Permit 1 'h KI *1l I : 1_Ll 7b / �/
OF TIGARD DATE ISSUED: 01/04/96
PARCEL: 1S136CA- 01600
C MW1N11( DEVEO L RIAENT DFRAI-TMIIENT
• S I TE= �,J t � 1
1 125 I Blvd. Tlgerd, Oregon 97223.8199 (503) 839 -4171 1
SUBU v lI 1. ZONING: C -G
BLOCK....... .. LOT ! ✓ • I ' - r
Project Description: Install one branch circuit for a 2HP 230 volt propane pump.:
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS-- - - --
1000 SF OR LESS • 0 0 - 200 amp • 0 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 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/0 SRVC OR FDR.• 1 PER HOUR • 0
401 - 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT • 0
601 - 1000 amp • 0 PLAN REVIEW SECTION - - --
1000+ amp /volt • 0 ) =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR ) = 225 AMPS..: CLASS AREA /SPEC OCC. :X
Owner. -- - FEES
FRAHLER ELECTRIC type amount by date recpt
11860 SW GREENBURG RD PRMT $ 35.00 CJS 01/04/96 96- 274618
FILCH. $ 8.75 CJS 01/04/96 96-274618
TIGARD OR 97223 SPCT $ 1.75 CJS 01/04/96 96- 274618
Phone #: 503 - 639 -4627
Contractor: -'
FRAHLF_R ELECTRIC CO $ 45.50 TOTAL_
11860 SW GREENBURG RD
REG!UIRED INSPECTIONS
TIGARD OR 97223 Elect' 1 Service
Phone #: Elect'1 Final
Reg #.. .
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i tt e e Signature
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 sore - _ _ _ hi� r�� - --
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 rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N: #70 //e,-/ DATE: /-
LICENSE NO:
Call for inspection - 639 -4175
- - - - - - - • - fill
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 4. 16- c'
Permit # �i/z� f- - c
A Y, i f il
Vii' ;� �I Phone (503) 639 -417 Date Issued / - v- 95- ` -'� FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by G�G+� /ter ..c,.„„•,/,--
Inspection (503) 639 -4175
1 1. Job Address: W.0.# 5 5 6 2 7 4. Complete Fee Schedule Below:
Name of Development RA Y S 0 N Number of Inspections per permit allowed
Address 1 1 6 5 5 S.W. PACIFIC HIGHWAY Service included: Items Cost(ea) Sum
City /State/Zip TIGARD , OREGON 97223 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) R AYS 0 N Each additional 500 sq. ft. or 1
portion thereof $25.00
Commercial ® Residential ❑ 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
F R A H L E R E LEC T R I C CO Installation, alteration, or relocation 2
E Contractor 200 amps or less $60.00
Address 11860 S W G R E E N B U R G ROAD 201 amps to 400 amps $80.00 2
City TIGARD State 0 R Zip 9 7 2 2 3 401 amps to 600 amps $120.00 2
City 601 amps to 1000 amps $180.00 2
Phone No. 639-4627 over 1000 amps or volts $340.00 2
Contractor's License No. 34-13C Reconnect only $50.00
Contractor's Board Reg. No. 37410 4c. Temporary Services or Feeders
�� Installation, alteration, or relocation 2
Signature of Supr. Elec'n �� 91-6J1 200 amps or less $50.00 2
License No. L816$ Phone No. 639-4627 201 amps to 400 amps $75.00 2
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 4d. Branch Circuits
New, alteration or extension per panel
Address a) The fee for branch circuits with
City S L Zip purchase of service or feeder fee. 2
Each branch circuit $5.00
Phone No. b) The fee for branch circuits withou
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 1 $ 35.00 2
Each additional ional 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 5B. 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
X X Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00 - 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 $ 35.00
5% Surcharge (.05 X total fees) $ 1 • 75
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 16 _ 7 5
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) $ 8.75
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. a Trust Account # CREDIT
$ [52.50]
Balance Due $ - 0 -
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F R A H L E R ELECTRIC COMPANY'
11860 SW. Greenburg Rd.TIGARD OR 97223
639 4627 Fax 639 4673
Work Order No. 55627 December 27, 199
Customer: Rayson Co.
Address: 11655 S. W. Pacific Hwy.
Description of job. Wire and connect 2 HP 230 volt propane pump from
existing breaker panel.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: o
Footing Su p� Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear \ W?Il ( Gyp. Bd. -Elect
I
Date Requested: ( 7 (p Time: AM PM
Address: / l C i 5 S p,a,<_/..,-,
Builde Permit #: ELC- 6 °x
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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/ 1/, 7 c ,
Inspector: �!��` ( r+ 4„�� . .1 f Date: // 9,
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_ Call For Reinsp. 1 'r/f