10815 SW CASCADE AVENUE r �N
O
F-�
U1
n
U�
n
[TJ
r
d
I I
1
,,,10815 SW CASCADE BLVD. ..■r
ELECTRICAL PERMIT X/
CITY OF T I GARD DATEPERMIT ISSUED:LC95-0612/08/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Biv,;,Tigard,Or*gon 97223*8199 (503)639 4171 PARCEL: 15135BD-800
O.J
SUBDIVISION. . . . . C a_ ZONING:
BLOCK,.. . . . . . . . . . : LOT.
Project Description : One bt,anch Circuit.
UNIT---- ---TEMP SRVC'/FEEDERC-;----- -- ----MISCELLANEOUS-----
1001a 5F OR LESS. . . . : 0 121 - 200 amp. . . . . . . : 0 PUMP/IRRIGATim. . . . : QA
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
--------SE R V I CE/F EEDER-- - - CIRCUITS---- -.--ADDIL INrPECT IONS-
0 200 amp. . . . . . : 171 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . .- 0
_'01 400 amp. . . . . . : 0 1st W/O SPVC OR FDR. : I PER HOAR. . . . . . . . . . . 0
401 6124121 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0
C-101 1000 amp. . . . . : 0 REVIEW SFr'i-ION.-.----
1000+ ,imp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
,connect only. . . . . : 0 SVC/FDR > CRL5 AMPS— : CLASS AREA/SPEC OCC. -
weer,: ---------- FEES
FRAHLER ELECTRIC type amount by dAtp f-@C:pt
11860 SW GREENBURG RD PRMT 35. 00 CJS 12/08/95 95-227371214
SPICT 1. 75 CJS 12/08/95 '39-27.3704
T I G'A P D OR 0 72.:.'3
V,hone #: 51213-639-4627
Conti-actot".
FRAHLLR ELECTRIC, CO .36. 75 TOTAL
11860 SW GREENBURG RD
REQUIRED INSPECTIONS
TIGARD ORCe i I ing Covet- Elect ' I 5PV-Vi('P
Phone #i y Wall Covet, Elect' I Final
Rpq #. . : I
This Dersit is issued vibiect to the regulations contained in the II
Tigard Municipal Code. State of Ore. Specialty Codes and all other F er-m-it'i-ee Sipriatt.kt-e
applicable laws. All work will be done in accordance with
aparoved plans. This oernit will PNDire if work is not started
within 18?, days of issuance, or if oork is suspended for sore
than 180 days. Issued By
..- --. -.OWNER INSTALLATION ONLY------
The installation is being made on property I own which is not intended for
sale, lease. or- vent.
OWNE RI Ei S I GNA7 LIP,. DATE:
INSTALLAT70N
SIGNATURE. OF SUPR. Ei-ECIN- 0-7 co-1,0, DATE:
LICENrX NOli
Call fov- in-oection 633-405
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 9si'
Parmit # ,clL eye-io
Phone (503) 639-4171 Date Issued /.� - 9- 95
Y _
FAX (503) 684-7297 Issued b tCh -
CITY OF TIGARD 1
Schin,�,�r
TDD No. (503) 684-2772 "—
Inspection (503) 639-4175
1. Job Address: b)O ` 3 14. Complete Fee Schedule Below:
Name of Development U . S . A . SITE #D020 Number of Inspections per permit allowed
Address 1 0 8 1 5 S . W . CASCADE BLVD , Service included. Items Cost(ea) Sum
Ci /State/Zip_ T I GA R D _ 4s. Residential-per unit 4
TIIUMAS GUIDE f G . 6`,5 - D2 l000aq It or Ion $11000
Name (or dame of business) Each add4ronal 600 sq ft or -- 1
portion thereof $2500
Commercial lm Residential❑ EachLimild Energy $25 Our
Each Manul'd Moms or Modular 2
SANITARY r):WER PERMANENT FLOW MONIT R Dwelling Service orFeeder $6800
2a. Contracto► Installation only: 4b.Services or Feeders
Installation,alteration.or relocation 2
L!ectrical Contractor F RF R A H LH L E R E L L c. R I C, C O. _ 200 amps or leas $6000 2
Address 1 18(i 0�W 6 R E EN It i)R G R'i A D 201 amps to 400 amps $8000 2
401 amps to 600 amps $120 00 2
City T 1 f,A R 0 Stater Zip q 7 7)3 601 amps to 1000 amps $180 00 2
Phone No. 6 3 g-4 6 2 7 Over 1000 amps or volts $34000 2
Contractor's License No. 3 4- 1 3 C Reconnect only $5000 _
Contractor's Board Reg. No. 3141 0 _. 4c.Temporary Services or Feeders
nvlallatior. alteration or relocation 2
Signature of Supr. Elec'n A11C.: !.,_ 44— 200 amps or lose $5000 2
License No. 1816$ Phone No. 6 3�9- 66 27—
1201 amps to 400 amps $2500 2
401 amps l0 600 amps _- $100 00
Over 600 amps to 1000 volts
2b. For owner Installations: see W above
�FIURN APPl1CMOIL_ ltd. BreratiCircuits
Print Owner's Name New.alteration or extension per panel
Addressa(The tea lot branch circuits with
ann� Zip fare
of service or boder be. 2
City St
Earh branch arcuil $500
Phone N0. bt The fee for branch circuits wffhout
The installation is being made on property I own which is purchase of service or boder be. 2
First branch circuit $35 00 3 5 0 0 2
not intended for sale, lease or rent. 1 .
Each additional branch circuit $500
Owner's Signature _ 4e.Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 2
Each sign or outline lighting $4000
Signal nrrurl(s)or a limited onorgy 2
Please check appropriate Item and stri fee in section 5B. panel.alleration or eNens on $40 V
4 or more residential units in one structure Minor Labels(10) $10000 _
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 $3500
Per hoc t $5500 _
In Plant E55 00
Submit 2 seta of plans with application r:hera any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $ 35 . 00
5%Surcharge(05 X total fees) $ T7'rj'-
PLRMITS BECOME VOID IF WORK OR CONSTRUCIION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDFD OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Sub;71a1 $
COMMENCED ❑ Trust Account 0 $
Balance Due $ 36 75
i
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone:-639-4171
Footing Rain Drain Cov ervice FINAL:
Foundation Water Line Cei -Plumo.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top G., Insulation Elect �
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gac Line Appr/Sdwlk Reins.
Other
Date: _ _4—4��_ A.M. P.M. CC Entry: _
Address: d /�5 L _.
Tenant / Ste:—� MST:
^ BLIP:
Con/Own. VIC=_ ��� MEC.
—_—_-
PLM:
ELC:
THE FOILOWING CORRECTIONS ARE REQUIRED: ELR.
L/..
S-e yr mak- 5ce
--
Inspector / Date:��
i
APPROVED DISAPPROVED/CALL FOR REINSP. CO