Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00537
Pt DEVELOPMENT SERVICES DATE ISSUED: 11/7/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BD -02600
SITE ADDRESS: 12965 SW PACIFIC HWY
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT : 037 JURISDICTION: TIG
Project Description: Tenant Improvement - 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:
KIM, ROBERT + HAE LIM YOUNG ELECTRIC SIGN CO
1360 SW WOODWARD WAY 416 EAST 41ST ST
PORTLAND, OR 97225 BOISE, ID 83714
Phone: Phone:
Reg #: LIC 69308
SUP 445SIG
ELE 37 -51CLS
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 11/7/01 $53.40 2720010000( Elect'I Final
SPOT CTR 11/7/01 $4.27 2720010000( EXPIRED
Total $57.67
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
Permit Signature: ✓i nadi a l 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: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
11/06/01 TUE 15:20 FAX 5036120914 YOUNG ELECTRIC SIGN CO 1i 002
i _<<..:-/.ul• ries iv tin r8.a. ou.o1GUlf14
YCtUNta LtyL'1'lt1C SIGN CO !Q ODZ
Electrical PermitApplication
o
Datarcecived -Z. - a ) Permit ao_ - ,',
„fit; :i gard t? City of 'I� E``-•�� r �G> �7
Proiectlappl. ma.: &Pe date:
o [ Iy �Iigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
I.
Phone: (503) 639 -4171 Dare lssncd; By: Receipt no.:
Par (503) 598 - 1960
( Case fits no.. Payment typo:
n . Land use approval: _
-
TYPE OF PERMIT
0 I & 2 family dwelling or accessory O Commcrcial/indusnia1 C Multi-family CI Tenant imu rovement
U New .0nm:ruction ❑ Addi ement El Qthcc P
M _ Q Partial
L • ' ,IO f SITE INFORMATION
/' lob address: k'a. 4 AQ eItI gw 5.4.0 • Bldg. no.: Suite no.: Taxmap/rax lot/account nu.:
!A AI ' Lot; Block: Subdivision: f ' $4 �• k 4 _ ■ �Zei -
Pmjectsgi ja bsaki
on and notation of work on premises: o 54• c,141,4, gA C,4
Ii dare of completion/inspection: —
CONTRA(TORJiPPLICATION FEE SCHEDULE
Job Do.
"Business natne."ru,v, c\ co & .sc.a4 O 7VPz. Deser>iptiau Qty. (� ratal no. insp
New residen
Address: ress. es - > tial -li ddooraadel.di m7y pea •
S; throning:mit. Includes atm dud
City: A(.A-7-11,J State:pP I za' 7Q( 2_ servieelnciuded
Phone: .ic);._AT/ , l`3 c�5 /yt IE - mail: 1000 se.Rarless 4
CCB Else bus. lia no: Each additional 50 rg orpan
R lan thereof
Cit /� no,: r Limited [tierp�r, ret+idondgl 2
74 - , Limited energy,notrresidential 2 _
r/I / a — AM .. - E ac h mnnufeconzd home or modular dwelling
S ig ,, of sU. is" • elecu ician • ulred) Q1lL
Se Servlae andlur tbrdef 2
elect. name ' • -
P (p� �: • a C1t7fJ7 -}tt eeaseno S Iffi4IIatlnn,
PROPERTY OWNER alteration mtdocsUaes
200 amps or tee: 2
Mute (print): 201 amps to 400 amps r
Na 2
Mailing address: aol amps to 600 anpt 2
Ct[y. Stole: ZIP: - 601 amps a 1000 amps _ 2
Dver1oo0arn. or volts 2
Phone; Fax: E -mail: kesoeneetonly
t
U vrter installation: The instbllation is being made on property I own Tempornryaorrion at (ceders •
which is notintended for sale, lease, rent, or exchange according in insmllados , alteration, orrelocatlon;
ORS 447, 455, 479, 670, 70J. _ 200 amps ones; 2
201 amps to 4011 aces 2
owner's Signature: Date; 401 to 601;1 a
I IIIIIIIIMMMITMMMIIIIIIIIMIIneft elmslh -new , attention.
Name: or eXtetalo0 per panel:
A Pen forbtattch Cinatlin with purchase of
Address: aeeviw or leader het, each breach eimrtt 2
City: 1 State: I ZIP: B. Fee for branch circuits without purchase ,
Phone: Pax: g. l• — olserrice or feederfea fast branch circuit 2
Each bddltioaal brand cio:nit
• PLAN RE'ICW (Please check all that apply) Misc. (Service or-fender oat Ltseladnd):
p Series over 22.5 ompa- aomtnerctal 0 Health-am facility nech or irrigation cirdc 2
0Sdevim over320amp- mingoft&1 0flataraonsloe3pun Eachaianea outline lighting ' 2
familydwegtnga 0 Bu ildingova10 ,000suave foot fourar Signal circelas ) dra limited enemy panel,
cl 3ystemaver600voitonominal ' more resleeuinluoirssIn one sanctum alteration, eteatension* 2
R Swldng over duce scrim 0 Feeders, 400 amps ermore • •t)eecdedape
—
O 4>t�mpmetaad over 99 pumas 0 Memvfaeaures3 a*'ucwres or UV patic
0 ESeuytlgbtlasPlart O Other: _ Each additional inspection area the allo le Ea soy of the ;shone
Sahrott sets of plums with any of the abort. Plnnvinyrsaon 1 1 1
vexrlgarionfee
` The above are not applicahle to temporary construction service. rvice. Other
�sn cGmr soaps oa�itco ds, please calliortunottae for mare tafeeoimlWr, Notice: This permit apel)eation permit fee .....,,,,. ...:..... S
i3 h Sax o M Bard expires if a permit is not obtained Plan n view (at — 9 $
re emu emmbee - - • " 0 'COOL Sits I t1 /r13 within 180 days after it has been State surcharge (8 %) $ //��
", , te e - . � - accepted as complete. TOTAL . $ s
-- - CtedEaldes denature nenoaee aoo,eta t4002orn
EXPIRED
T 00 lA nwvicNTT SA TTY -• . - -. -- —. ._ .. .