The URL can be used to link to this page

Permit ELECTRICAL PERMIT 'iN OF TIGARD DATE I ISSUED: 06/12/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 1 S 136CA -01601 SITE ADDRESS...: 11665 SW PACI HWY SUBDIVISION • ZONING:C —G BLOCK • LOT • Project Description: Outline lighting for 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)...: 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 KEY BANK type amount by date recpt 11665 SW PACIFIC HWY PRMT $ 80.00 B 06/05/96 96- 280233 SPCT $ 4.00 B 06/05/96 96- 280233 TIGARD OR 97223 Phone #: Contractor: HEATH NORTHWEST INC $ 84.00 TOTAL 4644 SE 17TH AVE REQUIRED INSPECTIONS PORTLAND OR 97202 Ceiling Cover Elect'1 Service Phone #: 503 -232 -2620 Wall Cover Elect' 1 Final Reg #.. : 64263 This permit is issued subject to the regulations contained in the 01'\ edlr ` Tigard Municipal Code, State of Dre. Specialty Codes and all other Perm i tt ee' gn at ure 9 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 OMAA/0 A qlkl--- than 180 days. Issued By 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 : af A.IVT\ DATE: lU ( Z — l (/ LICENSE NO: Call for inspection — 639 -4175 v1CL'A & -5-1L Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # - 1.-0... t7(p -U ,VD ,�* V II I I � Date Issued (2 - t 2- - 6 1 (.Q 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 Key Bank Number of Inspections per permit allowed Address 11665 SW Pacific Hwy Service included: Items Cost(ea) Sum City /State /Zip Tigard OR 97223 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) Key Bank Each additional 500 sq. ft. or portion thereof $25.00 Commercial ® Residential 111 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 Electrical Contractor Heath Signs (Heath N.W.) Installation, alteration, or relocation $60.00 2 200 amps or less Address 4644 Se 17th Ave. , 201 amps to 400 amps $80.00 2 City Portland State OR Zip 97202 401 amps to 600 amps $120.00 2 232 -2620 601 amps to 1000 amps $180.00 2 - Phone No. Over 1000 amps or volts $340.00 2 Job NO. 106379 Reconnect only $50.00 2 contractor's license NO. 37 -45 C 4c. Temporary Services or Feeders Contractor's Board Reg. No. 64263 / Installation, alteration, or relocation Signature of Supr. Elec' a M. 7 200 amps or less 2 � ► � � - 201 amps to 400 amps $50.00 License No. 411si P e No. 2620 2 401 amps to 600 amps $75.00 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 (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 , 7 $40.00 80 Signal circult(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 Chapter 5 Per inspection $35.00 as described in N.E.C. Cha p 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 $ 80. NOTICE 5% Surcharge (.05 X total fees) $ 4.0 Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ..a eieo- ❑ Trust Account # $ prm.epp Balance Due $ 84.00 • 7/26/99. Activities for Case #: ELC96 -00368 1:37:14 PM • Assigned Hold Updated • Activity Description Date 1 Date 2 Date 3 - To Done By Disp. Level . By • Updated Notes ELCC001 Application received 6/12/96 6/5/96 B RECD BON 6/12/96 ELCC003 Permit created 6/12/96 6/12/96 B PEND BON 6/12/96 ELCC700 Ceiling Cover 6/12/96 BON 6/12/96 ELCC720 Wall Cover . 6/12/96 • BON 6/12/96 ELCC730 Elect'I Service • 6/12/96 BON 6/12/96 ELCC799 Elect'I Final 6/12/96 5/5/99 CD PASS AKJ 5/5/99 ELCC500 (F)Issue permit 6/12/96 B PASS BON 6/12/96 ELCC920 Miscellaneous action 4/26/99 AKJ DONE No Hold AKJ 4/26/99 inactivity letter sent ELCC800 Case Finaled 5/5/99 AKJ DONE No Hold AKJ 5/5/99 • • Page 1 of 1 . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q BUP Date Requested 44,0 S - S - 1 AM PM BLD Location ) 1(9(0S P GLC Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING 4arra wner �� , 4 _ . _ �� ELC 9 36, g Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: Sl , S Post & Beam g SIT Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler G ∎ee. Fire Alarm • Susp'd Ceiling 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 PART FAIL TR , Service Rough In UG /Slab Low Voltage Fire Alarm :ia •'AS 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 reinspection RE: [ I Unable to inspect - no access ADA Approach /Sidewalk SA/99 ( �� i`—� Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.