Permit _ �� -�� . � ��-� `
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� � CI TY _ OF ' � ' ELECTRICAL PERMIT � � � � � PERNIT #: ELC96-0�76 .
. DATE ISSUED: 02/09/96
�~ COMMUNITY �^ DEVELOPMENT DEPARTMENT ,- ' •
Blvd. '
��m���wwm Tigard, Oregon w�m�°omom (503) mom��n�
~-- — "~~ ' PARCEL: 251038C-04600 —
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SITE ADDRESS...: 12350 SW WALNUT � .. ST. ' '
SUBDIVISION ^ CURL ACRES ' ' Z |NING:R-4.5
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BLOCK • LOT . '� ^5
Project Description: Temporary install one service or feeder . 00a�ps or less and
two branch circuits. � ` ' . � '
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. ---RESIDENTI U IT77-' -� � -TEMP SRV /FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS • 0 \D � ' - 200 am p ' ^ 1 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 volt s. : 0 MINOR LABEL ( 10) . . . : 0
' ----SERVICE/FEEDER---L -�--BRANCH CIRCUITS----- ---ADD'L INSPECTIONS ---
0 - 200 amp .^ 0 W/SERVICE OR FEEDER: 2 PER INSPECTION. . . . . : 0
201 - 400 amp • 0 1st W/O SRVC OR FDR.: 0 PER HOUR ^ .0
401 - 600 alb,......: .0 EA ADD'L BRNCH CIRC: 0 IN PLANT ~ Q
. 601 - 1000 amp ^ 0 - PLAN REVIEW SECTION ----
. 1000+ a p/volt . . . . � 0 ) =4 RES UNITS. . . . . ... ., : > . 600 VOLT NOMINAL. . «
. Reconnect Only : '0 SVC/F�}R:>= 225 AMPS..: , CLASS AREA/SPEC OCC.If .
Owner: -- --------- ' � ' � ----- FEES ----"- ----- •
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` JOHN CHONG ' type amount by date recpt
12350 SW WALNUT . PRMT $' 60..00 CJS 02/09/96 96-275'788
. 5PCT $ 3.00 CJS 02/09/96 96-275788 •
TIGARD OR 97223 �' ' . ' '
Phone #: � . � . .
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^ Contractor: -�--- - - - . '
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' FRAHLER ELECTRIC CO ' ' . s. ' . 63'0@ TOTAL �
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11860 SW GREENBURG RD �� �
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� � � � � / � ' REQUIRED INSPECTIONS ------
�TIGARD OR 97223 `� ` Elect'2 Service _ .
Phone #: ' '� _ .
Reg #..: Ele�t'l Final - � '�
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This permit is issued st to the regulations, contained in the . . _ _ ____ . .
, Tigard Municipal Oode State of .Specialt' Codos,ad aD.othor Permzt Signature , , ,
applicable laws.' /&l work will be. done in �ccorhanc» with '- ' ' .
approved plans. This peruit wiD-kpiro if work is not started • ' .
within 180 days of iisuanco, or if work is suspended, for more _ �
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' than 180 days.. �� Issued ssued By •
- ~OWNER INSTALLATION ONLY ' - -----
. he installation ' is being made on propery I own which is not intended for
- sale, lease, or rent, � '
OWNER'S SIGNATURE: .. . ' ` � DATE:
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_ ^ ------ .- ' CONTRACTOR 'INSTALLATION ONLY • . ' .- , .
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SIGNATURE OF. SUPR. ELEC' NI; . / �^~~� . _ DATE: � - 9= «i
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LICENSE NO : , ' __ __� �
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. . . Call for inspection � 639-4175 • � .. .
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TEMPORARY - 2/6/96 - 2/12/96
Community Development ELECTRICAL PERMIT APPLICATION
•
/ A 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # &r96 - on7A
7 �'�I'la Phone (503) 639-4171 Date Issued ' -57- 96
--" FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by C� / t��..�,c%
Inspection (503) 639 -4175
1. Job Address: W.O. # 55775 4. Complete Fee Schedule Below:
Name of Development JOHN C H 0 N G Number of Inspections per permit allowed
Address 1 2 350 S W W A I N II T Service included. Items Cost(ea) Sum
City /State/Zip TIGARD, O R E G O N 97223 4a. Residential - per unit 4
1000 sq It or less $110 00
Name (or name of business) Each additional 500 s ft or 1
portion thereof $25 00
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Commercial ❑ Residential n Limited Energy
- $25 00
Each Manuf'd 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 F R A H L E R ELECTRIC CO. 200 amps or less 1 $60 00 60.00 2
Address 11860 S W G R E E N B U R G ROAD 201 amps to 400 amps $80 00 2
City TIGARD G A R D State O R Zip 97223 401 amps to 600 amps $120 00 2
City p 601 amps to 1000 amps $180 00 2
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Phone No. 639 -4627 Over 1000 amps orvots $34000 2
Contractor's License No. 34-13C Reconnect only $50 00
- Contractor's Board Reg. No. 37410 4c. Temporary Services or Feeders
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1 Installation, alteration, or relocation 2
Signature of Supr. Elec'n ) ,' j j.4 201 amps 0 or 0o amps $50 00 2 - Lice No. 1816$ Phone No. 639-4627 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 New, B ate a or per panel
Address a) The fee for branch arcuds with
City S_ Zip purchase of service or feeder fee. 2
Each branch circuit 2 $5 00 10.00
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
not intended for sale, lease or rent. First branch circuit $3500 2
Each additional branch circuit $5 00
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 58. panel, alteration or extension $40 00
4 or more residential units in one structure Minor Labels (10) $100 00
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 inspectio t35 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 $ 70.00
5% Surcharge (.05 X total fees) $ 3.50
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. n y E - ❑ Trust Account # $
42F0A L✓ Balance Due $ 73.50
rOdcondevNxgm Bop
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location 1 2 - 3CD L4 iX bi ik Suite MEC
, - contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 9(o"t)X
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: � � _ PA �� Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ' fdr' a � � —
Fire Alarm
Susp'd Ceiling �; J
Roof Fl •- 4 ✓lS '
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage �\
Fire Alarm
iso . ART FAIL
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 Date Inspector - Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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