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Permit
CITY O F TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00514 I/' „ r�l� � DEVE H BMEN� Tigard, ) 639 -4171 DATE ISSUED: 8/19/99 PARCEL: 2S1 12 DA -01200 SITE ADDRESS: 15060 SW SEQUOIA PKWY SUBDIVISION: PP1995 -098 ZONING: I -P BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Four 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: 4 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: PACTRUST MARTIN BROS SIGN INC 15350 SW SEQUOIA PKWY PO BOX 2069 STE 300 EUGENE, OR 97402 TIGARD, OR 97224 Phone: 503 -624 -6300 Phone: 800 - 937 -7446 Reg #: ELE 24 -23CLS LIC 64761 SUP 399SIG FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 8/6/99 $171.00 99- 317465 Elect'I Final 5PCT BON 8/6/99 $11.97 99- 317465 Total $182.97 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 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: ( mad Issued By: /14.01,44 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: Bi I ( DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 1 CITY OO TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By 6,IM i. TIGARD OR 97223 Date Rec'd `b -- lo -1/ Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit #i51.G(hii t If Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called IlnA,t d gl 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) D-14.1_0-4.- ... ..0_110 - L. Service included: Items Cost Sum Address / S D („ 0 Lt.) S91 c nl a.ar t )li y 4a. Residential - per unit 1 1000 sq. ft. or less $110.00 4 City /State /Zip 7l 3.a„,--,4 , o /e Each additional 500 sq. ft. or Commercial- Residential El Limited 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 licenses 4b. Services or Feeders • Electrical Contractor `1I?llr.&, -, S o5e� Installation, alteration, or relocation . Address 31L S ('�» vs«.r _ • n giL- Sc_ 20 amps to or less $60.00 2 - �C.o�(' 201 amps to 400 amps $80.00 2 Citys Pte.,-., State i 1Q Zip 9-7 3 n i 401 amps to 600 amps $120.00 2 Phone No. 57)3 - 31, - elc i / 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.d .23 L is Exp.Date /OA/ OR State CCB Reg. No. ('17 (o / Exp.Date 3/ ni» 4c. Temporary Services or Feeders COT Business Tax or Metro No. •t. . : Exp.Date / 2/3,999 Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Su r. Elec'n 201 am to 400 am $75.00 2 g p 401 amps to 600 amps $100.00 2 ��++ Over 600 amps to 1000 volts, License No. 7671 7 Exp.Datej©� see "b" above. Phone No. 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 circui $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) ' 7S Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting .4/ **MO -1 3. Plan Review section (if required):* Signal circuit(s) or a limited energy 1 1 1 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. S. Fees: l Not required for temporary construction services. 5a. Enter total of above fees $ q 7°j 5% Surcharge'(•95.X total fees) $ i. r NOTICE Subtotal • 0 7 $ 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 # $ Total balance Due I: \DSTS \ELC96.APP Rev 9/96 4/21/00 Activities for Case #: ELC1999 -00514 . 4:36:24 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 8/6/99 BON RECD No Hold BON 8/19/99 ELCC003 Permit created 8/19/99 BON DONE No Hold BON 8/19/99 I ELCC730.Elect'I Service 8/19/99 8/19/99 No Hold BON 8/19/99 ELCC799 Elect! Final 8/19/99 8/19/99 3/30/00 CD PASS No Hold AKJ 3/30/00 ELCC500 (F)Issue permit 8/19/99 BON DONE No Hold BON 8/19/99 ELCA845 Request inspection research 3/24/00 JMT DONE No Hold JMT 3/24/00 ELCC800 Case Finaled 3/30/00 AKJ DONE No Hold AKJ 3/30/00 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested J 0 AM PM BLD Location /1'06 Suite MEC Contact Person Ph _3 , '-/ -22 / PLM Contractor Ph SWR BUILDING Tenant/Owner 102 nT ELC /999 Retaining Wall l ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab /✓S SIT Post & Beam pp / Ext Sheath /Shear k /if / /.1./ O/, 11/11K e',/ Int Sheath /Shear J Framing Insulation Drywall Nailing Firewall • Or' Fire Sprinkler - _i 1 W= - s Fire Alarm Susp'd Ceiling Roof ✓/ Misc: Final �Q 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 (dT RICAL Rough In UG /Slab Low Voltage Fir- • larm ,"i V � AS � 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 reinspection RE: ] Unable to inspect - no access ADA ,. : 0 01110 Approach /Sidewalk Other Date Inspector xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.