Permit , CITY OF TI G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00600
�
L ,.�li� DEVELOPMENT SERVICES DATE ISSUED: 10/12/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC -02200
SITE ADDRESS: 15660 SW PACIFIC HWY A -6
SUBDIVISION: WILLOW BROOK FARM ZONING: C -G
BLOCK: LOT : 011 JURISDICTION: TIG
Project Description: Electrical permit for a 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:
TIGARD CENTER LP
9777 WILSHIRE BLVD #609
BEVERLY HILLS, CA 90212
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT BON 10/05/1999 $42.75 9- 318855 Elect'l Final
5PCT BON 10/05/1999 $3.42 9- 318855 ORIGINAL
Total $46.17
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 OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE 1 s 77 / ISSUED BY
NER 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: en-
(( ( & DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF•TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By G�
Date Rec'd /D - 5;- .
TIGARD OR 97223 Date to P.E. r I■. /ffi
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # - Ili - CD /00
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called /o - (2 A /
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development / Number of Inspections per permit allowed
'�� /J (O
Name (or name of business) 1✓�/ f.-o , K Service included: Items Cost Sum
•
Address /6 S (A ) G. + . 4a. Residential - per unit
City /State/Zip Tto-rc�. 47 1000 sq. ft. or less
�, Each additional 500 sq. ft. or $110.00 4
Commercial .2 Residential ❑ Li 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 al rrent licenses) 4b. Services or Feeders
Installation, alteration, or relocation
Electric ntractor 200 amps or less $60.00 2
Address r SOi. rte, to 201 amps to 400 amps $80.00 2 -
City F� State (94. Zip a- / 401 amps to 600 amps - $120.00 2
Phone No. 3 C't 3 -6 ,f=u - -( 601 amps to 1000 amps - $180.00 2
Job No. le Over 1000 amps or volts - $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. G-, S CA Exp.Date .2- . -e/
OR State CCB Reg. No. lm 4 5 Exp.Date2- -7� 0/ 4c. Temporary Services or Feeders
COT Business Tax or Metro No. .V4 Exp.Date / - / r i Cl Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 am $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. /5 S 1 G Exp.D / r) - - O I see "b" above.
Phone No. 6 R 9 S.)-6 Z E x a-i t
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circ $5.00 2 -
City State Zip b) The fee for branch circuits
tY p without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circui $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous l a'7�
(Service or feeder not included) �J
Owner's Signature Each pump or irrigation circle $40.00
Each sign or outline lighting / $40.00c) 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: d eec)
Not required for temporary construction services. 5a. Enter total of above fees $
/,.9% Surcharge (198'X total fees) $
NOTICE Subtotal $ $
5b. Enter 25% of line 5a for • 4
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
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # r� -
-
Total balance Due $ _%
4i 47 -
I:\DSTS\ELC96.APP Rev 9/96
•
12/17/1999 Activities for Case #: ELC1999 -00600
2:07:49 PM •
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC800 Case Finaled 12/07/1999 HAP . PASS No Hold DGW 12/07/1999
ELCC001 Application received 10/05/1999 GEO RECD No Hold BON 10/12/1999 •
ELCC003 Permit created 10/12/1999 BON DONE No Hold BON 10/12/1999
ELCC730 Elect'l Service 10/12/1999 10/12/1999 No Hold BON 10/12/1999
ELCC799 Elect'l Final 10/12/1999 10/12/1999 12/07/1999 BP PASS No Hold DGW 12/07/1999
ELCA117 DST Post - Review complete 10/12/1999 BON DONE No'Hold BON 10/12/1999
ELCA400 (F) Ready to issue 10/12/1999 BON DONE No Hold BON 10/12/1999
ELCC500 (F)Issue permit 10/12/1999 BON DONE No Hold BON 10/12/1999
•
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•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested � � O 7-9? AM PM ( BLD
Location 4.4 cG b 54/ I Q c! jQ c A/La Suite MEC
Contact Person 4 Ph PLM
Contractor / J �� s7 (_®, Ph SWR
BUILDING Tenant/Owner WL� L
ELC 1 — 06 00
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing /
Firewall
Fire Sprinkler _ / / 'L. / i —
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
ASS FAIL
ELECTRICAL
Rough In
UG /Slab (01)-Aficiii)ke
Low Voltage 59Y\
Fire Alai
J . ART 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 /�f �j Qc
Approach /Sidewalk D ! /` ' / 9 7 Inspector Q�
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
��- �r999 -Upo
CITY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN1999 -00120
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/12/1999
EXPIRATION DATE:
BUSINESS NAME: WU'S OPEN KITCHEN PARCEL: 2S110DC -0220
SIGN LOCATION: 15660 SW PACIFIC HWY A -6
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG •
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24" X 18'8"
TOTAL SIGN AREA: 37 sq. ft.
WALL AREA: 960 sq. ft.
WALL FACE (DIRECTION): NA
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installing a permanent 37 sq. ft. wall sign
MATERIALS: METAL/PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N ^ //
ADMINISTRATIVE EXCEPTIONS: /
TOTAL PERMIT FEES: $ 50.00
y
rTh
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. A sign permit shall expire 90
days from approval date. A tern orary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval data
APPROVED BY: �
PERMITTEE•SIGNATURE: W1,9 I1 Y D
DATE: 0/12/1999