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Permit 't , CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00001 44 4146)11/A DEVELOPMENT SERVICES DATE ISSUED: 1/3/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6391 PARCEL: 2S103AA -00101 SITE ADDRESS: 10865 SW WALNUT ST / SUBDIVISION: / ZONING: R -4.5 BLOCK: LOT : f` Y U ISDICTION: TIG Proiect Description: Installation of 6 branch circuits. Job No. 59758 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: 5 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: SCHOOL DISTRICT NO 23 J FRAHLER ELECTRIC CO 13137 SW PACIFIC HWY , 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'I Service PRMT DEB 1/3/00 $64.25 HAND RECP Elect'l Final 5PCT DEB 1/3/00 $5.14 HAND RECP • Total $69.39 This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 - • :: - • �he Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain •ies of these rule' ordirect questions to OUNC at (503) 246 -1987. , PERMITTEE'S SIGNATURE / /, 9/ ,, �� � �� ' ISS D BY: ■ �� ry ` /��� �� . 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: . AJ J `19Q -4! -'r DATE: LICENSE NO: 48 /4 5 Call 639 -4175 by 7:00pm for an inspection the next business day CITY OIi TIGARD Plan Ch c 13125 SW HALL BLVD. RECEIV ectrical Permit Application Recd TIGARD OR 97223 Date Recd /4:9' Phone (503) 639 -4171, x304 DEC 3 0 1999 Date to P.E. Date to DST Inspection (503) 639 -4175 CUMMUNITY DEVELOPMENT Print of Type Permit # fGCe//x70 - 000i Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development TIGARD /TUALATIN SCHOOL DISTRICT Number of Inspections per permit allowed Name (or name of business) FOWLER MIDDLE SCHOOL Service included: Items Cost Sum 4 - Address 10865 SW WALNUT 4a. Residential - per unit City/State/Zip TIGARD, OR 97223 1000 sq. ft. or less $ 117.75 4 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 City 401 amps to 600 amps $ 128.50 2 ity 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. 59758 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.Date 12/01/00 200 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, License No. 1816S Exp.Date 10 /01 /01 see "b " above. 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 $ 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 5 $ 5.35 575.75 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 $ 64.25 * Submit 2 sets of plans with application where any of the above apply. 8.1 Surcharge (05 X total fees) $ 5 4 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 $ 69.39 i• \dsts \forms \electric doc - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 , Business Line: 639 -4171 ' BUP Date Requested 3/ WO AM PM BLD. Location 1 0 ( k ) 5 j4 Suite �] MEC - Contact Person TO Fa)/ tX n Ph Ca � 'L( 7 PLM Contractor Ph SWR / / ELC 2O0 DQDO BUILDING Tenant/Owner /-) I c12 /l SUS Retaining Wall ELR Footing Access: Foundation p FPS Ftg Drain -J <- i 7 -� O .F SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing / i Insulation / 1� Drywall Nailing / /0i , 2 s � 1 �' / 'L < mot? Firewall Fire Sprinkler Fire Alarm ` Susp'd Ceiling / 91i Q" C.� 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 . EMI RICAC Service Rough In UG /Slab Low Voltage Fire Alarm 'ART FAIL ti 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 D ate 3 ? f- D I a„.. Other Ext Final PASS PART FAIL D N T REMOVE this inspection record from the job site.