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Permit (82) • CITY OF TIGARD ELECTRICAL PERMIT ��, DEVELOPMENT SERVICES PERMIT #: ELC97 -0484 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171 DATE ISSUED: 07 /;. / 97 PARCEL: 25115AB -01900 SITE ADDRESS...: 16200 SW PACIFIC HWY #0 SUBDIVISION....: ZONING:C -G BLOCK • LOT JURISDICTION: TIG Pro.j ect Description : Installing two signs - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS 0 0 -- 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 0 201 - 400 amp • 0 SIGN /OUT LINE LTG..: 2 LIMITED ENERGY • 0 401 - 600 amp • 0 SIGNAL /PANEL • 0 MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10) ...: IZI - - -- 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 --- - - - - -- TIGARD TOWNE SQUARE type amount by date recpt 16200 SW PACIFIC HWY #G PRMT $ 80.00 B 07/22/97 97- 297431 TIGARD OR 97224 SPCT $ 4.00 B 07/22/97 97- 297431 Phone #: Contractor: - VANCOUVER SIGN COMPANY, INC v 84.00 TOTAL 6615 SW HWY 99 REQUI RED INSPECTIONS VANCOUVER WA 98665 Elect'1 Service Phone #: 360 -693 -4773 Elect' 1 Final Reg #..: 000006 This permit 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 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-001 -1987. You lay obtain a copy of these rules or direct questions to OUNC by calling ( 3)246 -1987. " Permittee Signature: Issued By::i�IVv'/1A-J /1 0.4/- OWNER INSTALLATION ONLY The installation is being made on property I on which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY ----- •-- - - -- SIGNATURE OF SUPR. ELEC' N : 4 I �I /� DATE: LICENSE NO: ++- I-+++++++++++++++++++++++++++++++++++++++- I-+++++ + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day - I-++++++++++++++++++++++++++++++- I-++++++++++++++++++ + + + + + + + + + + +-I- + + + + + + + + + + + -I- + ++ -I-+ Community Development ELECTRICAL PERMIT APPLICATION 1 3125 T gard, OR Hall 97223 Permit # r� / 7'" 04 P ,��,� �,� Date Issued i -2-2- 1 ;�� ( Phone (503) 639 -4171 FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development (1 dt..i.4.1 4 4A - 041.4 -tom Number of Inspections per permit allowed Address _0,, . S included: Items Cost(ea) Sum City /State /Z ip / / � 04., / /7- 4 4a. Residential - per unit Cp,ZTj►NO2.1(.5 •- 1000 sq. ft. or less $110.00 4 Name (or name of business) inifiL / Cf7ht,21,9e, Each additional 500 sq. ft. or portion thereof $25.00 Commercial IA Residential ❑ Limited Energy $25.00 - 1 Each Manurd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation Electrical C P. L'L. 19 /x/ Ai < 200 amps or less $60.00 2 Address (p `A /5.. -. Hwy 1.9 / / 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 City (/,rqn cmetdw State -t/4- Zip 9,4e 5' 601 amps to 1000 amps $180.00 2 Phone No. (360) 673 - 3 Over 1000 amps or volts $340.00 2 Job NO. Reconnect only $50.00 2 contractor's license NO. 3- - q (O C LS 4c. Temporary Services or Feeders Contractor's Board Reg. No - Installation, alteration, or relocation Signature of Supr. Elec'n 200 amps or less 2 hj License No. 2h Yrt Phone N 14,0 G r ! '3 -' / 3 201 amps to 400 amps $30.00 T 7 401 amps to 600 amps $75.00 2 Over 600 amps to 1000 volts $100.00 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5.00 Phone No. b) The fee for branch circuits withou The installation is being made on property I own which is purchase of service or feeder fee. 2 2 not intended for sale, lease or rent. First branch circuit $35.00 Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 So Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $35.00 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ • b NOTICE 5% Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ ;(t AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. woraecumaMdeo- ❑ Trust Account # Pam •ePP Balance Due O 7/26/99 'Activities for Case #: ELC97 -00484 1:39:19 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 APPlication received 7/22/97 B RECD DST 7/22/97 • ELCC003 Permit created 7/22/97 B PASS DST 7/22/97 ELCC730 Electi Service • DST 7/22/97 ELCC799 Elect'I Final JMT 4/28 JT 4/28/99 inspection request/research sent to Chuck D. ELCC500 (F)Issue permit - 7/22/97 B PASS DST 7/22/97 ELCC799 Elect'I Final 5/5/99 5/5/99 5/5/99 BRP PASS No Hold AKJ 5/5/99 ELCC800 Case Finaled 5/5/99 AKJ DONE No Hold ' AKJ 5/5/99 • Page 1 of 1 v CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 4 -Hour Inspection Line: 6394175 Business Line: 6394171 BUP Date Requested AM PM BLD Location / (p d M,6 / Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING T na Owner ELC 7-0 �� Retaining Wall ELR Footing Access: Foundation FPS / / � Ftg Drain SGN Crawl Drain Inspection Notes: Slab 31/ - A"AJCeu 4-4- S -' SIT Post & Beam Ext Sheath /Shear 3 Cr u - 9.3 - 5 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING � /- /4_ SS 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 PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm PASS') 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 �1 C Other D c _ UV — 7 9 Inspector OJ1� E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.