Permit ' CITY OF TIGA ELECTRICAL -
ENERGY
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2000 - 00315
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/21/00
SITE ADDRESS: 10255 SW 90TH AVE PARCEL: 1S135AB-00100
SUBDIVISION: TOWN OF METZGER ZONING: R - 4.5
BLOCK: LOT: 005 JURISDICTION: TIG
Project Description: Portable Classroom Fire Alarm
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:
WASHINGTON CLACKAMAS CO FRAHLER ELECTRIC CO
SCHOOL DIST 23J 11860 SW GREENBURG RD
13137 SW PACIFIC HIGHWAY TIGARD, OR 97223
TIGARD, OR 97223 •
Phone: Phone: 639 - 4627
Reg #: LIC 00037410
SUP 1816S
ELE 34 -13C
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 12/21/00 $75.00 2720000000 Elect'I Final
5PCT CTR 12/21/00 $6.00 2720000000
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.
Issued by I Permittee Signature
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
IAHVIWIUNIIV uLv UAW rr.ravl
- Electrical Permit App lic at ion
-j RECEIVED Date received: Permit Cz'o 603 /S
s,'I,+, � City of Tigard RECE Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9222,3 2000 Date issued: By: Receipt no.:
DEC Phone: (503) 639 -4171 jj I
' Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: COMMUNITY DEVELOPMEIUI
' TYPE OF PERMIT . • , -
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction a Addition/alteration /replacement ❑ Other: ❑ Partial
_ , ° JOB SI TE INFORMATION •
Job address: 10255 SW 90TH Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: I Block: I Subdivision: .
Project name: METZG - 'Description and location of work on premises: PORTABLES FTRE AT ARM
Estimated date of comp a r mspec on: 1 30 01
C TRACTOR ;APPLICATION , , , SCHEDULE
_ .._ _, _ t I:E E
Job no: 60406 Fee Max
Business name: FRAHLER ELECTRIC COMPANY Description Qty. (ea.) I Total no. insp
New residential - single or multi-family per
Address: 11860 SW GREENBURG ROAD dwelling unit. Includes attached garage.
City: TIGARD State: OR ZIP: 97 223 Service included:
Phone: 639 -4627 Fax: 639_46731E-mail: 1000 sq. ft. or less 4
3 7410 Elec. bus. lic no: 3 4 -13 Each additional 500 sq ft. or portion thereof
CCB no.: •
Limited energy, residential 2
• City /metro lic. no.: 1987 Limited energy, non- residential 2
l e./ t 12/18/00 Each manufactured home or modular dwelling
Signature of supervising electrician (ed) Date Service and /or feeder 2
Sup. elect. name (print): R W. FRAHLER License no: 18 •S Services or feeders — installation,
- alteration or relocation:
-' PROPERTY-OWNER _- 200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: [ State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only I I 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 ZIP: 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. (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* 1 175 . OC 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description:
❑ Occupant 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 jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $ 75.00
❑ Visa ❑ 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 (6/00 /COM)
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 si }
Check Type of Work Involved:
Residential - per unit
1000 sq. ft, or less $145.15 4 • '' IT Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 n Burglar Alarm - '
Limited Energy $75.00
Each Manufd Home or Modular '
n Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or Feeders n Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less $80.30 2 n Vacuum Systems
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2 n Other
601 amps to 1000 amps $240.60 2
. Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
I stem
for each system. Installation, alteration, or relocation Fee . $75.00
200 amps or less $66.85 _ 2 (SEE OAR 918 - 260 -260)
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, n
see "b" above. Audio and Stereo Systems
Branch Circuits n Boiler Controls
New, alteration or extension per panel •
a) The fee for branch circuits n
with purchase of service or 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 n HVAC
Each additional branch circuit $6.65
Miscellaneous n Instrumentation
(Service or feeder not included) - •
Each pump or irrigation circle $53.40 n 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 n
Medical
Each additional inspection over
the allowable in any of the above n Nurse Calls
Per inspection $62.50 ,
Per hour _ $62.50 _ •
In Plant — $73.75 U Outdoor Landscape Liyihtiing
Fees: n Protective Signaling
Enter total of above fees $ n Other
•
8% State Surcharge $ Number of Systems
25% Plan Review Fee
* No licenses are required. Licenses are required for all other installations
See "Plan Review" section on $
front of application.
Fees: •
Total Balance Due . $ _. •
• Enter total of above fees $
❑ Trust Account # 8% State Surcharge $
Total Balance Due $
is \dsts \forms \elc- fees.doc 10/09/00
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST ._
24 -14 Inspection Line: 639 -4175 ; Business Line: 639 -4171
BUP
Date Requested 2 — / Z-- AM PM BLD
Location / 2, 5 Sz+? 'a a • Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING _ Tenant/Owner ELC
Retaining Wall • ELR 0 .2.eivu — 3 / J
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath /Shear
Framing
Insulation
Drywall Nailing , `P - Z Cia.! Y S _-fl C
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
_
Final / S S
P ASS PART FAIL Q' / ---
RLUMBING
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
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
ti PART FAIL
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 /2 / Inspector . ♦ „ I j Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.