Permit CITY OF TIGARD ge% ELECTRICAL PERMIT
PERMIT #: ELC2000 -00119
DEVELOPMENT PMENa r S O ERVICES ) 639 -4171 DATE ISSUED: 3/21/00
PARCEL: 1S136CD-01700
SITE ADDRESS: 11686 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of lighting for three signs. Job No. 30188. V
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: 3
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:
P & F PROPERTIES RED'S ELECTRIC CO INC
834 W ST CLAIRE 2002 SE CLINTON ST
PORTLAND, OR 97205 PORTLAND, OR 97202
Phone: 225 -0700 Phone: 233 -6467
Reg #: SUP 2059S
LIC 000044
ELE 26 -152C
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FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT DEB 3/21/00 $128.25 0000812 Elect'l Final
5PCT DEB 3/21/00 $10.26 0000812
Total $138.51
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUER BY: .
W OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL 'N: — , A / DATE:
LICENSE NO: (05-7.
Call 639 -4175 by 7:00pm for an inspection the next business day
03/20/2000 11:18 2331281 REDS ELECTRIC CO PAGE 01
08/09/99 MON 11:28 FAX 503 598 1960. CITY OF TIGARD gi002
I i
. ' On OF TIGARD Electrical P Application
Plan Ch
13125 SW HALL BLVD. Recd ac d ,ta�j�
TIGARD OR 57223 Data Redd 0 9.- A 9
Date to P,E, ----
Phone (503) 6394171, x304 Date to DST
Inspection (503) 6394175 Print of Type Psrm$ i Etzaqp0Q - 00//9
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Cued -
r
1. Job Address: 4. Complete Fee Schedul Below:
Name of Development.
Number of be In Mona r h allcnwed
Name or name of business) hl r4 d L• iIli !Lr �i Service Included: Item Cost Sum
Address 1 /140 t o)./3►ti 14*is a, da. R esidential • per unit
City /Stat&Zlp r eh0►,s nn Og • 9 7283 11300 sort or nes 5 117.7b a
Each additional 500 sq. fl. or
Commercial Eg Residential ❑ portion thereof $ 25.75 1
Limited Energy • $ 80.00
Each Manutd Home or Modular
2a, Contractor Installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuanCia, applicant, must provide contractor license 4b_,Sawtoes or Feeders
Inkorm s:Ion for COT date boas). * Installation, alteration, or relocation
Electrical Contractor .J t C. C o . . 200 ample or lees $ 94.25 2
Address 2QO ? S.C. - ( r faro.. 201 amps to 400 amps $ 8.5.50 2
City Pox State 0L. Zlp 97 2 00 2 amps to coo Imps 2
001 84001 amps to 1000 amps . $ 128.90
6 1 82.60 2
Phone No. 5'•3 Z 3 3 - 4 Over 1000 amps or volts $ 383.75 _ 2
Job No. 301 In Reconnect only 5 53.50 2
Elec. Cont. L1Ce. No. Z-4,.- ISZ C Exp.Date /v •o/ , 00 4c. Temporary Services or Feeders
OR State CCB Reg. No. 4yLi 7 Exp.Date (o- /7 - Pp Installason, alteration, or relocation
COT Business Tax or Metro No. I Coq S Exp sate 200 amps or less $ 53.50 2
201 amps to 400 arms $ 80.25 2
Signature of Supr. Else' '� , 401 amps to 800 amps 5 107.00 2
-' " `� Over 800 amps to 1000 volts,
se License No. rip l
Date O - � n_ f
set °b" abov4.
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Phone No. 2, 37- e51/601„, 4d. Brunch Circuits
New, alteration or extension per panel
8) The fee for branch draft
2b. For owner llltstalletions: wide purchase of service or
• . fearer era.
Print Owners Name Each branch oirwlr $ 5.36 • 2
Address b) The tee for.branch circuits
without porches. of service
City State Zip or feeder fee,
Phone No, . Flrat branch circuit $ 37.50
. Each additional branch circuit $ 5.35
The Installation Is being made on property I own which Is not 4w Idleoelleneous
intended for sale, lease or rent. (Service or kinder not indudod)
• Each pump or Irrigation drde $ 42.79
Owner's Signature Each sign or ouUlne lighting 3 5 42.75 7 '
Signal dreult(s) or a limited energy
3. Plan Review section (if required);* panel, a alteration or extension $ 00.00
Minor Labels (10) $ 107.00
P)gae check appropriate item and enter fee in section 5B. 4f. Each additional Inspection over
4 or more ratiidentlal unite in one structure the allowable In any. of the above
Sefvtce and feeder 225 amps or more Par Inspection $ 60,00
Per hour $ 50,00
System over 800 voila nominal In Plant . $ 59,00
Classified area or structure containing special occupancy as
described In N.E.C. Chapter 5 S. Fees: l� 25
50, Enter total of above fees $
" Submit 2 eels of planalwith epplicadon where any of the above apply. 8% Surcharge (.05 X total fees) $ / p
Not required for temporary construction service°. Subaual $
NDTIC eb. Enter 25% of line fat for
• Plan Review if rewired (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Barron! 3
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS '4 Trust Account a 5�
AT ANY TIME AFTER WORK IS COMMENCED. • row balance Due . _ $ I
i ;\dsts\forms\elcct ric.doc
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05/18/2000 Activities for Case #: ELC2000- 00119
3:27:04 PM
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Assigned Hold Updated -
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 03/20/2000 DEB RECD No Hold DEB 03/21/2000
ELCC003 Permit created 03/21/2000 DEB DONE No Hold DEB 03/21/2000
ELCC730 Elect'l Service No Hold DEB 03/21/2000 .
ELCC799 Elect'I Final 04/26/2000 CD PASS No Hold AKJ 04/26/2000
ELCC500 (F)Issue permit 03/21/2000 DEB DONE No Hold DEB 03/21/2000
ELCC700 Ceiling Cover No Hold AKJ 05/15/2000
ELCC595 Return permit to issued status 05/15/2000 AKJ DONE No Hold AKJ 05/15/2000
ELCC920 Miscellaneous action 05/17/2000 CD PASS No Hold AKJ 05/17/2000 low volt insp
ELCA800 Case Finaled 05/18/2000 JMT DONE No Hold JMT 05/18/2000
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