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11654 SW PACIFIC HIGHWAY N N Ln E w n N N C) i 1CtiMH�IH �I,3I�tfd MS 175;9TT~ CI a Y OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Blip Date RequestedZ) AM _PM BLD Locatiol, 1,c/ '1VG C r 'Ori r w Suite __ __— A MEC Contact Person Ph Zc / 7f J Z-- PLM Contractor Ph _ SWR _ BUILDING Tenant/Owner ,,v,,-x ELC ev UU Y Retaining Wall ELR _ Footing Access Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab —�— SIT Post&Beam --- Ext Sheath/Shear Int Sheath/Shear -- Framing ---- --— ---- Insulation Drywall Nailing Firewall 01, Fire Sprinkler Fire Alarm —`— Susp'd Ceiling _... _ RoofMisc ------------------- Final -------- _ - — PASS PART _FAIL --. F rMBING — — — 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 -- -- -- — ----- PART FAIL ELECTRIC — - -- - ----- ----------- 7rvice Rough In _ _ ---- UG/Slab Low Voltage `-- Fire Alarm - i ASS PART FAIL S TE Backfill/Grading -- Sanitary Sewer Storm Drain [ J Reinspection fee of$--_ required beton next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for rei p coon RF_ �^ /( ; Unable to inspect no access ADA Approach/Sidewalk �'' Other — bate �� / _Inspector ^��z � Ext _ Final ' — PASS PART -FAIL 00 NOT REMOVE thin, insrection record from the j9b site. CITYOF TIGARD ELECTRICAL PERMIT PERMIT#: EI-01999-00563 DEVELOPMENT SERVICES DATE ISSUED: 09/20/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-01400 SITE ADDRESS: 11654 SW PACIFIC HWY 8 SUBDIVISION: ZONING: C-G 3LOCK: LOT . JURISDICTION: TIG Project Description: Electrical for new wall sign RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ va MISCELLANEOUS__ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADO'L 5c OSF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED EVERGY: 401 - 600 amp: SIGNAL-/PANEL: MANF IIM/ SVC/ FUR: 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: 1 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW_ SECT ION____ 1000+ amp/volt: — >=4 RES UNITS: — > 600 VOLT NOMINAL: SVC/FD Reconnect only: R >= 225 AMPS: CLASS AREA/SPEC OCC_ Owner: Contractor: UPTECH COMPUTER HIGHLIGHT SIGN CORP 11654 SW PACIFiC. HWY 8200 SW HUNZIKER TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503-598-0839 Phone: 503-620-8205 Reg #: LIC 00104599 SUP s1g517 Et F 26-888CL _ FEES _ Raquired Inspections _ Type By Date Amount Receipt _ Wall Cover PRMT GEO 09/20/199E $42.75 99-318264 Elect'I Final 5PCT GEO 09/20/199£ $2.99 99-318264 ORIJINIAL Total $45.74 This Permit is issued subject to the regulations contained in the"figard 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 issuanoe,or Kwork is suspended for more than 190 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 1-0080. You may obta!!: copies of these rules or direct questions to OUNC at(503) 248-1987. PERMITTEE'S SIGNATURE ;' ISSUED BY: rC�� ,tL _ OWNER INSTALLATION ONLIC The installation is b ade 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 CITY OFTIGARD Electrical Permit Application Plan Ch # 13125 SW HALL BLVD. Recd Date Reo'd TIGARD OR 97223 Date to P.E. _ Phone (503) 639-4171, 004 F Date to DST Print or Type Permit q�LG�°IST d0.57E3 Inspection (503) 639-4175 Incomplete or illegible will not be accepted " Fax (503) 684-7297 Called,. 1. Job Address: i 4. Complete Fee Schedule Below: Name of DevelopmentI � �V`K�'�L,�y �+ Number of Inspections per permit allowed - Name(or name of business)- 1�_�`t,rl=� _ Service included: Items Cost Sum j Address-A( V St[�' ('f`9' '��.c�I rel�' 1 - 4a• Residential-per unit �j 1000 sq.ft.of less City/State/Zip _ 'rI16VA47 �,f� ____ _- Each additional 500 s7.ft.or -- portion thereof _ $25.00 1 Commercial Residential ❑ Limited Energy Each Manuf'd He, ,or Modular Dwelling Servim or Feeder $68.00 2 2a. Contractor installation only: ( Ins ,Attach copy of all current licenses) Services or Feeders ��ri�,r r. Installation,alteration,or relocation Electrical Contractor- -1!J l �1 4? N 200 amps or less $60.00 2 Address t 201 amps to 400 amps $80.00 2 City_ State b K. Zip __ 401 amps to 600 amps $120.00 2 Phone Nd.-- (.11 ?-�d 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnert only $50.00 2 Elec.Cont. Lice. No._ I _Exp.Date OR State CCB Reg. No. Exp.Cate 0 `�+ 4c.Temporary Services or Feeders COT Business Tax or Metro No.. '4 1(&-.-Exp.Date Installation,alteration,or relocstiun 200 amps or less $50on ? 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No..� -Exp.DateZV ._ see"b^above. Phone No.�:;?n��43o�„ _ - -- 4d.Branch Circuits New,alteration cr extension per panel 2b. For owner Installations: P.)The fee for L'anch circuits with purchase of acrvlce or Print Owner's Name _ _ feeder fee. Each branrh circuit $5.00 2 Address - - b)The fee for branch circuits CityState Zip without purchase of Phone No. _ service or feeder fee. First branch cir^uit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 1 intended for sale,lease or rent. 4e. ;scollaneof,s (Service or feeds not Included) Owner's Signature. � Each pump or irrigation circle $40.00 2 Each siva or outlina lighting T $�� 2 3. Plan Review section (if required):' Signal clrcult(s)or a limited ene,gy is . panel,alteration-.x extension 2 Minor Labels(1C $100.00 Please check approprlale iters and enter fee in section 5B. 4 or more residential units In one structure 411.Each additlonal Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 800 volts nominal Per inspection $35.00 Classified area or structure containing special occ ipancy Per hour �- $55.00 as described in N.E.C.Chapter 5 In Plant $55.D0 'Submit 2 sets of pians with application where any of the above apply. Jam. Fees: Not required for temporary construction services. 5e.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal 5b.Enter 25%of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguire (Sec.3) $ NOT COMMENCED WITHIN 180 GAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -� IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TnrSl Ar,r111nt a ___-_ TIME AFTER WORK IS COMMENCED. $ Total balance Due rfnsrsetCM APP nW,%(96 CITYOF TIOARD __ Sl( V PERMIT _ DcVELOPMENT SERVICES PERMIT#: SGN1999-00103 DATE ISSUED: 09/2011999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) C-39-4171 EXPIRATION DATE: BUSINESS NAME: UPTECH COMPUTER PARCEL: 1S136CD-0140 SIGN LOCATION: 11654 SW PACIFIC HWY B APPLICANTIAGENT: ZONE: C-G BUSINESS TAX-NO: JURISDICTION: TIG PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OT HER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 22" X 22' TOTAL SIGN AREA: 41 sq.ft. WALL AREA: 357 sq.ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 10 ft. PROJECTION FROM WALL: 10 in. ILLUMINATION INT - DESCRIPTION OF SIGN: New wall sign MATERIALS: METAL/PLEX EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE. EXCEPTIONS: TOTAL PERMIT BEES: $ 50.00 This permit i.3 issued subject to the regulations contained in the Tigard Municipal Code, Sate of OR Specialty Codes and all othw applicable laws All work will be done in accordance with approved plans. !{ sign permit shall expire 90 days from approval d,-!e. A ternpor i shall expir qday from a proval riate. .A h-:;oon sign shall expire 10 ri�vc frnrn annrnval r1atA APPROVED BY: , — PERMITTEE SIGNATURE: DATE: 69/20/1999 CITY OF TIGARD FL_EC.TRICAI- PERMIT DEVELOPMENT SERVICES PERMIT #: EL.c97-0765 DATE ISSUED: 11 /19/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 F'ARC:EL: 1 S 1?,6CD-01400 SITE ADDRESS. . . : 11654 SW PACIFIC HWY ##8 SUBDIVISION. . . . : ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr^o j ect De scr•i pt 7.on: Installation of one (1) sigr or outline lighting. - - -NESIDEhJTJAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCEL.LANEOUS---- 1000 SF OR LESS. . . . : 0 0 - C00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' l._ 5005F. . . : 0 201. 400 amp. . . . . . . : 0 SI(-jNiJUT LINE LTG. . : 1 LIMITED ENE:RGY. . . . . 0 401 - 600 amp,. . . . . . . : 0 SIGNriL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ------SERVICE/FEEDER---- ----PRANCH CIRCUITS------ - -ADD' L I NSPECT T ONS- - P'. - cOO amp. . . . . . : 0 W/SERVIC:E OR FEEDER: 0 PER INSPECTION. . . . . : 0 :_�01 -- 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. , . . . . . . . . . : 0 401 - 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 _._____ ___.....____._----FLAN RE'VIE_W SECT ION-•-- -- ----___-_._... 1000+ amp/vo1.t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: - ------------------------------------------- ----- FEES -- --- ------ - --. AZANT FIBLE: FOUNDATION type amnl.rnt by date recpt 11654 S1W PACIFIC r•tWY #8 PRMT $ 40. 00 TJH 11./ 19/97 97-3010i6 TIGARD OR 97223 5PcT s 00 TJH 11 /19/97 97-301076 Phone #: FRAHL.ER ELECTRIC CO f 4 ::. 00 TOTAL... 11860 SW GREENBURG RD ------- REQUIRED INSPECTIONS -- - - TIGARD OR 97223 Ceiling Cover Elect' 1 Service Phone #: 6..:,9•-46 '7 Wall Cover Elect' ] Final Reg #. . : 000374 This permit is issued subvert to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork will he done in accordance with approved plans. This permit will expire if worts is riot started within 188 days of issuance, or if work is suspended for @ore than 1P8 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in CZAR 952-801-A818 through CZAR 952-AMI-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. I ermi.istee S� gna1 •_trp : s[ .��Isso.Ied P --------- -- ------------------OWNER INSTALLATION The installation is being made on property T own which is not intended for, sale, lease, or, rent. OWNER' S SIGNATURE: _ DATE: 4AC7OR�y,IINNSTALII-ATION ONLY---- ------------- _ SIGNATURE OF SUPR. ELEC' N: _ l ~47L�XZQ7,�.�_ DATE: 1,1 10 "tz _ L_T CENSE NO, ++++++4+++4++++++++++4•++++++.++++++-F+-I-+++++++4+f•+++++f++•h+... +++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl.tsiness day 4 4 4+++++++4.-++++++•++•: ++t :+++++++++++++++4•++++f++++++4+++++++++++++++++4++4++++4 A I� CITY OF TIGARD Electrical Permit Application Plan Check q 13125 SW HALL BLVD. Rec'd By T. ;( TIGARD OR 97223 Date Recd9 Date to P.E_ Phone (503)639-4171, x304 Print or Type Delp to DST k ,) (3 -- Inspection (503) 639-4175 Permit a P-1-12`37- Fax (503)684-7297 Incomplete or illegible will not be accepted Caned mlk 1. Job Address: 4. Complote Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Name(or name of bus;ness) QW,iT b13LE 1=0UhI0ATI UN Service Included: Items Cost Sum Address 11654 SW PACIFIC HIGHWAY 98 4a. Residential-ptr unit Ci /State/Zi TIGARD OR 97223 1000 sq.ft.or leas _ $110.00 _ 4 City/State/Zip P Each additional F.W sq.ft.or Commercial ® Residential ❑ portion l i $25.00 t Limited Enorgyorgy $25.00 _ Each Manut'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 (Attach ropy of all current licenses) 4b.Services or Feeders Elechical Contractor f RAHLER ELECTRIC COMPANY Installation,alteratiun,or relocation Address 11860 SWGREEN(iURG RUAD 200 amps or less _ $60.00 201 amps to 400 amps $80.00 City TIGARD State 0R Zip A7723 401 amps to 600 amps _ $120.00 Phone No. 639-4677 801 amps to 1000 amps _- $180.00 Job NO. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. - 13C Exp.Date-10/1/98_ Reconvert only -_ $50.00 OR State CCB Reg. No. 37410 Exp.Date 712/98 4c.Temporary Services or Feeders COT Business Tax or Metro No. 1987 Exp.Date 12/1/9 7 Installation,alteration,or relocation 200 amps or less $50.00 2 201 amps to 40Signature of Supr. Elec'n�. �, ��,L fi�L_ 401 amps to 600 amps amps $100 00 Over 600 amps to 1000 volts, License No. 18165 _Exp.Date 10/1/98 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_ _ _ fender fee. Address Fach branch circuit $5.00 _ - hl The toe for branch c,rcuits 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_ $5.6n 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 T_ $40.00 Lift ilii 2 3. Plan Review section (if required):* Signal circuits)or a limited energy panel,alteration or extension $40.00 2 - Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 o,more residential units In me structure 4f.Each additional Inspection over -_Serv!ce and feeder 225 amps or more the allowable!n any of the above System ever 600 volts nominal Per inspectOn �- $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. Jr. Fees.- Not ees:Not required for temporary construction services. 8a.Enter Intal of above fees 40.00 5%Surcharge(.05 X total fees) $ 2 00 NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It reau!red(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 COME �Qs�� ti�p�CATION 1:1 Trust Account N - $ UU ��111{!!11 A Total balance Due COPY 1108MELC96 APP Rev OW CITY OF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2001-00048 DEVELOPMENT SERVICES DATE ISSUED: 1/23/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-01400 SITE ADDRESS: 11654 SW PACIFIC HWY 13 SUBDIVISION: ZONING: C G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 2 branch circuits. 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: LIMITED ENERGY: 401 600 amp: SIGNALIPANEL: PAANF HMI SVC/ FDR: 601+amps - 1000 volts. MINOR LABEL- (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 —200 amp: v WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L 13RNCH CIRC: IN PLANT: 601 1000 amp: _ __ _PLAN R_EVIEW SECTION 1000+ amp/volt: >=4 :SES UNITS: > 600 VOLT NOMINAL: ___.Reconnect Gr.1Y:,^_-_—.SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: PARK, NICK S SPARK ELEC1 RICAL CONSTRUCTION 11654 SW PACIFIC HWY #5 4508 NE 123RD TIGARD, OR 97223 VANCOUVER, WA 98682 Phone: Phone: 701-7822 Reg#: LIC 143886 SUP 4394S ELE 26-997C FEES Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 1/23/01 $53.50 2720010000( 5PCT CTR 1/23/01 $4 28 2720010000( Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and,ill other applicable laves. All work will be done in accordanre with approved plans. This permit will expire if worn is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requites you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95241-0080 You may obtain copies of these rules or direct questions to OUNC at(50:1 246-1987 PERMITTEE'S SIGNATURE �� ISSUED BY: ter, �i7 "d WNER INSTALLATION ONLY _— The installation is being made on Property I own Bich is not intended for sale, lea, , or rent. l- OWNER'S SIGNATURE: _—_ —_ DATE: --_ —�_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPW ELEC'N: _—__-- ------------- — -- DATE:---- LICENSENO: -- ----- — — --- -- Call 639-4175 by 7:00prn for an inspection the next business day Electrical Permit Application — � Date received: / Z 3 Permit no.:Lt Lai.-d 0t�I- c City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW i lall Blvd,Tigard,OR 97223 Date issued: By - Rcccipt no.: Phone: (503) 639-4171 Paymenttype: Case file no.: Y Fax: (503) 598-1960 Land use approval: U I &2 family dwelling or accessory omrnercial/industrial U Multi-fami!v U Tenant improvement ❑New construction U Addition/alteration/replacement U Other: U Partial Job address: e% ,t Nw Bldg,no.; Suite no.: /1 Tax map/tax lot/account no.: last; Block: itt ivision: Project name:(.' a 0,0. � a,� Description and location of work on premises: Estimated date of completion/inspe•tion: FLE SCHEDULE t (. � i rti• nils Job no: — Dcscripllon (Py. (ca.) 70ta1 no.beep Business name: NewresidefrtW-single or multi-fnmil�per Address: .SDS.c"t' dwellinglmh.Includes attaclsrrlgarage. (Ily: c?s�` 'C�v l+� _ ate:w// 'LIP: 4-r6 f� Service Included: {(AN)sq.ft.or less 4 Phone:5r., 700- 17d'LZ Fax:1io-jf,%t-y -mail: Each additional 5 ft.orgonionthereof CCB no.: /y 3�'e'6 Elec.bus.lic,no: 4 - 19 C Linuted energy,residential 2 City/metro lic.no.: N ?U S-, 7/ �� Li,it red eenergy,ti—on-resident fiat 2 lC Each manufactured home or modular dwelling Servir�:and/or feeder 2 Signature of s eves cc (re uired) ntl1e � Licenscno: Serricesorfeedenr-Installation, Sup.elect.name(print): C dleralionorrelocation: 2%10 amps or less 2 / 2(i1 amps to 400 amps _ _ 2 Name(print): .A -i'i t 401 Kmps to 600 amps 2 Mailing address: t'1 144. i�Iw s.,. — �— 601 ar%tpxtr)I(1(x)Bar 2 City: �sv'Gc!+ ^- Stale: 4',1-' ZIP: Over 1600 amps or vola _ 2 o Rccannectnnl I phone:SDj-6 y 3 )'.�' Fax: E-mail: Temporary services or feeders- Owner installation:The installation is being made On property 1 own Installation,alterstion,orrelocalinn: which is not intended for sale,lease,rent,or exchange according to 200 amps or less -__ 2 ORS 447,455,479,670,701. 201 amps to 4(xl amps 2 Owner's si nature: Date:_ 401 to 6(N)amps Branch circuits-new,-litrralon, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: servic_or feeder fee,each branch circuit 2 SIeIC: ZIP.. B. Fee for branch circuits without purchase / City: a-- - — of service or feeder fee,first branch circuit: 2 Phone: Fax: &' it I Each additional branch circuit: Misc.(Service or feeder not Included): FAch Pump or imgntion circle 2 U Service over 225 amps-commercial U Herlth-care tacdiry Each sign or outline lighting 2 G Service over 320 emps•rnting of I&2 J" ,rdoua location Si nal circuigs)or a limited energy panel, familyAwellings Olio: mg over 10,(!00 syuarc feel four or g 2 U System over600 volts nominsl more%.sidential units in one structure alteration,or extension* U Building over three stories U Feeders,400 amps or more •pescription:, _ - U Occupant load over 99 persons U Manufactured structures or RV park Eich addltional Inspection over the allowable In any of the above: U EgressAighting plan U Other. �.� — Per inspection SabtnN_sell of plana with any or the above. Investigation fee The above are not applicable to temporary construction service. Other -- Permit fee..................... Not dl jurildicilf"accept credir cods.please coil jurisdiction for mr.e information Notice:This permit application Plan review(at — 46) $ -- U Visa U MasterCard c.pines if a permit is not obtained Credit card nc nbrr _—— --- — within 180 days after it has been State surcharge(1146) ....$ xplm' accepted&q complete. TOTAL .......................$ ante of crnnfioldrr u e wn on credit cant— s Cardholder sijinamre Amount 44W61S(fiAONOMl Electrical Permit Fees: Limited Energy Fees: I TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fey �'chedule Below: er ----- .. P Restricted Energy Fee....................................................... $75 00 Number of Irspoctionc per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less _ $145.15 .1 ❑ Audio and Stereo Systems Each additional 500 sq,ft.or portion thereof $33.40 _ _ t ❑ Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular ❑ Dwelling Service or Feeder $90.90 2 Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System" Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ Vacuum Systems' 201 amps to 400 amps `v $106.95 2 401 amps to 600 amps $160,60 2 r�1 601 amps to 1000 amps $240.60 2 IJ Other Over 1000 amps or volts $454.65_ 2 Reconnect only $66.85 2 Temport'ry Services orFeeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less — $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100302 2 401 amps to 600 amps $133,75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ $6.65 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 `/ S Each additional branch circuit 1 $6.65_ia-.-�J ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 ❑ Each sign or outline lighting $53.40 intercom and Paging Systems Signal clrcull(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 _ Medical Each additional Inspection over ❑ the allowablo In any of the above Per inspection _ $62.50 ❑ Nurse Calls Per hour $62.50 In Plant _ _ $73 75_ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling ❑ ----- Enter total of above fees S �.�2. J� Other 8%State Surcharge $ y 2 -Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations See`Plan Review"section on $ front of application - Fees: Total Balance Due $ J'V 7rP — Enter total of above fees ❑ Trust Account# _ 8%State Surcharge Total Balance Due f iAdsts\fortes\r,ofeesAoc 10/09/00 /n CITY � �� I��® ELECTRICAL PERMIT PERMIT#: ELC2002-00197 DENELOPMEN T SERVICES DATE ISSUED: 5/3/02 13125 SW Hall Blvd.. Tiqard, OR 97223 (5031639-4171 PARCEL: 1S136CD-01400 SITE ADDRESS: 11654 SW PACIFIC HWY 4 SUBDIVISION: ZONING: C-G CLOCK: LOT : JURISDICTION: TIG Proiact Description: 1 sign/outline lighting. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS — -------MISCELLANEOUS �^ 1000 SF OR LESS: 0 - 200 amp: PI .'AP/IRRIGATION: EACH ADn'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: I LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 valts: MINOR LABEL (10): — SERVICE/FEEDER —_ BRANCH CIPCUITST ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC O: 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 ARTA/SPEC OCC: Owner: Contractor: NMT PROPERTIES LEGACY SIGN CO 8082 SW NIMBUS #6 5316 NE 38T1-I AVE BEAVERTON, OR 97008 PORTLAND, OR 97211 Phone: 503-515-2090 Phone: 503-481-0906 Reg #: LIC 135192 SUP 640SIG ELE 26-127CLS Required Inspections Type By Date Amount Receipt Rough-in 5PCT CTR 5/3/02 $4.27 2720020000( Elect'I Final PRMT CTR 5/3/02 $53.40 2720020000( Total $57.67 i 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 wr,-k wili be done in accordance with approved plans. This permit will expire H 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 questionG to By: ' Permit Signatt.�re: .. Issued _ 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 INGTitLLATION ONLY SIGNATURE OF SUPR, ELEC'N: DATE: LICENSE NO: — Car! 639-4175 by 7:00pm for an inspection the ne.t business day n. Exec~trlW Pcrialt Application CAwrealb i �L_ Permits.: - (i City u14 Tigard Pro(at eppL no,. re dew 1. ___ Ciryttj77Aot'1! Additus. 13125 5W HO BA.TqW UR 97^,; Gatat,e eC, _ et:�P, Receiptno,. Phone: (103) 6394171 Fax: (503) 1598.19b0 (:ass nit no Payment type. Land use approval G 1 &2 Gamily dwellins or MCet160fymmermajwnduAtrie! Q Multifamily 0 Tt•nnnt improvement New cortmulWon J.�d4 t;�rs/Utereti,n/replacerr,!n ]r3ttie; N in Job atidrssf: Tty_rnspJw><lodacasun:rn, t: Block. SubetivtetonW profit carne CripU011 and location of work or premisu,_ Esstlffow date of co{tt odon/in3 tion; Jo►sac -- _ — — Pee I•rae Business name: G' - _ tw,�non taul no.:at+ ' �• by tbl-a�; mU1f per T Addo4s:: �nvlttnsutet•SncV�et nw halsllnll. i c 9taac ZIF: o� sattaEeehtdv, one. :xa• e norltw j • tl L`U t fl Dr Own t e-ta9.' CCB no. y' Bac,bun,ic,noLiu�d t ,G,t�ea.rxy.fry •nu lush/motto Ile nc.: ____ l.trmtndr nen-ra�tltattia Bach mens Ica home Of modut►r dwr Ins tttrao euaarvuln aleevleun(red Md) rc stMe•uideorfeatrr t:b .tlttl nerttt' rind t �IWIfA r(; .�j C 1 •f or ri loess attrtwtloe x nbleetlem %a 400 URI Nura OIC: CKPA �_ 1' teL Iti1�6to" M"Fe"'� 7 Mail 0 a ee' owl w 1000 tub 3 City' r' ,� _i .tefa O_R l ED.. 11 do- era'�eor vo a net lrt4allatlon;'(Zta 1(alia ou e Le tx%MS melt on pruperV .awn which 0 not lttrettded fat u1e,k;aac.rent,or caohaad "C Tr e etc W " "'"ert.to.�uon ` _ 20Q tn •or iwt QwneJ'i si /r•�r t O L 9iw • ofm •asw,• c.atletb -.....- N•41eee1Cb Per P M1, ( j Nom: A V"1nbMWho1r•wLAultnpurchaseC1 Add _ er lac or f%WV 1W"C brunet Cltat!h Ci. ty: S�1' �p "'""- -""' f!Pte r onuwlt mesa vntt+outpun w ^� -� •- --- - rf.emtee or%*U foo,fine bm"Ch COGAII 3 >r'ttone: Rax: I P rntL': )M�i4�l�bia.•sr tol+tr. er rpat e Q S�vMa•cverLile�lae,eetwelel J tl•alt c4YhdLLb �fACh rn_pu11c11�tuoocusk I 2 J 9arvk•o.ar MO ranoc ret ns of r act Q Haurdou•b•euon iaoh 11 r�r ovl O 1 !tint AnJl7Awertns• OBuudYgow10,t100equtrcrtuta,ro. Isr Ctrout(4orelr",u.lraereypen41. t I Sylom over 600 vont nununul TC•a 1Mldantill vtdu In oN ntruau a _tJerano�,u�'tatrntten• 2 7 9und'ne:%a,thm team•. O Prc'.at,MJOw+pt or mon • r1 w ems �f—�a er.esaeaeseu: U Otxvpuu lueri wg9D q 'WM U mwwacrured ywrn ee•or nv r•rY �llMee as er«r Wa NI IYt in an)of Ate _ U afro n'mmitiPUm 1 CNtw ftbub..—raw of PJAMM trhlt may of the ebo+a. ,eve+ _ I}tc anew testa Not appiaable to NM M!q 066M11aeoo ett:vlee. pemilt fie raer.r'l u+,duwt„ �.m at1L.t+•w ai t.�oc`a,ter rew .rnmaam` notice:Thi perms+appliatoce plan rmvlu+�v(at fir) S O v,,, O M..r.rCtr�+ r�tree If a pertotlt 1s cot obtefned state uurelta a(8%) ....S r!~+ Cr•11:aM nunwer— -. - --_. — I vrthta 110 46y agar It Me:been TATAl, ,..�.... . — .rte u:aerplehs. , S CITY Oi- IiUARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST - ---- INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received -_- Date Requested - AM-..-- PM- BUP - _--- Location. � �� v _L� / --Suite MEC - __--- Contact Person _-_- --_ __- Ph(_�-) � � PLM --_ Contractor__- _----_ ____. Ph(--) - SWR BUILDING Tenant/Owner -___ - ELC Footing ELC _- Foundation Access: c _ /J '� Ftg Drain �'t wtyC.► ` ELR _-- Crawl Drain SIT Slab Inspection Notes: _ - Post&Beam Shear Anchors Ext Sheath/Shear -- - Int Sheath/Shear Framing _�._ - -- --- - --- ----- --- -- Insulation Drywall Nailing - -- -- �._ - ---- ----- Firewall Fire Sprinkler ---- ..-- ---- --- - - - - - -- - -- Firo Alarm Susp'd Ceiling ----- --- -_--_--- ---- ----.-- ---- Roof Other: ----- ------ ------- --------- - -- Final ----_- - - PASS PARTFAIL --- ------ ------ - -- PLUMBING -_ --- - - - - Post&Beam ---- Under Slab -- - -- - ---- --- Rough-In Water Service -- - - - -- Sanitary Sewer _ Rain Drains - - Catch Basin/Manhole Storm Drain -T Shower Pan e` Other:..._ - ------ -- -- -- ----- Final PASS PART FAIL - MECHANICAL _- __.- _- ---- --�--- ------ Post&Beam Rough-In --__ _ - ---- - Gas Line Smoke Dampers ------ -- -_ - _. ------ -- Final PASS PART FAIL ---- ELECTRICAL _ _ A1'Z_ v._ - ---- ----Service Rough-In vJ'� Rough-In UG/Slab Low Voltage _ -- -- -- - - FiroUA larm ,T' F-1Reinspection fee of$_-.__-__-_ required before next inspection. Pay at City Hall, 13125 SW Hall Bivd. PART FAIL - Please call for reinspection RE:^ _-_-__-_.___ -- Unable to inspect-no access Fire Supply Line _ ADA D�� _ lntpertor - I `� _-Ext --- Approach/Sidewalk "�-�- Other.---------------- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL Ck . .ISD 24-Hour BUILDIIvG Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ B U P —_ ----_ Received _. Date Requested AM.-____ PM_ BUP _ 1J (� 5U ' I -i__-� -c.c site -- _ MEC Contact Person _. Ph VY4C PLM _ Contractor _ Ph( ) _ SWR _ BUILDING Tenant/Owner ELC Ord Footing l- ELC Foundation Access: ) / _ - Ftg Drain /C��: r e"; C..- ELR - - - Crawl Drain _ Slab Inspection Nobs: SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheeth/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - -- -- Roof Other: - -- - Final k7_ � r �- PASS PART FAIL --� --" PLUMBING Post&Beam - Under Slab Rough-In Water Service Sanitary Sewer Rain Drains -- ---- Catch Basin/Manhole Storm Drain --- -- Shower Pan Other. Final PASS PART FAIL - MENI _CHACAL_ Post&Beam -+ Rough-In Gas Line - ------------- -------- ----- Smoke Dampers _-.-.--------- ----------- Final PASS PART FAIL -------- ---- ELECTRiCA 1. Service ------ Rough-In UG/Slab Low Voltage Firp-Alarm Final 3 PART AI��\ L Reinspection fee of$—^__-required before next inspection. Pay at City Hall 13125 SW Hal:Blvd. SITE Please call for reinspection RE: ___ ___ lnable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dates_ !? llnspodnr _Ext Other. Final - -- DO NOT REMOVE this Inspection record from the Job site. PAS'; PART FAIL