14050 SW PACIFIC HIGHWAY-1 6
ADDRESS,
6L6
i:\records\microflm\targets\building.doc
CITY OF TIGARD
Journal Entry Form
Descr
RECLASS CHARGES _ ✓
FROM RECEIPTS AS SHOWN BELOW
JE # 55
Month Ending: OCTOBER 31, 1995
Reviewed by:
Date: 31-Oct-95
Debit(+)
Ln # Account # Credit(- Amount
1 10-0000-438000 + 270.00
2 10-0000-437000 - 10.00 SUNRISE SIGNS 95-267698
3 10-0000-43/000 - 25.00 TYLER'S AUTO 95-268933
4 10-•0000-437000 ~ 10.00 LUMINITE SIGNS 95-269039
5 10-OOOG- v37000 _ - 25.00 AMERICAN LIGHTING 95-269814
6 10-0000-437000 - 25.00 PORTLAND SIGN & NEON 95--269840
10-0000-437000 - 60.00 - MARTIN BROTHERS 95-269945
8 10-0000-437000 - 25.00 CLASSICAL DIMENSIONS 95-269961 _
9 10-0000-437000 _ - 25. 00 _ MARTIN BROTHERS y�i-1'p_36
10 10-0000-437000 - 30.00 MEYER SIGNS 95-270992
11 10-0000-437000 - _ 25.00 RAMSAY SIGNS 95-271470 _
12 10-0000-437000 - 10.00 WALHOOD SIGN 35-27!870 —�-
13
14
15 _ -
16
17
is
19 — _ —
20
21
22 -23 i 0 • 0 0 + -- - --
24
2s
25 - 00+ _
i26 — 10 . 00 * —_
27- — 25 - 00 -
29 _ 2. 5 00
60 - 00 -
25 . 00 *
25 . 0u *
30 . 00 +
25 . Ou -
10 . 00
01 '
270 . Ou *
Pg of 12/91
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Shp. Ceiling prink. Rough-in .,ppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested:_ Time: AM PM
Address:
Builder: �)_3.;�—06 Zy ]jGa4 2 Permit #:
THE FOLLOWI 'ORR ' NS ARF RE'OUIRED:
7
Inspector: �Z e- p L_ Date:
'&PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
o �/ 155 NORTH FIRST,HILLSBORO,OR 97'124
COUNTY,1 , INSPECTION REQUESTS; 503/640-3561/693-4415
OREGON XXXXXXXXX--� 640-3470
Page 1 of 1
Date U3/28/5b
'Time 15 , 01
Permit 'Type Commercial Electrical Permit Permit # 050656Z8
Permit Status : APPROVED Applied 03/28/9b
::Titus Address 14UbO SW PACIFIC HW '1'1 Issued 03/28/9b
Permit 'Title PRUDEN'1'lAL/LU'1"L SNYDER - SIGN Completed
Permit Uescr . 51GN ELEC'1'RiCAL 1'o Expire : 09/24/9b
Project 'Title PRUVLNTiAL/LU'fZ SNYDER - SIGN Project # : P0048698
Project Descr , STUN ELEt2l'HiCAL * EROSION
Parcel Number 2::,1'1'1 - Land Use District.
Valuation U
Legal Descr .
Owner 1NSPEC'1'lON - '1'lUARD Construction 0Y1'H
Applicant Name HEA'1'H SIGNS Classification 900
Applicant Addr, : 4644 5E 1./'1'H AV Occupancy
PORTLAND OR 9'/ZU2 Validated by JF
Applicant Phone: 232-2620 Inspector Area
Fee description Units Fee/Unit Ext. fee Uata
Sign or outline Lighting 1 40 , 00 4U , 00
Subtotal Electrical Fees : 40 , U0
State burcharge of 5% 2 . 00
Total Electrical Fees : 42 . 00
*** k'ees Required *** * ** r'ees Collected N Credits **�
Method Check # Receipt No. Date Payment
CK 3b08 U3/28/95 42 . 00
FOTAL 'THIS UAI'E ****** *** 42 . 00
Fees : 42 . UU
,Rt. ustment,., : , UU Total Credits : . 00
'Total Fee3 : 4Z . 00 Total Payments : 42 . UU
balance Due : , OU
NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once constriction has started,
the permit becomes null and void If construction is Interrupted for a period of 180 days. I certly That the Information presented by the applicant and
his agent or agents In support of this permit Is true sna correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the conRt-action and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plops correction shoots. I acr howledge that
the granting of a permit ones not grant authority to access private property or to use easements. I further mzknowledge 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
in portion staff verifying compliance with the varinus codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the app—ant and such use or occupancy Ir revocable until all Inspection requirements are satisfied and
approval Is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property u n which th i4mit Is Issuer)
specifying that the use or occupancy of the building or structure Is provisional and revocable-AtRit'the mtlsfaction all sp c r Irsments.
OvA
Ile
(APPLICANT'S SIGNATURE
WASHINGTON Department
of COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation .�'
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693-4412
Permit -�
Number �l �)ii . Date
Please 4. Complete Fee Schedule below
1. Location of installation ^____ N::mber of Inspections per permit allowed
Address 1405! SW PACIFIC HWY Service included: Items Cost(ea.) Sum
Buildinq A. Residential -per unit
T
City IGARD Suite leo.
—'--� 1000 sq.ft.or loss $110.00 4
Tenant Name Each additional 500 sq.ft
(if commercial) THE PRUDENTIAL-LUTZ SNYDER or portion thereof _ $25.00
Limited Energy $25.00 _ 1
Map No.— Tax Lot Fach Manuf'd Home or Modular
—
Thomas Map Book: Page:.6�—_ Section:__115 Dwelling Service or Feeder $68.00 2
Directions _ --_ B. Services cr Feeders
Installation,alterations or relocation
200 amps or less $60.00 �— 2
Commercial Residential �_ 201 amps to 400 amps _ $80.00 _ 2
401 amps to 600 amps --- $120.00 2
2a. Contractor installs*ion onl 601 amps to 1000 amps $180.00 —_—__—_ 2
Y' Over 1000 amps or volts $340.00 _ 2
Electrical Contractor Heath signs Reconnect only .._ $50.00 2
Address 46 44 S E -ITEM Ave,Port I_a ncT_9771T7
City Portland StateOR ZIP 97202 C. Temporary Services or Feeders
Date 2/24/95 __ Job Number 4 4 0_8 4 trial it ation,alteration or relocation
Property Owner_lAiLz_sn der 20( amps or less $50.00 2
Contractor's Li(,ernse No. 37-45C 2Q' amps to 400 amps —r $75.00 2
Contractor's Board Reg. No. 6 4' 3 401 amps to 60r`amps $100.00 2
Over 600 amps to 1000 volts see"B'above
Signature of Supr. Elec'n __ D. Branch Circuits
License No. 493 SIG PTone NO - 6 2 0_ _ New,alteration cr extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase of service or feeder lee.
Each branch circuit $5.00 __—.___-____ 2
{sr 1Owner's Nameo` i-ne j1o, - -`- b) The fee for branch circuits without
purchase of service or feeder fee.
First branch circuit $35 W 2
Each add'nl branch circuit__ $5.00 ._ __ 2
State E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.002
1-he installation is being made on property l own Each sign or outline lighting 11 L $40.00 - -�� 2
which is not intended for sale, lease or rent. Signal circuits)or a limited
energy panel,alteration
Owr x's Signature or extension $40.00 2
F. Each additional inspection ever the allowable
in any of the above
3. Plar. Review section if required) Per inspection $35.00 _
Per hour $5500
Please check appropriate hem and enter fee In section 5B. In Plant $55.00
4 or m,)re residential units in one structure
__Service and feeder, 900 amps or more 5. Fees
_System over 600 volts nominal A. Enter total of above fees $ ID-AW--
--Classified
L?-0 Q____Classified area or structure containing special 5% Surcharge (05 X total fees) $ -2—.Q 0 _._
occupant;/ as described in N.E.C. Chapter 5 Subtotal $
B. I nter 25% of line A for
Submit 2 sets of pians wit,l application where any of the Plan Review if required (Section 3) $ — ---
above apply. Not required for temporary construction Subtotal $
services. n Trust Account $
Balance Due .$ 42.00
For inspections call This p'rmit le:omes null and void If the work•uthoriz+d by the permit Is not comme aid
640-3561 or 693-4415 within 109 days from date of issuance of such permit or If the work authorized is
auapendrd or abandoned of any time shot work is commenced for a period of 160 days.
24-hour recorder, one working day in advance of need Electrical mita are non felundable and nondraruferable.
8/94