Permit 1/
... . Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PlancWRec. #
Permit # Ti - c . ,2 1/41
' M` � Pone (503) 639 -4171 ' ,. iI Date Issued 7/q
AA i
FAX (503) 684 -7297 Issued by 1
CITY OF TIGARD TDD No. (503) 684 -2772 y ALA& / ` _
Inspection (503) 639 -4175 f
1. Job Address: n 1_ 4. Complete Fee Schedule Below:
Name of Development 1 03 t" C Onfiec +l Oh.5 Number of Inspections per permit allowed
Address ( C220U Z. •c Q141, 14 01 *1-1 Service included: Items Cost(ea) Sum
City /State/Zip 1 Cr, 4a. Residential - per unit 4
( 1000 sq. ft. or less $110.00
Name (or name of business) E additional
$25.00 ional 500 sq. ft. or 1
portion t
Commercial Residential ❑ Limited Energy $25.00 - Each Manul'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only: -( � 4 200 b. Services or Feeders
Electrical Contracto�C N
C In a amps or l esion, or relocation 2
(� amps or less $60.00 2
Addr s .� All lr-c 2-% 4.. \ 200 201 amps to 400 amps $80.00 2
- City [7P State ZI
401 amps to 600 amps $120.00 2 -
ty p 601 amps to 1000 amps $180.00 2
Phone No. �7 Over 1000 amps or volts $340.00 2
-
Contractor's License No. Reconnect only $50.00
Contractor's Board Reg. No. /7iWAvai- 4c. Temporary Services or Feeders
r 1.�7• r+ Installation, alteration, or relocation 2
!'_�
Signature of Supr. Elec /10;"
- 'n � �•...„„„ 200 amps or less $50.00 2
-
•S
License No. 41 \16 • . ►T:�L 201 amps to 400 amps $75.00 2
-
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 purchase of service or feeder fee. 2
Each branch circuit $5.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit $35.00 2
Each additional brand, 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 $40.00 , od
Signal circuit(s) or a limited energy 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 inspection $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:
NOTICE 5a. Enter total of above fees $ `10 ad
5% Surcharge (.05 X total fees) $ -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.
$
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account # $
Balance Due $ 179- O
.orcPoogm..pp
CIiV
C,OMMUNITY DEVELOPMENT DEPARTMENT / ' I GN PERMIT •
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PERMIT #: SGN9 -01 ' +0 •
>.• DATE ISSUED • 08/28/95
EXPIRATION DATE: j J /fig/ q-C
PARCEL • 0S000XX- •0001710
ZONE :
BUSINESS NAME..: POSTAL CONNECTION
SIGN LOCATION..: 16200 SW PACIFIC HWY #H -1
APPLICANT /AGENT: PORTLAND SIGN & NEON
BUSINESS TAX NO:
•
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRON I,G (X)
OTHER ( ) BILLBOARD ( ) BA�LiCION1 { ( )
SIGN DIMENSIONS • 15' X 36" ii
TOTAL SIGN AREA • 40 sq.ft.
WALL AREA • 396 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT • 3 ft.
PROJECTION FROM WALL.: 18 in.
ILLUMINATION • INT
DESCRIPTION OF SIGN:
•
Tenant sign with copy: "Postal Connection:
• MATERIALS • GALV. STEEL
EXISTING SIGNS • 1
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED..: NO
ADMINISTRATIVE EXCEPTIONS.: N/A
a.,?'
PERM-1r, F,EE4 $ "25:-00• •
•
APPROVED BY: IF
}
DATE: 08/28/95
-
•
5/10/99 Activities for Case #: ELC95 -00241
2:14:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 8/27/95 JDA RECD TMP 12/11/95
ELCC003 Permit created 8/27/95 JDA PEND TMP 12/11/95
ELCC799 Elect'I Final 8/27/95 9/5/95 _ MJR PASS NEM 6/5/96
ELCC500 (F)lssue permit 8/27/95 JDA PASS TMP 12/11/95
ELCC800 Case Finaled 6/5/96 NEM 6/5/96
•
•
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