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15405 SW 116TH AVENUE Ln CD w U) z C A CD m si G) 15405 SW 116"' Ave Bid G CITYCITYOF TIGARD ELECTRICAL PERMIT _ PERMIT#: ELC2001-00643 ,rk DEVELOPMENT SERVICES PERMIT ISSUED: 12/18/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-00106 SITE ADDRESS: 15405 SW 116TH AVE BLDG SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT : JURISDICTION: KIN Proiect Description: Install 3 branch circuits on lower level. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS_ i000 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/PANEIL: 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: 2 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION_ _ 1000+ amp/volt: >=4 RES UNITS > 600 VOLT N-61_INAL _ _Reconnect only: A SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MC;CANN, CAREL V JR FRAHL.ER ELECTRIC CO 15685 SW 116TH 11860 SW GREENBURG RD KING CITY, OR 97224 TIGARD, OR 97223 Phone: Phone: 639-4627 Req #: LIC 37410 SUP 1816S ELE 34-13C _ FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRM-r CTR 12/18/01 $60.15 2720010000( Wall Cover Elect'I Final 5PCT GTR 12/18/01 $4 81 2720010000( Total $64.96 This Permit is Issued subject to the regulations contained in the Tigard Municipal 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 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: Issued By: OWNER INSTALLATION ONLY The installation Is being made on property I own which is not intended for sale, lease, or rent. OWFIF:R'S SIGNATURE DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSF VO: ---- Call 639-4175 by 7:00prn for an inspection the next business day Electrical Permit Application Date received: Permit no. ..� City of TigardEECE�VF.CI A. ppi.no.; Expire date: City oJTigard Address: 13125 SW Nall Blvd,T' 0R 97223 Dateisxued: BT* Receipt no.: Phone: (503) 639-4171 -- -- Fax: (503) 598-1960 ' j OEC 1 7 2 aseCileno.: Payment type: Land use approval: TVPF OF U I &2 family dwelling or accessory U Commercial/industrial U Multi-family X11 Tenant improvement U New construction U Addition/alteration/replacenient U Other: U Partial .1011 Sl UE INFORMATtON Joh address: 15405 SW 116th KING CITY Bldg.no.: lti,nfe no.: ITax map/lax 101/account no.: Lot: I Block: Suhdivision: Project name: MCCANN PROFESSION Dcsc!gtion and location of work on premises: INS ' T^FIXTURES, SWTT 14F.S _ Estimated date 01'completion/inspecti(In AND RECEPTACLES ON LOWER LEVP L .lob no: 60963 � t r M1% Business name: FRAH R ELECTRIC COMPANY IksrripUnn __— ell,. tea.) Total no.inx - '\e++re,wcotial single or mum-fandh lwr Address: 11860 SW GREENBURG ROAD hrI hugunil.Imlm,.nitacht4lgarare. City: TIGARD I State: ZIP: 97223 nicrincladnt: Phone: 639_4627 1 Fax: _ E-mail: 1(9)0sq.It.or less _ a F,ach additional 5110 sq.u m portion thereof' _ CCB no.: 37410 Elec.has,tic.no: _ l.imitedenergy,residential - 2 City/metrolic.n .: 1987 Limited energy,non-residential 2 12114/01 Each manufactured home or modular dwelling Signature or sup 'sing electrician(required) Date Service and/or feeder — ? Scrrices or feeders-Installation, Sup.elect.nnnle(prinU. R. W. FRAHIaI�'!, License no; xlu•ratiouorrrlocarion: 1 214)amps of Ir, 2 Name(print): 0I amps to 400 amps 2 1101 amps to 600 anq� 2 Mailing address:------- - _ n01 amps to 100(1 angl+ ---_— -- — 2 City: _ State: IZIF Over I(NN)amps or volts 2 Phone: Fax: I E-mail: Reconnectonl -- I Owner installation:The installation is being made en property I own Temporary services or reeden which is not intended for sale,lease,rent,or exchange according to InstaIher Ion.alreratIon,orrelocallon: ORS 447,455,479,670,701. 2(N)amps or less - 2 201 umps In 4(91 amps 2 Owners signature: _ l)jI,, . 401 to 6190 anifis - --- 2 Ranch circuits-new,alteration, or extension per panel: Name: _. A. Fen.for branch circuits with purchase of Address: service or feeder tee,each branch circuit City: -- - -- Slate: ZIP: R Fee for branch circuits without purchase - - -- - of service or feeder fee,first branch circuit: Phone: I a, E-mail: — - Each additional branch circui! Mise.(Service•.r feeder not Included): •Service over 225 amps-connuercial U I Ieallh-circ facility Each tum or irrigation circle U Service-ver i) S, I&2 U Ihvardouslocation Each sign oroutlinelighting farnilydwellings U Building over 10.191)square feet four or Signal circuit(s)or a limited energy panel, •System-ver61N)volts nominal nmrcresidentialunitsinonestructurc alteration,orextensinn• •Building over three stories U Feeders.400 amps or more •fkscri tion U occupant load over 99 persons U Manufactured structures or RV park Finch additional Inspection over the allowable In any of the above: U F.gmssllightingplan U tither _ -- Permspcctir,n r--T—��- Submil�.eels of plans Nlth any of the above. Investigation fee The above are not applicable to temporary construction service. Other _ --- Not all Jurirdlcllrxu accept crerlll rwd+,plrapt roll Jurisdirlhxl fix irsxr inhxmallun. NUIICe:This permit 0pp11Cahetn Permit fee.....................$ 60.15 U visa U MasterCard expires it'a permit is not obtained Plan review(al ._ (T) $ _ __— reads rand number: .�_- within 160 days atter it has been State surcharge(8%)....$ Nerve� rtepi"r accepted as complete. TOTAI $64.96 o r u�svn on c U c s _ -_--- Cardi�iniv --- Amount 440 MIS IeilllaN'UM) �py- Or )�2AS ClfQ1�7fJ/) �.� ) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included. Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less $145.15 4 ❑ Audio and Stereo Systems' Each additional 500 sq.ft.or portion thereof $33.40 _ 1 ❑ Burglar Alarm Limited Energy _i $75.00 Each Manurd Home or Modular ❑ Garage Door Opener" Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 201 amps to 400 amps $106.85 2 Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ $24060` 2 ❑ Other ____________�—___. __._�_Over 1000 amps or volts $454.65_ 2 Reconnect only � $69.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $6685 _ 2 (SEE OAR 918-260-2.60) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133.15 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ Boiler Controls Now,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $665 2 ❑ Data Telecommunication Installation b)The fee for branch circults without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 _ ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Medical Each additional Inspection over ❑ the allowable In any of the above Perinsoection $62Nurse Calls, 50 _ ❑ f'or hour $62 5P In Plant $73.75 _ ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ __ _Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required fog all other installations See"Plan Review"section on $ front of application. Fees: Total Balance Due $ Enter total or above lees :_ ❑ Trust Account S. ..—_.—_.-_ 8%State Surcharge = Total Balance Due = All Now Commercial Buildings require 2 sets of plans. I:klats\rornuklc-fees.doc 08130101 12/17/2001 09:26 5036393771 CITY OF KING CITY PAGE 022%02 i !r E KING CITY 15300 3.�, 116th Avenue,King City,Oregon 97224.2698 Phone.(0103)639.1082•FAX(502)839.3771 Notice To Contractors Working In Kin; City Due to an intergovernndental agreement with the City of Tigard, many building related permits for projects in King Cit' are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate applicationte gibly and submit it to the King City staff. The King* Cite staff will collect all fees and fax application to the City of Tigard. City of Tigard stat�'will then create the permit, issue the pe nit. and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to.be mailed without any notification. Any incomplete or illegible application will be returned to King Ciry staff for correction and no processing will occur until a complete, legible application is received. f If your permit applicadin DOES REQUIRL PLAN REVII::W, this form must be signed by a King City staff person. ing Citv staff will simply sign this form indicating land use approval. Take this signed form to`the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639-4171 Eit. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard, t The City of King City hIreby authorizes applicant to pursue permits at the City of Tigard / Building Department forlthe following project: ..�� �?I� .. . dt.1dQCU� �h located at: . .5,+4/ King City RepresentativV 41/!-e%'l I DST3,CCP.STDOC CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection L%qe: 639-4175 Business Line: 639-4171 MST _Date Requested go AM BLIP BLD Location n�� % 2t�iS Suite MEC Contact Person �c�4Fi�' �gu! «(pfd _ Ph 3 . f 34 PLM _ Contractor_ _ _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall - Footing -- ELR ----_--- Foundation Access: �'tg Drain FPS Crawl Drain Inspection Notes: — sGN Slab -- - _' - -- __�_�_y_ __— — Post 8 Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing T L�,. l 5 I n/ o•J � ��S �.-+f�f � /D Insulation / II p Drywall Nailing UQN T Ste_old , Firewall Fire Sprinkler ZQ 4v,�re�g W e r-bfi _ Fire Alarm Susp'd Ceiling ..+ ��_ I—[' ,� e�G►_ a E7G�2 ,5�{�u, - �>tcxr-.E %—i,,..��r. Roof Misc: Final — PASS PART FAIL PLUMBING Post✓1,Beam � � SH71r� `"" GLs✓rp�z- ---"`-zS.__�_ Under Slab Top Out Water Service Sanitary Sewer - / FlnelDain Drains _ 5__.��';�-GC. _` --- 12 PASS PART FAIL MECHANICAL Post& Bearn Rough In — -- --- Gas Line Smoke Dampers — Final PASS PART FAIL ELEC'rRZ L - _ ---- --- Service _. I ) �" -- Rough In UG/Slab Low Voltage --- Fire Alarm Final PASS PART FAIL SITE -- Backfill/Grading -- -- __ Sanitary Sewer — Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Holl Blvd Catch Bevin Fire Supply Line ( J Please call for reinspection RE' _ --�_ [ ]Unabie to inspect• no access ADA Approach/Sidewalk Other Date --�� -�Qd Inspector Final _. _ Ext �� PASS_ PART _ FAIL DO NOT REMOVE this inspection record from the job site. i %,ITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ' BLIPDate Requested / AM PM BLD Location_ S �� ` `�- Suite MEC — Contact Person Ph V'4 C" PLM Contractor Ph SWR BUILDING Tenant/Owner o _ ELC Retaining Wall C 5W d,"0111 ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ C r�Lt�— �� SI`f Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall �� J y Fire Sprinkler 17/' Ei % L1 Fire Alarm /^ Susp'd Coiling PY�G (_ `?l7 l�7 Aci -- Roof �- Misc: --- Final ^ �^ PASS PART FAIL -- PLUMBING -� _ _ �.�-�C, l�/ � 1 . Post&Beam Under Slab Top Out Water Service - %,r�, �� e7v, � CYD7�z�c'f d� Sanitary Sewer Rain Drains na__ Final PASS PART FAIL MECHANICAL_ Post& Beam. i L'. �• (���,lll.� --- __— Rough In Gas Line - Smoke Dampers Final ( --- —_ PASS PART FAIL ELECTRICAL Service U-' Ilk z U .lab -�___� -_ Low Voltage Fire Alarm PART FAIL -- -------- — — E Backfill/Grading M Sanitary Sewer Storm Drain I j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I j Please call for reinspection RE: ( ]Unable to inspect-no access Fire Supply Line ADA �.. ApproechlSidewalkDate y n�_Inspector '� Ext Other _ - --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.