Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0144
7i, DEVELOPMENT SERVICES DATE ISSUED: 03/25/98
.:-.4 -11. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC -00300
SITE ADDRESS...:12260 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G PD
BLOCK • LOT JURISDICTION: TIG
Project Description : Installing first branch circuit and one add'l circuit.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION - 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY : 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 1 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
CLASSY NAILS type amount by date recpt
12260 SW SCHOLLS FERRY RD PRMT $ 40.00 B 03/25/98 98- 304411
TIGARD OR 97223 5PCT $ 2.00 B 03/25/98 98- 304411
Phone #:
Contractor:
FRAHLER ELECTRIC CO $ 42.00 TOTAL
11860 SW GREENBURG RD
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'1 Service
Phone #: 639 -4627 Wall Cover Elect' 1 Final
Reg #..: 000374
This per.it is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This per.it 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952481-0010 through OAR 952 -001 -1987. You lay obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
P e r m i t t e e Signature: C-'►"1 A ,/I �,c,�y�. Issued By : g
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 SUP R. ELEC' N: Mk_ (t (eCI( .— frizt t � � ` DATE: 3' T e
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Ai + + +..... +.... ++++++++++....+++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + +...
CITY' OF TIGARD Electrical Permit Application Plan ChCCIVCD
1 3125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date , 4
Date 1 . 4 4 199g
Phone (503) 639 -4171, x304 Print or Type o�� s T
Inspection (503) 639 -4175 Perr'r',�1 l 'UEV PMEI
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called L --U 1 -' r,
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) CLASSY NAILS Service included: Items Cost Sum
I
Address 12260 SW SCHOLLS FERRY ROAD 4a. Residential - per unit
City/State/Zip T IGARD OR 97223 Each additional . ft or less $110.00 4
ty p Each a 500 sq. ft. or
Commercial III Residential El Limited thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor FRAHLER ELECTRIC COMPANY Installation, alteration, or relocation
Address 11860 SW GREENBURG ROAD. 200 amp 400 s or less $60.00 2 -
201 amps to amps $80.00 2
City TIGARD State OR Zip 97223 401 amps to 600 amps $120.00 2
Phone No. 639 -4627 601 amps to 1000 amps $180.00 2
Job No. 58147 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 34 -13C Exp.Date 10/1/ 9R
OR State CCB Reg. No. 3 7 410 Exp.Date 7/2/98 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 1987 Exp.Date 10/1 1 98 Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Su r. Elec'n /� g,1f 6t 201 amps to 400 amps $ 5.00 2
g p 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 1816S Exp.Date 10/ 1 / 98 see "b" above.
Phone Nc 639 -4627 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner instgf' i AP PUCATIOH a) The fee for branch circuits with
t purchase of service or
Print Owner's Name feeder fee.
Address Each branch circu $5.00 2
b) The fee for branch circuits
City State co without purchase of
Phone No. service or feeder fee.
First branch circuit 1 $35.00 35.00 2
The installation is being made on property I own which is not Each additional branch circuit 1 $5.00 5 00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required): * Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ 40.00
5% Surcharge (.05 X total fees) $ 2 . U U
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ 42.00
Total balance Due
I \DSTS \ELC96 APP Roy 9/96
3131
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 4 4 / — q if A.M. P.M. MST:
Location: BUP: td_i
Tenant: CIaz...4 � a c ., Suite: Bldg: MEC:
c 1 t;
Contractor: L�24 ( Phone: 6D37 41 7 PLM: �y
Owner: Phone: ELC:e7 7 — 0/ 5
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ECTRIC SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved pprov'ed Approved
Appr /Sdwlk Not Approved Not Approved Not Approved roved Not Approved
FINAL FINAL FINAL C. — FINAL
O vi.c..1.-.t. I--n_ 6674„t„,..e_.; AJ - laft..c.
O
0 Call for reinspection Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: '1 - 1 ` 9 g Page of