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Permit i , CITY OF TIGARD ^ ,, � i �;�, DEVELOPMENT SERVICES 9 ELECTRICAL PERMIT — RESTRICTED ENERGY PERMIT #: ELR98 -0047 DATE ISSUED: 02/13/98 PARCEL: 25110AB -00200 SITE ADDRESS...:14411 SW PACIFIC HWY SUBDIVISION -CANTERBURY PLACE ZONING:C —G BLOCK • LOT •1 -3 JURISDICTN: TIG Pro,j ect Descri pt ion : Misc: Add two (2) outline lighting systems to a commercial tenant occpy. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .: GARAGE OPENER • CLOCK • MEDICAL • HVAC • DATA /TELE COMM..: NURSE CALLS • VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE: OTHER: .. HVAC • PROTECTIVE SIGNAL..: INSTRUMENTATION.: OTHER.. :OUT LINE ::X TOTAL # OF SYSTEMS: 1 Owner: FEES SUPERPLAY type amount by date recpt 14411 FARMINGTON ROAD PRMT $ 80.00 GEO 02/13/98 98- 303279 TIGARD OR 97224 5PCT $ 4.00 GEO 02/13/98 98- 303279 Phone #: Contractor: MULTI —LIGHT SIGN CO. $ 84.00 TOTAL 3255 NE BROADWAY REQUIRED INSPECTIONS PORTLAND OR 97213 Low Voltage Insp Phone #: 281 -3083 Elect'1 Final Reg #..: 000641 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952 - 01-0080. You may obtain copies of these rules or direct 'uesti :II l :t (5031246 -1987. Issued by / / o !�� Permittee Signature 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: DATE : �.7 �� 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 S HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # £ 98 -0c Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development CArv�_t2 cam„ Q e I !C7 Q-e Number of Inspections per permit allowed Name (or name of uyin- j . % _ _ ■_ I �lf� `- Service included: Items Cost Sum I Address t t _�:.�� u_ = m� �z�r� "�� � 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City/State/Zip l kc Alftb ;©a:" \ Each additional 500 sq. ft. or Li Residential ❑ portion thereof $25.00 1 - 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 lice ses) ` 4b. Services or Feeders Electrical ContractorMtL,.. WAtk c C1 t■ (t In 200 a lte ls Stion, or relocation $60.00 2 - Address 4 .... ► • f• A - ■ _ 201 amps to 400 amps $80.00 2 City k it ►I . ; . State Zip s 401 amps to 600 amps - $120.00 2 Phon - No. Z1 , 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. 21,4C) C L-C,Exp.Date QK OR State CCB Reg. No. •1e 14 l 0 Exp.Date y j 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 _ 2 - 201 amps to 400 amps 75.00 Signature of Supr. Elec'n" -+ -1 1� 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No.c" V , ` 1 Exp.Date g g see "b" above. Phone No. g1'- 1 89 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The tee 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 circui $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 41. 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: ow Not required for temporary construction services. 5a. Enter total of above fees $ 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 t 4 TIME AFTER WORK IS COMMENCED. ❑ Trust Account # '{ Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0047 SUPERPLAY .14411 SW PACIFIC HWY 06/12/98 Action Description • Reg/ Schd/ find/ Action Notes Disp By Update Upd Code Sent Done Done Date By - - -- --- - - - - -- -- --- ELRC001 Application Received / / / / 02/13/98 • RECD GEO 02/13/98 GEO 'ELRC003 Permit Created / / / / 02/13/98 DONE GEO 02/13/98 GEO ELRC500 (F) Issue permit / / / / 02/13/98 PASS GEO 02/13/98 GEO ELRC725 Low Voltage Inspection 02/13/98 / / 02/13/98 PASS BRP 03/20/98 B •P ELRC799 Elect'1 Final 02/13/98 / / 03/20/98 PASS BRP 03/20/98 B *P ELRC799 Elect.l Final / / / / 03/20/98 PASS BRP 03/20/98 J *H ELRC800 Case finaled / / / / 03/20/98 PASS BRP 03/20/98 J *H •