Permit ELECTRICAL PERMIT
CITY OF TI G A R D PERMIT #: ELC98 -0611
— 13125 SW ;i � ;�
DE VELOPMENT SERVICES DATE ISSUED: 10/14/98
9 (503)639-4171
PARCEL: 2S102CB- 02500
SITE ADDRESS...:13090 SW PACIFIC HWY
SUBDIVISION •FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK • LOT .007 JURISDICTION: TIG
Pro ect Description : Add electrical for signage.
- -- 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..: 5
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/O 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
FOODMAKER, INC. type amount by date recpt
4500 KRUSE WAY PRMT $ 200.00 GEO 10/07/98 98- 309765
SUITE 270 SPCT $ 10.00 GEO 10/07/98 98- 309765
LAKE OSWEGO OR 97035
Phone #:
Contractor:
VANCOUVER SIGN COMPANY INC $ 210.00 TOTAL
6615 SW HWY 99
REQUIRED INSPECTIONS
VANCOUVER WA 98665 Ceiling Cover Elect'l Service
Phone #: 360 - 693 -4773 Wall Cover Elect'l Final
Reg #..: 000639
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 lore than 180 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 -001 " .h OAR 952-1 -1987. You may obtain a copy
of these rules or direct questions to OUNC by c lling ( 246 -1987.
Permittee Signature: X Issue■ ■ �
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:
CONTRA TOR INSTALLATION I ONLY
SIGNATURE OF SUPR. ELEC' N : 1C 0 DATE: Ad - /S/-1 r
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CJTY OF TIGARD Electrical Permit Application Plan Check
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd /0 --7
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # ecC 4 $ = Q40//
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development / Q Number of Inspections per permit allowed
Name (or name of business) V14 in r,4 Pox Service included: Items Cost Sum
I
Address 43090 .5/,,J /2�/Fi G `-jIp// � 4a. Residential - per unit
City /State /Zip 7T d Die 1fw 3 1000 sq. ft. or less - Each additional 500 sq. ft. or $110.00 4
Commercial Residential El 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 o r0( ✓eye 610 ? Ce • Installation, alteration, or relocation
Address /i /5- //11�/E .Lu/ -y �J 200 amps or less $60.00 2
!° � 201 1 amps to 400 amps $80.00 2
City 1- 0CBr.! dP State _/11/E_____Zip 9 s 401 amps to 600 amps $120.00 2
Phone No. .3f f7 49' 4177 -3 601 amps to 1000 amps $1 moo 2
Job No. t/i Cl 74=77 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. Exp.Date
OR State CCB Reg. No. 63.57 Exp.Date /-04 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 616 Exp.Date / -/- 97 Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 401 amps to 600 amps $1 00 2
• Over 600 amps to 1000 volts,
License No. 52.6.... Exp.Date see "b" above.
Phone No. . 1 - x,993- 9773 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 OC c90 . e9 d 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: � =D G
Not required for temporary construction services. 5a. Enter total of above fees $ 0 O
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
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 #. $ Ada Q 6
Total balance Due �� ""
I:\DSTS \ELC96.APP Rev 9/96
•
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0611
FOODMAKER, INC.
13090 SW PACIFIC HWY
12/28/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received / / / / 10/07/98 RECD GEO 10/08/98 GEO
ELCC003 Permit created / / / / 10/08/98 DONE GEO 10/08/98 GEO
ELCC400 (F)Ready to issue / / - / / 10/08/98 PASS GEO 10/08/98 GEO
ELCC500 (F)Issue permit / / / / 10/14/98 DONE DEB 10/14/98 DST
ELCC799 Elect'1 Final / / / / 12/07/98 PASS CD 12/07/98 CD
ELCC800 Case Finaled / / / / 12/07/98 PASS CD 12/07/98 J *H
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 7 Business Line: 639 -4171
BUP
//5/ Date Request /. — 0 — AM PM BLD
Location 136 I 4 "4 .fiL. :_A4_4(. Suite MEC
Contact Person .`I / Ph 5pl % p /c/ /'('LM
Contractor .1/. , /J__! _OF ??6 / SWR
BUILDING Tenant/Owner 1 f-0 7— g�0 6 r /� j G _ 6'6 /3
Retaining Wall 77 �_ / / II
Footing 111/11/
Access:
Foundation G am / / N L/ FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam g
Ext Sheath /Shear 06 /
Int Sheath /Shear
Framing
Insulation
Drywall Nailing /A/<f L - ELF' PP O6
Firewall
Fire Sprinkler ELC - 061/
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING ��
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PA FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fir larm
F'
PASS PART FAIL
\SIT
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 D
Other / z -OP Inspector Ext
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.