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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00309 • �� DEVELOPMENT SERVICES DATE ISSUED: 5/29/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD-00100 SITE ADDRESS: 11705 SW PACIFIC HWY SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of sign lighting. 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: SALEM SIGN CO INC 1825 FRONT ST SALEM, OR 97303 Phone: Phone: 503 - 371 -6362 Reg #: LIC 65297 SUP 394S1G FEES ELE 24- 125CLS Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/29/03 $53.40 [TAX] 8% State Tax 5/29/03 $4.28 Rough - Elect'l Final Total $57.68 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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. f Issued By: Permit Signature: OA/ �/ e4 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: Call 639 -4175 by 7:00pm for an inspection the next business day 05/23/2003 09:10 FAX 5035981980 CITY OF TIGARD 0 002 St � IP_et*tric� Permit p�e� g' TMe a Fie 114E�nr ' � _ =wrs°� �B mil � ° �i..6 tioH _ -Rycel ed Eleeti'ltal .. -- / /7 DatrJ Pe rnti t No.LLCa°loa3- 5o.3t7, • • _ v e �iaiinfri A toval j -30 City of Tigard DateiB l : pp P• it No.5 f ni. 1C3 ° 0o t 3U • 13125 SW Hall Blvd. „ , J • r Plan Review Other Tigard, Oregon 97223 p : -, t 1 L U UD te/By: Permit No.: - Posi- Review Land Use - Phone: ]03- 63y�171 Fax; 503 - 598 -1960 i „, t �..;, 1 l�� �°burl8y: C >v .: _ ase No Internet: www.ci.tigard.or.us - `1” '"d t ( - . p � co — - � p i �Iltl _mas funs.: 0 See Page 2 for 24 -hour Inspection Request: 50 6 -4 ham hod: Supplemental Information. • ' i � De 3 f7 ,. y... 1, � l ,, q.'4, i rk Y�•{y�+, y�� py� ''',4i, - ".Iyx.,p , : l 1 " .a' :[, :q( .li 'I .ice i vrE _____;._ L- p ..-, R'. u,. ' .T•r . .. �' 1:,tf(q. :.�''.i°l.- ;;'(Ti �.iOLB .'•:- . '{' '� '� ,'diill Ai .., : . -i<f ,') ' "'P'i \�- 'S;'1Fii��. 1QdJ6 GhlrFt�tt�",llj� � �1l • , � "! - : = : New construction • Demolition I ❑ Service over 225 amps- Health -care facility Addition/allerationire lacement ❑ Other: commercial ❑ Hazardous uildin o location 10 on ... .. (o, r .,o.= I ❑ Service over 320 amps rating of ❑ >3uitdim over 10;0 square g quart feet, ' "I h :.,'= t 1Q :O6t!yQO + '1 HtUQlls1',ro?�ti :, I & 2 family dwellings four or more residential units in 1r -i !!T & 2- Family dwelling IComrnerciaiJIndustr ❑ System over 600 volts nominal one structure Bu ❑ autlding over three stories CI Paden, 400 amps or more Access �_ ildin Multi-Family 0 Occupant load over 99 persons ® Manufactured structures or IZ,V park Master Builder Other: ❑ Egresanighmtg ❑Other: ,11fi u ,i0IOSEEE1W t1 r IXXOSPANOV.i..i 11:1 `1`rt. g::i'{j, :i',;. Submit sets of plans with any of the above. Job site address: l l`lOS e 14W rr ,� f �L �j / The above are not applicable to temporary construction service. 1 Y J , „ '' A• 14 f ^ t 't r ( A! t∎ n 1,. Suite #. Bldg. /Apt.#: Number of inspections per permit allowed Pro N ame: /1_4 U R�j t 14,14. Description Quit ' Fee (eery Total. l New residential - single or multi family per ] r Cross street/Directions to job Site: dwelling unit. Intludea attached garage. Service included: 1000 sq. R• or less I 145.15 I 4 Each addit 500 sg• ft. yr portio thereof 33.40 1 Subdivision: i Lot # Limited `ne y, residential 75.00 • 2 Limited mein non residential I • 75.00 1 2 Tax ma a / a arcel #: a�'p ai {�Q�y'1 aped Each manufactured home or modular dwelling r, t , '� r H41 ENHE ..,ny 8.CM :e ant: s: i - . rWt6V1 AN e e.v dUS/ALL-' aleratioorreeloca- faaWllation. alteration or relocation: reNaN S *.i1. . (73 Sovi-e_ E-- 200 amps or leas _ I 80.30 1 2 I 201 amps to 400 amps 106.85 J 2 v lost - : ` (,�- L _ ;e ? a '° ii,r�. t eA Si:ir , .. - •-• -- + f . , ,.i pt� t e, x r n; l xi Kf(9n:uwtslwata • Ax (1 i _ Over 1000 amps or wits 454.65 i 2 Name: W/5 E lNV13"T/ - 5 i Reconnect only 66.t : : ASS. Ia �7� �ij Temporary services or feeders - installation, City/State/Zip „r[ I4it/a/ q 2 200 A ./� amps o er relocation: n: 00 tunes or fens I I 65.3 Phone: Fax: 1 201 amps w 400 amps I i !00.307 2 1 1 1' r 'iryrluea 11 ° _ ! •n. _.,., Name :SA•t�+ a tow co w G i as tension per panel: i i i • A. Fee for branch circuits with purchase of Address: //UT 7F24 yr .57 /t' service or feeder fee, each branch circuit 6.65 1 {[ 2 J ; -irate. /Zip - - il - tA O /2 q7 }(/ 3 rautt i H. fee far branch cir without purchase of 3? 63 6 2 ! Fax: or feeder fee, first brands circuit r_:. _ f nr,�v i ax: i Uaeh additional branch circuit ( I 6.65 I, 12 -malt: na.... rc«,i•_ x_ f: ........s :..!...4....1%- I l E-':' 4 1 43 Alt' Z✓ 7!ai , , minim.awlnci,,,e iealo.,. • ,mmu.r.4. Each sigh or outline lightin I / I 53.40 I Sj I 2 I Job No: Signal c rcuit(s) or it limited 'W._ :. - alteration, or extension Page 2 �YO i Z l Business 1Nanie a � 'S e (/J•G, Description: i J i i s Us- �e u.� - s– — l Address: J , _• m I e •Z "na t t inspection over the allowable in any of the above: 0 112 aZ.3e 3 ;tu :n per hots {min. 1 hour) l 62.50 1 1 1 Phone:gb , •5-1 i 636 7_1 Fax: I J_atiganon fee: _ I s a. i e In ern 1 I l - I ! .r• ..,, t_" % -, . ,, :,'. :_i :',Tdh�, lame :- vn!Ne,.. -tr -gel S��aunuw,,,i. ,c,!�`!e'!•7ms,..1. Supervising electrician r v-" 5f' D y t liil s :y s„�r�.o, I •s S3 • y0 signature required: Plain Review 25% of Permit Feed .� Print Name: _ e. #: c�7Q so S tate Surcharge (8% of Permit : c: - 0 :411 f/ J TOTAL PERMIT FEE I S " �" Authorized Notice: This permit application expires If a permit is not ome - __- .__ - : - _ — n ` _� _ _- -_ _ _f _s it has b een accepted as complete. -- ...5",_‘ ! O _rio s et.b y Tri Couety Building Indust: jj r Set-vice oar d- (Please print name) is1Dsts \PermitFonn_SEkPerrnitApp.doc 01/03 • t7 / g••—/Z _cce__S' ' V1/4 3 • Lr e_' 5 9 7 3 /24 /t.r aP 39 yS76— i0 Vas OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 MST _ 1' ECTION' DIVISION Busin s Line* (503) 639 -4171 l r - BUP Received 1 45 - g ;4 1; 1 1 Requested `i a m AM PM BUP Location I i to J /- -- Suited K MEC Contact Person . .'1 L.1 ; Ph ( 3 03&2- PLM r Contractor ! .i ;4 ecir Ph'(; _) C 1 3 D - 9`7 9 SWR BUILDING Tenant/Owner n��' d E1,3,-3 0 0 3 0 Footing ((�� Foundation ELC Access: Ftg Drain /""<:? ELR Crawl Drain Slab Inspection Notes: SIT Post &Beam . -00/ Shear Anchors Ext Sheath /Shear Int Sheath /Shear / - �3_ d , l f� G C C ©4 L id A )1•V s i-,--7/974-1`71/ fir Framing �` Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ( 1 Roof ) Other: �' Final PASS PART FAIL C; PLUMBING Post & Beam / Under Slab j Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 F PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT Please call for r inspection RE: El Unable to inspect - no access Fire Supply Line --- / ADA Approach /Sidewalk Da a Inspector .m _ /_. .4 .I.i/ _ i 401111Ext Other: Final . DO NOT REMOVE this inspection record from the ' i site. PASS PART FAIL