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Permit r . , . . . CITY OF TIGARD • ELECTRICAL. PERMIT oHm „,a�,,„ l� DEVELOPMENT SERVICES ' PERMIT 44: ELC97 -0541 ” ' �� DATE, ISSUED: 08/08/97 _„,411,. __.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D PARCEL: 1 S 135Avr- 00102I SITE ADDRESS... 011255 SW 90TH AVE SUBDIVISION.... :TOWN OF METZGER ZQNINC;R --4.5 BLOCK..........; LOT..,......... °05 JURISDICTION: TIG Project Descriptions Add service or feeder: install, alter or relocate (200 aops or less), and add twenty -six l26) branch circuits. ' - --- RESIDENTIAL UNIT---- ••- -TEMP SRVC/FEEDERS---- -------- MISCELLANEOUS__ -._..- 1000 SF OR LESS° ... s 0 0 - 200 amp. ° ..... e +b PUMP /IRRIGATION.. _ . s 121 EACH ADD' L. 500SF ... a 0 21211 -- 400 amp.......: 0 SIGN /OUT LINE LTG..: 0 LIMITED ENERGY... , . s 0' 401 - 600 amp....... o 0 SIGNAL/PANEL.......: '2: MANF. HIP/ SVC /FDR, . s 0 601+amps -1000 volts.:, 0 MINOR LPBEL ( 1I) . , . s i?I "---SERVICE/FEEDER-----.- - --- -- BRANCH CIRCUITS - ---- -- - -ADD' L INSPECTIONS-•-- -- 0 •- 200 amp.....: I W/SERVICE OR FEEDERS' 26 PER INSPECTION.....: 0 201_- 400 amp......': 0 1st W/O SRVC OR FDRo s 0 ' PER HOUR....... 401 - 600 amp...... 0 EA ADD' L BRNCH CI 0 IN PLANT° . > ........ J 0 0 . -- FLAN REVIEW SECTION- -- ----__ �,►� 1 - 1 GIG amp—...:, --- _____.__--- - - - - -- REVIEW - -- 1000+ amp /volt , .. 0 >=4 RES UNITS° „ „ .... , ° ) 600 VOLT NOMINAL..; ° Reconnect only. ... o 0 SVC /FDR >= 225 AMPS..: . CLASS AREA/SPEC OCC. a . Owner; -• -. - . TIGARD TLN DISTRICT 423J type - amount by date ' recpt 13137 SW PACIFIC HWY PRMT ' 190.00 GE.O 08/08/97 97-298115 TIGARD OR 97223 -0000 5PCT t 9.50 GEO 08/08/9/ 97- 298115 Phone #s . . • Contract or -- -- _------------- '- - - - - -_ . -- - . - - - - -- FRAHLER, ELECTRIC CO $ 199.50 TOTAL 11860 SW GREENBURG RD . - ------- REQUIRED INSPECTIONS -- -- -• --- TIGARD OR 97223 Ceiling Cover Underground Cove Phone #s 639:4627 Wall Cover Elect'1 Service Reg #.. s 000374 This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of 'Oregon Specialty Codes and all other applicable laws, All work will be done in accordance with approved plans. This Remit will expire if work is not started within i0 days of issuance, or if work is suspended for Dore than 180 days. ATTENTION; Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952 001 - U10 through OAR 9=.:2 - 001 - 1997. You cay obtain a copy of these rules or direct questions to OUNC by calling (593).246 - 1597. - Per ini<ttee Si na�.ure s / 2 1 7 _ Issued By: �> - - -- - -• OWNER 'INSTALLATION ONLY--- - - - - - -- ----------- The installation is being made on property I oven which '.s ;rob in',;enz!ed for- sale, lease, or rent. _ . OWNER'S SIGNATURE: DATE: --------:----------------CONTRACTOR INSTALLATION ONI fi r'•- - -- - -- •_._ - - --- _ SIGNATURE OF SUPR. ELEC' N s . , � J 'DATE: __ .i : 97 LICENSE NO ./ __ _, __. -;_— , -:--r-....-'r•-r +++ +-r-.-a-h-F•-r.........9..i...7 ;.•- 1-- F-' ry+- S--F.d_-,.-i.- j--I-++-F-r-°r- +-h+-h-F ;,-i-i--r } - H•- i-- r..° 0^'-l-- f-'•+•- r-• F- 4•-!^- I-- 1-- i-- h-F•-h +++ +•N-r--F-F-h-r°-F^h-}• ( i - (7. I,tt G. ' i7O' r r ' frr^ an - o,nm -M intin nclor. arI 141m r:. w'I- b,vcco -.n._ . ' J-!. y r- t..-4- 4- 4•-t --? :.1--4•+++ +°r•i ++ -ti•._F•f•++... ++- 4 -i......h++-h-4..}.a...a_-fr-t- ?••++++-t-++++- 444++- F. F ..9^_4'.++ +-F-E--:--5•i--'r++ 4;..i +....,;6.r z_ • . ,CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # C99 - 0 .J T 1 l Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development TIGARD TUALATIN SCHOOL DISTR :C1 Number of Inspections per permit allowed Name (or name of business) MET7GFR FLEMFNTARY Service included: Items Cost Sum I Address 10255 S.W. 90th ROOM 18 4a. Residential - per unit ft. or less City/State/Zip TIGARD, OREGON 97223 Eacha ditional500sq.ft.or $110.00 4 Commercial © Residential El Limited thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor FRAHLER ELECTRIC COMPANY Installation, alteration, or relocation 200 amps or less f $60.00 2 Address 11860 SW GRFFNRIIRG ROAD 201 ampsto400amps $80.00 2 City T I G A R D St to R Zip 97223 401 amps to 600 amps $120.00 2 Phone No. (,$ 9. - 601 amps to 1000 amps $180.00 2 Job No. 57415 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 34-13C Exp.Date 712198 Reconnect only $50.00 2 OR State CCB Reg. No. 37410 Exp.Date 10/1/97 4c. Temporary Services or Feeders COT Business Tax or Metro No. 198 Exp.Date 12/1/97 Installation, alteration, or relocatio 200 amps or less $50.00 2 Signature of Supr. Elec'n � / 401 amps to 600 amps $100.00 2 1816S 10/ 1 / 98 Over 600 amps to 1000 volts, License No. E xp. D a t e see °b" above. Phone No. 639 - 4627 4d. Branch Circuits New, alteration or extension per panel 2b. For own er IthirtisAPPLICATION a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address COPY Each branch circuit 26 $5.00 130.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as descnbed in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 190.00 Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 9.50 NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 199.50 Total balance Due $ I \DSTS \ELC96 APP Rev 9/96 • • RECEIVED AUG 0 8 1997 COMMUNITY DEVELOPMENT 5/12/99 Activities for Case #: ELC97 -00541 9:45:48 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 8/8/97 GEO RECD GEO 8/8/97 ELCC003 Permit created 8/8/97 GEO PASS GEO 8/8/97 ELCC700 Ceiling Cover 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC720 Wall Cover 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC730 Elect'I Service 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC799 Elect'I Final 8/8/97 8/29/97 MJR PASS MJR 9/2/97 ELCC500 (F)Issue permit 8/8/97 GEO PASS GEO 8/8/97 ELCC800 Case Finaled 9/2/97 MJR PASS MJR 9/2/97 Page 1 of 1