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Permit A. CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00589 1114. DEVELOPMENT SERVICES DATE ISSUED: 10/01/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -00100 SITE ADDRESS: 11705 SW PACIFIC HWY B SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install (30) branch circuits. Job #59560 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 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/PANEL: 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: 29 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC CROSSROADS PROPERTIES FRAHLER ELECTRIC CO BY WYSE INVESTMENT SERVICES 11860 SW GREENBURG RD 200 SW MARKET ST STE 345 TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Phone: 639 -4627 ORIGINAL Reg #: LIC 00037410 SUP 1816S ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 10/01/199£ $192.65 99- 318795 Elect'I Final 5PCT KJP 10/01/199£ $13.49 99- 318795 Total $206.14 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 OUNC at (503) 246 -1987. PERMITTEE'S 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: 9'- DATE: /0 // /fy LICENSE NO: - 3 3 4 1 S Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Plan Check # 131'15 SW HALL BLVD. Electrical Permit Application Recd By RECEIVED TIGARD OR 97223 Date Recd �t Date to P.E. Phone (503) 639 -4171, x304 OCT . P 1999 Date to DST Inspection (503) 639 -4175 Print of Type Permit # Etc I r1 ff - o05a? Fax (503) 598 -1960 COMMUNII I DEVELOPMENT Called Incomplete or illegible will not be accepted 1. Job Address: 4. Complete Fee Schedule Below:" Name of Development Number of Inspections per permit allowed Name (or name of business) RADIO SHACK Service included: Items Cost Sum 4 ' Address 11705 Stl PACIFIC HIGHWAY '8 4a. Residential - per unit City/State/Zip TIGARD OR 97223 1000 sq. ft. or less $ 117.75 4 p Each additional 500 sq. ft. or portion thereof $ 26.25 _ 1 Commercial ® Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular . 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor FRAHLER ELECTRIC COMPANY 200 amps or less $ 64.25 2 Address 11860 SW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2 Ci TIGARD State OR Zip 97223 401 amps to 600 amps $ 128.50 2 H p 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 - 2 Job No. 59560 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 10/01/00 0"' _ 4c. Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date 07/02/01 Installation, alteration, or relocation COT Business Tax or Metro No. 1987 Exp. Date 12/01/99 200 amps or less $ 53.50 2 ��� 401 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps $ 107 : o0 2 Over 600 amps to 1000 volts, see "b" above. License No. 2334$ Exp.Date 10 /01 /01 Branch Circuits Phone No. (503) 639 -4627 • New, alteration.or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or • feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address . b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 $37.50 Each additional branch circuit 29 $ 5.35 $155.15 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 , Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy . (if required):* panL alteration or extension $ 60.00 . 3. Plan Review section ( Minor Labels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 192.65 * Submit 2 sets of plans with application where any of the above apply. 1'(% Surcharge (.05 X total fees) $ 13.49 Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR • . WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 206.14 is \dsts \forms \electric.doc 11/09/1999 . Activities for Case #: ELC1999-00589 • 10:51:49 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 10/01/1999 KJP MAIL No Hold KJP 10/01/1999 ELCC003 Permit created 10/01/1999 KJP DONE No Hold KJP 10/01/1999 ELCC730 Elect'I Service 10/01/1999 10/01/1999 • No Hold KJP 10/01/1999 ELCC799 Elect'I Final 10/01/1999 10/01/1999 10/29/1999 BP PASS No Hold VT 10/29/1999 ELCA500 (F) Issue permit 10/01/1999 KJP DONE No Hold KJP 10/01/1999 • ELCC720 Wall Cover 10/07/1999 10/07/1999 10/06/1999 BRP PASS No Hold AKJ 10/07/1999 rough in pass ELCA700 Rough -in 10/26/1999 10/26/1999 10/26/1999 BP PASS No Hold JS 10/26/1999 Electrical installation above ceiling approved. Ceiling cover • not approved until all systems are in compliance. Limited • energy systems not approved at this inspection. ELCC800 Case Finaled 10/29/1999 VT PASS No Hold VT 10/29/1999 • • • • • • • Page 1 of 1 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � BUP Date Requested j� 'gyp r [ p q AM PM BLD Location 11 - 7()S PO (' Suite b MEC Contact Person Ph t Ph (0 PLM Contractor [ r aJ' teA., Ph SWR BUILDING Tenant/Owner ELC Iq - bO Sg 9 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 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling A (�9 Roof (/ Misc: Final PASS PART FAIL PLUMBING (. l SCE M> r/ yl C en i ?'t° / Q c_) 7Q�s Post & Beam 5 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 �ELtCTRICA .) Service ug 10( UG7SFab Low Voltage Fire Alarm • PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Dat Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ()/_7' BUP Date Requested AM PM BLD Location 1 I 0 5 f Suite MEC Contact Person Ph PLM Contractor Ph • SWR G BUILDING Tenant/Owner ) ELC f' cj 9-0 cg Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam // Q _ Z , /, / Ext Sheath/Shear 1 �('� �f � / f Int Sheath /Shear Framing Insulation Drywall Nailing Fire Sprinkler �-- C Fire Sp C 1 ! aq CO a ! �t �P S/9_41 4s Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL • PLUMBING Post & Beam ••• I Under Slab , 1- C --- CF © " . Top Out ! / // �►'— Water Service f rC� iJ A r r l C Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final P FAIL ECTRICA Servi Rough In UG /Slab Low Voltage l ,, l ,, Fiirrelarm cases% < v_ im` ®• r �� 7 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 Approach /Sidewalk Date at Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.