Permit r
CITY OF T ELECTRICAL PERMIT
i, DEVELOPMENT SERVICES PERMIT #: ELC98 -0691
1J,.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-0171 DATE ISSUED: i i / 18 / 98
PARCEL: 1S126C0 -01107
SITE ADDRESS... :09585 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING:C —G
BLOCK LOT • JURISDICTION: TIG
Project Description : Installation of sign lighting.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1 000 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/0 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
WINMAR COMPANY INC type amount by date recpt
9585 SW WASHINGTON SD RD PRMT $ 40.00 DLH 11/18/98 98- 310928
TIGARD OR 97223 SPCT $ 2.00 DLH 11/18/98 98- 310928
Phone #:
Contractor:
HIGHLIGHT SIGN CORP $ 42.00 TOTAL
8430 SW 37TH
REQUIRED INSPECTIONS
PORTLAND OR 97219 Elect'1 Service
Phone #: 499 -5821 Elect'1 Final
Reg #..: 000104
This pereit 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 pereit will expire if work is not started within IN
days of issuance. or if work is suspended for pore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 481-0810 through OAR 952-021-1987. You may obtain a copy
of these rules or direct questions to WIC by ca 1 g (503) —'. -1987.
Permittee Si natur��� /, / Issued B
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: A7/19 DATE:
CONTRACTO R INSTALLATION ONLY
. . 1 2I MAT SUP . ELEC' N: a / tf/ - /66 DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
t ++ �i + + + + + + + ++ ++ + + + + + + + ++ + ++ + ++ + ++ + ++ + + + ++ + + ++ + + + ++ + + + ++ ++ ++ + + ++ +
•
CITY OF TIGARD E
Electrical Permit Application Plan Ch
13125 SW HALL BLVD. Rec'd 1'
TIGARD OR 97223 Date Rec'd /t - 98'
Date to P.E. ---
Phone (503) 639 -4171, x304
Print or Type Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit it �L.C9 GYoq/
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development �1iC1 t 1 1 ,u U lCa � Number of Inspections per permit allowed
Name (or name of business) 11,441A cue -Q'1.‘_ 5.4 0..4L Service Included: Items Cost Sum
Address 9A FS 5 l .1.. CO n_Sp _ 1A - 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State/Zipf / Q�- 9 p X13 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 cvrrent licenses) 4b. Services or Feeders
Electrical Contractor ,■ o , , A - . ' ° A A _ - r . Installation, alteration, or relocation
AtC lifrl /rlf� W. 200 amps or less $60.00 2
Address +rte r 2 01 amps to 400 amps $80.00 2 -
City - State Zip 401 amps to 600 amps $120.00 2
-
Phone No. 4 es.-A to 90 -'-A._z:2,,s- 601 amps to 1000 amps - $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. a/„ _ Sr$•R'GZ.S Exp.Date p)--,/ - 99
OR State CCB Reg. No. /O'' - 9 Exp.Date .2- 7•-6) 4c. Temporary Services or Feeders
COT Business Tax or Metro No. , ' Ex. r l -. to '- • Installation, alteration, or relocation
// / 200 amps or less $50.00 2
201 amps to 400 amps -
- 75.00 Signature of Supr. Elec'n . _ _ - / � 401 amps to 600 amps $100.00 2
-
�' Over 600 amps to 1000 volts,
License No. SltZ 5 7 Exp.Date /' see "b" above.
Phone No. (,575,- CeAZ� '$a_epS
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 circuit $5.00 2
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 I $40.00 -ED 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
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. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ s 1
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
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 # $C ..Y.614.50 j
Total balance Due
I:\DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
[
Location iS O S tA94,SIA & . Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ( 51'3vC ') ELC �� 27' 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling J l— C(rc(J S
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
p
FAIL
LECTRICAL
-. «-
Rough In
UG /Slab 0
Low Voltage
Fire Alarm
/fin
F ART FAIL
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
Approach /Sidewalk Date 7_ Inspector __ �d ! Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.