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Permit CITY OF TIGARD ELECTRICAL PERMIT TIGARD #: ELC2005 - 00032 �Jj DEVELOPMENT SERVICES DATE ISSUED: 2/8/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DB SITE ADDRESS: 15205 SW 74TH AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING. f -P BLOCK: LOT : 014 JURISDICTION: TIG Project Description: Install new 600A main disconnect & feeder for new thermoformer. Job # 62690. 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: W /SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 2 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: MEYER, DENNY G + NANCY L FRAHLER ELECTRIC CO 7340 SW LANDMARK LN 11860 SW GREEN BURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503 - 620 -8200 Phone: 503 - 639 -4627 Reg #: LIC 37410 SUP 1816S FEES ELE 34 -13C Description Date Amount Required Inspections [ELPRMT] ELC Permit 1/19/2005 $327.85 [ELPLCK] ELC Pln Rev 1/19/2005 $81.86 Electrical service /reconnect [TAX] 8% State Surcharge 1/19/2005 $26.23 Electrical rough -in Electrical final Total $435.94 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 . et forth in • • " 952 -00 -8010 through OAR 952 - 001 -0100. You may obtain copies of these rules direct •. - e s to OUNC at (503) 246 .699 or 1-800-332-23 • ls-ued By: , _ 0 _011, J L Permit Signatu / �= 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. ELEC'N: i iYlll-wr —• DATE: LICENSE NO: Mlo-S Call 639 -4175 by 7:OOpm for an inspection the next business day Electrical Permit • !w 41 . c@ ' ED ;,. OFFICE ; FOR OFFICE IJSE,ONLI' 1`''' Received _ ,G City of Tigard Date/B / �4 J��� PemutNo.: 6i�,zr70� OUO3, Y./ 13125 SW Hall Blvd., Tigard, OR 972 l 2005 Plan Review ei/ g Phone: 503.639.4171 Fax: 503.598.1960 � '�itl Date /By: �� OtherPennit: Inspection Line: 503.639.4175 ! - _ 1 Date Ready!By:.e5 /ascilb J ® See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notifie. ethod: - j 1(" Supplemental Information BUILDING , myi PLaly REVIEW , � � �� i _ ,. , _ . � " y a • , ID New construction ® Addition/alteration/replacement PI - • i eck all that apply: ❑Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other: ['Service over 320 amps — rating ❑ 4 10,000 , CATEGORY, OF CONSTRU ' CTION , .� of 1- and 2- family dwelling or more new s ident al ❑ 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building ❑ System over 600 voles nominal units in one structure ['Building over three stories ® Feeders, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or =JOB`. SITE' 'INFORMATION AND e LOCATION,,, �. , ry,Y S ❑Egress/lightingplan RV park ,r w. ❑Heahh - care facility ❑Other: Job no.: 62690 Jobsite:address: 15205'SW'74th AVENUE Submit 2 sets of plans with any of the above. City / State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: MEYER SIGN FEE* SCFIEDULE ° :r'`r Description I Qty. I Fee. I Total I " Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: ' Limited energy, non - residential 75.00 2 'D ESCRIP T ION' OF WORK . . 1 Each manufactured or modular INSTALL NEW 600A MAIN DISCONNECT AND FEEDER FOR NEW dwelling, service and/or feeder 90.90 2 Services or feeders install7":on, alteration, and/or relocation TIIERMOFORMER 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 ❑ PROPERTY,OWNER ® - T ENA N T ,,,'S '401 amps to 600 amps 2 160.60 321.20 2 Name: ` - \ - ` I 4)v I -- --- ( - �()�( k' 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: 7 6 S 1 4,`� Reconnect only 66.85 2 City /State/ZIP: q - 70`x-1 J Temporary services or feeders installation, alteration, and/or relocation Phone: (3-63) ( , --S7=Z,o I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel F ee for branch circuits with ❑ A. A. rs„ - APPLICANT` - ' ❑ =;CONTACT' <P.ERSON service or feeder fee, each branch circuit 1 6.65 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- '' - ° „ .CONTRACTOR ' !f " . en �sion. paneDescrl, alter on, or Page 2 2 Business name: FRAHLER ELECTRIC COMPANY Each additional inspection over allowable in any of the above Address: 11860 SW GREENBURG ROAD Per inspection 62.50 City /State/ZIP: TIGARD, OR 97223 Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 Phone: (503) 639 I Fax: 503 639 - 4673 ' • Fax: ( 503) = z " EhE PER ",FEES* CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Subtotal 327.85 . Plan review (25% of permit fee) 81 . 86 Suprv. Electrician signature, required: State surcharge (8% ofperTnit fee) 26 . 23 Print name: R . W. FRAHLER Date: 01/18/05 TOTAL PERMIT FEE 435.94 Authorized signature: This permit application expires if a permit is not obtained within 180 ��.�i+l� days after it has been accepted as complete Date: * Fee methodology set by Tri-County Building Industry Service Board Print name: ** Number of inspections per oemut allowed. CITY OF TIGARD 242.Hou r BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST �Y BUP Received Date Requested `�1 AM PM BUP Location �� 7L1'' / �'�` Suite MEC Contact Person 215—itiA -) Ph ( ) � < � � Oo PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner VV ELC O c - Oa(8 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final /- PASS PART FAIL PLUMBING & Beam Under Slab Rough -In V Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam . Rough -In Gas Line Smoke Dampers Final 17 PASS PART FAIL "� ) SEC — TR l Rough -In UG /Slab Low Voltage Fire Alarm 430. PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE El Please call for reinspection RE: Ei Unable to inspect — no access Fire Supply Line ADA Date / © ,5 Inspecto /A �._ d / / Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record f om the, b site. PASS PART FAIL