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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00393 I• DEVELOPMENT SERVICES DATE ISSUED: 7/14/00 • 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S115AB -01900 SITE ADDRESS: 16200 SW PACIFIC HWY E • SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of one sign lighting for new wall sign. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BIT HOLDINGS LTD PARTNERSHIP MULTI -LIGHT SIGN CO. BY FORUM PROPERTIES INC 3255 NE BROADWAY FIVE CENTERPOINTE DR STE 290 PORTLAND, OR 97213 LAKE OSWEGO, OR 97035 Phone: Phone: 281 -3083 Reg #: LIC 00064107 SUP 343SIG ELE 26 -90CLS FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT DEB 7/14/00 $42.75 0003721 Elect'l Final 5PCT DEB 7/14/00 $3.42 0003721 Total $46.17 O This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules a• • - • e Oregon Utility Notification-Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain co es of these rul- or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATUR ) ISSU • D 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 ONLY SIGNATURE OF SUPR. ELEEC'N: 1JQ.-PD / g DATE: LICENSE NO: l( Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan C # 13125 SW HALL BLVD. Recd y TIGARD OR 97223 i-D J 41107 Date Rec'd 7 0 Date to P.E. _________ Phone (503) 639 -4171, x304 Date to DST U Inspection (503) 639 -4175 Print of Type Permit # f i 0 / 3 Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: • Name of Development NQ t IL IN\etSTeJ2.S Number of Inspections per permit allowed • Name (or name of business) H i. vAAS Service included: Items Cost Sum Address % 0270 $,L,.) , W A %C 1a- i (.... C dif_ 4a. Residential - per unit 1000 sq. ft. or less $ 117.75 4 -- ylc 1/4 rhd2_lZ t 0 YlQ 5 Each additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). t A Installation, alteration, or relocation Electrical Contractor rift %A.t:T i L.ACM"i ' sIl v•, 200 amps or less $ 64.25 2 Ad S > gsc r.1 . Ql2.6' WAN-` 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City 012713,A...;) State D (Qc' Zip 601 amps to 1000 amps $ 192.50 2 Phone No. 2 Rl -30 $ 3 Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 211 Suet -. Exp.Date .4c. Temporary Services or Feeders OR State CCB Reg. No. (.p'4 Exp.Date Installation, alteration, or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 107.00 2 Signature of Supr. Elec'n ' 1.stm�� Over 600 amps to 1000 volts, see "b" above. License No. (*. ' - > i ` Exp.Date ad. Branch Circuits Phone No. ,.,[lc,1 ?3c r, t, New, alteration.or extension per panel a) The fee for branch circuits • 2b. For owner installations: with purchase of service or feeder fee. Print Owners Name Each branch circuit $ 5.35 2 b) The fee for branch circuits Address without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting f $ 42.75 Signal circuit(s) or a limited energy . 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 42., ! Z. * Submit 2 sets of plans with application where any of the above apply. g 5' Surcharge (.05 X total fees) $ "V Npt required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ Lilo is \dsts \forms \electric.doc ODD 37 ,g/ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 /� '' BUP P Date Requested q AM PM (4r BLD Location / b20 /4e---, Suite MEC Contact Person 1 Ph ig 01 PLM Contractor �ge CL Ph SWR c BUILDING Tenant/Owner `c/e/7 DO c Retaining Wall ..C{ -ft 200o— 00 353 Footing Access: /f / COO — Q Q y �c V Foundation -I t�444 4/ * 3 /v sal t Ftg Drain SGN Claw Crawl Drain Inspection Notes: � c,� y � C SIT Post & Beam Ext Sheath /Shear Eli 2410 - fin? ., r C�(J p Int Sheath/Shear ` •+i2FL SSA --tu, Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling . /M +i p 11 ‘J % _ Roof • / Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer , Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke D ampers Final PASS RT FAIL RIC Service 'ou• In • a. Low Voltage i • !arm PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspectio RE: [ ] ble to inspect - no access ADA Approach/Sidewalk Other Date � .6 Inspector Ext Other Final - PASS PART FAIL DO NO REMOVE this 6nspectiora record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST .2441our Inspection Line: 639 -417 Business Line: 639 -4171 BUP / Date Requested 2-2 AM PM BLD Location y(o�..0Z7 y Suite MEC Contact Person Ph PLM Contractor Ph SWR /� BUILDING — Tenant/Owner ELC / - 7 — z ! Retaining Wall EL.( - 0:72_Zs' Footing Foundation Access: "'"9O 3f z Ftg Drain Crawl Drain Inspection Notes: re562.e...te--tro wF ? - dd 4 Slab Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling Roof //��► Misc: � Final /' PASS PART FAIL PLUMBING Post & Beam Under Slab E.LC_ lei D - ).??.3 • ci^Le - L.0 Top Out rL Water Service € L L z_crino — Do T T � �/•✓01 Sanitary Sewer _ ALAt/te:V Rain Drains C L- L Pi ^ B'0 ( 7 4 227.— Final PASS PART FAIL 0- MECHANICAL Post & Beam Rough In Gas Line ' / Smoke Dampers �C Z�� c© z.�-6 - V i9 Final IL Service Rough In UG /Slab Low Voltage Fire Alarm -F e. PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Date 2P/ Inspector _ Ext Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.