Permit C ITY OF TIGARD PERMITI #: ELCR6 -013,7
prrY
MUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0/04/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 15136D8- 0260 1
SITE ADDRESS...: 11606 SW PACIFIC HWY
SUBDIVISION • ZONING:C -G
BLOCK LOT •
Project Description: Replacing copy on an existing freestanding sign totaling 11
2
sq. ft.
-- --RESIDENTIAL UNIT - - -- ---TEMP SRVC/FEEDERS---- - -- - - - -M I SCELLANEOUS -- -
1000 SF OR LESS....: 0 0 - 200 amp • 0 PUMP/IRRIGATION,...: 0
EACH ADD' L 500SF... : 0 201 - 400 amp• ......: 0 SIGN /OUT LINE LTC.. 0 1
LIMITED ENERGY.....: 0 401 -- 600 amp.......: 0 SIGNAL /PANEL . 0
MANF. NM/ .PVC /FDR..: 0 601+amps-1000 volts.: 0 MINOR LABEL r 10) ... u 0
- ----SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- - - -- -- -ADD' L INSPECTIONS---- -
0 °- 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0.
201 - 400 amp......: 0 1st W/O SRVC OR FDR.: 0 PER HOUR • 0
401 - 600 amp......: 0 EA ADD' L BRNCH SIRE: 0 IN PLANT - 0
601 - 1000 amp.....: 0 -- PLAN REVIEW SECTION- - - - - --
10004 amp /volt • 0 ) =4 RES UNITS ) 600 VOLT NOMINAL..
Reconnect only • 0 SVC /FDR )= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: ----------- -- --------------------
APPLIANCE CONNECTION type amount by date recpt
11606 SW PACIFIC HWY PRMT $ 40.00 BON 02/22/96 96-- 276205
SPCT $ 2.00 BON 02/22/96 96- 276205
; OR 97223
rho le 4:
Contractor: ----- - - - - - -- - -- ------------ - - - - -- --- - - - - --
MULT I LIGHT SIGN CO. 42.00 TOTAL
3255 NE BROADWAY
REQUIRED INSPECTIONS -----
-- --
PORTLAND OR 97213 Elect' 1 Service
Phone #: Elect'1 Final
Reg 4*..
This perait is issued subject to the regulations contained in the
ril
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e e Signature
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started � A A A
within 189 days of issuance, or if work is suspended for sore 6, J V �,(,( �I
than i80 days. Issued By
- -. -. - -- - - --- -- - - - - -- - -- - -- 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 ;NS TAL ONLY -- - - - -- --
SIGNATURE OF SUPR. ELEC'N: C. DATE:
LICENSE NO:
Call for inspection - 639 -4175
.Community Development ELECTRICAL PERMIT APPLICATION
"�
A ; 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
, � Permit # P LC= �j(D- 01 3S
.� If Phone (503) 639 -4171 Date Issued 7 ?- 1 4 - 10
FAX (503) 684 -7297 f ,
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by , �A
Inspection (503) 639 -4175
i 1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Ap(.t An r.e Covo ) Number of Inspections per permit allowed
Address 1 11n(5l S .l . ) . PG r „4Lt. \1.1l,v1 _ Service included: Items Cost(ea) Sum
City/State/Zip .1 c A.p_ 4a. Residential - per unit 4
1000 sq. ft. or less $11 0.00
-
Name (or name of business) SQV•r,t? Each additional 500 sq. ft. o r
/ portion thereof $25.00 1
Commercial 1�..,� Residential ❑ Limited Energy $25.00 - Each Manuf'd Home or Modular 2
Dwelling Service or Feeder - $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor m uL.- - \, 5,s,„0 e_'"o 200 amps or less $60.00 2
Addrp, s .7 ,n 1 .r. CA I . , 4,4 201 amps to 400 amps o2T1, Rw T Stated Zi
401 amps to 600 amps $120.00 2 $90.00 2
City p�( 723� 601 amps to 1000 amps $180.00 2
Phone No. 2 $J • 308 Over 1000 amps or volts $340.00 2
Contractor's License No. -- qo c(..$ Reconnect only $50.00 -
Contractor's Board Reg. No. C I n7 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n ► _ Z G1)6 w ° � 200 amps or less $50.00 2
License No. r' -1.3.61 Phon o. 2,$1 3083 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: Bee 'b' above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip 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
First branch circuit $35.00 2
not intended for sale, lease or rent. 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 : $40.00 "- .I O
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 inspectio $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:
NOTICE 5a. Enter total of above fees $ 1
5% Surcharge (.05 X total fees) $ �' V
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. 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 $ y 2 t
weS n,d.NWcpm...,
3/27/00 Activities for Case #: ELC96 -00135
5:38:07 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 3/4/96 2/22/96 B RECD BON 3/4/96 •
ELCC003 Permit created 3/4/96 3/4/96 B PEND BON 3/4/96
ELCC400 (F)Ready to issue 3/4/96 B PASS BON 3/4/96
ELCC500 (F)Issue permit 3/4/96 B PASS BON 3/4/96
ELCC800 Case Finaled 1/10/97 MJR PASS MJR 1/10/97
ELCC799 Elect'I Final 1/10/97 MJR PASS MJR 1/10/97
•
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation tar
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: j
Date: [ 5' L 9 - 7 A.M. P.M. Entry:
Address: / 1 (o 64, a-e- 7Y
Tenant: Ste: MST:
/f�¢ BUP:
Con /Own: �C.� -(_ M EC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
---:. vicze (
Inspector: leo" Date: 1 2
K APPROVED DISAPPROVED /CALL FOR REINSP. 0 CO