Loading...
Permit .- . . . • - fa . - , , , , . . . , 1 , , A RD A' . CITY 0"F ,TIGA - E L__ ' ' LICT RI CAL PE RMI T , VICES DEVELOPMENT SE . ' Pc: MI T 4 E. LCS7-0543 , . i__. „ , • ' , ' ---:"- y ''-...:-•''',. , 13125;SW:Hallillvd,Tigard,,OR 97223 (593)639-4171 .- . DATE ISSUED. 08/08/97 . , . . , . • , PARCEL : .1 S135AB-00,100 '. , . . , ' SITE ADDRESS.. „- . s 10255 SW 90TH AVE. , , . • S U B D I V I S I O N "TOWN OF METZGER ZONING: R-7.4.5. . BLOCK LOT JUR LSD I CT I ON „ T I p • Project Description s Add service or feeder: install, alter or relocate (220 asps . • . , , . . , or less), and add twenty-one (21) branch' circuits. , ---------- -- : - , ---RES I DENT I AL UNIT---- --:-..--tEMP SOU C / FEEDERE",----_-- --:•-----M I SCELLANEOUS:7----:— 1000 SF OR LESS. . r: . : a 0 ' - 200 amp.. .-,. . .. : '0 . PUMP/ I RR 'GAT I ON. • , EACH ADD' L 500SF : 0' ' '201' - 400. . a rn p. . . . . . . s 0 , SIGN/OUT LINE LTG6, s 0 - LIMITED ENERGY. . , . . s 0 401 -• 600 am p. . 0 : SIGNAL/PANEL— „,•. '. . • _, MANF. H(1/ •VC/FDR— s 0 - ' L 601-1-am ps--1 090 vo) ts 0 , ' MINOR LAPEL ( 10> .. . ,s 0 ----:--SER V I CE /F • • ----BRANCH CI RCU I TS------ - f, - ----.ADD' L. INSPECT I ONS-H•=-'- '0 7"200 aMp„ , — . 7 ; 1 W /SERV ICE OR FEEDER: 21 , , . PER INSPECTION. ,s 0., ' 201 2 - , 400 a m p— . „ . . . : , , 0 1 st W/O SRVC OR FDR„ s , a : ‘; ',PER' H O U R " , ' 0 , • - • .401 -, 600 aro p— r .. . .. s 0 , , ADD '1._ BRNCH C I RC s 0 , . , "IN" PLANT „ „' •„ „ .s , 601 - 1000 am p. . . . '., t 0 — .. 101Zi0+ a m pi v o I t„ „ . . . s ' 0 ' > =4 RES UN tTS,— , . '. ',.: „. i , '>. 600 VOLT.NONINAL..; ' , Reconnect; on 1 Y , . — s .0 , SVC/FDR >= 225 AMPS. . s CLASS .1 / SPEC ,OCC. Oner FEES ' T. ',GARD TLN 'DISTRICT #233 ' . , 'type amount . by' :date ,. rerpt - 1-3137 - S W - P Pi C' I F I IL7,---==-=HirP1-- ---- -,- -- '.= ” - • ' - - - . RN T- - V- - - „-00- ( - E 0, - 9814-6- -' ---;--- TIGARD OR 97223-0000- . Y.:CT .$ . , a--, -25 BED .Q18/08197 97-298-1.16 ' . , . ' , ., . . . - • , , , . . • - , , . . ' ' . . .. Contract or s - . .____________ FRAHLER .ELECTR I C 'CO ' . ' , , - $ 173„ 25 • TOTAL .' . . 11860 SW GREENBURG RD " , . , , ' • . REQU I RED, .I NSPECT I ONS -----L-- : . , ' . ' TI G . ARD OR 27223 - ' • , Cei 1 inf 'Cover , Underground' Cove Ph on e # s 639--4627 , 4627 ' ' , Wall- I- Co.ye'r v '' , El ect : Sery ibe _., , . • Reg • 4., . s, 000374 , - . ' . . . . ' . . , . ., . , 1 , . ,• 0. . .. . , •'. . , . , . . . . This permit . is issued subject to the regulations contained in the Tigard 'Municipal Code State of Oregon,'Specialty 'Codes and , all other 'applicable laws. All ivork 'Will be done' in - abcordance 'with approved plan'S. ' This permit will expire if work is ‘not Started iithin'1,80 day,s of issuance, or if work ' is Suspended for pore ' than IN gays ATTENTION: Oregon law requires you to , follow the rules adopted by' the "Oregon U t i l i t y , 'Not ificat ion :Center. , Those rifles at set'. forth in OA '952-N1-010 through -'OAR 9527001=1987: , .You day 'obtain' 'a copy. of these rules or di'reC t questions to OUNC by-calling (50°46-1967. .. . , . ,, . -.- . ,. .. . . Perm itt ee ;,.Si gnature y : ' ' . Issued B . . _ ''' - • ' ' • - - - , . . . . . , . , • - ' . . , :.. .,, ' . , ---- -77 — 7 — OWNER JNSTALLATION ONLY - -': , The installation is being .inade on propert y I owm whichi i. S not nit ended ' for sale lease. or rent. L . ... L , . . , , . . . . , . , , • OWNER ,,S SI GNA _ TURE s _ ' , . DATE ,_. . ,‘ . . • . . . „ - - - - - - - - - - - -- --" - ---:.' - - - - - 9/ -CONTRACTOR INSTALLATION ONLY---.77------7----7-7-:---"-------7 . SIGNATURE OF SUP'R. .ELEC'.N : • /7" . ' , L , ' ' . DATE: ,... , . L I CENSE NO s . ' , . . „ . /_, , o 3 ., ' . ______ - -" _ •,, , , 4-+_i__l_ -1 , r ..,‘ 11 ' 1;6L-IL i' 7 ' 1.-i - ,r, i; .!74 Os <--, ' ., r+.,.-. '. r, 4.. 4 ,,-. ,-.: .,--4 <-4 . 1 1 ' 1, ,, .,-,., , 4.. I-...,- : ..-..%., ,:-' ,.; -,'• - ++++++++t 4 . ± . , • , • CITY OFTIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit #0� q- 7 "05 - 9 3 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development TIGARD TU A L . SCHOOL DISTRICT Number of Inspections per permit allowed Name (or name of business) METZGER ELEMENTARY Service included: Items Cost Sum Address 10255 S.W. 90th ROOM #1 4a. Residential - per unit City/State/Zip T IGARD OREGON 97223 Eacha. additional l 5 s $110 00 4 ty p � Each additional 500 sq. ft. or Commercial © Residential ❑ portion 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 F RAH L ER ELECTRIC COMPANY Installation, alteration, or relocation 200 amps or less $60.00 60.00 2 Address 11860 SW GREENSURG ROAD 201 amps to 400 amps $80.00 2 City TI GARD State OR Zip 97723 401 ampsto600amps $120.00 2 Phone No. 63q -4627 601 amps to 1000 amps $180.00 2 Job No. 5 7 41 5 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. N 34 -13 C Exp.Date 7/2/98 Reconnect only $50.00 2 OR State CCB Reg. No. 37410 Exp.Date 10/1/97 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date 12/1/97 Installation, alteration, or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 Signature of Supr. Elec'n A✓ VILA/ 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 No. 639 - 4627 4d. Branch Circuits New, alteration or extension per panel 2b. For owner ins $ PPIICATIOH a) The fee for branch circuits with purc hase o/ service or Print Owner's Name feeder fee. Address COOT b) Each branch circuit 7 t $5.00 105.00 2 The fee for branch circuits City State without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circui $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irngation 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: 165.00 Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 8.25 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 # $ 173.25 Total balance Due 1.\DSTS \ELC96 APP Rev 9/96 5/12/99 Activities for Case #: ELC97 -00543 9:46:06 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 8/8/97 GEO RECD GEO 8/8/97 ELCC003 Permit created 8/8/97 GEO PASS GEO 8/8/97 ELCC700 Ceiling Cover 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC720 Wall Cover 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC730 Elect'I Service . 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC799 Elect'I Final 8/8/97 8/29/97 MJR PASS MJR 9/2/97 NEC art. 110 -16 requires 3 feet of clearance in front of panels after correction final approved ELCC500 (F)Issue permit 8/8/97 GEO PASS GEO 8/8/97 ELCC800 Case Finaled 9/2/97 MJR PASS MJR 9/2/97 Page 1 of 1