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Permit (197) CITY OF T' G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00422 DEVELOPMENT SERVICES DATE ISSUED: 7/14/99 r t - I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 115AB -01900 SITE ADDRESS: 16200 SW PACIFIC HWY E SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical for new wall sign. 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: 1 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: BIT HOLDINGS LTD PARTNERSHIP MULTI -LIGHT SIGN CO. BY FORUM PROPERTIES INC 3255 NE BROADWAY FIVE CENTERPOINTE DR STE 290 PORTLAND, OR 97213 LAKE OSWEGO, OR 97035 Phone: Phone: 281 -3083 Reg #: LIC 00064107 SUP 343SIG ELE 26 -90CLS FEES Required Inspections Type By Date Amount Receipt Elect'l Final PRMT GEO 7/14/99 $60.00 99- 316526 5PCT GEO 7/14/99 $3.00 99- 316526 Total $63.00 ORIGINAL 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 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 questions to OUNC at (503) 246 -1987. . n Permit Signature: �, J _ ; Q�I / Issu By: _� r / ` � �� j�� AlLe OWNER INSTALLATION ONL 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: /I ///9 DATE: g LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. LC, ��''_ co �{ 2 a Tigard, OR 97223 Permit # ..04„,,,,041._ ,, Dae Issued �.� Phone (503) 639 -4171 J'` 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 Number of Inspections per permit allowed Address I (40200 SW Pa G i F L c_ uji._j Service included: Items Cost(ea) Sum - 1 - 1.C1 City /State /Zip a t 12---.. 12---.. J 0 4a. Residential - per unit c 1000 sq. ft. or less $110.00 4 f(�? Name (or name of business) q t°. S Je e Each additional 500 sq. ft. or portion thereof $25.00 Commercial l Residential ❑ Limited Energy $25.00 1 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: ^ 4b. Services or Feeders M u 1 1.r 'T I , l h _ f 5 Y Installation, alteration, or relocation Electrical Contractor t_ - a ] j 200 amps 2 s or less $60.00 Address 3255 IJE F32 (�c� 14 201 amps to 400 amps $80.00 I OR $120.00 2 City f -_ St ate O Zip Cr/232. 401 amps to 1000 amps 2 601 amps to 1000 amps $180.00 Phone No. "2 > t - 0e• Over 1000 amps or volts $340.00 2 Job NO. Reconnect only $50.00 2 contractor's license NO. , 0 • - C LS 4c. Temporary Services or Feeders Contractor's Board Reg. No. A. 0 . Installation, alteration, or relocation Signature of Supr. Elec'n �.� Nia ' 200 amps or less 2 201 amps to 400 amps $50.00 2 License No.'3� 2 7 - I Pho�1' • • `i �� 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 not intended for sale, lease or rent. First branch circuit $35.00 Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous nn 0 (Service or feeder not included) O I/ T 40 3. Plan Review section (if required): Each pump or irrigation circle $40.00 a � Each sign or outline lighting 1 $. 00 L`0' 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 G apply. Not required for temporary construction services. 5. Fees: ("9' v 5a. Enter total of above fees $ 1 NOTICE 5% Surcharge (.05 X total fees) $ d PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b . Enter of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevivi ew if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. word1wmdeNeieo- ❑ Trust Account # $ prm.ewp 2 p Balance Due $ �,7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP P9 Date Requested g AM PM `A& BLD Location / b2 W 54/t/i4 "i>47 Suite EL-- MEC Contact Person � b Ph 7 ? O/ PLM Contractor giye CZ Ai Ph SWR BUILDING Tenant/Owner 4 / ?fJ C - � £ O Retaining Wall -€L-R- W 2. O - d� 353 Footing Access: /��I_ /n / ?COO - C Q y7 V Foundation L VIr` (/T «Gd✓ICO�t�1 4/ l / � f Sal -FPS- �' Ftg Drain �" Slab Crawl Drain Inspection Notes: � c� y � C SGN SIT Post & Beam Ell � �/1 Ext Sheath /Shear Ell - C�(J �d0 Int Sheath /Shear ••,/� �� if Framing `t�- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ir l % .. ' , _ _ 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 PASS P RT FAIL RIC Service 'ou•h In • a• Low Voltage larm l'1 4 41:0 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 reinspectio RE: [ ] ble to inspect - no access ADA Approach /Sidewalk Other D ate Inspector Ext Final - PASS PART FAIL DO NO REMOVE this onspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24,Hour Inspection Line: 639 -417 Business Line: 639 -4171 _ BUP • Date Requested , 2 2 � AM PM BLD / Location / l oZ� X��. y Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC ��- Retaining Wall jat7 - 6 -7. Footing Access: Foundation Lg. -vo 313 Cr l Drain db4� Crawl Drain Inspection Notes: t b Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath/Shear „ Framing a S '�� ! �/ Insulation Drywall Nailing .� Firewall Fire Sprinkler / .1100** Fire Alarm Susp'd Ceiling Roof A ar Misc: OF Final PASS PART FAIL PLUMBING Post & Beam Under Slab ELc 26-r'a - 019 .??3 Top Out / Water Service € L L ZCJZ3'O — QQ 4 7"7 44 / �/•✓4 Sanitary Sewer _ ��11 /' ILA/49 Rain Drains C L- L Iig ^ G ( o TZZ Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers ELC ZCZTO - CC � / 40CF.C7 Final IL Service Rough In UG /Slab Low Voltage Fire Alarm S PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ I 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 k Inspector Ext Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.