Permit CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00497
' 6 4,0 DEVELOPMENT SERVICES DATE ISSUED: 08/21/2000
A r�J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S126C0-01107
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Sign lighting.
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: 1
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HMI 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:
CMR SIGN SYSTEMS
1820 E BURNSIDE
PORTLAND, OR 97214
Phone: Phone: 285 -7918
Reg #: LIC 104219
SUP 319SIG
ELE 26- 695CLS
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 08/21/200C $42.75 2720000000( Elect'l Final
5PCT CTR 08/21/200C $3.42 2720000000(
Total $46.17
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 app eyed 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. AU ON: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0011 •ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE / ISSUED BY: "elk
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:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
'' • Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
/ p l . Permit # k C e2 - - V - /0 5
AA _ , � �� Phone (503) 639 -4171 Date Issued a 2�/a n
CITY OF TIGARD FAX (503) 684 -7297 Issued by .Z L
TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: " r4- ' ~/ ''-' Complete Fee Schedule Below:
N umber of Inspections per Name of Development � Fol Lc. P� � Pe permit allowed
Address 94%0 Sit., el)/ --as ,) Service included: Items Cost(ea) Sum
City /State/Zip // / /Gf/Z.Z) 4a. Residential - per unit 4
1000 sq ft or less $110 00
Name (or name of business) Each additional 500 sq ft o r 1
portion thereof $25 00
Commercial ❑ Residential ❑ Limited Energy $2500
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $68 00
2a. Contractor installation o ly:
4b. Services or Feeders
1 �) Installation, alteration, or relocation 2
Electrical Contr. r G l� l G� 200 amps or less $60 00 2
Address 2
W ' - r i 201 amps to 400 amp $eo 00
y 401 amps to 600 amps $120 00 2
City St�ate Zip 5') / 601 amps to 1000 amps $180 00 2 —
Phone No. ..- - --a/S-- Over 1000 amps or volts $340 00 2
—
Contractor's License No. ) .- 6 C Reconnect only $5000
Contractor's Board Reg. No. C ! v ili 4c. Temporary Services or Feeders
f Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or less $5000 2
License No. � r2 .S � ki - Phone No.� - 5 ---...Q/ f 201 amps to400amps $7500 2
401 amps to 600 amps $100 00
Over 600 amps to 1000 volts
2b. For owner installations: see - b - above
Print 4d. Branch Circuits
rint 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 tee for branch circuits withou
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit $35 00 2
Each additional branch circuit $5 00
Owner' Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irngation circle $40 00 2
Each sign or outline lighting J — $'16 .2,
Signal circuit(s) or a limited energy 6/0,15 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:
NOTICE 5a. Enter total of above fees $ yal , 7.5
��5<Surcharge (.05 X total fees) $ 3 , `/.2._
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 $ f4,/1
woidicamd•,Wcpm app
■
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
• Date Requested • 22/00 AM PM BLD
Location 7S.3 �+� /.Vr¢ - M, , .✓ . Suite MEC
Contact Person Ph PLM
Contractor � � 2 � t 6 Ph 2 S -79/f SWR
BUILDING Tenant/Owner 4941ATiihcaeet-A ELC 2000 - 00 q y/f
Retaining Wall ELR
Footing Access:
. Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: S 6
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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
?ELECTRICAL)
`Service
Rough In
UG /Slab 6,A
Low Voltage
Fire Alarm
PART FAIL
'SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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: [ nab - to inspect - no access
ADA
Approach /Sidewalk
Other Date Ins
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.