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Permit CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC97 -0770 /unvd, (y�P�NG ; DEVELOPMENT SERVICES DATE ISSUED: 11/24/97 13125SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD —CARTY SITE ADDRESS...:11710 SW PACIFIC HWY SUBDIVISION....: ZONING:C —G BLOCK...........: LOT JURISDICTION: TIG Project Description : Installing five 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..: 5 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 -- -- CAR TOYS type amount by date recpt 11710 SW PACIFIC HWY PRMT $ 200.00 B 11/21/97 97-301128 TIGARD OR 97223 5PCT $ 10.00 B 11/21/97 97- 301128 Phone #: - Contractor: - -- -- NEW IMAGE NEON $ 210.00 TOTAL 619 S ALASKA ST REQUIRED INSPECTIONS SEATTLE WA 98108 Ceiling Cover Elect'l Service Phone #: 206 -292 -9440 Wall Cover Elect'l Final Reg #..: 90550 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 -'x-10 through OAR 952- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: i !,1 l / � ' ! , Issued By: - MALUA 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 : r i(1561/1 DATE: LICENSE NO: ++-1 +++4 -F++ +++-I-+++ ++ + + ++ d-+ ++ +++ +=1-++ + + + + +-I--1 +++++++++++ ++ + + ++ + + + ++ ++ ++ ++ ++ + ++-1--1-+++ Ca ll 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + + + + + + + + + ++ + + + + + + + + + ++ CITY�OF'TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit # �7� 0 Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development CAR TOYS Number of Inspections per permit allowed Name (or name of business) CAR TOYS Service included: Items Cost Sum Address 1 1 71 0 PACIFIC HWY 4a. Residential - per unit TIGARD, OREGON 1000 sq. ft. or less $110.00 4 City/State/Zip 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 NEW IMAGE NEON, INC . Installation, alteration, or relocation 619 SOUTH ALASKA STREET 200 amps or less $60.00 2 Address 201 amps to 400 amps $80.00 2 City SEATTLE State WA Zip 9 810 8 401 amps to 600 amps $120.00 2 Phone N 206 292 -9440 601 amps to 1000 amps $180.00 2 Job No.gr r • (C1 q i i Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. ,I • CL-5 Exp.Date i D ' - 1 ! Reconnect only $50.00 2 OR State CCB Reg. No. r rl ,1. Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Dat Installation, alteration, or relocation . GYM � 200 amps or less $50.00 2 201 amps to 400 $75.00 Signature of pr. Elec'n �.� _ , 401 amps to 600 amps $100.0 2 Over 600 amps to 1000 volts, License No. S - ` G Exp.Date see b" above. Phone NB. 4d. Branch Circuits A /, `711' ^� t v � . N ew, The or extension per panel 2b. For owner installations: 1�‘+•L:.iL a) The feee for branch circuits with purchase of service or Print Owner' ' .. me feeder fee. Address Each branch circuit $5.00 2 b) The fee for branch circuits City Stat- Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installatio• ' •eing made on : operty I own which is not Each additional branch circui $5.00 2 intended, : 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 • 2 3. Plan Review section (if required):* ' Signal circuit(s) or a limited energy . panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 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 El Trust Account # TIME AFTER WORK IS COMMENCED. �j� 0 Total balance Due $ • I: \DSTS \ELC96.APP Rev 9/96 Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0770 CAR TOYS 11710 SW PACIFIC HWY 06/17/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELCC001 Application received / / / / 11/14/97 RECD B 11/24/97 BON ELCC003 Permit created / / / / 11/21/97 DONE B 11/24/97 BON ELCC120 HOLD (explain in notes) / / / / 12/02/97 per Phyllis ext. 353 JT 12/03/97 JT electrcal contractor's check returned "NSF" HOLD ALL INSPECTIONS UNTIL CHECK CLEARS. Jeanne T. ELCC125 Hold Release / / / / 12/03/97 GENERAL CONTRACTOR IS PAYING FOR THE JT 12/03/97 JT ELECTRICIAN. RECEIPTING IN MONEY TODAY SO THAT GENERAL CAN GET ALL NECESSARY FINAL INSPECTION ON 12/4/97 TO OBTAIN C /O. ELCC500 (F)Issue permit / / / / 11/24/97 Mailed permit PASS B 11/24/97 BON ELCC799 Elect'l Final / / / / 12/04/97 Final pending submitting UL listing for PASS BRP 12/04/97 J *H neon transformers - proximity to wood. ELCC800 Case Finaled / / / / 12/04/97 See final notes. PASS BRP 12/04/97 J *H •