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Permit CITY OF TIGARD ELECTRICAL PERMIT „#0 SERVICES PERMIT #: ELC97 -0620 R�r,if' DATE ISSUED: 09/19/97 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD -04000 SITE ADDRESS...:11525 SW PACIFIC HWY SUBDIVISION •VILLA RIDGE ZONING:C —G BLOCK • LOT :007 JURISDICTION: TIG Project De scr i pt ion : Add seven (7) branch circuits to tenant occpy. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 5O0SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0 LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0 MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 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/0 SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 6 IN PLANT • 0 601 — 1000 amp • 0 PLAN REVIEW SECTION 1000+ amp /volt • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..: Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.: Owner: FEES FAST SIGNS type amount by date recpt 11525 SW PACIFIC PRMT $ 65.00 GEO 09/19/97 97- 299399 TIGARD OR 97223 5PCT $ 3.25 GEO 09/19/97 97- 299399 Phone #: Contractor: AFB ELECTRIC INC $ 68.25 TOTAL PO BOX 173 REQUIRED INSPECTIONS JEFFERSON OR 97352 Phone #: Reg #..: 000855 This permit 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 more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-0810 through OAR 952-081 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (583)246 -1987. /1"/ Permittee Signature: Issued B : I_e `�., /. x Y r / 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 : �lJ ‘ DATE: ( LICENSE NO: 3 ro T 5 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Electrical Permit Application Plan Check 8 13125 SW HALL BLVD. , - aec'd By Date Rec'd . ;�GA�RD OR 97223 Date to P.E. Phone (503) 639 - 4171, x304 Print or Type Sate to DST Inspection (503) 639 - 4175 Incomplete or Illegible will not be accepted Parrett - O Fax (503) 684-7297 Called 7 1. Job Address: 4. Complete Fee Schedule Below: Name 01 Development Number at ink per pemtlt allowed Name (or name of business) FastSign Service included: Items Cost Sum press 11525 SW Pacific Hwy 4a. Residential - per wilt 1000 se. IL or less $110.00 4 City/Staterzp Tigard, Oregon 97223 Each additional 500s4. ft. or Commercial 0 Residential 0 0 ' Each Mowed Fame or Modular - 2a. Conductor installation only: Devise) senriQa or Feeder eee.0o 2 (Attach copy of all current licenses) 4b. Se /Ices or Food= Electrical Contractor AFB Electric Inc. _ I" aa ' alteration, or relocation 200 mops or less $60.00 2 Address.,PQ Rox 173 201 amps to 400 amps $80.00 2 City Jefferson State Oreerin rip 97352 401 amps to 600 amps $120.00 2 Phone No. 541- 327 -1121 601 amps to 100D amps 5160.00 a Job No. 0 57 -97 Over 1000 amps or volts $340.00 - 2 Elec. Cont. Lice. No. 24-287C Exp.Da1E 10/1/97 Rao only 890.00 2 OR State CCB Reg. No. 85511 Exp.Dato - 8/29/98 40. Temporary Services or Feeders COT Business Tax or Metro No. . Exp D-, Instate alteration, or relocation 200 amps or less $6040 2 signature of Suer. Eledn J)/i/ Y I"i ii-ii/i 'i 2 to 400amps $7- 2 O pt amps 600 amps $100.00 2 License No, amps 3804s ,,. 10/1/98 see b above. voile, Phone No._141- 327 -1121 4d. Branch Circuits New, alteration or extension per panel • 2b. For owner installations: a) The fee for branch eradts with pa tchese of service ar Print Owner's Name feeder fee. Each branch aratit $5.00 2 Address b) The fee for branch circuits State ZIP without purchase of • P tone No. service or leechr fee. 1 35.00 ' First blanch circuit S35.00 The installation is being made on property I own which is not Each antumrrai omen dram - 6 - woo _ 30.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or Meoder not included) S 40 - 00 - 2 Owner's Signattma p or irrigation cif Each sign or outline fighting $40.06 2 3. Plan Review section (if required):* Signal mks) or a limited energy panel, alteration or extension $40MD 2 Minor Labels (10) $100.00 check appropriate item and enter fee in section 55. 4 or more residential units in one surd re 4E Each additional inspection over Service and feeder 225 amps or mom the allowable In any of the above System over WO volts nominal Per Inspadion $36.00 - classMed area or strucnue containing spaniel occupancy Per hour 555 .00 as described In N.E.C. Chapter 5 In Rant $35.00 • Submit 2 ante of plans watt application where any of the above apply. 5. Fees: 65.00 Not winched for temporary construction services. be. EMT WO of above fees S -3.25 5% Surcharge (.05 X total fees) $ wage_ Subtotal $ 5b. Enter 25% of fine tic for S PERtar S BEOOLE VOID IF WORK Oft CONSTRUCTION AU71 IORI2RD le Plan Review it raah6red (sac .3) 8 NOT COM M1ENGED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY . TIME AFTER WORK IS COMMENCED. Total balance Due i .0 .Aw na, aaa V ---„ 111111 Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0620 FAST SIGNS 11525 SW PACIFIC HWY 12/01/97 Action Description Req/ Schd/ find/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELCC001 Application received / / / / 09/18/97 RECD GEO 09/19/97 DST ELCC003 Permit created / / / / 09/18/97 PASS GEO 09/19/97 DST ELCC500 (F)Issue permit / / / / 09/19/97 PASS GEO 09/19/97 DST ELCC720 Wall Cover 09/19/97 / / 10/06/97 1. Support switch box in front of PASS MJR 10/09/97 J•H electrical telephone board. (After correction, the electrical work is approved for cover. PLEASE NOTE: All cables in ceiling requires support, both high and low voltage (data, security & telephone). Light fixture will need seismic cables and clips (or screws). Complete permit label information. ELCC799 Elect'1 Final 09/19/97 / / 10/28/97 Need support cables for track fixtures. PASS MJR 11/06/97 J•H Electrical final approved. Conditional on corrections above. ELCC800 Case Finaled / / /' /. 11/06/97 PASS MJR 11/06/97 J•H • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 r Date Requested: (1 ^-� c - , � A.M. MST: S -5 SK) ./ 1 i Location: % �L L: BUP: Tenant: Suite: ' Bldg: MEC: Contractor: _ (. / / /`i Phone: PLM: Owner: ' Phone: ELC: r .iit — . 1� _ ice- 7 -©6C -0..' /! • // -W !1 - .r: BUILDING BLDG (con't) PLUMBING MECHANICAL !� SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low yoit Approved Approved Approved (_Apiioved� y Approved Appr /Sdwlk Not Approved Not Approved Not Approved E�ep Not Approved FINAL FINAL FINAL FINAL FINAL YV eq'<4 54. d 7 - Caz i' s --c3 in.. `(`� c k r'n-71\c, l^e _ -Z--A. el f- I C CP ( S r ? \ ‘ , /-e( ,,, e_er c ca#3‘..1. rc--0 I\ d` -t° c f.( t -03.5---/ .:::, Zie..De.; e._ , C O Call for reinspect(on O Reinspection fee of $ required before next inspection O Unable to inspect Inspector.����' ( ( C e - c i r e / /e Date: / el' g.,3 V Page / of / C