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\ea CITY OF TIGARD EI__ECTRICAL.- PERMIT
OEVEL,OPMENT SERVICES PERMIT #: ELC98-0159
13" iW Hall Blvd., Tigard,OR 97223 (503)639.4171 LATE: ISSUED: 04/01/98
PARCEL: 2S 1 1 ,AP-00600
SITE ADDRESS. . . : 16145 SW 72ND AVE #B
SUBDIVISION. . . . :FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
Project Description : Tenant Impr. Service feeder and Lranch circuits.
-RESIDENTIAL UNIT---_ ---TEMP SRVC F=EEDERS---- -----MISCELLANEOUS------
1000 SF OR LESS. . . . . 0 0 - 200 amp. . . . . . . : 0 ='UMP/IRRJGNTION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 S I GNAL/PANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 6014amps-1000 volts. : it MINOR LAPEL ( 10) . . . : 0
----SERVICE/FEEDER---- ------BRANCH CIPCUITS----- ---ADD' L INSPECTIONS----
0 - : 00 amp. . . . . . : 1 W/SERVICE OR FEEDER: 4 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC: OR FDR. : 0 PER HOUR. . . . . . . . . . . 0
401 -- 600 amp. . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION---------_--_--_..
1000+ amp/volt. . . . . : 0 ) =4 RFS UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
( Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: --_____----------..__________...._.__._________________._.______. FEES ---- ------______...
PACTRUST type amount by date recpt
151. 15 SW SEQUOIA PKWY SUITE 200 PRMT $ 80. 00 DLH 04/01/9n 98-304595
TIGARD OR 97224 5PCT $ 4. 00 DL.H 04/01 /98 98-304595
Phone #:
Contractor: ---------------------__-_--_---_.---------------------------------
PHOEN I X ELECTRIC CO L 84. 00 TOTAL_
7379 SW TECH CENTER DR,
------- REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect' ( Service
Phone #: 684-3600 Wall Cover F_lect' l Final
Reg #. . : 00052;
This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Oregon Specialty Codes and all other
applicable lar.s. All work will be done in accordance with approved plans. This permit will expire if Nark 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 the rules adapted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
Permittee Signature : /� %�/ L�� Issued By:
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------------------------------OWNER INSTALLATION ONL','------------------_-------_--__
The installation is being made on property I owr which is not; intended for
sale, lease, or rent.
C-0 OWNER' S SIGNATURE: _ D/V �� L/ />7%70�/ DATE:
w -----------------------CONTRACTOR INSTALLATION ONLY----------------------.----
SIGNATURE OF SUF'R. ELEr`1: ^� / DATE:
LICENSE NO:
.++++++-+i++++++++++4-++++++++++++++++ .++++++++++++++++++++++++++r++++++++-I.++++++
Call 639--4175 by 7:00 p. m. for an inspection needed the ne (t business day
++++++++..++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.++t+.*++
hF'R-Ol 98 WED 10;52 RM nI1OENIX ELECTRICFAX N0, 503 684 3611 f, 02!02
U Y OF TIGARD Electrical Permit Application Plan Check 4
Rer'd 13�
13125 SW .`TALL BLVD. Date rtec'd
TIGARD OR ':'223 Date to P.E.
Phone (603)639-4171. x304 Print or Type Date to DST_
Inspection (503) 639-4175 Permit
Fax (ctio (503) 3 Iricomplete or illegible will not be acceptad ceded __
1. Job Addi ess: - , 4. Complete Fee Schedule Below:
Name of De%elopnient NumbEr of Inspections per permit allowed
Name (or name of business) t( Service included: Items Cost Sum
Address—LLe-,
-� 4a. Residential-per unit
1000 sq.It.n less 5r 10.00 4
City/State/7jp - -__ Each additional 500 sq.ft.or
Residential portion Ihe,eof $2&00
Commercial Limited Energy $25.00
Each,Manurd Home or Mcdular
Dwelling Sarvicn or Feeder 2
2a. Contractor installation only: 4b.Servlcez or Feeders
(Attach COPYa cunnnt licenses)6` Inetellation,alteration,or relocalior
Electncal Contractor 200 amps or less f_ $60.00 _ 2
Address--7 61 �? �_ r 201 amps to 400 arTips S80.00 2
City State V_L _ZpCt' 2�3 40t amps to 600 amps S120.00 2
Phone N0. Lro D � S01 amps to 1000 amps $160.00
Job No. Over 1000 amps;or.nits s�ay.ao z
�--- ---- - neconnect only $50.00 ___—_ 2
Elec. Cont. Lice. No. 34Z Exp.Date _
OR State CCB Reg, No. S -2 Fxp.Date__ 44, temporary Services or reeders
COT Business Tax or Metro No, Fxp.Date Inswila0r,,alteration,or relocation
2oo amps or less $50,00 _.a a
Signature Of SU r. Elec'n ^__ 201 amps to 400 amps $100.00
100.$75.00 __ <
g p 40t amps to son amps SIOO.00
/ I�, Over 6x10 amps to 1000 volts,
License No, �14�,4 s Exp.l?ater __ see^b' above.
Phone No.- � U _- --- — Zd.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a) rhe foe fnr branch circuits with
purchase of service or
Print Owner's Name Efeedeach rafoe.nrh clrcuil `l._ $5.00 �" 2
Address b1 The No for branch circuits
City State_ ZIP_ without purchase of
Phone N0. _ _ service or leader fee.
Fina branch circuit $i`0t1 - --- 2
The installation Is being made on property I own which is not Each additional branch circuit $&U0 — — 2
intended for sale, lease or rent. 4A.Miscellaneouc
(Seroiee or feeder not it�.JudM)
Owner's Signature Earh pump or irrigation circle !_ $40,00 2
Each sign or outline lighting i $40.00 2
3. Plan Re View section ("if required):' Signal circull(s)or a limited entlrgv
panal,alleralion or ertensirn S40,00
Minor Labels(10) $1no no
Please check appropriate item and enter fee In section 50.
1 4 or more residential units In one structure Q.Each additional inspectlon over
Service and feeder 225 an or more the allowable in any of the above
System over E00 volts nominal Per inspersion S a5.uo
Classified area or structure containing special occupancy Per hour $55-00
55-00
as described in N.F C.Chapter 5 In Flans $ —
cc
�..
cD 'Submit 2 sets of pians with application where any of the above apply. 5• B@S:
Not required for temporary construction services. 5a.Enter total of aho-e fees S
5%Surcharge(.05 X t-)tal tees) $
Np t I C.F Sub total $
Sb.Enter 25%of line 5a tar r(��
PERMITS BECOME VOID IF WOFK OR CONSTRUCTION AUTHORIZED IS Ptah Review_if rr'=U(Sec 3)
NOT COMMENCED WITHIN 190 C!AYS.OR IF C0N.81'RUCTION OR WORK ubrourt
IS SUSPENDFD OR ABANDONED FOR A PERIOD 02 1 R DAYS AT ANY 0
TIME AFTER WORK IS COMMENCED. �1 rust Account M_�ar�- •
T
Tobi balance Due I
rlp�`-s1llClM1A�P NrwPiPrl
SIGN PERMIT
PERMIT #: SGN93-0055 DATE ISSUED. . . . : 04/02./93
EXPIRATION DATE:
PARCEL. . . . . . . . : 2S113AIs-00600
ZONE. . . . . . . . . . . . I-P
BUSINESS NAME. . : CHRYSLER CORPORATION
SIGN LOCATION. . : 16145 SW 72ND AVE
APPLICANT/AGENT: C BREIDENBACH
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2.3' X 14'
TOTAL SIGN AREA. . . . . . : 32 sq.ft.
WALL AREA. . . . . . . . . . . . . 400 sq.ft.
WALL FACE (DIRECTION) : E
SIGN HEIGHT. . . . . . . . . . . 2 ft.
PROJECTION FROM Wi,LL. : 2 in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPT;ON OF SIGN:
PERMANENT WALL SIGN. 2.3' X 14' = 32 SQ.FT
MATERIALS. . . . . . . . . . . . : STYRO/PLEX
EXISTING SIGNS. . . . . . . : 0
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
APPROVED BY:
DATE: 04/02/93
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Permit No. Sha 90-oa.54-
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit, for the work indicated or,as shown in the
acocupanying plans and specificatiotvs.
SIGN LOCATION ADDRESS: 16145 SW 72nd ZONING:
NAME OF BUSINESS: Chrysler Corporation
APPIZC, Rr/AGS: C.Breidenrach CQMpANySigns In Depth,Ins E. 503 635 3390
The City of Tigard iposes an annual Business Tax wtuch nnsst be kept current on all
persxxe.- doing bisiness in the City- - Do you presently have a gent: business tax?
YES ( X) NO ( ) License Metro # 1946 OCB # 66735
PROPOSED SIGN: (Check as many as apply)
Fees
PER IANENr ( X) EREEMMING ( ) FREEMY ( ) 0 -74 S q. F t.$10.0
TEMPoRARn( ( ) WALL (X ) E LEC M"IC ( )24-100 S q.f't. $25.01
OMER ( ) BIMBOARD ( ) BALLOON ( ) 100 + - $35.0
Slot DIMENSIONS: _2' 3" Iiigh X 14! wide = 32 sq. ft. EXPIRATION DATE:
IrYIAL SIGN AREA (Sq- Ft.) : 32
WAIL AREA (Sq. Ft.) : 400 Fees
WALL FACE7s__C]?irectionJ E7- � ( ) 0-10 sq. rt..
Mac (r't) : W-1) 16 --
PF4aJ=C)i FRM WALT.: 2"
nXJW N 7TOM: YES ( ) NO ( X) TYPE: 8gjsed Tpt t Drs
COPY: Chrysler Corporation
MATERIALS: Plex/face Styrofoam
EXISTING SIGNS: -0-
AEMUTISITRATIVE ECCE ITON: N/A (A ) APPROVED ( ) HCV KKK
AREA ( ) lfaurr ( )
CEt�4EM'S: __
Ct2
r _
Un
PLANNIM DEP All sign permits must be acciaa43ani.ed by a seal
Permit Fee: —i� dr-awing and plot plan. If work authorized under
ca
Receipt No: a sign permit has not been voupleted within ninety
Apmvved days after the i-ssuanoe of the permit, the permit
J Date: -e�'-�7 _ shall beccme rntll and void.
EZ,EJC.'IRICAL PERMIT I CErTT.FY THAT I AM THE RDODRDED a4NER OF THE
RE17JIRED: YES ( ) No ) PROPERTY OR AN AGENT AUINORM-0 BY THE OWNER.
BUII.UING PMar _� ` C. Breidenbach _
RE7,ZUIM: YES ( ) NO Applicartt's Si bo
ere
Signs In dpth,alnc.
17150 SW Pilkington,Lake Osmego,Or.97035 (503)635 339(
cP/t'-=T'f'L''S ld9r�x�^, 'Irele:a'to
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