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Permit Lag CITY OF T . ELECTRICAL. PERMIT • h,:�, „�� DEVELOPMENT SERVICES PERMIT # ELC99- 0059 :- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/02/99 PARCEL: 15 135BB -- 2001700 SITE ADDRESS...:100685 SW GREENBURG RD SUBDIVISION....: ZONING:I -P BL.00K........... I_OT .............. JURISDICTION: TIG Pro .j ect Description : Add three 2) branch circµits. - -- RESIDENTIAL UNIT-- --TEMP SRVC/FEEDERS--- MISCELLANEOUS 1 000 SF OR LESS....: 0 0 -- 200 amp.......: 0 PUMP /IRRIGATION....: 0 EACH ADD' L 517.10SF...: 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/O SRVC OR FDR.: 1 PER HOUR...........: 0 401 - 600 amp......: 0 EA ADD'L BRNCH CIRC: 2 IN PLANT...........: 0 601 - 1000 amp.....: 0 - -- PLAN REVIEW S E C T I O N - . - - -- 1000+ amp /volt.....: 0 ) =4 RES UNITS........: ) 600 VOLT NOMINAL..: Reconnect only.....: 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.: Owner: ------------------------ -------- FEES __ _ - -- CHIPMAN MOVING type amount by date recpt 10685 SW GRENBURG ROAD PRMT $ 45.00 GEO 02/02/99 99- 312594 TIGARD OR 97223 5PCT $ 2 <25 GEO 02/02/99 99- 312594 Phone #: Contractor: --- FRAHLER ELECTRIC CO $ 47.:5 TOTAL 11E360 SW GREENBURG RD • REQUIRED INSPECTIONS - - - - -- TIGARD OR 97223 Elect'1 Service Phone #: 639-4627 Elect' l Final Reg #. 000374 This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started within 180 days of issuance, or if work is suspended for core than 182t days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in CAR 952 - 001 -8918 through OAR 952 -N1 -1987. You nay obtain a copy of these rules or direct questions to OUNC by calling 003)245 -1987. Permittee Signature: Issued By:, 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 : 6'4 DATE: �Z -a -q 9 LICENSE NO !9 /G 5 + + + + + + + + + + + + + + ++ ++ + + + + +_u. +-f ++- F+ +-i-i-••F•-i--h-F--l-•d--hi-•i- -4.4.- ►- -F• -1--1 -1-4-4 - 1- -1-4- 4-i --6 F I -1-4 -4 - -- 1- -{-- h•d-4 l- 1i- -t°+ -1-± --F• Call 839 by 7:00 p.m. for an inspection needed the next business day +•1- -F-t- -1~-i- f--F : -+A - 1- A-- FA-4 -+ i --► -F A- { - 4- i-q- i --h-f -F+ +-F -h-1--I--1- i--F+++ +•i^++-i-++ + ++ i-- h-1--1-+ + -1 h F.A- A- -her +•i-A -EA- A - 4- 4-•t -+ ' RECEIVED . CIT OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD.EB 0 2 1999 Rec'd By TIGARD OR 97223 COMM Date Rec'd Date to P.E. Phone (503) 639- 4171xou N I(Y DEVELOPMENT D ate to DST Print or Type ��, f9 Inspection (503) 639 -4175 Permit # Fax (503) 684 7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) CHI PMAN MOVING Service included: Items Cost Sum I Address 10685 SW GREENBURG ROAD 4a. Residential - per unit - moo sq City/State/Zip T IGARD, OR 97223 Eacha .ft.orless $110.00 4 ty p Each additional 500 sq. ft. or Commercial © Residential El Limited 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 LE R ELECTRIC COMPANY Installation, alteration, or relocation Address 11860 SW GREENBURG ROAD 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City TIGARD State OR Zip 97223 401 amps to 600 amps $120.00 2 Phone No. (5 03) 639-4627 601 amps to 1000 amps $180.00 2 Job No. 58991 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 08/30/99 Reconnect only $50.00 2 OR State CCB Reg. No. 3/410 Exp.Date U / / U 2 / 9 y 4c. Temporary Services or Feeders COT Business Tax or Metro No. 1987 Exp.Date 12/1/99 Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Su r. Elec'n 201 amps to 400 amps $75.00 2 g p 401 amps to 600 amps $100.00 2 1 8165 10/01/01 Over 600 amps to 1000 volts, License No. Exp.Date see °b" above. Phone No. ----- (77 - 679 --- 477 . 7 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name I= Each branch Address Each branch c i rcu it $5.00 2 b) The fee for branch circuits City State p without purchase of Phone No. service or feeder fee. First branch circuit 1 $35.00 $35.00 2 The installation is being made on property I own which is not Each additional branch circuit 2 $5.00 1 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation 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: Not required for temporary construction services. 5a. Enter total of above fees $ 45.00 ° 5% Surcharge (.05 X total fees) $ 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 # $ 47.25 Total balance Due • I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP -4c Date Requested c7VlWf9 AM X PM BLD Location /o �o /S5 1 . 06(. Suite MEC Contact Persons Ph PLM Contractor i( 4 2 Ph 439— 9 S�s& SWR /� BUILDING Tenant/Owner C izi /0/2�"/t / moo/tic_ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation f ,� Drywall Nailing ( 3J LI off'! Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Cam_ Final � PASS PART FAIL PLUMBING �i�.�.r� /i Post & Beam Under Slab Top Out 1 Water Service .. �, -� Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL (rgLECTRICRI) Service Rough In UG /Slab Low Voltage Fire Alarm PART 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 OPheoach /Sidewalk Date e--;2 / 4 v � r - 1 Inspector -' - ^ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.