ------- - - - - - -- PLAN REVIEW SECTION---------------- 1000+ amp/volt.....: 0 ) =4 RES UNITS.. O..... e ) 600 VOLT NOMINAL-2 r Reconnect only--; 0 SVC /FDR ›.= 225 AMPS-2 a CL.ASS AREA /SPEC OCC. PFS /AMERISERVE type amount by date recpt 7 319 SW KABLE LN PRMT $ 40.00 B 10/16/97 97- 300130 STE 500 SPCT $ 2.0+0 B 10/16/97 97- 300130 TIGARD OR 97224 Phone # c Contract or a --- -- ____._.____.____.____.__ -___ _-- _ - -_ -_ • MULTI-LIGHT SIGN CO- 42. 00 TOTAL 3255 NE BROADWAY ------- REQUIRED INSPECTIONS -- PORTLAND .OR 97213 Ceiling Cover Elect'1 Service Phone #: 281 -3083 Wall Cover Elect' 1 Final Reg #.. : 000641 This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 18e days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -N10 through OAR 952- TA1- 1987. You say obtain a copy of these rules or direct questions to OUNC by calling 1503}246 -1987. r l P e r m i •t t e e Signature :( �C (d Issued By n P tilf -------- -- OWNER INSTALLATION ONLY-- _.�__ -"_ ----------------- The installation is being made on property I on which is not intended for sale lease or rent. OWNER'S SIGNATURE;: Ow '1..Cidf!_kx __— DATE: -_----....--__._.-_.._.- .__- ..._- .._.-- ._-- COi'4TRACTOR INSTALLATION ONLY.___..- _-- .__ -_._ -_----_..._._.__._.._- • SIGNATURE OF SUPR. ELEC'N: DATE LICENSE NO -r-1-•f•i--4•-0••-t-i--i--I•+ +.4 -1 -1-4 -4 4-1 -+ F-h-F•-S-"F-h•• -i--1--h-!--k... +1 -1 -1 -1 I --1-4 -1•• -1 - F•-F•+-h-h•-i--I-+ E•- d-- i-- F-l-- 9-•• r- 1-- h- h- I--1--1- +-i»-r-i-+-ti.}.-u+.4 -4 .-- Call 639 -4175 by 7:1210 p.m. for an inspection needed the text business day +-c--r • ++ -1-4- -- 1--r•- ••. •• .-r + +-1-a- --r"+ + + +-t--1-++ + +•c- --t--r- 1-+ +++• --1 ++ + + + + +-F•-1•• ++++ + + + + +a• 1-1- -F•-r+- .4.+ + + + + + +++ Community Development ELECTRICAL PERMIT APPLICATION ,,,`« 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # • Permit # - 7- 0 - "VA Phone (503) 639 -4171 Date Issued 1 0 ° � '4q .= FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by ,�¢� Inspection (503) 639 -4175 1. Job Address: ,, 4. Complete Fee Schedule Below: Name of Development ES, (Aw\ NNE ` � Q)J .' Number of Inspections per permit allowed Address 1� 1 . �l 41 4 , � �e tki Service included: Items Cost(ea) Sum City /State/Zip . tc A 2.j' 10 IZC-C\ 4a. Residential - per unit 4 r- 1000 sq. ft. or less $110.00 Name (or name of usiness) } -3. A oneS2kS�e Each additional 500 sq. ft. o portion thereof $25.00 1 Commercial Residential ❑ Limited Energ $25.00 2 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: , 4b. Services or Feeders ° Installation, alteration, or relocation 2 Electrical Contractor ► __ IL. r ■ 200 amps or less $60.00 2 Add - , \ I, -. ' Cl♦.j 201 amps to 400 amps $80.00 _ 2 401 amps to 600 amps $120.00 2 City ..► ► 1 _ .Stat� IP� 601 amps to 1000 amps $180.00 2 Over amps or v Phone No. ,� 6 O 1000 volts $340.00 2 Contractor's License No. , lc,A4 C So )f)- -511 Reconnect only $50.00 - Con Board Reg. No. '6) r ) 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Sur. Elec'n'� '- pi 6-'U /. 200 amps or less $50.00 2 Li ense No. �� (C Phone o - -! 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 It - 1 -:-"Cll Over 600 amps to 1000 volts 2b. For owner installations: see •b' above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder tee. 2 �7 p Each branch circuit $5.00 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 not intended for sale, lease or rent. First branch circuit $35.00 Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting T $40.00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per ins $35.00 Per hour $55.00 - In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: i a0 NOTICE 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 2., PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # $ Balance Due $ word bm dov\o ocprm.app l CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �/ Q(� BUP Date Requested -1 �'�'" 1 AM PM BLD Location - 730 K&-bL L , Suite See) MEC Contact Person Ph PLM Contractor Ph SWR BUILDINGM n Owner Arkeitk CQ.pfli, ELC q7 -0.09' 67 Retaining Wall ELR qt 0272 S Footing Access: Foundation � /1-6U0 p— f FPS Ftg Drain &iet9 T( SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation � 7 Drywall Nailing — 6t,7‘ Fire wall E. 9? Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam .-- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL,;' x` Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 6' ;'; beTarce - Rough In UG /Slab w17o1{a e Fire Alarm ASS PART FAIL Backfill /Grading Sanitary Sewer . Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date '" / 3 y 97 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.