Permit CITY OF T ELECTRICAL PERMIT
.�1�� 5�1�'i DEVELOPMENT SERVI PERMI ISSUED l : C 07 8 / 6/98
PARCEL: 2S102BD -02000
SITE ADDRESS...:12885 SW PACIFIC HWY
SUBDIVISION -NORTH TIGARDVILLE ADDITION ZONING:C —G
BLOCK • LOT •038 JURISDICTION: TIG
Project Description: Signs
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 1
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.: 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
WESTERN ASTRO type amount by date recpt
12885 SW PACIFIC HWY PRMT $ 40.00 B 07/15/98 98- 307364
TIGARD OR 97223 5PCT $ 2.00 B 07/15/98 98- 307364
Phone #:
Contractor:
MEYER SIGN CO OF OREGON $ 42.00 TOTAL
7340 SW LANDMARK LN
REG1UIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'1 Service
Phone #: 620 -8200 Wall Cover Elect'1 Final
Reg #.. 000640
This perwit 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 sore 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 952-0011010 through OAR 952- 001 -1987. You way obtain a copy
of these rules or direct questions to 01RdC by calling )2. 1987.
Permittee Signature: __,0 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 INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : epA euecalZin DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +++
CITY OF TIGARD Electrical Permit Application Plan Check
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd 7
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST r
Inspection (503) 639 -4175 Print or Type Permit # -
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 451 Number of Inspections per permit allowed
Name (or name of business) &A 5'1 - Ar T k.� Service included: Items Cost Sum
I
Address 1 2 0 e35 51.-) PA4.1 F I c- 14"`l y 4a. Residential - per unit
MO so. City/State/Zip 7,€0.4 O� 9 7 2 2.3 Each additional it or less $11 0.00 4
Ci
ty p Each additional 500 sq. ft. or
1=1 Limited thereof $25.00 1
Commercial !Z1 Residential
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor /WC 5/t N J. Installation, alteration, or relocation
Address 7340 5 L,ANLM 4 I-A) , 200 amps or less $60.00 2
�!�/k2� 201 amps to 400 amps $80.00 2
City State 012 Zip 972' 401 amps to 600 amps $120.00 2
Phone No. Jv ! 620 8,2611'3 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 70 cir Exp.Date / o- / -410 Reconnect only $50.00 2
OR State CCB Reg. No. e0 /q Exp.Date l - 3° - gel 4c. Temporary Services or Feeders
COT Business Tax or Metro o. /f37 1 Exp.Date /O- / - 9S Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps 75.00
Signature of Supr. Elec'n -------- 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 3 51 V Exp.Date (O- / - 4`1' see "b" above.
Phone No. sc.-3 G 20 0�0
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
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting / $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: 410
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ Z
NOTICE Subtotal $ 92
5b. 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 #
Total balance Due $
---,,` 1: \DSTS\ELC96.APP Rev 9/96
8/16/99 Activities for Case . #: ELC98 -00396
8:41:12 PM
Assigned Hold Updated
Activity Description Date 1 . Date 2 Date 3 To Done By Disp. Level By Updated Notes .
ELCC001 Application received 7/15/98. B RECD BON 7/16/98 •
ELCC003 Permit created • 7/16/98 B RECD BON 7/16/98
ELCC700 Ceiling Cover BON 7/16/98
ELCC720 Wall Cover BON . 7/16/98
•
ELCC730 Elect'I Service BON 7/16/98
ELCC799 Elect'l Final 2/8/99 CD PASS CD 2/8/99 1/13/99 inspection request
(research) sent to Chuck spoke
with Denny Meyer ( sign contr. )
circuit to signs was existing,
signs (2) installed appears to
meet code.
ELCC500 (F)Issue permit 7/16/98 B PASS BON 7/16/98
ELCC920 Miscellaneous action 2/5/99 CD FAIL CD 2/5/99 VISITED SITE, WAS TOLD BY
MANAGEMENT TO CALL
JOHN PHEMISTER @
243 -2929 RE: WHO RAN SIGN
• .. CIRCUIT TO CANOPY. NO
• INFO. IN COMPUTER.
ELCC800 Case Finaled 2/10/99 VLN 2/10/99
•
•
•
•
•
•
•
• Pagel oft
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST 50 z
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 2!-I 3- z
Date Requested AM PM BLD
Location � ? 8S Fac_:6 , Suite MEC
Contact Person ��J Ph PLM
Contractor / - e-ef 5 6-A.) Ph /0Z-0 ° g1of) SWR c.�c
BUILDING Tena Owner athLa ELC
Retaining Wall ELR
Footing Access:
Foundation dl FPS
Ftg Drain t� SGN
Slab
Crawl Drain Inspection Notes: �K1
SIT
Post & Beam
Ext Sheath /Shear G 4- , i 0Pc(
Int Sheath /Shear
Framing
Insulation
Drywall Nailing oZ
Fire wall _. t
Fire Sprinkler �.� � ` 4 /l,t � , ,�.T Ce.4-4-077
Fire Alarm
Susp'd Ceiling
—
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam 419" Under Slab � Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In ( x
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Z. – f � ! - P Inspector ,� - Ext
Final
PASS PART FAIL DO NOT REMOVE.this inspection record from the job site.
•
L __