Permit A CITY OF T I G A R D a R I G I N A L PERMIT #R ELC2000-00354
l DEVELOPMENT SERVICES DATE ISSUED: 06/23/2000
,.� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 12 DA -00700
SITE ADDRESS: 15353 SW SEQUOIA PKWY
SUBDIVISION: PACIFIC CORPORATE CENTER ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Sign lighting.
V
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:
" LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 2
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:
ES & A SIGN & AWNING
1210 OAK PATCH RD
EUGENE, OR 97042
Phone: Phone: 541 - 485 -5546
Reg #: LIC 111286
SUP 435SIG
ELE 20 -255CL
• FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
PRMT DLH 06/23/200C $79.25 0003229
5PCT DLH 06/23/200C $6.35 0003229
Total $85.60
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 / tee 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:
1 LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
yCITY OF TIGARD Electrical Permit Application Plan Check # -
13125 SW HALL BLVD. Rec'd By /1/9"/L-
TIGARD OR 97223 Date Rec'd 4//2/47
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 # 6 .200 0 -4 03.5y
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development / FT Mess of Inspections per permit allowed
Name (or name of business) , Il / 6TC f � i 117e.zt Service included: Items Cost Sum
Address 16'353 Se. t ari " 4a. Residential - per unit
p -7 �/ 1000 sq. ft. or less $110.00 4
City/State /Zip / 5ctrd / O / / A 7 Each additional 500 sq. ft. or
Commercial Residential El Limited 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 != S 1 4 Sign 6 OW /u )'Ism Installation, alteration, or relocation
Address /A /O OCtx 4JcA pd • C 200 amps less $60.00 2
f /� 201 1 amps t to o 400 amps $80.00 2
City Sta i' Zip 9�yoa. 401 amps to 600 amps $120.00 2
Phone o. 5Y/ - 4 /85- 554/6 601 amps to 1000 amps $180.00 2
Job No. .,Q / i r'3 9 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. dill -... . t Exp.Date
OR State CCB Reg. No. / //a �J(n Exp.Date -ia -01 ✓ 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 1 G 201 am to 400 am $75.00 2 -
401 amps to 600 amps $100.00 2
License No. 5°\A"I r- �V\ Exp.Date ‘ • Over 600 amps to 1000 volts, see °b^ above.
Phone No. 911 e i/ 5 - 55`4(0
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: - Am - a) The fee for branch circuits with
purchase of service or
Print Owner's Name - ji,4 - feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip 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 i 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 ^ 86(15-)
panel, alteration or extension Ol $40.00 (1 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 LL
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: /79,s J O
6
Not required for temporary construction services. 5a. Enter total of above fees ' olio ►
-7 fr' Surcharge (.05 X total fees) 7°16 $ _� � '
NOTICE • Subtotal $ ;--•`
5b. Enter 25% of line 5a for 0' n F ' 0
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 (,, /!:
Trust Account #
TIME AFTER WORK IS COMMENCED. $ a �
Total balance Due `/0
I: \DSTS \ELC96.APP Rev 9/96
8/22/00 • Activities for Case #: ELC2000 -00354
2:53:59 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By DIsp. Level By Updated Notes
ELCC001 Application received 6/12/00 MAIL RECD No Hold DLH 6/23/00
ELCC003 Permit created 6/23/00 DLH DONE No Hold DLH 6/23/00 Delay in creating permit due to
understaffing.
ELCC799 Elect'I Final No Hold DLH 6/23/00
ELCA400 Ready to issue 6/23/00 DLH DONE No Hold DLH 6/23/00 Check received was not for
correct amount due. I adjusted
the permit fee and tax rather
than returning the check and
• application for .80.
ELCA500 (F) Issue permit 6/23/00 DLH DONE No Hold DLH 6/23/00
ELCA510 (F) Reprint permit 8/15/00 ZZZ DONE No Hold ZZZ 8/15/00
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M
CITY OF TIGARD BUILDING INSPECTION DIVISION MST �=
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 9 ' ) AM PM BLD
Location / 3s 5 sue/ S2g'14-0(6 P) 7 Suite MEC
Contact Person Ph /- &W " 2 3 ;Y7 PLM
Contractor cE S E A Ph (s 9 SWR
BUILDING Tenant/Owner ELC 2 ' ' 0035-1
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
Fire Alarm n �
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
,PA8 &....,PART FAIL
ELECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
WO 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
Other Date ?A/40 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.