Permit k CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00406
4yA DEVELOPMENT SERVICES DATE ISSUED: 7/8/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 171 PARCEL: 2S102CB -00200
SI SUBDIVISION: NORTH TIGARDVILLE ADDITION RIGINA ZONING: R -12
BLOCK: LOT : 041 JURISDICTION: TIG
Project Description: Installation of one branch circuit. Job No. 59329 _
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: 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:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
Phone: Phone: 639 -4627
Reg #: LIC 00037410
SUP 1816S
ELE 34 -13C
•
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DEB 7/8/99 $37.50 99- 316710 Elect'I Final
5PCT DEB 7/8/99 $2.63 99- 316710
Total $40.13
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.
Permit Signature: M _ - Issued y: . I - ov •
•
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 Pia. R INSTALLATION ONLY •
SIGNATURE OF SUPR. ELEC'N: -�-Q.e . A c'- a -rk DATE: 7" g'
LICENSE NO: �55cl
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD RE ' Ical Permit Application Plan Che
131 SW HALL BLVD. Rec'd By
TIGARD OR 97223 JUL 0 71999 Date Rec'd 7- 7 -99
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 - 4175 COMMUNITY DEVELOPMENT Print of Type Permit# f_te1A99
Fax (503) 598 -1960 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) TIGARD /TUALATIN SCHOOL DISTRICT Service included: Items Cost Sum
Address 13137 SW PACIFIC HIGHWAY 4a. Residential - per unit
City/State/Zip TIGARD, OR 97223 1000 sq. ft. or less $ 117.75 4
ty p Each additional 500 sq. ft. or
Commercial ® Residential El Limited thereof $ 26.25 1
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
City TIGARD State OR Zip 97223 401 amps to 600 amps $ 128.50 2
p 601 amps to 1000 amps $ 192.50 2
Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2
Job No. 59329 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 34 -13C Exp.Date 10/1/99 4c. Temporary Services or Feeders
OR State CCB Reg. No. 37410 Exp.Date 7/2/95 Installation, alteration, or relocation
COT Business Tax or Metro No. 1987 Exp.Date 12/1/98 200 amps or less $ 53.50 2
` 201 amps to 400 amps $ 80.25 2
�% € W,
Signature of Supr. Elec'n iI� 401 amps to 600 amps $ 107.00 2
r " 7 - Over 600 amps to 1000 volts,
License No. 2334S Exp.Date 10/01/01 see "b" above.
Phone No. 639 -4627 4d. Branch Circuits
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 $ 5.35
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):* pane 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 $ A7.50
* Submit 2 sets of plans with application where any of the above apply. 71(% Surcharge (.05 X total fees) $ 2 f 3
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 $ 40.13
is \fists \forms \e lectric.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / 3( 7 7 / / ' 4 Suite MEC
Contact Person (/ Ph PLM
Contractor Ph (,.0,3 I q6;-7 SWR
BUILDING Tenant/Owner ELC 19 00 Cle4.
Retaining Wall ELR
Footing Access: JO_ep i
Foundation �/] lee � -7 �, ti FPS
Ftg Drain "'"� %G 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
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire a • rm
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before n= pection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA G '
Approach /Sidewalk
Other D a t / Inspector ,_.f,, ,� . / A E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.