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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2001 -00175 Ar' DEVELOPMENT SERVICES DATE ISSUED: 04/05/2001 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S115C6 -04200 SITE ADDRESS: 17135 SW PACIFIC HWY SUBDIVISION: ZONING: BLOCK: LOT : JURISDICTION: KIN Project Description: Installation of (1) 200amps or less service and (3) branch circuits for new generator. 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: 1 W /SERVICE OR FEEDER: 3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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: TUALATIN VALLEY FIRE & RESCUE FRAHLER ELECTRIC CO 29665 SW BLANTON 11860 SW GREENBURG RD ALOHA, OR 97007 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 04/05/2001 $100.25 2720010000( Elect'I Service 5PCT CTR 04/05/2001 $8.02 2720010000( Elect'I Final Total $108.27 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 Q -r` tl / J 4 1�1 ,,6 1 / ISSUED BY: / ' ' I �/ • � �j OWNER INS1cALLATION 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 PermitApplication Date received: y y d/ P ermit no.:/7t) I -co/75 4' �.1 y i City of Tigard RE0655 Project/appi. no.: Expire date: • 'd:�l -:77 DAddress: 13125 SW Hall Blvd, Tigard, OR 97223 • Date • �I Phone: (503) 639 -4171 a 2001 By: I Receipt no.: issued: By m ; ? ' 7n rfax: (503) 598 -1960 Case file no.: Payment type: Land use approval: CO Ob 1Tl DEV i,� tJCi C I:11 cowu . " IF 1'it i TYPE 01 EIOP PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement ❑ New construction ® Addition/alteration /replacement ❑ Other. ❑ Partial • JOB SITE INFORMATION Job address: 17135 SW PACIFIC HIGHWAY Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: 'Subdivision: Project name: TVFR KING CITY I Description and location of work on premises: G ex>junu+a r Estimated date of completion/inspection: i . T , (TOR -,Al 'f CATTbN 4 s7y7 1t I`"SCfu I)ti_cL Job no: 60551 Fee Max Description Qty. (ea) Total no. imp Business name: FRAHLER ELECTRIC COMAPNY New residerdial- single ormulti-family per Address: 11860 SW GREENBURG ROAD dwelling wit. Includes attached garage. City: TIGARD I State: ORI ZIP: 97223 Service included: Phone: 639 =4627 I Fax: 39-46731E-mail: 1000 sq. ft. or less 4 CCB no.: • 34 -13C Elec• bus. lie. no: 37410 Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 City /metro lic. 1987 Limited energy, non- residential 2 e , (if 1,1„ /- 03/27/01 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: 1816S Services or feeders -Installation, alteration or relocation: 200 amps or less 1 60.30 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 • Owner installation: The installation is being made on property I own Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to Imtallatioa,alteration, orrelowtioo ORS 447, 455, 479, 670, 701. 200 amps or less 2 • 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600: . s 2 s;=== _ - . -- - _ - - - _ _ - LNGLN ER _ - _ - - Branch circuits - new, alteration, Name: or extension per panel: I I A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 3 19.95 2 City: I State :. I ZIP B. Fee for branch circuits without purchase Phone: Fax � . of service or feeder fee, first branch circuit: 2 Each additional branch circuit: PLAN REVIEW' (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps - commercial - ❑ Health-care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of 1&.2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* • 2 O Building over three stories 0 Feeders, 400 amps or more - *Description: O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: O Egress/lighting plan Cl Other: Per inspection I C Submit _ sets of plans with any of the above. Investigation fee _ The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee - $ 100.25 - • 0 Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: _ / / within 180 days after it has been State surcharge (8 %) .... $ 8.02 / Expires accepted as complete. TOTAL $ 108.27 Name of cardholder as shown on credit card $ Cardholder signature Amount 440-4615 (6I00/COM) Electrical Permit Fees: Limited Energy Fees: _ TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work I nvo l ved: Residential - per unit 1000 sq. ft or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 . ❑ Burglar Alarm Limited Energy $75.00 Each Manuf'd Home or Modular Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation i 200 amps or less I $80.30 C O. W 2 Systems* 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ ' $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only - $66.85, . _ , . 2 _ Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Fee for each system $75.00 o less or relocation $66.85 2 (SEE OAR 918 - 260 -260) 200 amps or less 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see "b" above. Branch Circuits Controls New, alteration or extension per panel a) The fee for branch circuits with purchase of service or ❑. Clock Systems feeder fee. Each branch circuit $6.65 j q .Cl 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service El Alarm Installation or feeder fee. ' First branch circuit $ 46 . 85 ❑ HVAC Each additional branch circuit $6.65 Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems_ Each sign or outline lighting $53.40 Signal circuit(s) or a limited energy Irrigation Control* panel, alteration or extension $75.00 Minor Labels (10) $125.00 ❑ Medical Each additional inspection over the allowable in any of the above ❑ Nurse Calls Per inspection $62.50 . _.. • . Per hour $62.50 In Plant $73.75 Outdoor Landscape Lighting* Fees: ❑ Protective Signaling I Enter total of above fees $ ' 00 •-) n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee * No licenses are required. Licenses are required for all other installations See "Plan Review" section on $ . front of application. • Fees: Total Balance Due $ Enter total of above fees $ • ❑ Trust Account 8% State Surcharge $ Total Balance Due $ i:\dsts\formseelc- fees.doc 10 /09/00 • • • C�.TY OF TIGARD BUILDING INSPECTION DIVISIO MST - 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 5— Z Z AM PM BLD Location / 7/ 3 i 5 c,. r c /-14.1 Suite MEC Contact Person Ph 6.39- c/‘ 27 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Zeo ( —U v 1 7 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 j/er. O Firewall Fire Sprinkler � q� �P t r 1�4 f� l� I n S a / 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 LEC CAI) Servi ough In UG /Slab Low Voltage Fir PASS ART FAIL BackfilUGrading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before • -xt inspect : . 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 Other Date v c �� -10 / Inspector 1 �� � � A. ` Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 24- Hour[nspection Line: 639 -4175 Business Line: 639 -4171 BUP ' / Date Requested `"� ''' AM PM BLD Location / 7/ 35" S t') 94 t ;er a /.1 Suite MEC Contact Person Ph PLM Contractor v-- Ph SWR BUILDING Tenant/Owner ELC ,Pedal-0 0 / 7 Retaining Wall ELR Footing Access: Foundation FPS /' Ftg Drain er ,�-e. -I- C /` n c SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear /�S' S C�I� ��✓ Int Sheath /Shear. Framing Insulation Drywall Nailing Firewall Fire Sprinkler (Z1.4 G , 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 P ASS PART FAIL Service IA Rough In c , UG /Slab Low Voltage Fire Alarm Fin 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 Other Date l 62/ Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.