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Permit I CITY OF TIGARD ELECTRICAL PERMIT PERMIT #. ELC98 -0044 ,:�� , DEVELOPMENT SERVICES DATE ISSUED: 01/23/98 !� "� 1 3125 S W Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 1S136CD -00300 SITE ADDRESS...:117O5 SW PACIFIC HWY #B SUBDIVISION • ZONING:C —G BLOCK LOT • JURISDICTION: TIG Project Description : Installation of sign lighting for one sign. - -- 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..: 1 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/O 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 RADIO SHACK type amount by date recpt 11705 SW PACIFIC HWY #B PRMT $ 40.00 GEO 01/15/97 98- 302529 TIGARD OR 97223 5PCT $ 2.00 GEO 01/15/97 98- 302529 Phone #: Contract or: BLAZE SIGNS OF OREGON $ 42.00 TOTAL PO BOX 23910 REQUIRED INSPECTIONS PORTLAND OR 97281 -3910 Wall Cover Elect'1 Final Phone #: 639 -3262 Elect'1 Service Reg #..: 000643 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 952101-0010 OAR 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling 503)246 -1987. Permittee Signature: MS_ i (:M /� w Issued By . C/1441.4 / , 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 INSTALLATI ONLY SIGNATURE OF SUPR. ELEC' N: �.Q�Q .� ��t //�-*�LJ DATE: � _ . Y0 LICENSE NO: /57c /6 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + ++ + + + + + + + ++ • r_d i. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # :LC 528'-°6941 ,, ,,rrd,i l , ,� Date Issued el II Phone (503) 639 -4171 CITY OF TIGARD FAX (503) 684 -7297 TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: :1 _ • _, 4. Complete Fee Schedule Below: Name of Development R C eJ. - �.3.nac.e.4 i Number of Inspections per permit allowed Address I 17 ®S S W ' ) C e /' Service included: Items Cost(ea) Sum City /State /Zip / 1-- e..r -c. O+� - T 7 a a 3 4a. Residential - per unit J n c Q /J 1000 sq. ft. or less $110.00 4 Name (or name of business) PO -,-X.1. ]tit rt. J Each additional 500 sq. ft. or � portion thereof $25.00 Commercial IV Residential El 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 C • 200 amps or less Installation, alteration, or relocation Electrical ontractor $60.00 2 7 t '2 Address 0 t ] .l g l 201 amps to 400 amps $80.00 2 City State (94 . Zip c!7 401 am to 600 amps $120.00 2 / 2 601 amps to 1000 amps $180.00 Phone No. SeS - t'-, - 39 - 32C, V Over 1000 amps or volts $340.00 2 Job NO. /5-7/ 7 Reconnect only $50.00 2 contractor's license NO. a C.. 3S-o G L S 4c. Temporary Services or Feeders Contractor's Board Reg. No. _ q Installation, alteration, or relocation 2 Signature of Supr. Elec'n /i_�� 200 amps or less 2 S t 7 - ho ne No. ( 9 '3 a•I �-- 201 amps to 400 amps $50.00 2 License No. !S "7 401 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 First branch circuit $35.00 $ not intended for sale, lease or rent. $ 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 T $40.00 2 Each sign or outline lighting -1-- $40.00 41p .. o C) 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 apply. Not required for temporary construction services. 5. Fees: � 5a. Enter total of above fees $ 2 f 0 • C) NOTICE 5% Surcharge (.05 X total fees) $ ... )>) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. wmdknmdeNekc- ❑ Trust Account # $ Prm..PP Balance Due $ ya, or 11/09/1999 Activities for Case #: ELC98 -00044 10:52:11 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 01/15/1998 GEO RECD DRA 01/23/1998 ELCC003 Permit created • 01/23/1998 - DRA DONE DRA 01/23/1998 ELCC720 Wall Cover DRA 01/23/1998 ELCC730 Elect'I Service DRA 01/23/1998 ELCC799 Elect'I Final 10/29/1999 BP PASS VT 10/29/1999 11/17/98 inspection request (research) sent to Chuck D. ELCC500 (F)Issue permit 01/23/1998 DRA DONE DRA 01/23/1998 ELCC920 Miscellaneous action 01/08/1999 CD PEND CD 01/08/1999 spoke with blaze signs, sign has not been installed yet. ELCC800 Case Finaled 10/29/1999 VT PASS No Hold VT 10/29/1999 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ( c) / . q BUP Date Requested AM PM BLD r Location 1 Suite MEC Contact Person Ph PLM Contractor Ph SWR i BUILDING Tenant/Owner 1 ELC ' 9- 06 se? Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT /,Q �y3/� Post & Beam E� .,,� `7 O C.w - T e/ Ext Sheath /Shear � Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall t1 / Sprinkler C q 0 7 _ !' �! �t ZP S 4 S Sjr' Fire S rinkler � � 9 Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam 410 Under Slab IC 4P` . dip - Top Out Water Service re 1 r Z- r / c' Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final P ,r— - ' FAIL ECTRICAL Servic- Rough In UG /Slab Low Voltage Nom` CQ sue% Fire • larm ls� •-II '� 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: [ ] Unable to inspect - no access ADA Approach/Sidewalk �J Other Date ( Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.