12600 SW 72ND AVENUE ADDRESS :
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DEPARTMENT OF LAND USE&TRANSPORTA710N
WASHIWASH- /
NGTON 5DEVELOPMENTND
GTON 5 NORTH F RST, DIVISION
OR 91224
a o_;;^ts" _ COUN 1 i 1 INSPECTION REOUESTS: 503/640-3561/693-4415
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-+ NOTICE: This permit become%null and void If the work or construction for which It is Issued Is not commenced within 180 days. Once construction has started.
the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the appllcdnt and
hie agent or agents In support of this permit Is true and correct to the beet of our knowledge. I acknowledge that the Bullding Department's rellance
tib upon false and misleading Information may Invalidate this permit. All provblons of applicable Iowa and ordinances governing the constructlon and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plane correction she9ts. I acknowledge that
the granting of a permit does not grant authority to access private property or to use.esoments. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff rerifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is given by the 9uilding Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is Issued
specifying that the ttse or occupancy of the building or structure Is provisional end revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
WASHING-,
Departmenof Land Use. & Transportation
ELECTRICAL PERMIT
,Electrical
Inspection. Section
155 North First Avenue, #350-12 APPLICATION
Hillshoro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693-4412
Permit � c,/
PLEASE PRINT Number Date / " L�/-C-1
Rlease complete all sections, 1 through 5. i
4. Complete Fee Schedule below
1. Location of installation Number of inspections per permit allowed
Address 1 2 6 0 0 5W 72nd Service included: Items Cost(ea.) Sum
Building A. Residential- per unit
City T I G A R D Suite No.
1000 sq.n.or loss $110.00 4
Tenant Name
(if commercial) CITY UNIVERSI T Y Each additional sq.ft
- or portion thereof
$25.00 --.
Limited Energy $25.00 1
Map No._ _Tax Lot ------ Each Manuf'd Home or Modular
Thomas Map Book: Page: Section: Dwelling Service or Feeder $68,00 2
Directions - B. Services or Feeders
--- — Installation,alterations or relocation
Commercial (A Residential 201 amps to less $60.00 — 2
201 amps to 400 amps _ $80.00 _ 2
401 amps to 600 amps $120.00 — 2
2a. Contractor installation onl : 601 amps to 1000 amps $160.00 2
y Ovt,r 1000 amp^or volts r_ $340.00 — 2
Electrical Contractor F R A H L E R ELECTRI C COMPANY Reconnect r ,ly -- $50.00 2
.Address 1 1 8 6 0
City I 16ARD StateZIP 3 C. Temporary Services or Feeders
Dated 0 Job Number �7 81 Installation,alteration or relocation
Property Owner 200 amps or less $50.00
Contractor's License No. - 1 3C 201 amps to 400 amps $75.00 2
Contractor's Board Reg, No. 401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts see'B`above
Signature of Supr. Elec'n �t 'lei-�L -. D. Branch Circuits
License No._ 18 1 6 Phone No. 639-4627 _ New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner Installations: purchase of service or feeder fee.
Each branch circuit $5.00 2
RETURN rNUMNAL b) The fee for branch circuits without
Print Owner's ams APP QN purchase of service or lee r fee.
Address M - First branch circuit $35.00 3 5 . 0
Each add'nl branch circuit—� $5.00 2
city tateZip E. Miscellaneous (Service nr Feeder not included
Each pump or Irrigation circle 1#40.00
The installation is being made on property / own Each sign or outline lighting $40.00 _ 2
which is not intended for sale, lease or rent. signal circuit(s)or a limited
energy panel,alteration
Owner's Signature --______. or extension $40.00
F. Each additional inspection over the allowable
In any of the above
3. Plan Review section (if required) Per inspection $35.00
Per hour $55.00
NPlease check appropriate Rem and enter fee In section 5B. In Plant $55.00
,. 4 or more residential units in one Ft,uctt.lre
,"" 5. Fees
, Service and feeder, 800 amps o1 more
-� -System over 600 volts nominal A. Enter total of above fees $ 4 0 . 0 0 _
O7 -_Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction Subtotal $$
services. [71 Trust Account
Balance Due $
For inspections call This perm,I becomes null and void If the worts euthorltW b he
640-3561 or 693-4415 he p.rmtl is izcommencwd
within IBO days hem date of bu�ance of wch permN or M the worts authorized Is
suspended or abandoned at any lime otter work is common-el for a period of 160 days.
24 hour recorder, one working day in advance of need Electrical Permits ae non-refundsbio and nom transferable.
8194
SIGN PERMIT
PERMIT # : SGN94-0209 DATE ISSUED. . . . : 12/22/94
EXPIRATION DATE:
PARCEL. . . . . . . . . : 2S101AC-00600
ZONE. . . . . . . . . . . : C-P
BUSINESS NAME . . : CHUI ."-1 ON THE RISE
SIGN LOCATION. . : 12600 SW 72ND AVE
APPLICANT/AGENT: LARRY MARVIN
BUSINESS TAX NO: NA
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( }
TEMPORARY ( ) WALL ( } ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS . . . . . . : 6' BY 4'
TOTAL SIGN AREA. . . . . . : 24 sq. ft .
WALL AREA. . . . . . . . . . . . : sq. ft .
WALL FACE (DIRECTION) : NA
SIGN HEIGHT. . . . . . . . . . . 6 ft .
PROJECTION FROM WALL. : in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
Build a freestanding sign for the Church an the Rise .facility.
MATERIALS . . . . . . . . . . . . : WOOD
EXISTING SIGNS. . . . . . . : 01
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. ! N/A
PERMIT FEE: $ 25 . 00
APPROVED ?3Y
DATE : 12/22/94
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Permit No.
CITY OF TICARD
SIGY PERMrr APPLI=ONT
1he applicant hereby applies for a permit for the wor',c indicated or as shown in the
accccpanying plans and specifications.
SIGN LOCATION ADDRESS: L9 Cn C n ZONIM: � Y
NWKi OF FDSINFSS: C
APPLICANT/AQarr: �_Ate?v ,/nom,1L! COMPANY: Mf NE: 9 07
The-Clty of Tigard des an annual Business Tax which mist be kept current on all
Q-n'sons doing businF:s in the City. Doyyou
u'fes presently have a ,ness
YES ( ) NO ( ) U.L. Label # arrest Imo;. - tax.
FRXkX:kF7) SIGN: (Check a� wary as apply)
PFI341NFNC % ) �: (X) FRFERAY ( )
TEMPORARY ( ) WALL ( ) EI.EMCUIC ( )
C11iER ( ) BIrLBC]ARD ( ) HAUjOCK ( )
SIGN DlpffNsIct4s: 6 � EXPIRAT'ICK TE:
TOTAL SIGN AREA (Sq. Ft.) Ll Sg> /=T — -2
WALL AREA (Sq. Ft.) :
WALL FACE: _
HEILW (Ft) : —
PFCU' ION FROM WAr
ITI C INMON: YE:. ( ) NO (yC) TYPE:
CUPY: *tie
MATERIALS:
L. �„}} o c�
AJ..7111'RZ SIGNS: C 4
AEMMSIRATIVE EX(--aMON: N/A (,- APPfOD ( ) HOW KXH
AREA cc�rs: Wil. Z 00
ratr ( )
a -
Dom' A_Li sickn permits must be acrxm parried by a scale
t- --
uer
--1 ng and Plot p . If wrjzk autborized tinder
�- a sign permit has not been
Ned By: ,2 days after the is_uaance of t feted within ninety
- permit, the permit
shall be rDme null and void.
c�
E EMICAL PEFafrr I CEUM 'THAT I AM THE RECORDED OWNER OF THE
nIUM�D: YES ( ) NO 06 PROPERTY OR AN AGERr AtTIIURI,7.ED BY THE OWER.
BUIIDING PER-aT %' �G��Le Cn
RETS MM: YES ( ) NO S, Applicant's Signature
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