Permit . CITY OF TIGARD - ELECTRICAL PERMIT
PERMIT #: ELC2001 -00188
�l, DEVELOPMENT SERVICES DATE ISSUED: 04/11/2001
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S134DD -00900
SITE ADDRESS: 13137 SW PACIFIC HWY
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (6) branch circuits to gas furnaces.
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: 5 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:
SCHOOL DISTRICT 23J FRAHLER ELECTRIC CO
13137 SW PACIFIC HWY 11860 SW GREENBURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 639 -4627
Reg #: LIC 37410
SUP 1816S
ELE 34 -13C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 04/11/2001 $80.10 2720010000( Elect'I Final
5PCT CTR 04/11/2001 $6.41 2720010000(
Total $86.51
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. /������jj��
PERMITTEE'S SIGNATU R i i 1 J p ISSUED BY: " Adit., ‘a b at )
OW ER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
• • - • Electrical PermitA,pp ' n-
Datereceived: 1 1 0 1 Permitno.:Z4D(- /$
_,;;':ai� City of Tigard Q� E Project/appl.no.: Expire date:
•
City ofTigard Address: 13125 SW Hall Blvd, Tigard DI PW2/ Date issued: By: I Receipt no.-
Phone: (503) 639 -4171 •
Fax: (503) 598 -1960 APR 11 Z00'a Case file no.: Payment type:
Land use approval: w t iW - DEVELOPMENT
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi -family ❑ Tenant improvement
• ❑ New construction di Addition/alteration /replacement ❑ Other. ❑ Partial
•
JOB SITE INFORMATION
Job address:. 13137 SW PACIFIC HIGHWAY Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot Block: Subdivision:
'roject name: I'll jOIJ:1 410111iligM;(ti i!` :,3 ription and location of work on premises: GAS x l: ► ' CES
Estimated date of completion/inspection:
1- _ -_ CONTRACTOR-APPLICATION :_._. .•FEUU- SC:1ILDU
Job no: 60582 • M
Business name: FRAHLER ELECTRIC COMPANY`S - Qty. R Total no. , II I
New residential stogie . Address: 11860 SW GREENBURG ROAD - ���
ereDing ®it lnclodes attached garage
City: TIGARD State :. OR ZIP: • 223 Service
Phone: 639 -4627 Fax: 639 - 4673 E -mail: 1000 sq. ft. or less 4
CCB n0.: 37410 Elec. bus• liC. no: 34 -13C
Each additional 500 sq. ft. or portion thereof __
Limited energy, residential _ _ _ 2
City/metro hc. no.: 1987 L on-residential ___ 2
�IF 04/10/01 - Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder ■■ 2
Sup. elect. name (print): R. W. FRAHLER License no: • S Servicesor feeders — instalallon,
- ' - alteration or relocation:
PROPERTY OWNER 200ampsorless 11111 2
Name (print): 201 MI
401 am m ps to 600 amps MINN — 2
Mailing address: 601 amps to 1000 amps IM _ — 2
City: State: ZIP: Over 1000 amps or volts — _ — 2
Phone: Fax: E -mail: Reconnect onl 111.11111.11� 1
Owner installation: The installation is being made on property I own Temporary services or feeders - , ti
which is not intended for sale, lease, rent, or exchange according to relocat
ORS 447, 455, 479, 670, 701. 200 amps or less 2 • 201 amps to 400 amps MIMI 2
•
Owner's signature: Date: 401 to 600 . s IM _— 2
ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name: . • • • A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: • ZIP: B. Fee for branch circuits without purchase ■ •
Phone Fax' E-mail of service or feeder fee, fast branch circuit
' Each additional branch circuit: �a� _ cF. r1=11.
PLAN REVIEW(Please check all that apply) Misc. (Service or feeder not Included): IIIIII
❑ Service over 225 amps-commercial ❑ Health-care facility Each pump or irrigation circle 2
❑ Service over 320 amps -rating of 18x2 ❑ Hazardous location Each signor outline lighting NE _ _ 2
family dwellings ❑ Building over 10,000 square feet four or • Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension' ■ 2
❑ Building over three stories ❑ F e e d e r s , 400 amps or more • • , tice:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional won over the allowable in any of the above:
❑ Bgress/lightingplan O Other. V Per inspection __
Submit _ sets of plans with any of the above. Investigation fee - '
The above are not applicable to temporary construction service. Other
Not all jurisdictions er
tions accept edtt earth, prase call jurisdiction for more information. Notice: This permit application Permit fee $ 80.10
• O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit cam number: / / within 180 days after it has been State surcharge (8%) .... $ Fj _ 41
Name of cardholder as shown ea credit card > accepted as complete. TOTAL $ 8 1
$
Cardholder signature Amount 440-4615 (6N0OC'OM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
.24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - _ _ -
�[ BUP
At
/'3 Date Requested 6/`7 ( AM PM BLD
Location 1 3 / 3 k c4- A / Suite • MEC
Contact Person (D.P ,P " Ph ?q_ 546.2. PLM
Contractor F (--c" OEZf e jNA Cam- Ph Co 39 — S`6)-7 SWR
BUILDING Tenant/Owner EL 0 2. ye
�— 00/ d e
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 I _
Fire wall Q S 12,VICc �' S '— LCke re ) c) ��'
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL S •
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
P S c p RT FAIL •
LECTR
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS " • ART 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /LLPGC Approach /Sidewalk r Other Dat V �b - l7� Ins pec t or E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
c