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Permit CITY OF TI G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00643 r DEVELOPMENT SERVICES DATE ISSUED: 10/27/1999 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB 00100 SITE ADDRESS: 10255 SW 90TH AVE SUBDIVISION: TOWN OF METZGER ZONING: R -4.5 BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Install 4 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: 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: 3 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: 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 ORIGINAL Reg #: LIC 00037410 SUP 1816S _ ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT KJP 10/27/199. $53.55 99- 319376 Elect'l Final • 5PCT KJP 10/27/199 $4.28 99- 319376 Total $57.83 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 •uestions to OUNC at (503) 246-1987. 0 1111° • PERMITTEE'S SIGNATURE - 7� G/�4_—rXJ ISSUED BY: i , 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 C ¢ DATE: A7- �/ ,9 LICENSE NO: 7 4 l s Call 639 -4175 by 7:00pm for an inspection the next business day • CITY OF TIGARD Plan Check # t. Electrical Permit Application 131E5 SW HALL BLVD. Rec'd By TIGARD OR 97223 RECEIVED Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 OCT 2 71999 Date to DST Inspection (503) 639 -4175 Print of Type Permit # C L - /99q - 00 6 Y3 Fax (503) 598 -1960 COMMUNITT IIbr illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) METZGER ELEMENTARY Service included: Items Cost Sum Address 10255 SW 90th 4a. Residential - per unit City/State/Zip T IGARD, OR 97223 1000 sq. ft. or less $ 117.75 4 ty p Each additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial ® Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor FRAHLER ELECTRIC COMPANY 200 amps or less $ 64.25 2 Address 11860 SW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City TIGARD State OR Zip 97223 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2 Job No. 59607 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 10 /01 /00 4c. Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date 07/02/01 Installation, alteration, or relocation COT Business Tax or Metro No. 1987 Exp. - te 12/01/99 200 amps or less $ 53.50 2 / 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n / 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, see "b" above. License No. 784S Exp.Date 10 /01 /01 4d. Branch Circuits Phone No. (503) 639 -4627 New, alteration,or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 $37.50 Each additional branch circuit 3 $ 5.35 $16.05 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy • 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 53.55 * Submit 2 sets of plans with application where any of the above apply. $'% Surcharge (.0 total fees) $ 4.28 Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 57.83 i : \dsts\forms \el ectri c. doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested VI/e AM PM BLD Location l (2 2S S l Suite MEC Contact Person Ph ( 3q..- U (pZ PLM Contractor 17V1/4 Ph Ph SWR BUILDING Tenant/Owner Y Ail II Z_e4 (,( 'y . ELC l [ 9� - (�01 y3 Retaining Wall JJ ELR 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 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 PASS PART FAIL 1 / ECTRIC Service Rough In UG /Slab Low Voltage Fire Alarm PASS PART FAIL SITE 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 ` / D-3 60 Inspector _ / // Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • f CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Lin 39-417 1�, //-2._. BUP . Do 6 Date Requested /1 AM PM I A BL, - ' 1,0t01_ 064 Location ID 2, Sc 96 -. Sul MEC Contact Person .0Y /I- Ph T ,)/ O jcr PLM Contractor Ph SWR (gUIL j Tenant/Owner ':,> * ir-41ffir _ (t∎ — � ; 41 4 UE C \� ° ° / 43 Retaining Wall • 4P Z - EEL, \ `�q - O O 1p (Q ) Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: /� Slab SIT `6`A - (6 U 0 61 Post & Beam Ext Sheath /Shear ii (� 1� C �{��J `� Int Sheath/Shear (1: )A 4q - V C 4[ 4 3 ,`.0 \ 71-f vvl -- 6._,----t-, Insulation / ,Q� 1 Drywall Nailing �� S �t:/\ G✓� `2,--- �� Fire wall ���,�.cI Q. S (A--A-C-- "Z1/4_..A Gam. 0 � - -" - . Fire Sprinkler Fire Alarm 0 � LL ) I - ©� /i_ 3 C 4 � V C \ Susp'd Ceiling J "i 4 S -^ Roof �' L ) v 4' • 4.[ X • (L Misc: i. _ • -f�'� S _ - PASS PART F �` ur - % A m; ,w.. ( f gp - - 1- – 0 - —, PLUMBING �� •- 47 I.c:)`` .- —1 - 7- - 5�=� C =ter' - -j, =( -_ - P Post & Beam 1 �.„� � , Under Slab 4i - r - ( kci - 0-00 C � J .Q W (nf (.‹- — Top Out (/ Water Service 1 C__-„ /t; +- k-- S \ -e J- 'Z ' Sanitary Sewer Rain Drains p Final j( � PASS PART FAI 0 V �� b' _ G� --i/' MECHANICAL Post & Beam 0,e/vv " 1, k,( } �p .A— w1' W �� Rough In t r 4 .---, \ `vU\ - • Gas Line Y `-.■ /Lab 0-A Smoke Dampers ,/ ► ' - �` A. M . , L_iiL . II Final - -' - - - PASS PART FAIL r 5 '- ' .(2,1/ / ELECTRICAL (J - \,c. Service L c..� �- „ Rough In 7 UG /Slab i f • , �. s D --- --Ni �..t -.n c (� Fire Alarm Voltage Y/ ti� A M ` I\ c--v\- d , (� "a. Final - 40 PASS PART FAIL / # ! r • • �/` SITE 4�it5 • San y Sewer San r c. C � v V ' cta Sewr n � L k�� ,- ‘r - Storm Drain [ pectiori 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 �y Other Date Y `� I Inspector Ext Final PASS PART FAIL !6 DO NOT R OVEithis inspe t� ion recor f rom the job site. 5S N L v►-v` r , -e. --¢-,- z `'