Permit CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
1J:. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT #: EL C 96 -0445
DATE ISSUED: 10/21/96.
PARCEL: 1S134DC -00300
SITE ADDRESS...: 10865 SW WALNUT ST
SUBDIVISION ZONING:R -4.5
BLOCK LOT -
Project Description: Installing two branch circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 - 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 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 --
TIGARD TUALATIN SCHOOL DIST type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 40.00 CJS 07/10/96 96- 281486
SPCT $ 2.00 CJS 07/10/96 96- 281486
TIGARD OR 97223
Phone #: 684 -2353
Contractor: - - -- -•--
FRAHLER ELECTRIC CO $ 42.00 TOTAL
11860 SW GREENBURG RD
REQUIRED INSPECTIONS
TIGARD OR 97223 Wall Cover Elect'l Final
Phone #: 503 - 639 -4627 Elect'1 Service
Reg #.. : 37410
This permit is issued subject to the regulations contained, in the ` - '/ i
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t Signature
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 I Al
than 180 days. I s ued By A ir
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 for inspection - 639 -4175 .
•
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. .
Tigard, OR 97223 Planck/Rec. #
y y ,. :0 + { Permit # PLC
±� i I Phone (503) 639 -4171 Date Issued
- FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
1. Job Address: WORK O R D E R #56277 4. Complete Fee Schedule Below:
Name of Development TIGARD TUALATIN SCHOOL 0I S Number of Inspections per permit allowed
Address 10865 S.W. WALNUT ST. /T I GARD, OR Service included; Items Cost(ea) Sum
■
City/State/Zip TIGARD, OREGON 97223 4a. Residential - per unit 4
1000 eq. 'tor less $110110
-
Name (or name of business) F()W I FR M i n n l E SCHOOL Each additiOnal SOO en H or
pDrtgn thereof $25.00 1
Commercial ® Residential ❑ Limded Envy $26 - Stich Mansard Home or Modular 2
fleeting Service or Feeder 968.00
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor F RAN LE R ELECTRIC CO . Installation, 0amps Installation, Installation, or les on, or relocation 2
s Address 11860 SW GREENBURG ROAD 201 amps to400ampe $ 2
City TIGARD , State OR Zip 97223 401 amps to 600 amps 512000 2
601 amps to 1000 omits 5180.00 2
Phone No. 639 -4627 Ovor low ampe orvolts $34o00 2
Contractor's License No. 34 -13C Reconnect only $50.00
Contractor's Board Reg. No. 3741Q 4c. Temporary Services or feeders
irstanation. anenmen. er rabcatrori)ATE ENTERE f,7 2
Signature of Supr. Elec'n �s 200 amps or 1
License No. 2334$ Phone No. 639 -46 201 amps to400amps ACCT a ..... 2
. _ ��--- ... - .. 401 amrs 10 600 amps JO$'tk"' 5100.00 ....r i .
Over 600 amps to 1000 vora r/
2b. For owner installations: see 'b' above
DATE PAID-
Print Owner's Name 4d, Branch Circuits CHECK # I
New, alteration or extension per panel
Address a) The tee for branch vrcurts OFBY •
City State Zip PUrcrlase of earvke or *varier rata:` 2
Phone No.
Each branch groat 55.00
4) The lee for branch preuRs t►i[hout
The installation is being made on property I own which is patcretlso or service er feeder Iva 2
not intended for sale, lease or rent.
Fret brsi h area 1 555.00 35.00 2
Each additional brands gran - $5.00 5 . tAf
Owner's Signature 4e. Miscellaneous •
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation aide $40.00 2
Each sign or outline lighting 640.00
-
Signal crooks) or a limited energy 2
Please check appropriate item and enter fee in section 58. pan alteration Or eathcron $40.00 t
4 o r more residential units in one structure M inor l abels (10) 510000
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
•
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $65,00
Submit 2 sets of plans with In Plant
p application where any of the above �
apply. Not required for temporary construction services.
S. Fee$: ti,
5a Enter total of above fees $ 40. QD
NOTICE 5% Sutcharge (.05 X total fees) $ 2. 00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF Sb. Enter 25% of line A for 4
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ •
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED.
❑ Trust Account # $ ?T
i
Balance Due $ 42.00 1.
100d 1 SO ' ON L6zLb89 4. 9 I 2119313 d31HUad 22:9I 96/61/80
"
;;!-L Community Development ELECTRICAL PERMIT APPLICATION
' 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # _ QF,- 9.0 46
,�" M1i I ,, : � Permit #096-0144/5
,� I Phone (503) 639 -4171 Date Issued ,/,0/9,6
FAX (503) 684 -7297
Issued by
CITY OF TIGARD TDD No. (503) 684 -2772 �Ji�, /Pr .� �trf ,
Inspection (503) 639 -4175
1. Job Address: WORK 0 R D E R #56277 4. Complete Fee Schedule Below:
Name of Development TI'GARD TUALATIN SCHOOL DIS- Number of Inspections per permit allowed
Address 10865 S.W. WALNUT ST. /TIGARD,OR Service included: Items Cost(ea) Sum
City/State/Zip TIGARD, OREGON 97223 4a. Residential - per unit 4
1000 sq ft or less $110 00
Name (or name of business) F01,111 F M T n n I F SCHOOL E portaon there 500 sq ft or
of S25 00 1
Commercial ® Residential ❑ Limited Energy $25 00
Each Manufd Home or Modular 2
Dwelling Service or Feeder $68 00
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor FRAHLER ELECTRIC CO. 200ampsorless $6000 2
Address 11860 SW GREENBURG ROAD 201 ampsto400amps $8000 2
City TIGARD State OR Zip 97223 401 amps to 600 amps $120 00
601 amps to 1000 amps $18000 • 2 2
Phone No. 639 -4627 Over 1000 amps or volts $34000 2
Contractor's License No. 34 -13C Reconnect only $5000
Contractor's Board Reg. No. 3777 (� • C p // 4100 4c. Temporary Services or Feeders
�/ Installation, or relocation 2
Signature of Supr. Elec'n ,- / 200 0 amps or less or less s $so 00 2
License No. 2334$ Phone No. 639 -46L/ 201 ampsto400amps $7500 2
401 amps to 600 amps $100 00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above
Print Owner's Name RETURN APPLICATION 4d. Branch Circuits
New, alteration or extension per panel
Address a) The fee for branch circuits with
City StGQPY Zip purchase of service or feeder fee. 2
Each branch circuit $5 00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch circuit 1 $35 00 35.00 2
not intended for sale, lease or rent. Each additional branch circuit $5 00 5 . UU
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40 00 2 - Each sign or outline lighting $40 00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40 00
-
4 or more residential units in one structure Minor Labels (10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35 00
Per hour $55 00 -
In Plant $55 00
Submit 2 sets of plans with application where any of the above
, apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 40.00
5% Surcharge (.05 X total fees) $ 2.00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account # $
• Balance Due $ 42.00
worth:am:j v\ Ncpm agp
,:P-S? j1-F 2
LT- L° r '
Ns
ri3-i4r BUILDER V pA C )e_ke-t>- %cz � Sow, 1
VALUE , c9Oo FEE 716, c - 1 G - DATE 6 - 9 - 7 3
LOCATION /® lo, -r.,D... . I) oLQixc u( ji, OWNER ./ u)(CJ� Je 4 .,,, , Le JOB # • MAP # LOT # - - Mo l 'c.I „,,_i
P L U M B E R I) 0.41 co,M Q17,,A,,oM ,w P E R M I T # �1 - r za-L p 4 / S- �-,
SEWER PERMIT 4 I / FEE 19, 9 g - `J'11ECHANICAL PERMIT •# .
I
DATE . BY DATE BY
EXCAVATION /FILL AIR CONDITIONING +
g - co )3 FOOTINGS /FOUNDATION VENTILATION t o
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FORMS SPRINKLER SMTEM L____ 0-,
SLABS - MASONRY FLUES m
REINFORCING S'1'H:h:l. FIRE DOORS /EXITS E
STRUCTURAL STP:SL GARAGE FLOOR 4 r
7 - a,. �l PLUMBING R.I. - (') DRIVEWAY
ROOF /FLASHING J SEWER
FRAME — 4 war // , .�� f o
e, o l y STORM DRAIN y
BATH WALLBOARD ,4'2,- / PARKING r_____
HEATING FENCE/SCREEN
WATER HEATER • /, a + ' y -74 FINALa
- Q /� o S e,. ley a N a¢. 3
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: /�
Date: l r' 2-.6- Ti A.M. P.M Ent :
411 ....r s
--�
Address: _� � _ (iv
Tenant: ! I MST:
BUP:
Con /Own: MEC:
PLM:
ELC: '� '\fj -
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
5- l i :ce al 5 cr--N r/ t-r-G .41 di. ci
el (1 -e r C i t j!!` 47,
" ,
1-...-11:: it /7 -f' —d5 )2_____r_frit<.
.C;tf Fes~ c L5r 11 Gf Lb-P r .
- g33
Inspector: / f P A -.off Date " �7c
)(APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
%.„,6,?(Y)
CITY OF TIGARD BUILDING INSPECTION DIVISION 9
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 • •
'
Date Requested: / 0 �— IC -ci 8 A.M. P.M. r 11 MST:
Location: 1 07865 S V V tA/A-i_ OAT 6T BUP:
Tenant: 1 : 7 0 ' L pp � EI ZQ MI pD t 1Sa L- Suite: Bldg: MEC:
v
Contractor: . �,G1.i�1XQA cZ Phone: & — 4 (p D_7 PLM:
Owner: Phone: ELC: & -0 T.
, �. . ' ' . ..1 I ! tl i��, ELR:
Rolex 684 —, 0 4' dA. cam° 'a - A. SIT:
BUILDING BLDG (con't PLUMBING MECHANICAL TRIC 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 proved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved N roved Not Approved
FINAL FINAL FINAL INAL FINAL
� & L45 Jed 2 a T 3
...._.--- - :
O Call for reinspec • o • Reinspection fee of $ • required before next inspection O Unable to inspect
Inspector: 111 Date: 13- ?k Page of