Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00335
ti' DEVE
SERVICES 1639 -4171 DATE ISSUED: 6/7/99
PARCEL: 2 S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY S.150
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of sign lighting for 2 wall signs.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 2
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS
ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor: •
PACIFIC REALTY BLAZE SIGNS OF OREGON
15350 SW SEQUOIA PKWY #300 PO BOX 23910
PORTLAND, OR 97224 PORTLAND, OR 97281 -3910
Phone: Phone:
Reg #: §00-3201SIG
LIC 000643
ELE 26380CLS
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DEB 5/27/99 $80.00 99- 315717 Elect'I Final
5PCT DEB 5/27/99 $4.00 99- 315717
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Permit Signature: j 4
\ jus
t 10-""--- Issue. By: r , ‘ . , (�/,' 4
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: fg=tr= Jaen #474,-- DATE: 6' 7-9/
LICENSE NO: 15 1 SIC •
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check
13125 9W HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd S Z�' ply
Date to P.E. -
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit #£t.G1 ao33,5
Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called
•
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 1 eae.n C Number of Inspections per permit allowed
Name (or name of business) p *f .0 '1.0 Service included: Items Cost Sum
I
Address l 4 9 £s 5 co ,p_e�, r 1 _ Wc� 4a. Residential - per unit
' v ` 1 1000 sq. ft. or less $110.00 4
City /State /Zip -� w0 ��
[ Gj 0-+ - a.. Y Each additional 500 sq. ft. or
Commercial 121. ❑ portion thereof $25.00 1
Limited Energy $25.00
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) t 4b. Services or Feeders
Installation, alteration, or relocation
Electrical�(;'�}ntractor �� 200 amps or less - $60.00 2
Addr9s �T" I �_ _ 201 amps to 400 amps - $80.00 2
City v�JrY State C9 - I Zip . . 401 amps to 600 amps - $120.00 2
Phone No. :,3 7 -:), C -- ,yy a / f 601 amps to 1000 amps - $180.00 2
Over 1000 amps or volts $340.00 2
Job No. /c'6 b Reconnect only - $50.00 2
Elec. Cont. Lice. No. of - oL Exp.Date 7470 OR State CCB Reg. No. (o 413 a6 a -- Exp.Date.) - - oO 4c. Temporary Services or Feeders
COT Business Tax or Metro No. ( 9. O /3 Exp.Date /c-) - I -q9 Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec'nJzo - ,., A..„......,,,-) 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. bc "S ( Exp.Date / - • c? G see "b" above.
Phone No. C� - 2 q 3 6 2 c 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
feeder fee.
Print Owner's Name
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
Each additional branch circuit $5.00 2
The installation is being made on property I own which is not
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 g� =cs 2
3. Plan Review section (if required):*
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $35.00
-
System over 600 volts nominal Per hour $55.00
Classified area or structure containing special occupancy In Plant - $55.00
as described in N.E.C. Chapter 5
5. Fees:
* Submit 2 sets of plans with application where any of the above apply. 5a. Enter total of above fees $ $ • 00
Not required for temporary construction services. 5% Surcharge (.05 X total fees) $ 4
Subtotal $
NOTICE 5b. Enter 25% of line 5a for
Plan Review if required (Sec.3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account # c, /,
$
TIME AFTER WORK IS COMMENCED. Total balance Due `�
I: \DST \ELEC98.DOC REV 4/98
•
4/21/00 Activities for Case #: ELC1999 -00335
4:33:52 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 5/27/99 BON RECD No Hold DEB . 6/7/99
ELCA003 Permit created 6/7/99 DEB DONE No Hold DEB 6/7/99 •
ELCA730 Elect Service 6/7/99 6/7/99 No Hold DEB 6/7/99
ELCA799 Elect! Final 6/7/99 6/7/99 4/12/00 CD PASS No Hold AKJ 4/12/00
ELCC500 (F)Issue permit 6/7/99 DEB DONE No Hold DEB 6/7/99
ELCA845 Request inspection research 3/21/00 JMT DONE No Hold JMT 3/21/00
ELCC800 Case Finaled 4/12/00 AKJ DONE No Hold AKJ 4/12/00
•
•
•
•
•
•
•
•
•
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location I '1 �S seq tApif 'twit Suite ) SO MEC
Contact Person Ph PLM
Contractor Ph SWR p p BUILDING Tenant/Owner Ake) 04(.../- ELC /5 / ! - 00 33s
Retaining Wall ELR
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH — SGN
Crawl Drain
Slab NO INSPECTION(S) FOUND IN FILE — SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler ��I �' L Ci
Fire Alarm
Susp'd Ceiling
Roof aC_D
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
LECTRICAt
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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 r inspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date l 7 f� Inspector Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.