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Permit ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY � , �1�, DEVELOPMENT SERVICES PERMIT #: ELR2002 -00178 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/02 SITE ADDRESS: 14650 SW 97TH AVE PARCEL: 2S111AC-02700 SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5 BLOCK: LOT: 037 JURISDICTION: TIG Project Description: Installation of fire alarm system for modular classroom. Job No. 61272. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS:. 1 Owner: Contractor: TIGARD TUALATIN SCHOOL DIST 23 FRAHLER ELECTRIC CO 6960 SW SANDBURG RD 11860 SW GREENBURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 639 -4627 Reg #: LIC 37410 SUP 1816S ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 8/30/02 $75.00 2720020000 Elect'l Final 5PCT CTR 8/30/02 $6.00 2720020000 Total $81.00 • 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. tom. Issued by 1 �' �� - Permittee Signature QA/ 47 d /97!),../ 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: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day ■ Electrical Permit Application ,,,„ Date received: // /�3 0 10 Y Permit no.: El.1 ZOO Z -0019e • .' " - ' ` City of Tigard � ' / r f i b Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By:A Receipt no.: Phone: (503) 639 - 4171 AUG 3 n 2001 Fax: (503) 598 -1960 Case file no.: Payment type: Cti 1< Of Jiia. ARD Land use approval: Ei rvr nrurt TM TTst../ f,n110 d TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction El Addition/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: WALITY MIDDLE SCHOLescription and location of work on premises: FTRF. AT .Alm FCIR MODULAR f Estimated date of completion/inspection: CLASSROOM -, --°- -- CONTRA.0 FOR--AP 'IICA4i'.ONs, .... E SCf1EDIXE."'_ >:, 7 _ Job no: 61272 Fee Max Description Qty. (ea.) Total no. insp Business name: FRAHLER ELECTRIC COMPANY Newresideutlal- single ormniti- faml7y Address: 11860 SW GREENBITjG ROAD dwelling unit. Indudcs attached garage. • City: TIGARD I State:. ORI ZIP: 97223 • Service included: Phone: 639 -4627 I Fax: 63J9-467 1 E -mail: 1000 sq. ft. or less 4 CCB no.: 37410 Elec. bus. lic. no: S4 _ l `IC Limited additional 500 sq. f . or portion thereof Limited energy, residential 2 City/ etro 11 0.: Limited energy, non - residential 2 ‘/-20.. p / 08/29/02 Each manufactured home or modular dwelling Signature of supervising electric' (required) Date Service and/or feeder 2 Sup. elect name (print): II . .: License no: Services orfeeders — installation, �101� alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): - 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 g 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: 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 ENGINEER Branch circuits - new, alteration, . or extension per panel: Name:: . A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 • City: I State: - I Z1P: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 2 Phone: Fax: E-mail: Each additional branch circuit PLAN REVIEW' (Please check all that apply) Misc . (Serviceorfeedernotincluded): 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 0 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* 1 75.00 2 0 Building over three stories 0 Feeders, 400 amps or more *Description: FIRE ALARM 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egre 0 Other - Per inspection 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 jutrisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 75.00 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number. / / within 180 days after it has been State surcharge (8 %) .... $ 6.00 Expires accepted as complete. TOTAL $ 81.00 Name of cardholder as shown on credit card $ Cardholder signature • Amount 440-4615 (6100 /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 4, Che Type of W ork Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 0 Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 rn Burglar Alarm Limited Energy $75.00 Each Maned Home or Modular n Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, 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 f�I Other 601 amps to 1000 amps $240.60 2 I 1 Over 1000 amps or volts $454.65 2 • Reconnect only $66.85 , 2 - "' TYPE OF WORK INVOLVED = COMMERC!AL - Temporary Services or Feeders Fee for each system $75.00 Installation, alteration, or relocation (SEE OAR 918- 260 260) 200 amps or less $66.85 2 201 amps to 400 amps $100.30 2 401 amps 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 IT Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ Fire Alarm Installation • or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC 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 Landscape Irrigation Control* Minor Labels (10) $125.00 ❑ Medical Each additional inspection over the allowable in any of the above Per inspection $62.50 _ ❑ Norse Calls • Per hour $62. In Plant $73.75 ❑ • Outdoor Landscape Lighting* Fees : ❑ Protective Signaling Enter 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 $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts\forms\elc- fees.doc 10/09/00 . CITY OF TIGA3D 24 -Hour BUILDING Inspection Line: (503) 639 -4175 ∎ ∎ �. INSPECTION DIVISION • Business Line: (503) 639 -4171 MST BUP • Received Date Requested V/ AM PM BUP Location / ` 4° Suite MEC Contact Person Cr n Ph ( ) 3 e 7 — 4 /6 PLM Contractor Ph ( ) ! � SWR BUILDING Tenant/Owner ELC flay Footing ` — d 6 37 8 Foundation Access: 7 Ftg Drain Crawl Drain Slab Inspection Notes: Post & Beam — 00 ( 78 Shear Anchors Ext Sheath/Shear Efg Int Sheath/Shear Framing Insulation Drywall Nailing / Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof cJ r 0/61 el -51'6:k(:7 Other: JV 1 O Final PASS PART FAIL a4) C7 a'00) S 4 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 Service Rough -In UG /Slab Low Voltage ire lar ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line FDA D a t e 24/4 — I actor Ext Approach/Sidewalk p Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL .