Permit CFTUY OF TIGARD ELECTRICAL PERMIT
,., DEVELOPMENT SERVICES PERMIT #: ELC98 -0210
�' DATE ISSUED: 04 /24/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S115BA -00101
SITE ADDRESS...:162O0 SW PACIFIC HWY #0
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description : Installing an approximate 45 sq. ft. permanent mall sign
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 1
LIMITED ENERGY : 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 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 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
KITS CAMERAS type amount by date recpt
16200 SW PACIFIC HWY PRMT $ 40.00 JD 04/23/98 98- 305211
TIGARD OR 97224 SPCT $ 2.00 JD 04/23/98 98- 305211
Phone #:
Contractor:
MULTI —LIGHT SIGN CO. $ 42.00 TOTAL
3255 NE BROADWAY
REQUIRED INSPECTIONS
PORTLAND OR 97213 Ceiling Cover Elect'1 Service
Phone #: 281 -3083 Wall Cover Elect'1 Final
Reg #..: 000641
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work 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 adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -801 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987. e &ILL. Permittee Signature: BVl IC Issued By: —_
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION
�
TION ONLY
SIGNATURE OF SUPR. ELEC' N : I A ' DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd B
TIGARD OR 97223 Date Rec'd �i2 3 �'V
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit #
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 1 In A rib ‘01/4.0.3 (`) %C:6-. Number of Inspections per permit allowed
Name (or name of business) K. .'T:S C' A J S Service included: Items Cost Sum
Address 1 / e).1‘.3- %A\k.t ( N- 4 4a. Residential - per unit
City/State /Zip V T c A . ) ®a E ach additional 500 sq. ft. or $110.00 4
Commercial Residentia L
portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) - 4b. Services or Feeders
In stallation, alteration, or relocation
Electrical Contractortlr(1u1.'T1 �1cNir�T %e1 200 amps or less $60.00 2 -
Addr s (2.5 S '¼.)% g 1 AOt 4J q� 201 amps to 400 amps $80.00 2
City tate fl(r e Zip 401 amps to 600 amps $120.00 2
Phone No. g / - 3r1R 3 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. _1-- Exp.Date
OR State CCB Reg. No. 4 Ic '1 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No.�4.5 Exp.Date see "b" above.
Phone No, 7 SI -16S - 3
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting 1 $40.00 40 2
3. Plan Review section (if required):'` Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: , r pc�
Not required for temporary construction services. 5a. Enter total of above fees $ "� --
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY p
TIME AFTER WORK IS COMMENCED. El Trust Account # $ ilZ
Total balance Due
I: \DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD -
%���_�i�`
DEVELOPMENT SERVICES SIGN PERMIT
13125 PERMIT #: SGN98-(04I
DATE ISSUED 04 / Lr r' -M
PARCEL • 2S1 15EaA- •00 1 +Zr'
TONE - C' —S
JURISDICTION...: T:iG
BUSINESS NAME..: KITS CAMERAS
SIGN I.00W7 I ON..: 16200 SW PACIFIC HWY #O
APPLICANT /Ar FN1"1 KITS CAMERAS
BUSINESS '1 AX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY (
TEMPORARY ( ) WALL (Y) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS • 14'7" X 35.5"
TOTAL SIGN AREA......: 45 sq.ft.
WALL AREA... ......... 2553 sq.ft.
WALL FACE (DIRE_CfION): E
SIGN HEIGHT ft..
PROJECTION FROM WALL—: •
`; n .
I LIMN 'CNAT (ON ... INT
DESCRIPTION OF SIGN: Instal 1 ing an approximate 45 sq. ft. perrr:anent fiat. J r
ign
MATE :I ALE : PLEX /NEON
EXISTING SIGNS . rZ►
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED..: N
AI: }MIN1SfR(11vr- EXCE•'VE IONS. : N/A
PERMIT FEE: t 50. orb
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved
approved plans. A sign permit shall expire 98 days from approval date,
A temporary sign shall expire "se days from approval date. A balloon sign
shall expire 18 days from approval date.
APP%OUED BY: I I . .
PERMITTEE SIGNATURE: (r at.
DATE: 04/24/98
V
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0210
KITS CAMERAS
16200 SW PACIFIC HWY Unit: 0
09/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
• Code Sent Done Done Date By
ELCC001 Application received / / / / 04/23/98 RECD JD 04/24/98 BON
ELCC003 Permit created / / / / 04/24/98 DONE B 04/24/98 BON
ELCC500 (F)Issue permit / / / / 04/24/98 PASS B 04/24/98 BON
ELCC799 Elect'1 Final / / / / 05/12/98 Work inspected with ELC98 -0194. PASS CD 05/15/98 J *H
ELCC800 Case Finaled / / / / 05/15/98 PASS CD 05/15/98 J *H
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