Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00512
' Ii6 DEVELOPMENT Tigard, SERVICES DATE ISSUED: 10/7/02
13125 (503) 639 -4171
PARCEL: 2S 11.2DB -00600
SITE ADDRESS: 15205 SW 74TH AVE
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Electrical work for new building, (3) 200 amp services, (1) 401 to 600 amp service, and (52) branch
circuits. Job No. 61315.
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:
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: 3 W /SERVICE OR FEEDER: 52 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: 1 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:
DENNY MEYER FRAHLER ELECTRIC CO
7340 SW LANDMARK LANE 11860 SW GREENBURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 620 -2086 Phone: F -4673
Reg #:
_632i-4627
Reg 34 -13C
FEES Required Inspections
Description Date Amount Rough -in
ELPRMT E LC Permit 1 0/3/02 $747.30 Wall Cover
[ELPRMT] Elect'I Service
[ELPRMT] ELC Permit 10/3/02 $0.00 Elect'I Final
[ELPLCK] ELC Pln ReA, 10/3/02 $186.83
(additional fees not listed here)
Total $993.91
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 adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
Issued By: /' Permit Signature: Z7-7) 4
F
. Electrical Permit Application
Date received: /t d P - Permit no.: ZGd 6200 2, -a) . 57A
14 .1 1I City of Tigard Project/appl. no Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: �si'•�in Receipt no.:
Phone: (503) 639 - 4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
- . . TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
in New construction ❑ Addition/alteration /replacement ❑ Other: ❑ Partial
y ; . JOB SITE INFORMATION
Job address: 152Q5 SW 74th AVENUE Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision:
Project name: MEYER SIGN Description and location of work on premises: NEW B _ 1 l
I Estimated date of completion/inspection:
CONTII<ACT.OR .. ,__:._ . L _ : ..EEE _SCHEDULE .
Job no: 61315 Fee Max
Business name: FRAHLER ELECTRIC COMPANY Description Qty. (ea.) Total no. insp
New residential - si desatt cued multi-family rge. per
Address: 11860 SW GREENBURG ROAD
dwefing unit Includes attached garage.
City: TIGARD I State:. GRIM': 97223 Serviceincluded:
Phone: 639 -4627 I Fax: 639-46731E-mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft or portion thereof
CCB no.: 37410 I Elec. bus. lic. no: 34 -13C Limited energy, residential 2
City /metro lic. no.;--, - Limited energy, non - residential I I I 2
, ^ ei . �r'✓� ✓ 10/02/02 _ Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder - 2
Sup. elect. name (print): R. W. FRAMER License no: 1816S Services or feeders— installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less 3 240.902
Name (print): -- Dt N.) ‘Z y ryy f 201 amps to 400 amps 2
401 amps to 600 amps 1 160.60
Mailing address: 77, Lin L,,; 1,- .vt„ -j Pl.;-t,,,g_ t s,„ 601 amps to 1000 amps 2
City: --r a Pr,13D I State: oP -I ZIP: 9 7?,9. Over 1000 amps or volts 2
Phone : 57....5-( -2 I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders - -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701:
201 amps to 400 amps 2. .
Owner's signature: Date: 401 to 600 amps 2
i ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name_ I . A. Fee for branch circuits with purchase of I
Address' service or feeder fee, each branch circuit 52 345.80 2
City: I State : - I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit 2
Phone: Fax: E Each additional branch circuit -
` , PLAN REVIEW (Please check all that apple) Misc. (Service or feeder not included):
❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps -rating of 1 &2 0 Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or • Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description:
❑ Occtapant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lightingplan ❑ Other. - Per inspection I I I I
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jinriisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 747.30
(at %) $ 186.
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review 25
—
Credit caed number: • / / within 180 days after it has been State surcharge (8 %) $ 59.78
Expires accepted as complete. TOTAL $ 993.91
[game of cardholder as shown on credit card •
$
Cardholder signature Amount 440-4615 (600 /COM)
�i
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total sl Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 n A udio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 El Burglar Alarm
Limited Energy $75.00
Each Manuf'd Home or Modular n Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or Feeders n H eating, Ventilation and Air Conditioning System'
Installation, alteration, or relocation
200 amps or less $80.30 2 Vacuum Systems
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2 I �
601 amps to 1000 amps $240.60 2 i l Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2 - -
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
201 arnps to 400 amps $100.30 2
401 arnps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts, ❑
see "b" above. Audio and Stereo Systems
Branch Circuits n Boiler Controls
New, alteration or extension per panel
a) The fee for branch circuits
with purchase of service or n Clock Systems
feeder fee.
Each branch circuit $6.65 2 n Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service n Fire Alarm Installation
or feeder fee.
First branch circuit $46.85
Each additional branch circuit $6.65 n H VAC
•
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems
Each sign or outline lighting $53.40 __
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 n Landscape Irrigation Control`
Minor Labels (10) $125.00'
Each additional inspection over n Medical
the allowable in any of the above f�1 Nurse Calls
Per inspection — $62.50 - 1 1 — —
Per hour $62.50 _
In Plant $73.75 n Outdoor Landscape Lighting*
Fees : n Protective Signaling
Enterr total of above fees $ n Other
•
8% State Surcharge $ Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations
•
front of application.
Fees:
Total Balance Due $
Enter total of above fees $
❑ Traust Account # 8% State Surcharge $
Total Balance Due $
i :\dsts\fc rms\elc- fees.doc 10/09/00
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested // / 2--2- ' AM PM BUP
Location C�5 7 9 `k )6 Suite MEC
Contact Person Ph ( ) k 3 / 6[6 --- PLM
Contractor Ph )' SWR
BUILDING Tenant/Owner S , _, ELC c - 'd ' -.
Footing • -x
ELC
Foundation
Access:
Ftg Drain ' ' ELR
Crawl Drain
Slab Inspection Notes: SI
Post & Beam
Shear Anchors
Ext Sheath /Shear ,----- ,'
Int Sheath/Shear
Framing I
Insulation
Nailing
Firewall
Fire Sprinkler
c,.;. L____) � )1/7 F ��'�- -
Fire Alarm
Susp'd Ceiling
Roof
c
Other: - --
Final `� 2 , G . ' r .
PASS PART FAIL -
PLUMBING •
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer /
Rain Drains f
Catch Basin / Manhole
....._
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
arm
El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
c , PART FAIL
El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line 4)0(i. 2 .) U2
ADA - ....----
Approach /Sidewalk Date nSpeCt ®1' _--� 6 . r . Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL