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Permit CITY OFTIGARD % , � , � � DEVELOPMENT i 3 (503) -4 7 13125 9 ( ) PARCEL: 15136AD -84888 SITE ADDRESS...:11525 SW PACIFIC HWY SUBDIVISION :VILLA RIDGE ZONIN6:C -6 BLOCK • LOT •' JURISDICTION: TI6 Project Description: Installing two permanent wall signs - -- 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..: 2 LIMITED ENERGY : 0 401 — 600 amp • 0 SIGNAL /PANEL • 0 MANE. 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.: 0 PER HOUR • 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 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 SMITH, WOODROW & EDITA type amount by date recpt 50 SW PINE #200 PRMT $ 80.00 GEO 09/16/97 97- 299292 PORTLAND OR 97204 SPCT $ 4.00 GEO 09/16/97 97- 299292 Phone #: Contractor: E S & A INC $ 84.00 TOTAL 1210 OAK PATCH RD REQUIRED INSPECTIONS EUGENE OR 97042 Elect'l Service Phone #: 541 - 485 -5546 Elect'l Final Reg #..: 001112 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 e are set forth in OAR 952-0314010 through OAR 952 -001 -1987. You may obtain a copy of these rules or direct questions to j ; ca ing (2246-1987. Permittee Signature: .L ✓_ ALr /eig, " " Issued I3y: "'" 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 N Y SIGNATURE OF SUPR. ELEC'N: , IZ e' f t�Q DATE: /f7 LICENSE NO: 4 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + ++ • CITE' OF TIGARD Electrical Permit Application Plan Check It 13125 SW HALL BLVD. Rec'd By • _1 TIGARD Date Rec'd i lgr- IGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Incomplete or Print egible will not be accepted Permit a - Fax (503) 684 -7297 called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development c S S I c c, Number of Inspections per permit allowed Name (or name of business) r --1 l �� -2 1 1 ` S Service Included: Items Cost Sum Address t 1S�_ J c 4AT '(X5 $ k 4a. Residential - per unit ^ 1000 sq. ft. or less $110.00 4 City /State/Zlp 1 I 0 pct l n , or �L i a.a 7 Each additional 500 sq. ft. or Commercial 113-- Residential ❑ portion thereof $25.00 1 - Limited Energy $25.00 Each Manuf'd Home or Modular • 2a. Contractor installation only: Dwelling Service or Feeder $68.00 2 (Attach copy of all curr = t II : nses 4b. Services or Feeders Electrical ntractOr � 1 � Installation, alteration, or relocation Address ILI 3??{) S O "rd 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City State Or Zip 4 i. I - 401 amps to 600 amps $120.00 2 Phone No. I Q'1 I - LI 714 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 2.55LLS Exp.Date 1 0 - I - OR State CCB Reg. No. I I / 2g/0 Exp.Date Z-2- 1 4c. Temporary Services or Feeders COT Business Tax or Met o.2. Exp.Date / j - 7 Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec' i i/ /p 401 amps to 600 amps $10000 2 rY10 %/ O!1 Over 600 amps to 1000 volts, License No. LS Exp.D - to / U' I ` 9 see "b" above. Phone No. Co I • - 1 47 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous Owner's Signature Each hpump or at irrigation ci $40.00 2 Each sign or outline lighting Z $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate Item and enter fee In section 5B. 4 or more residential units in one structure 4f. Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 • - * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 7 Not required for temporary construction services. 6a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ NOTICE • Subtotal $ 6b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required (Sec.3) $ NOT COMMENCED 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. ❑ Trust Account ft 94. Total balance Due $ Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0628 FAST SIGNS 11525 SW PACIFIC HWY 12/01/97 • Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ---- --- ---- ---- --- ELCC001 Application received / / / / 09/16/97 RECD GEO 09/23/97 BON ELCC003 Permit created / / / / 09/23/97 DONE B 09/23/97 BON ELCC117 DST Post - Review complete / / / / 09/23/97 PASS B 09/23/97 BON ELCC400 (F)Ready to issue / / / / 09/23/97 PASS B 09/23/97 BON ELCC500 (F)Issue permit / / / / 09/23/97 PASS B 09/23/97 BON ELCC799 Elect'l Final / / / / 10/28/97 Need support cables for track fixtures. PASS MJR 11/06/97 J +H Electrical final approved conditional on correction above. No reinapeciton approved. ELCC800 Case Finaled / / / / 10/28/97 PASS MJR 11/06/97 J +H • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 0 e.-- O � ■ A.M. P MST: Location: / 5 a-,5 S (� J / , / �L BUP: Tenant: Suite: / Bldg: MEC: Contractor: / _ /r. —. / //A-- Phone: PLM: Owner: ' Phone: ELC: T 7 -o ,_ ` � - ptit: 7 -©ham -D., / . / / • i k BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRIC 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 yolt Approved Approved Approved C____Apploved ) Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL Ai Pq..d 5 Gli I l,....v j r7 C C__4v k 1-c7 s --,clie-: it- `fizzck t — r ° c� r /rw �✓ ( , ,,,,i; dir • C 1 O Call for reinspect on O Reinspection fee of $ required before next inspection O Unable to inspect Inspector. /��o (( C 6 CoPeg ( /\ /. Date: (c''," --' ~ 77 Page / of r.