Permit CITY OF TIGARD ELECTRICAL PERMIT
4,4 ,''� DEVELOPMENT SERVICES PERMIT #: ELC98 -0189
�' DATE ISSUED: 04/15/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
Q ` PARCEL: 2S112DA -01300
SITE ADDRESS...:06640 SW REDWOOD LN
SUBDIVISION •PACIFIC CORPORATE CENTER ZONING:I —P
BLOCK LOT JURISDICTION: TIG
Project Description : Installation ofsign lighting for permanent 69 sq. ft. wall
sign on north wall face.
- -- 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
MANE. 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
PROVIDENCE MEDICAL type amount by date recpt
6640 SW REDWOOD PRMT $ 40.00 BON 04/13/98 98- 304892
PORTLAND OR 97223 5PCT $ 2.00 BON 04/13/98 98- 304892
Phone #:
Contractor:
VANCOUVER SIGN COMPANY, INC $ 42.00 TOTAL
6615 SW HWY 99
REQUIRED INSPECTIONS
VANCOUVER WA 98665 Wall Cover Elect'1 Final
Phone #: 360- 693 -4773 Elect'1 Service
Reg #.. 000006
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 •ore 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 - 0011010 through OAR 952401 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: ,iD,,QLP Issued By•
V
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: ,,�.Q �,Q. ..IQ �Q DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
fall 639 -4175 by 7:00 p.m. fnr an inspertinn needed the next huaine day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + ++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. C�
y
Tigard, OR 97223 Permit #
Date Issued CL Q - c i /
„ r i - I-5 -9
,�
b� ii Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 1 8� ,./ 4. Complete Fee Schedule Below:
Name of Development Pizoi• In PCd!C/Ir[_ PU iA Number of Inspections per permit allowed
Address COCO `fa ILO REbLAICOn (,Pert) .. Service included: Items Cost(ea) Sum
City /State /Zip 11(9 1 ! OP. �Z a..-pl..� 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Name (or nary business) CR7146Pi Dik f2Ac.7W 9' Each additional 500 sq. ft. or
Cl--/NiG portion thereof $25.00 1
Commercial Residential iI Limited Energy
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 _ 2
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation
Electrical Contractor Vral ll1 ct 6ill 200 amps or less $60.00 2
Address ((p1 49 201 amps to 400 amps $80.00 2
40 1 amps to 600 amps $120.00 2
City vLOl� P.P State U Zip en/01a- $180.00 2
601 amps to 1000 amps
Phone No. 3100 t'nq-47',3 Over 1000 amps or volts $340.00 2
Job NO. Reconnect only
$50.00 2
contractor's license NO. Si- 116,a4.5 4c. Temporary Services or Feeders
Contractor's Board Reg. N • _, • r / Installation, alteration, or relocation 2
Signature of Supr. Elec'n -- '- .- ■ - 200 amps or less 2
License No.S76,5z6 Phone No. 3f JIo4 3 -µms 201 amps to 400 amps $50.00
401 amps to 600 amps $75.00 2
Over 600 amps to 1000 volts $100.00
2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
E
not intended for sale, lease or rent.
First additional circuit $35.00
l
Each additionnal branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 _ 2
Each sign or outline lighting 1- $40.00
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 inspection $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: �� ,��
5a. Enter total of above fees $ r-�V W
NOTICE 5% Surcharge (.05 X total fees) $ T Z •1%Q
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. 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. wordtmmdeNeleo- ❑ Trust Account #
$
prm.app '
Balance Due $ I "I -®0