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Permit CITY O F TIGARD � ELECTRICAL PERMIT PERMIT #: ELC2000 -00208 •1 V DEVELOPMENT SERVICES � DATE ISSUED: 4/28/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 / PARCEL: 1S126C0 -01107 SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD i SU BDIVISION: MERVN ZONING: C -G BLOCK: LOT : RISDICTION: TIG Project Description: Installation of sign lighting for 3 new 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: 3 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: PPR WASHINGTON SQUARE LLC HIGHLIGHT SIGN CORP 9585 SW WASHINGTON SQ RD 8200 SW HUNZIKER TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 503- 620 -8205 Reg #: LIC 00104599 . SUP sig517 ELE 26- 888CLS FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT DEB 4/24/00 $128.25 0001659 Elect'l Final 5PCT DEB 4/24/00 $10.26 0001659 Total $138.51 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 b the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copie these r to or direct questions to OUNC at (503) 246 -1987. . PERMITTEE'S SIGNATURE I �� . ISSUE BY: /f I ���� 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 INSTA LATION ONLY SIGNATURE OF SUPR. ELE 4 ' ' • I ( (r DATE: 5 LICENSE NO: si a / 7 Call 639 -4175 by 7:00pm for an inspection the next business day CITY 6F TIGARD Electrical Permit Application Plan Che 4 , 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Recd 'Y -•'I'� Go Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type Permit # EGZ, - 6 1%20g Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called 1. Job Address: M ti-u ynit 4. Complete Fee Schedule Below: Name of Development q'fd * ' (41#17441" Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum Address - 4a. Residential - per unit City /State /Zip 1000 sq. ft or less $ 117.75 4 Each additional 500 sq. ft. or Commercial El Residential El pted Energy thereof $ 26.75 1 Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor /f /(o►4 Sti&O CeOPP 200 amps or less $ 64.25 2 Address ISICAO S (1.1 r /frAV7-/KX-fir 201 amps to 400 amps $ 85 50 2 401 amps to 600 amps $ 128 50 2 City 1 � r State CIR. Zip 4'7g 3 601 amps to 1000 amps $ 192.50 2 O Phone No. CO a rs go d' Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. Exp.Date 4c. Temporary Services or Feeders OR State CCB Reg. No. Exp.Date Installation, alteration, or relocation COT Business Tax or Metro o. Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. ,67e*._ 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, License No. 516 5 Exp.Date /0/,2Cr.P -tv see "b" above. Phone No. O - 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone ■ •. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting 3 $ 42 75 /A g. AS - Signal circuit(s) or a limited energy panel, alteration or extension $ 60 00 3. Plan Review section (if required): * Minor Labels (10) $ $e441O ���� 4 f. Each additional /40,40 Please check appropriate item and enter fee in section 5B. 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 $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59 00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 82_ * Submit 2 sets of plans with application where any of the above apply. 6 c7 Surcharge ( total fees) $ .14%__ 0, ,V Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ / 3 "8' is \dsts \forms \cicctric doc • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 , Business Line: 639 -4171 BUP Date Requested 7/ AM PM BLD Location 9c6.0 Li l e _ Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC,7-dl7C — 002-4 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab l / wS r!v Miol.� SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire Sp Fire Sprinkler /l ,k, 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 FAI L L CTRICA rvice Rough In UG /Slab Low Voltage Fir- Alarm Fib PART 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 Other Dat ,:L1repv Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - . - BUP Date Requested g-./ AM PM BLD Location /'(f OU 5 ' Gt)a S ( S 12/ prvyr is Suite MEC Contact Person L, G w `)P a-d- Ph 62-€) rl-03 PLM Contractor Ph SWR BUILDING Tenant/Owner igro 0,24-00.20P- Retaining Wall ELC ^ CO 11 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 ��� C, °� C7 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 PSS PART FAIL (ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm F'- 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 _ Approach /Sidewalk Other Date /- Inspector `` Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.