Permit ' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00624
fI i DEVELOPMENT SERVICES DATE ISSUED: 11/7/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110CD -07600
SITE ADDRESS: 15685 SW 116TH AVE
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT : JURISDICTION: KIN
Project Description: Retrofit lighting in sales area, 9 branch circuits. Job No. 60315.
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 8 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
TOBIAS INVESTMENT CO FRAHLER ELECTRIC CO
300 SE SPOKANE ST 11860 SW GREENBURG RD
PORTLAND, OR 97202 TIGARD, OR 97223
Phone: Phone: 639 -4627
Reg #: LIC 00037410
SUP 1816S
ELE 34 -13C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 11/7/00 $100.05 2720000000( Elect'l Final
5PCT CTR 11/7/00 $8.00 2720000000(
Total $108.05
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE / SSUED ;.Y:
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: DATE:
LICENSE NO: / 0 / ' S
Call 639 -4175 by 7:00pm for an inspection the next business day
I . Electrical Permit A?ion
;��! ! ► R V® Date // % e) P
Z� no.: F'LC
•�'� City of Tigard
ti ME N Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, 9722vE�0e
Phone: (503) 6394171 VN\r Date issued: By: I Receipt no.:
Fax: (503) 598 - 1960 tOM [ Case file no.: Payment type:
Land use approval: x N )C o c 1 Ty
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial
❑ Multi- family [X Tenant improvement
❑ New construction ❑ Addition/alteration /replacement ❑ Other:
❑ Partial
JOB SITE INFORMATION
Job address: 15685 SW 116TH Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: I Block: I Subdivision:
Project name: RE1ROFIT LIGHTING I Description and location of work on premises: SALES AREA
Estimated date of completion/inspection: DE Dill: DIZ
CONTRACTOR APPLICATION FEE SCHEDULE -
Job no: 605/5-
Fee Max
Business name: FRAHLER ELECTRIC COMPANY Description Qty. (ea.) Total no. insp
Address: 11860 SW GREENBURG ROAD New residential - single ormulti-family per
City: TIGARD State: OR ZIP: Service B°h'Incladesattat edgarage.
I 97223 Service included:
Phone: 639 -4627 I Fax: 639-467 1000 sq. ft. or less 4
CCB no.: 37410 I Elec. bus. lic. no: 34 -13C Each additional 500 sq. ft. or portion thereof
City /metro lic. n : 1987 Limited energy, residential 2
Limited energy, non - residential 2
11/01/00 Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder
2
Sup. elect. name (print): R W. FRAHLER License no: • Services or feeders - installation,
PROPERTY OWNER alteration or relocation:
200 amps or less 2
Name (print): 201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps 2
City: 601 amps to 1000 amps 2
. I State: I ZIP: Over 1000 amps or volts
- Phone: Fax: 2
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, or relocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
•
Owners signature: 201 amps to 400 amps 2
Date: 401 to 600 amps 2 -
ENGINEER Branch circuits - new, alteration,
Name: or extension per panel:
Address: A. Fee for branch circuits with purchase of
service or feeder fee, each branch circuit 2
City: I State: • I ZIP: B. Fee for branch circuits without purchase
Phone: Fax: E -mail: of service or feeder fee, first branch circuit: 1 ferSC ;,,$S 2
PLAN REVIE�i'(Please check all that apply) Each additional branch circuit: 8 x'•4:S53.2)
PP ) 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 ❑ 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*
❑ Building over three stories ❑ Feeders, 400 amps or more * 2
❑Occupant load over 99 persons Description:
Pe ❑ Manufactured structures or RV park Each additional ins
❑ Egress/lightingplan ❑ Other. pection over the allowable in any of the above:
Submit sets of plans with any of the above. per inspection
Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ /Gel . OS
❑ Visa ❑ MasterCard
expires if a P lan review
P permit is not obtained (at _ %) $
Credit card number:
within 180 days after it has been State surcharge (8 %) .... $ g. DO
Expires acce a com plete. TOT AL, ,w
Name of cardholder as shown on credit card $ leg , O
•
$
Cardholder signature Amount
440 -4615 (NOO/COM)
NOV -06 -00 MON 01:32 PM City of King City FAX:503 639 3771 PAGE 2
KING CITY
15300 S.W. 116th Avenue, King City. Oregon 97224 -2693
Phone: (503) 639.4082 • FAX (503) 6893771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects in King City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the .
appropriate application legibly and submit it to. the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create
the permit. issue the permit, and perform inspections_ Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready for issuance or
whether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff for correction and no processing will occur until a
complete, legible application is received.
If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a
King City staff person. King City staff will simply sign this form indicating land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 13125 SW
Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are
available at 639 -4171 Ext. 304 should you have any questions concerning submittal
requirements_ All permit fees will be assessed and collected at the City of Tigard.
•
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project: s - ,
located at: IGL9S5 .Sot Ai ii (o tx
King City Representative II-- to —CYO
I DST$u:C NST DOC
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested f Z - 2- / AM PM BLD
Location / 5 ' 5h' // �i gu e /'C C- Suite MEC
Contact Person Ph 6.3 C.z7 PLM
Contractor 14 (- e..,2. Ph SWR
BUILDING Tenant/Owner ELC �p 'O � 6 z L(
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspgptiop Notes:
Slab F, 9 - c, o SIT
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
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P RARZ FAIL
CE ECTRICAL_)
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
ART FAIL
ITE
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
Other Date / ZZ/ Inspecto Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final Z �z��
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing J Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
4 Inspection Description Date Passed By
Drywall nailing
Post/beam mechanical
Suspended ceiling
Gas line
Engineered soils
Welding Lab Final Mechanical rough -in
Concrete Lab Final Fire damper
Bolting Lab Final Duct work
Fireproofing Lab Final Smoke detector
Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
BUP - Fire Protection System Permit 4 Inspection Description Date Passed By
3' Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00624
� M'�� DEVELOPMENT SERVICES DATE ISSUED: 11/7/00
,
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL:' 2S110CD -07600
SITE ADDRESS: 15685 SW 116TH AVE
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT : JURISDICTION: KIN
Project Description: Retrofit lighting in sales area, 9 branch circuits. Job No. 60315.
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 8 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:
TOBIAS INVESTMENT CO FRAHLER ELECTRIC CO
300 SE SPOKANE ST 11860 SW GREENBURG RD
PORTLAND, OR 97202 TIGARD, OR 97223
Phone: Phone: 639 -4627
Reg #: LIC 00037410
SUP 1816S
ELE 34 -13C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 11/7/00 $100.05 2720000000( Elect'I Final
5PCT CTR 11/7/00 $8.00 2720000000(
Total $108.05
'
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 n
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
N
PERMITTEE'S SIGNATURE '
4 / �_� E. SSUED Y: ` 19 � iit ../ -11
N.
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: .�O.e F .....if e/ ' DATE: It°
LICENSE NO: / 4 /6 3
NI
Call 639 -4175 by 7:00pm for an inspection the next business day