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Permit 'A CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2002 -00390 k r 4 (A r DEVELOPMENT SERVICES DATE ISSUED: 8/14/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S 111 AC -02700 SITE ADDRESS: 14650 SW 97TH AVE SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5 BLOCK: LOT : 037 JURISDICTION: TIG Project Description: 200amp /less service and 10 branch circuits. 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: 1 W /SERVICE OR FEEDER: 10 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: UNION HIGH SCHOOL DISTRICT FRAHLER ELECTRIC CO NO. 3 JT 11860 SW GREENBURG RD TIGARD, OR 97223 Phone: Phone: 639 -4627 Reg #: LIC 37410 SUP 1816S ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 8/14/02 $146.80 2720020000( Rough -in Elect'I Final 5PCT CTR 8/14/02 $11.74 2720020000( Total $158.54 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 Permit Signature: �,l - ) Issued By: i /- f�jll .y L % / 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: C DATE: LICENSE NO: . --33q - Call 639 -4175 by 7:00pm for an inspection the next business day P ' - Electrical Permit Applicat Datereceived:g 0 a- Permit no.:-/ _ co E9U „ . ' j .f ress: City of Tigard Prod .tom l s . .� ; 6 e date: CeryofTigard Address: SW Hall Blvd, Tigard OR 97223 Date issued: • Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 CasefilenoA[J( 1 2 2nn Payment type: Land use approval: . CITY OF TIGARD - TYPE OF PERMIT • - _ - • ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement ❑ New construction DxAddition /alteration/replacement ❑ Other. ❑ Partial JOB SITE INFORMATION ' Job address: 14650 SW 97th AVENUE Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: I Subdivision: Project name: TWALITY MIDDT F. SCHObpscription and location of work on premises: NFk1 Mall Tl .AR Cl .A C SRflfltvl Estimated date of compietion/inspection: - CONT- RACTOR APPUCATI _N .._ ____ :.. ..,.- .. lEE,_SCHEDlS.E_ - Job no: 61246 Fee Max Description Qty. (ea.) Total no. hasp Business name: FRAHLER FT .FCl'1tIC COMPANY New residential -single or multi- family per Address: 11860 SW GREENBURG ROAD dwellingtmit Includes attached garage. City: TIGARD I State:. OR i ZIP: 97223 Sersiceincludeth Phone: 639 -4627 I Fax: 639-46731E-mail: 1000 sq. ft. or less 4 CCB no.: 37410 I Elec. bus. he. no: 34 -13C Each additional ee 500 sq. ft or portion thereof _ Limited energyy, , resi dential 2 City/m o lic. : /J / " 7 _ Limited energy, non- residential 2 t4t ` %/- tali -r..e.= 08/09/02 Each manufactured home or modular dwelling Signature of supervising elec ran (required) Date Service and/or feeder 2 Sup. elect name (print): MIKE WAGNER License no: Services or feeders — installation, alteration or relocation: PROPERTY OWNER 200 amps or less 1 80. 30 2 Name (print): 201 amps to 400 amps 2 ' . EiuRN 1ATPo� 401 amps to 600 amps - ....... ..... -. —. 2 Mailing addres l? 601 amps to.1000 amps .. _ . _ 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: I FaxQ ! I E -mail: Reconnect only 1 Owner installation: The install on 1s - 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 200 amps or less 2 ORS 447, 455, 479, 670, 701: 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 am . s 2 ENGLNEER Branch circuits - new, alteration, Name: A. extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 10 E 6. 50 2 City: I State: • - ZIP• B. Fee for branch circuits without purchase Phone: Fax: E -mail: of service or feeder fee, first branch circuit: 2 r Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc . (Service orfeedernotincluded): 0 Service over 225 amps-commercial 0 Health -care facility Each pump or irrigation circle 2 0 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, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 2 0 Building over three stories ❑ Feeders, 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egress/iightingplan 0 Other. Per inspection I 1 I I Submit sets of plans with any of the above. lnvestigationfee The above are n of applicable to temporary construction service- Other Permit fee $ _146 . 80 Not an e: This permit application Plan review (at _ %) $ 0 Vii is if a pemtit is not obtained Credit a 180 days after it has been State surcharge (8 %) .... $ 11.7 ted as complete. TOTAL $ t58.54 440 -4615 (bW /COM ■ CITY OF TIGA L: ` 24 -Hour BUILDING _ Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested g 2-6/ AM PM BUP Location / (4S f Suite MEC Contact Person Ph ( ) Ce 3 PLM Contractor 2 i R L - Ph ( ) SWR BUILDING Tenant/Owner ELC c_ 0 0 -w- Q Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: r s., I 1 G\r _ 0 1) 1- 10 C i 2Uv. \ - SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall G* (1\ t/ `A L-� [?q Fire Sprinkler D Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In 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 PASS PART FAIL ELECTRICAL rvicej Rough-In UG /Slab Low Voltage • e Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL S E Please call for reins ection RE: Unable to inspect - no access Fire Supply Line � � ADA Approach /Sidewalk Date 6 7 Inspector '.p Other: Final DO NOT REMOVE this inspection record from the job te. PASS PART FAIL CITY OF TIGI thD BUILDING INSPECTION DIVISION MST .. 24- Hour$nspe'tion Line: 639 -4175 Business Line: 639 -4171 BUP 11 Date Requested 11 AM PM BLD . Location ) 1--�' � (a -- KA `j ) '(�(1�1 r1-� �(,�1 b ite MEC Contact Person �X1() PIl,� ,3,_1-1 10);\ PLM Contractor `A} , _ - , Ph SWR BUILDING',:,' :. a', Tenant/Owner • ELC 4), 003gt) Retaining Wall ELR •Footing Access: Foundation ct b P P 1 L� e �) L I c--\ FPS Ftg Drain pD�V�+ SGN Crawl Drain Inspection Notes: �� R A 1 � Slab t` J l �L� 1� ,` SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall * Drywall Nailing Firewall , Fire Sprinkler 'p' a.■ Al. . lF , _ ) . i .4. _ t v , . Fire Alarm Susp'd Ceiling . Roof i 6M 1 I Misc: Final PASS PART FAIL PLUMBING , :: m.: a' _..;,$ . • Post & Beam 6,0 ` Under Slab Top Out .r7 Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECNANICAL'f'e -., = ; ' Post &Beam /� /� • In/lib C ' �'' J� �i" '�' Rough In • Gas Line /3 -,� / / L Smoke Dampers • I I L ARD SCR, 01J� .-..',,∎, , ki c) '` / ` J -iO lio l Final 6 SJ PASS PART FAIL � b _ � �0 � frL R C' ` t. -,,,x <;. ,, -, "i i ,C� Service )1 L I'60i u Nla I�)f). 3 iwc-) R o I� rth1 v- S o c- �0 ou ^ .5' lab I n a `' 1\-4L li 11-f Vf �`\ ©- � C1L;S S 'oots S \'(o 1m j 30 \; ,[ ,4 1 N MC Low Voltage Fire Alarm . a i c k il i s PART FAIL STItP 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 ('`C ` C5 Inspect ns p eco r /` Other t Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the ' b site. CITY OF TIGA3D .� 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested , / / AM PM BUP Location l ` 40 'St Suite MEC Contact Person J) J Ph ( ) 4' 3' PLM Contractor Ph ( 5 ) 1 C MI SWR BUILDING Tenant/Owner ELC ac Footing — D b 3 Foundation Access: 00 ( - 7 7 Ftg Drain Crawl Drain Slab Inspection Notes: Post & Beam (2Q (7 g' Shear Anchors ? Ext Sheath/Shear C Int Sheath/Shear Framing Insulation ,, Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • Roof Es V (/ r c) i � , _ Other: / a J �� Final PART FAIL D4) ( ' - 0 0 ) 1 b 4 j� �5 PLUMBING - ©� Q �� � .. __ _ — - yc��= 4f9 Post & Beam Under Slab Rough -In 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage ire lar ina 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ' SITE n Please call for reinspection RE: El Unable to inspect – no access Fire Supply Line 2// ADA Approach /Sidewalk Date � Inspecto Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL