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Permit CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00018 '"'ews��� DEVELOPMENT SERVICES DATE ISSUED: 01/11/2000 - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136DB-02602 SITE ADDRESS: 11596 SW PACIFIC HWY SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical permit for two signs and two color bands. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 4 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PHYLLIS & DONATA STEWART, MARTIN BROS SIGN INC NATHAN COHEN TRUSTEES 3165 COMMERCIAL ST SE LAKE OSWEGO, OR 97034 SALEM, OR 97302 Phone: Phone: 364 -2211 Reg #: LIC 00064761 SUP 399SIG ELE 24 -23CLS FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 01/07/200C $171.00 00- 321011 Elect'l Final 5PCT BON 01/07/200C $13.68 00- 321011 O RIGI NAL Total $184.68 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. �� PERMITTEE'S SIGNATURE 1t e _ tv � ISSUED BY: 11�Z 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'N: 91A I l ( CIh DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13126 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd - 7 - DD Date to P.E. . Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type Pemtit # pLCzoto - t DI% Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) az. 10 t( t e ,.- Service included: Items Cost Su m 4' Address N.5 . C(/. "` L r/Yrt / 4a. Residential - per unit -7-0a.4 1000 sq. ft. or less $ 117.75 4 City/State/Zip d /T 9 as 3 Each additional 500 sq. ft. or portion thereof $ 26.?5 1 Commercia Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor 200 amps or less $ 64.25 2 Address 3 /f,3 &r>,, rr) 11.4 d i %.5* Se- 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 Cityt‘Sa io."-,., State eV Zip Ci736a 601 amps to 1000 amps $ 192.50 2 Phone No. 5b., - ,x(04 - a a I) Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. a L{ - of 3 C.LS Exp.Date 1 0 10 I 7 4 ) .4c. Temporary Services or Feeders OR State CCB Reg. No. (04'7 to / Exp.Date 3/0 Installation, alteration, or relocation COT Business Tax or Metro No.. , , 3 Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec n �V 401 amps to 600 amps $ 107.00 2 S , Over 600 amps to 1000 volts, q License No. 3c - Lo Exp.Date IDA 11- see "b" above. Phone No. 57)3 -3 (o y -u�? / / 4d. New, Branch Circuits New, all teration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting / $ 42.75 / 7 /. - Signal circuit(s) or a limited energy • (if required):* panL alteration or extension $ 60.00 3. Plan Review section 1 . Minor Labels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 . 5. Fees: • 5a. Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. iglit It Surcharge 0354 total fees) 8p, $ - Not required for temporary construction services. Subtotal C8 $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ Zir PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS 0 f bal Due $ 6 5 AT ANY TIME AFTER WORK IS COMMENCED. - is \fists \forms \electric.doc r ELC ac-o1g CITY OF TIGARD SIGN PERMIT Atw a DEVELOPMENT SERVICES PERMIT #: SGN2000 -00003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 01/11/2000 EXPIRATION DATE: BUSINESS NAME: NAPA AUTO CARE PARCEL: 1 S136DB -0260: SIGN LOCATION: 11596 SW PACIFIC HWY APPLICANT /AGENT: NAPA AUTO CARE ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'6" X 9'4" TOTAL SIGN AREA: 32 sq. ft. WALL AREA: 825 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 14 ft. PROJECTION FROM WALL: 8 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installing a permanent 32.6 sq. ft. wall sign. • MATERIALS: POLY /METAL EXISTING SIGNS: 1 , ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 50.00 • C This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10 days from annrnval data , mkt 4 APPROVED BY: le PERMITTEE SIGNATURE: C 14. C DATE: 01/11/2000 • 8/22/00 Activities for Case #: ELC2000 -00018 2:10:02 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA003 Permit created 1/11/00 BON DONE No Hold BON 1/11/00 J ELCA001 Application received 1/7/00 BON RECD No Hold BON 1/11/00 ELCA117 DST Post - Review complete 1/11/00 BON DONE No Hold BON 1/11/00 ELCA400 Ready to issue 1/11/00 BON DONE No Hold BON 1/11/00 ELCA730 Elect'I Service 1/11/00 1/11/00 No Hold BON 1/11/00 ELCA799 Elect'I Final ' 1/11/00 1/11/00 No Hold BON 1/11/00 ELCC500 (F)Issue permit 1/11/00 BON DONE No Hold BON 1/11/00 ELCA510 (F) Reprint permit 8/15/00 ZZZ DONE No Hold ZZZ 8/15/00 • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hoi3r Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested AM PM BLD Location / 7T 27 . / V Suite 5 - /'/ MEC Contact Person CGr( Ph Jz -76 PLM Contractor o 4 Ph SWR BUILDING Tenant/Owner ELC Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: /// Slab ` "�L2` SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler /h/( ` Fire Alarm Susp'd Ceiling r Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CTRIC Service UG /Slab Low Voltage Fire Alarm • ART 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 Approach /Sidewalk Other Date / / - l / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.