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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.