13500 SW PACIFIC HIGHWAY STE 58-1 ADDRESS:
i:\records\mic:roilm`,targets\building.doc
CITY CF TIGARD
DEVELOPMENT SERVICES ELECTRICAL- PERMIT
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639-4171 PERMIT #: EL.C97-0268
DATE ISSUED: 05/07/97
PARCEL: 25102CC-00100 '
SITE_ AUDRESS. . . : 1350O SW PACIFIC HWY #58
SUBDIVISION. . . . : ZONING:R-3. 5
BLOCK,. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIC'-,
Project Description: Installing peraanent 38 square foot wall sign.
...._--------------
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADO' L 5O0SF. . . : 0 201. - 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 1
I_IMITF-D ENERGY. . . . . : 0 401 - 500 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANP. HA/ SVC/FPR..- 0 601+amps-1000 volts. : 0 MINOR LABEL t10) . . . : 0
----SERVICE/FEEDER------ ----BRANCH CIRCUITS------ •----ADD' L INSPECTIONS—-
0
NSPECTIONS—-
0 200 amp. . . . . . . 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . e 0 EA ADD' L DRNCH CIRC: 0 1 N PLANT. . . . . . . . . . . : 17,
601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION---------------__..
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )= 283 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------ ------- ---------------- FEES ---------_.-_-___
13500 PACIFIC CORP type amount by date recpt
BY CAP ADVISORS PRMf $ 40. 00 B 05/06/97 97-294210
38345 W TEN MILE RD #170 cPCT $ .='. 00 B 05/06/97 97-294210
FARMINGTON HILLS MI 48335
Phone #:
Contractor: -------_--.--__------_--------._--___.------------------------------
VANCOUVER SIGN COMPANY, INC $ 42. 00 TOTAL_
6615 SW HWY 99
REQUIRED INSPECTIONS -- ---
VANCOUVER WA 98665 Elect' ] Service
Phone #: 360-693-4773 Elect' 1 Final
Reg #. . : 000639
This persit is issued subject tG the regulations contained in the _ - �__._._._ ____-_.-_
Tiqard Menicipal Code, State of Ore. Specialty Codes and all other PetlVittee S i gnat .ire
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for anre _ !_���11�!___�.__ �
than 180 days. T s s i_i e d By
-------------------------------OWNER INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: -__ DATE:
INSTALLATION
STGNATI-IRE OF SUPR. EL.EC' N: __..__......._._----.. DATE:
L I CFNSF NO:
Call for inspection - 6,39-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit # -CLC-
Date
LCDate Issued
Phone (503) 6394171
CITY OF TuGARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development;T(caft-/ Number of Inspections per permit allowed
Address I -;S-60 !lzw //}C( C46� Service included Items Cost(ea) Surn
City/State/Zip 4a. Residential per unit
r2,,r�Y �+.,y? 1000 sq. ft. or less $11000
Name (Or flame of business)_-MA�l', &k95 l� `� Each additional 500 sq.ft or
portion thereof $2500
Commercial IP Residential ❑ I ImMed Energy $2500 == 1
Each Manufd Home or Modular
Dwelling Service or Feeder —_ $6800
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor Wulf e(L 6'4/ a
Installation, or relocation 2
200 amps
or less s or less $60.00
Address fes_ 201 amps to 400 amps $8000 2
City _ ouV elf State_ Zip Yf ik—;_ s14o
401 amps to 600 amps _^ sir
00 2
�l 7 73 sot amps to t00o amps $ 0 00 2
Phone No.
�(1/ Over 1000 amps or volts $34000 2
Job NO. Reconnect only $5000 _ 2
contractor's license NO.37 L5 ZWFAW a- 4c. Temporary Services or Feeders
Contractor's Board Reg. installation,alteration.or relocation
Signature of Supr. Elec'n 200 amps or less ___ 2
201 amps to 400 amps $50 00
License NO; _ Phon O. 401 amps to 600 amps 375.00
Over 600 amps to 1000 volts $100.00 — —
2b. For owner installations: see"b"above.
4d. Branch Circuits
Print Owner's Nam13 New,alteration or extension per pare
Address a)The fee for branch circuits wif r
Cit T State Zi purchase of service or feeder fee. 2
y-------- p--- Each branch circuit $50()
Phone No. b)tile.fee for branch circt,ns without
The installation is being made on property I own which is purchase of service or 'eederfee. 2
not intended for sale, lease Or rent. First branch circuit $35.00 2Each additional branch circult $5.00
Owner's Signature _ v _ __ _ 4e.. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circleSoo 00 2
Fach sign or outline lighting $40 00
Signal circult(s)or a limited energy 2
Please check appropriate item and enter fee in section 58. panel,alteration or extension $4000
i 4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occ,ipancy the allowable in any of the above
as described In N.E.0 Chapter 5 Per Inspection $35 00
Per hour $5500
in plant 555.00 �
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 $
5%Surcharge (.05 X total fees) $ 7- el)
PERMITS BECOME VOID IF WORK OR CONSTRUCTinN Cubtotal $ J�
AUTHORIZED !S NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Pian Review if renuired (Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $_
COMMENCFD. mc�me.HeNc Trust Account #
wm spy $
Balance Due $ �i "s�_�1 til
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639.4171 SIGN PERMIT
PERMIT #: SGN97-0053
DATE 'ISSUED. . . . - 05/06/97
PARCEL... . . . . . . . . . 2S 1 01�
ZONE. . . . . . . . . . . .. R--3. 5
JUR I ST)I CT I 01\1. . . TIG
BUSINESS NAMF. MAILBOXES ET(.,
510,N LOCJiTION. 1,3500 SW PACIFIC HWY #51)
APf--,I-.ICAN*T/AGEN('.- MAILPDXES ETE.
BUSINESS TAX NO:
v"IONe
PEERMANENT (X) FREESTANDING FREEWAY
TEMPORARY WALL. (y) ELECTRON I C
OTHER BILLBOARD BALLOON
13N 11IMPNSTONS, 21511 X 1111 21"
TOTAL SIGN AREA. . . . . . . 38 sq.. ft.
WALL. AREA. . . . . . . . . . . . 440 sq. ft.
WALL FACE (DIRECTION) W
SIGN HEIGHI.. . . . . . . . . . c 22 ft.
PROJECTION FROM WALL. c t 2. i n.
I L.LUM I NAT I(.-)N. . . . . . . . . TNT
DESCRIPTION Of" (".VIGNs Installing permanent. 38 sqi..tAv-,P focit wakll sign.
MATERIALS. . . . . . . . . . . . : MET-AL. /P1 AS1
EXISTING 91BNS. . . . . . . : 0
ELECTRICAL PERMIT REOUTRED.- Y
BUILDING PERM I ( REQ.0 I RE 1). . - N
ADMINISTRATIVE EXCEPTIQN15. : N/A
PERMIT FEEc # 50. Q.10
This peroit is issued subject to the regulations contained in the
ligan' Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All worth will be done in accordance with 4pprovs-d
approved plans. A sign pervit shall expire 90 day; frog approval date.
A tewporary sign shall expiri .10 days frog approval date. A balloon sign
shall expire 10 days frog apprrklai date.
APPROVED BV:
_,-
PERMITTEE
DATE: 05/96i91
a