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Permit .CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00447 �; I� DEVELOPMENT SERVICES DATE ISSUED: 7/21/99 13125 SW Hall Blvd.. Tiaard, OR 97223 (503) 639 -4171 PARCEL: 2S103BB 03300 SITE ADDRESS: 12500 SW KAREN ST SUBDIVISION: BROOKWAY ZONING: R -4.5 BLOCK: LOT : JURISDICTION: TIG Project Description: Service and branch circuit. 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: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 0 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: MARIANNE SHEEDY FRAHLER ELECTRIC CO 12500 SW KAREN STREET 11860 SW GREENBURG RD 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 Elect Service PRMT DLH 7/21/99 $69.60 99- 317054 Elect'l Final 5PCT DLH 7/21/99 $4.87 99- 317054 Total $74.47 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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. Permit Signature: i Issued /�i°/ 0� /LJ/9 / Isued B: II ,It /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: A7//* DATE: CONTRACTOR INSTALLA TION ONLY SIGNATURE OF SUPR. ELEC'N: 4 ^" 19/a L. e 7-0N 1 DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day ) 'Y OF TIGARD Plan Check # . 25 SW HALL BLVD. TIGARD OR 97223 RECE��II fstrical Permit Application Recd By Date Rec'd 7/2/M Phone (503) 639 -4171, x304 JUL 2 Q 1999 Date to P.E. Date to DST Inspection (503) 639 -4175 COMMUNITY DEVELOPMENT Fax (503) Print of Type Called # �GC��9�Dy5/7 ( ) 598 -1960 Incomplete or illegible will not be accepted 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) MARIANNE SHEEP Service included: Items Cost Sum 4 ' Address 12500 SW KARFN STREET 4a. Residential - per unit 1000 sq. ft. or less $ 117.75 4 City /State /Zip TIGARD, OR 9 Each additional 500 sq. ft. or , portion thereof $ 26.25 1 Commercia 061 Resid tial Limited Energy $ 60.00 _ Each Manufd Home or Modular 2a. Contractor installation only: a 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 1 $ 64.25 $64.25 2 Address 11860 SW GREENBURG ROAD ' 201 amps to 400 amps $ 85.50 2 City TIGARD State OR Zip 97223 401 amps to 600 amps $ 128.50 2 ty p 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2 Job No. 59354 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 10/1/99 4c. Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date 7/2/01 Installation, alteration, or relocation COT Business Tax or Metro No. 1987 Exp.Date 12/1/9S 200 amps or less $ 53.50 2 // �� 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n /i' ie :4/ , v 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, see "b" above. License No. / 8f Exp.Date 10/01/01 Phone No. (503) 639 -4627 4d. Branch Circuits 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 1 $ 5.35 $5.35 2 R��U PE © Address �1�TION b) The fee purchase of 0 ■G. ii without purrchase e o o service service City or feeder fee. Phone No. NT First branch circuit $ 37.50 Each additional branch circuit $ 5.35 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 $ Fi q 6n * Submit 2 sets of plans with application where any of the above apply. 1% Surcharge (.05 X total fees) $ 4.87 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 $ 74.47 i:\dsts\forms\electric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: Business Line: 639 -4171 BUP 639 -4175 q — 2 , S 9 � DateRe Requested � AM PM BLD Location � 2-5 CW11 St Suite MEC Contact Person V�w �� Ph (..(� I � ' Li(p',� PLM � Contractor `� f JI Ph SWR p , / BUILDING: ' ,:,; Tenant/Owner ELC I [ 9 / 0hi (/7 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT — P- ost - &- Beam -- - - -- -- — Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — q 6 ‘<" 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 .� ECTRIGAf Rough In' UG /Slab Low Voltage Fire Alarm Fi• 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 v v Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.