Permit (205) A CITY OF T F�ERMITI #ALELC97IO51O
^, ���i�� A DEVELOPMENT SERVICES DATE ISSUED: 07/31/97 -4171
PARCEL: 25115BA -00101
SITE ADDRESS...:162O0 SW PACIFIC HWY #Z-3
SUBDIVISION • ZONING:C -6
BLOCK • LOT • JURISDICTION: TIG
Project Description : Continental Bank signs
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 4
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 -.
CONTINENTAL BANK type amount by date recpt
16200 SW PACIFIC HWY PRMT $ 160.00 JSD 07/28/97 97- 297605
STE Z- SPCT $ 8.00 JSD 07/28/97 97- 297605
TIGARD OR 97224
Phone #:
Contract or: --
NATIONAL SIGN CO $ 168.00 TOTAL
1255 WESTLAKE AVE
-- - - - - -- REQUIRED INSPECTIONS
SEATTLE WA 98109 Ceiling Cover Elect'1 Final
Phone #: 206 -282 -0700 Wall Cover ___
Reg #.. : 001163
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 perait will expire if work is not started within 189
days of issuance, or if work is suspended far sore than 189 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- ' v,19 through OAR 952 -001 -1i7. You lay obtain a copy
of these rules or direct questions to OUNC by call ng 93)246 -1987.
0( / ���»
Permittee Signature: - Issued By: 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 INSTALLATION ONLY - --
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
+ +- F++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + +-F + +-I- + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+ ++++++++++++++++++++++++++++++++++++- F+++++++++++++ + + + + + + + + + + + + + + + + + + + + + + +-I- + + -F+
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd D � %-
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # (- G ?1 -05-1°
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: ,,11 ,, C 4. Complete Fee Schedule Below:
Name of Development T7 6 'V �ovJr ( 5 0,11
110/1 Number of Inspections per permit allowed
Name (or name of business) Cod 'IIn&'ENT/11. 412-3 t7P JK Service included: Items Cost Sum
I
Address 16 20 0 5.1(J 1" kt - IF! C HWY 4a. Residential - per unit
^ /n 1000 sq. ft. or less $110.00 4
T
City /State /ZI 1 A / v / Each additional 500 sq. ft. or
Commercial Residential ❑ portion 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 current licenses) 4b. Services or Feeders
Electrical Contractor Al ' 1 0 ' ,5J 6 ((A , Installation, alteration, or relocation
Address I Ilinaig1' 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City State Zip 1: +' 401 amps to 600 amps $120.00 2
Phone No. > ( 7 070 0 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. .7- t i a (. Exp.Date I 0 - 0 - J Reconnect only $50.00 2
OR State CCB Reg. No. 011 6 37 Exp.Date 8 -07-1_7 4c. Temporary Services or Feeders
COT Business Tax or Metro o. Ex•.Da - 6-1 i Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Su r. Elec n 6 �= a it 1 I ' / 201 amps to 400 amps $75.00 2
g p ,��� EDIC .G. 401 amps to 600 amps $100.00 2
L 3 5 - . _ Exp. Date 10 - 4 / - C 1 Over 600 amps to 1000 volts,
License No. see "b" above.
Phone No. CZd 6) 7-a 2- 0700
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 circ $5.00 2
-
City State Zip b) The fee for branch circuits
ty p 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 circui $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 $40.00 / 6 ti. 0 0 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $
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 $
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 # / Q .00
Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
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RECEIVED
JUL 2 8 1997
COMMUNITY DEVELOPMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ? -13-97 A. M. P.M. MST:
Location: iJ /X _II //A.O . ,/ ,/ . .1/4 €1 BUP:
Tenant: i 11f� FMB j/ � , _ � /, _ Suite: Bldg: MEC:
Contractor: '/� I / , 1 .,� f Ph 4:. 4 — �[.o off — 67 61 n PLM:
Owner Phone: ELC:
era' /ALL !- _ A / .I .' EIC 77-6510
SIT:
BUILDING BLDG (con's) PLUMBING ME . • :' CAL 411gZUMPP SITE
Site Post/Beam Post/Beam Post/Beam - - . Sewer / Stonm
Footing Roof UndFl/Slab Rough -In Ceilin, i Water Line
Slab Framing Top Out Gas Line Rough ' / UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved roved Not Approved
FINAL FINAL FINAL FINAL
c
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C ( r e -- 'ce (
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O Call for reinspection Reinspection fee r s required before next inspection O Unable to inspect
Inspector: �( C 4 v° I r Date: x ---/ ~ / Page of
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: S -.1 a -?7 A.M. P.M. MST:
Location: i
_ _ � . .y- yi L //.I�F . BUP:
M '
Tenant: CON77N � / L� d ' ' .k IL Suite: � Bldg: z MEC:
Contractor: / Phone: D-73
- 7 3 09' 1
0 PLM:
er
Owner: Phone: ✓✓�����, �� -� ELC: '-0 3
1 -0 - untiAly, �� `1 4. EL ,' -v ' 4347-5— BUILDING ' 4FANTam.'t) PLUMBING MECHANICAL _ • a �; _ �3�
Post/Beam Post/Beam Cover . - ice Sewer /St'
SITE of
Footing Roof UndFI/Slab Rough -In � �iTfi Water Line
Slab Framing Top Out Gas Line s UG Sprinkler
Foundation , Insulation Sewer Hood/Duct 1w ' ect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Sla •
Shear /Sheath Fire Spklr /Alm ' Crawl/Found Dr Heat Pump Low olt
Approved Approved Approved • pproved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ••- •r.'.ved Not Approved
FINAL FINAL FINAL FINAL FINAL
T// c f � .1 , P ( ,tee 1.------E0-
c�ii, \ ..+::::19 See_ t-./ .�
-
Or
O Call for reinspection /WA! O Reinspection fee of required before next inspection O Unable to inspect
O
Inspector: // ` a , AI Date: <5" r.- Page 1 of /