Permit CITY T I G A R D n ELECTRICAL PERMIT
�''�"Ih' DEVELOPMENT SERVICES V RIG,NA J E PERMIT #: ELC1999 -00669
ISSUED: 11/8/99
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
(r" PARCEL: 1 S126C0 - 01107
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C -7
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of one 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: i
WASHINGTON SQUARE INC MULTI -LIGHT SIGN CO.
PO BOX 21545 3255 NE BROADWAY
SEATTLE, WA 98111 PORTLAND, OR 97213
Phone: Phone: 281 -3083
Reg #: LIC 00064107
SUP 343SIG
ELE 26 -90CLS
FEES , Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT DEB 11/8/99 $42.75 99- 319626 Elect'l Final
5PCT DEB 11/8/99 $3.42 99- 319626
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 no w . n4‘days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Orego law requires you to follow rul adopted by the Oregor\Utility Notification Center. Those
rules are set forth in OAR 952 - 001 - 0010 • • • h 0;x'97' - 001 -0080. You may obtai copies of these rules or dire questions 0 NC at (503)
246 -1987.
PERMITTEE'S SIGNATURE �
- � /, ISSUED BY: / lo � 1 i
OWNER INSTALLATI ONLY
The installation is being made on property I own which is not intended for sa e, se, or rent.
OWNER'S SIGNATURE: DATE:
� ,// CONTRACTO •INST ELATION ONLY
SIGNATURE OF SUPR. ELLEC'N: Jdh LAO) / (7 / DATE:
LICENSE NO: n / / 55/
/
Call 639 -4175 by 7:00pm for an inspection the next business day
(4, Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # � -
Permit # C/999 CO&lo Y
Phone • ��"hz' (503) 639 -4171 Date Issue
( - g -99
. = ` FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of D velopment Washington Square Number of Inspections per permit allowed
4S,,, 1..4../ 1/4.167
Address Washington Square Space Service included: Items Cost(ea) Sum
City /State/Zip Tigard ,OR • 4a. Residential - per unit 4
1000 sq ft or less $110 00
—
Each additional 500 sq ft or
Name or name of business) T he Wa i loin Company ar.
( � P Y portron thereof $25 00 1
VI-.. Commercial !.. Residential ❑ Limited Energy $2500
Each Manufd Home or Modular 2
Dwelhng Service or Feeder $68 00 -,
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor Multi -Light Broadway Sign 200 amps or less $60.00 2
Address 3255 NE Broadway, Portland ,OR 201 amps to 400 amps $6000 2
401 amps to 600 amps $120 00 , 2
City Portland State OR Zip 97232 601 amps to 1000 amps $18000 2
Over 1000 amps or volts $340 00 2 -
Phone No. 5n i- %R1 -3f1R3 Reconneaonly
— $50 00
Contractor's License No. 76- 9nc;.s
—
Contractor's Board Reg . No. 4 i 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec' 200 amps or less $50 00 2
License No. 343 S I Phone No. 281 -3083 201 amps to 400 amps $75 00
— 401 amps to 600 amps $100 00
—
Over 600 amps to 1000 volts
2b. For owner installations: see •b• above
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address - a) The fee for branch circuits with
City State Zip Each branch service n or fee. $s o0 2
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 $3500 2
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 $�40 00 2 — Each sign or outline lighting - �° "7 "co Signal circuit(s) or a limited energy p2 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 ins $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: „
q_ - 5
5a. Enter total of above fees $ / ?
5% Surcharge (.' X total fees) $ 3' tl/
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. ❑ Trust Account # $
Balance Due 3 7 $ , fi t �i r 7
. : L ..„.. t. § . 0
.CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 - 4175 Business Line: 639 -417
��
I6 , BuP' l9 o�l�
� D� 0
Date Requested I I I AM PM BLD
Location � o g 1f1 rz4 Suite • MEC
Contact Person '?f-ft-4 r r V• Ph gO ?- f /d - PLM
Contractor A Ph 4 /6 It SWR /1/�
�IL NG Tenant/Owner ELC / ®�[�t
R e t aining Wall , ELR
Footing Access:
Foundation " - FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: nn __
Slab . �J�� /c7 4 cj "0
Post & Beam ` ' 71 ' �� it /
Oct Sheath /Shear / / `
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm • -
Susp'd Ceiling
Roof
Mis •
PART FAIL
• ING
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
PASS PART FAIL •
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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 Yk. Approach /Sidewalk Date b Inspector /� EXt - (9
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•