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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2002 -00456 ,0e14. DEVELOPMENT SERVICES DATE ISSUED: 9/10/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 102 AA -00200 SITE ADDRESS: 11920 SW PACIFIC HWY SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 013 JURISDICTION: TIG Project Description: Sign outline lighting circuit. 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: 1 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: SANDRA BARNES ABLE SIGNS 11920 SW PACIFIC HWY 2007 SE POWELL PORTLAND, OR 97202 Phone: Phone: 503 - 232 -6430 Reg #: LIC 134473 ELE 26- 1119CLS SUP 676SIG FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT CTR 9/10/02 $53.40 2720020000( Elect'I Final 5PCT CTR 9/10/02 $4.28 2720020000( Total $57.68 EXP1RPrt 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 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 -6699 or 1-800- 332 -2344. Permit Signature: Q Issued By: ' 1910/ 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: m'\ a `' . DATE: LICENSE NO: Cn ( S f 4 Call 639 -4175 by 7:00pm for an inspection the next business day 1 .�aa, t! , ." �r ' � , UMW ,i, . -- fit� P e r m i t _ O _ O a' Permit no. a©Ua- - co Hs& .] ,1 City of Tigard C . L 9y 1i� lPrJect/appl.no.: Expire date: JO-, . t e a F , • Receipt no.: City offlgurd Address: 13125 SW Ilan Blvd R ►'17 i A.... pate' issued: By I Phone: (503) 639 -4171 tease file no.. Payment type: Fax: (503) 598 -1960 �/ Land use approval`1OO(� L u( ' TYPE OF PERMIT 01 ■8a 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement U New construction O Addition/alteration /replacement 0 Other: A 0 Partial JOB SITE INFORMATION Job address: ( o f o 2 < lJ j Aff, 1 ,.�/ Bldg. no.: Suite no.: Tax map/tax lot/account no.: L ot: Block: Subdivision: - — � 4,,,._ Description and location of work on premises: / , project name; 5��_ - . Estimated date of completion/inspection: - • fP - 47 CONTRACLOR APPLICATION FEE SCHEDULE Fee Max Job no: Description Qty. (ea.) Total no. insj Business name: S New residential• single or multiJamlIy per • Address: 7e4, 7 '. - . , 0.r ,t?. , dwelling unit. Includes attachedgarage. City: / c 0 State: • ZIP: r 202.. Servicefncladed: 4 Fa Q,72 ' 5 .,_ E -mail: 1000 sy. ft. or less Phone,, %� (7 Each additional 500 sq. ft. orportion thereof , CCB no. f j& Elea. bus. lie, no: /J 0 6oLS Limited energy. residential 2 City /metro lic. no.: 6 A , /e)--, -o a't-- Cimitedenergy. non- residential 2 Apt .� �' I /(O / Zc z- Each manufactured home or modular dwelling ��//11'��� � / _ g lure of su wising electrician (re.uired) Date , _ . i service and/or feeder 2 [v�(v 1( Services or feeders installation, Sup. elect. name (print): }�6,Y10 S� Licenseno: alteration or relocation: PROPERTY OWNER 200 amps or less 2 201 amps to 400 amps _ 2 _Name (print): t,7 9j�Y 4 a G t ` 401 amps to 600 amps 2 Mailing address: �� . Ss74,‘ •"0 G l a ' I 601 amps to 1000 amps 2 C1lyr • • State: ZIP: _ Over 1000 amps or volts I f e : a 2 Phont'c , �l~ax: — E-mail: -- Reconnect only . Temporary services or feeders - Owner installation: The installation is being made on property I own installation, alteration,or which is not intended for sale, lease, rent, or exchange according to 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps , 2 Branch circuits - new, alteration, or extension per panel: Name: I", A. Fee for branch circuits with purchase of Address: — service or feeder fee, each branch circuit _ 2 Cie State: ZIP: B. Fee for branch circuits without purchase y _ of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: _ Each additional branch circuit: PLAN REVIEW (Please check :ill that apply) Misc. (Service or Feeder not Included): 2 CI Service over 225 amps - commercial 0 l4enith -care facility Each pump or irrigation circle _ q Service over 320 amps of 1&2 C] Hazardous location Each sign or outline lighting 2 . Signal circuit(s) or a limited energy pond, family dwellings 0 Building over 10,000 square feet four or gn 0 System over 600 volts nominal more residential units in one structure alteration, or extension" 2 ❑ Building over thrrx stories ❑ Feeders. 400 amps or more *Description: Cl Occupant load over 99 persons Cl Manufactured ecru lures of RV pat / Each additional Inspection over the allowable in any of the above: 0 Egress/lightingplan gt the r1O,d' 1 P4-44e6 41^ e . Per inspection I i I I . Submit — sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other — it Perm fee $ _ 4 C - 3 • �a ENOt all jurisdictions accept credit cards, please nail jurisdiction for more information.‘ Notice: This permit application Plan t f review (at %) $ ❑ Visa 13 MasterCard expires if a permit is not obtained / I within 180 days after it has been State surcharge (8%) $ - AEr Credit ea'6 number Expires TOTAL ' accepted as complete. Name of cardholder u ebowo oa credtl cord S Cordbolder slgn Amouat , EXPIRED 440.4615 (6J00ICOM) Z0 ' d 030£S£S£Z£0S NOLSNHOf ACIN I D QN3 3 T Qa£ Wd 017 = Z0 I21d Ze- 4;1—d3S