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Permit Forromm, -- --- ELECTRICAL PERMIT CITY OF T PERMIT #: ELC96 -0387 • COMMUNITY DEVELOPMENT DEPARTMENT �- z DATE ISSUED: 06 / 17 / 96 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 �`� ✓�� PARCEL: 25110DC -00:00 SITE ADDRESS...: y d&£s PACIFIC HWY #4 SUBDIVISION • WILLOW BROOK FARM ZONING:C —G '. BLOCK • LOT -11 Project Description: Installing outline lighting for 24 sq. ft. permanent wall s ign - -- 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/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 SALLY BEAUTY SUPPLY type amount by date recpt 15660 SW PACIFIC HWY #4 PRMT $ 40.00 B 06/10/96 96- 280417 5PCT $ 2.00 B 06/10/96 96- 280417 TIGARD OR 97224 Phone #: Contractor: -- CMR SIGN SYSTEMS $ 42.00 TOTAL 1820 E BURNSIDE REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Elect' 1 Service Phone #: 285 -7918 Wall Cover Elect'1 Final Reg #.. : 104219 a. This permit is issued subject to the regulations contained in the ' 'b l Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature 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 1 1 1. - ---) than 180 days. slued 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 SUP R. ELEC' N : 0'vv`,P � -rr�t (lC " MitA DATE: 6 — 11 -6 / 4 LICENSE NO: Call for inspection — 639 -4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 4,0%4 ,. Permit # EIS ii, - c p5cri ll Phone (503) 639 -4171 Date Issued to ° A FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by 6, LW,- Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name d'e el t M MENADF Number of Inspections per permit allowed P TIGARD A..D P_ O Address-1- SW PACIFIC HWY. Service included: Items Cost(ea) Sum City /State/Zip TIGARD, OR. 4a. Residential - per unit 4 1000 sq. ft. or less $110.00 Name (or name of business) SALLY'S BEAUTY SUPPLY Each additional 500 sq. ft. or 1 portion thereof $25.00 - Commercial 12XXX Residential ❑ Limited Energy $25.00 Each Manufd Home or Modular 2 Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation 2 Electrical Contractor CMR STGN SYSTEMS 200 amps or less $60.00 2 201 amps to 400 amps Address 1890 F. Ri1RNSTRF, 401 amps to 600 amps $80.00 2 $120.00 2 City POPTi,AN11 State op Zip 9791A 601 amps to 1000 amps $180.00 2 - Phone No. 7RS_7918 Over 1000 amps or volts $340.00 2 Contractor's License No. 26 695CLS Reconnect only $50.00 Contractor's Board Reg. No. 10421 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less $50.00 2 $75.00 2 License No. 319SI hone No. 285 -7918 201 amps to 400 amps 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts 2b. For owner installations: see •b• above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder fee. 2 Each branch circuit $5.00 Phone No. b) The fee for branch circuits withou The installation is being made on property I own which is purchase of service or feeder lee. 2 First additional circuit br $$5.00 2 not intended for sale, lease or rent. Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump °3' or irrigation circle $40.00 2 Each sign or outline lighting T $40.00 lid) Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspectio $35.00 Per hour $55.00 - In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: :-. NOTICE 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ - AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # $ Balance Due $ L a old%comdaNaMopm.app 6/30/99 Activities for Case #: ELC96 -00387 1:23:29 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received • 6/17/96 6/10/96 B RECD BON 6/17/96 ELCC003 Permit created 6/17/96 6/17/96 B PEND BON 6/17/96 ELCC700 Ceiling Cover 6/17/96 . BON 6/17/96 ELCC720 Wall Cover 6/17/96 BON 6/17/96 ELCC730 Elect') Service 6/17/96 BON 6/17/96 ELCC799 Elect'l Final 6/17/96 VLN 9/16/98 Inspection request for research to Chuck D. 8/17/98. ELCC500 (F)Issue permit 6/17/96 ' B PASS BON 6/17/96 ELCC920 Miscellaneous action 4/26/99 AKJ DONE No Hold AKJ 4/26/99 inactivity letter sent ELCC799 Elecfl Final 5/6/99 5/6/99 5/6/99 BRP PASS No Hold AKJ 5/6/99 ELCC800 Case Finaled 5/6/99 AKJ DONE No Hold AKJ 5/6/99 • • Page 1 of 1 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �� j BUP Date Requested 5 [ i— / AM PM BLD Location l 4,c- - 3 2- FAL Suite MEC Contact Person Gvi � v Ph 2 S2'" . � /5- PLM Contractor Ph SWR S� BUILDING Tenant/Owner ELC [ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing u it 51) 4 4 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling P. l .7 i Y S Cc ni p ��/ wi C [9 N / ° Roof �/ G� 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 PASS PART FAIL < LECTR E:AP c1 Service Rough In UG /Slab Low Voltage Fire Alarm ASS ART FAIL SITE BackfillGrading 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 Date Inspector cc 0 ��j It 2Q_A■L Ext c J1�y11 QJ�, Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.