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12245 SW MAIN STREET IS NIbW MS GVZZ6 cn z a co LO v N N r 12245 SW MAIN ST CELECTRICAL PERMIT CITY ®F TIGARD G A R D PERMIT 0: ELC2000-00360 DEVELOPMENT SERVICES DATE ISSUED: 06/27/2000 13125 SW HP11 Blvd.,Tigard,OR 97223 (503)6394171 PARCEL: 2S102AB-03700 SITE ADDRESS: 12245 SW MAIN ST SUBDIVISION: KINGSTON ZONING: CBD BLOCK: LOT : 002 JURISDICTION: TIG Prosect Description: 3 Branch Circuits RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATiON: EACH AVD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 Amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MIN'1R LABEL (10): SERVICE!FEEDER 13RAN,.;H 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: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1Ou9+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconvact only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SAVORY, DAVID S AND MARY F FRAHLER ELECTRIC CO BY SW OFFICE SUPPLY 118130 SW GREENBURG RD 12245 SW MAIN ST TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 639-4627 Rag 0: LIC 00037410 SUP 1816S ELE 34-13C FEES _— Required !ns ections Type By Date Amount Receipt Rough-in MPRMT JMT 06/27/26OL' $48.20 0003300 5P(-,T JMT 06/27/2000 $3.86 0003300 Total $52.06 This Permit is issued subje:t to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. IL All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,of if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow noes 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 dirKt questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE ISSUED BY: m — -- - -- 1,7 OWNER INSTALLATION ONLY UJI The installation is being made on prcperty 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 6394175 by 7:00pm for an inspection the next business day CITY OF TIGARD ,��r-�VF Plan Check# _ 13125 SW HALL BLVD. Electrical Permit 4p 10 Recd By It1 a - TIGARD OR 97223 RECE`VED jt)N 7.QQf' Date Recd 1 9 �� c' Date to P.E.Phone _ Inspectio0n3(503)6394175a JUN 2�� 200 Print Of Ty�MMUNiii f.VF.►_0 Date to Fax (503) 598-1960 N Called �io3 COMMUNIF tb�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 busi less) SUUTIMEST UFFICF SUPPLY _ Service included: Items Cost Sum Address 12245"d d rvU1I IV _ _ 4a. Residential-per unit City/State/Zip _r I(J1kl), Ok 97223 1000 sq.R.or less S 117.75 4 Each additional 500 sq.ft.or portion thereof $ 26.25 1 Commercial ® Residential ❑ Limited Energy _ - $ 60.00 Each Manufd Hume or Modular 2a. Contractor installation only: Dwelling Service or Faede.r $ 72.75 - 2 (Prior to pom it Issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor FIAIILER ELECTRIC C0t1P M 200 amps or less t 64.25 _ 2 Address 11860 S14 GRMAl3UK ROAD 201 amps to 400 amps - $ 85.50 _ 2 Cit MAW) State `- 401 amps to 600 amps $ 123.50 2 y _ 0[� ZIP 977).3 _-_- 601 amps to 1000 amps _ S 192.50 2 Phone N�rr Pho3) ��7-4627 _ Over 1000 amps or volts _ $ 363.75 2 Job No _ 60128 Reconnect only S 5350 _ 2 Elec. Cont. Lice No 34-13C Exp.Date 10/01/00 4c.Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date_WD2L01 _ Installation,alteration,or relocation k..:T 91 rsiness Tax or Vetro No. 1987 Exp.Date 12lllllsl0 200 amps or less $ 53.50 z Qo 201 amps to 400 amps $ 80.25 _ 2 Signature Of Supr EIeC'n '' <. 'C` 401 amps to 600 amps _ $ 107.00 2 Over 600 amps to 1000 volts, see"b"above. License No _ Exp.Date 1t)/t)1/()j4d.Branch Circults Phone No w�503�63?4627_. _ New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: wihr purchase of service or feeder fee. - Print Owner's NameEach branch circuit $ 5-35 2 Address _ __ b)The fee for branch circuits -- without purchase of sevlce City ___ State �7_ip or feeder fee. Phone NO First branch circuit _ 1 S 37.50 $37,50 Fach additional branch circuit _�, $ 5.35 _&U 7U Ttie 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 circult(s)or a limited energy a3. Plan Review section (if required):* Panel,alteration or extension f 80.00 � Minor Labels(10) $ 107.00 U) Please check appropriate item and enter fee in section 58. 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 pore Per inspection $ 50 U0Per hour _ $ 5000 System over 600 volts nominal In Plant _�- $ 59.00 ---Classified area or structure containing special occupancy as .WJ described in N E C Chapter 5 5. Fees: lla.Enter total of above fees $ 48.20 # Submit 2 sets of plans with application where any of the above apply. 80h Surcharge(Q&total fees) $ Not required for temporary construction services. Subtotal $ 8b.Enter 25%of line 8a for NOTICE Plan Review if r!!guired(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _i- IS NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of:180 DAYS ❑ Truk;Account# AT ANY TIME AFTER WORK IS COMMENCED. - I Total balance Due- $ i\dsts\forms\cicctric.doc s CITY u F T I C A R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00266 13125 SW Ball Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 7/5/00 PARCEL. 2 S 102AB-03700 SITE ADDRESS: 12245 SW MAIN ST SUBDIVISION: KINGSTON ZONING: CBD BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENT-.'W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: . FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: « MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: 2AIR HANDL-14G UNITS FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: (2)replacement rooftop A/C units Owner: Y_ FEES SAVORY, DAVID S AND MARY F Type By Date Amount Receipt BY SW OFFICE SUPPLY PRMT DEB 7/5/00 $50.00 HANDRECF 12245 SW M/JN ST 5PCT DEB 7/5/00 $4.00 HANDRECF TIGARD, OR 97223 PLCK DEB 715/00 $12.50 FIANDRECF Phone: Total $66.56 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Gas Line Insp Phone:453-482.2 Mechanical Insp Reg#:LIC 62196 Final Inspection IL R rN C m 0 LU This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.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 youto follow rules adopted in the Oregon Utility Notification.Center. Those rules are set forth in OAR 952- -0010 thr ugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by cal ng (503)246-9189. I�j i / to a By: ' '�� f Permittee Signature: Call (503) 0394175 by 7:00 P.M.for Inspections needed the next business day Plan Check# _ CITY OF TIGARD Mechanical Permit Application. RecdBy__ 13125 SW HALL BLVD. Commercial and Residential Date Recd -00 TIGARD, OR 97223 Date to P.E. 503 639-4171, x304 3V�' 70 0- 0074") Date to DST Print or Type Permit# 1U Will__001tiG _ Incomplete or iVlegibie a plications-will not be .accepted _ Called-- Name of Development/Pro)ecl Description Table 1A Mechanical Code Qt Price _Amt Street Address i u� Sune# A) r Permit Fee. '". 16.00 Job 1) Furnace to 100,000 BTU Address la a y s t - includingducts&vents _ 9.55 Bldg# City/Stair; zip 2j Furnace 100,000 BTU+ Ti OR 9 aoZ4 Including ducts a vents 12.00 _ Name(or nano of business) 3) Floor Furnace Owner p-4 including vent------ 9.65 Mailing Address 4) Suspended heater,wall heater V Moor includeounted heater 4.65 S Vent not Included Ina liance efrpg 4.75 ny/State Zip LPhone Cherk all that apply: 'Boiler Heat Air I t q �l 4 7L1� For Items 6-1n,see or Pump Cond Qty Price Amt Name( name of business) footnotes 1, Com 6)Repair units �. 8.40 Occupant Mailing Address 7)<3HP;absorb unit to 100K BTU 9.65 City/State zipPhone 8)3-15 HP;absorb Unit I00 to 500k BTU _ 17.65 Contractor N "1e 9)15-30 HP;absorb M,�1! p n t P.o I unit.5-1 mil BTU 24.15 10)30-50 HP;absorb Prior to permit Mailing Address ` unit 1-1.75 mil BTU j6.00 issuance,a copy ,1�7,A �� 11)>50HP;absorb unit>1.75 mil BTU of all licenses /State zip Phone 60.15_ are required if (O 2 I And Q K 9 7 27 ;t 12)Alr handling unit to 10,000 CFM expired In COT Oregon Const Cont Board Lic# Exp.Date _7,OO database — 211 (. _ _ U"2 t7 f 13)Air handling unit 10,000 CFM+ Architect Name _ 11.85 14)Non-portable evapa a cooler Or Mailing Address 7.00 15)Vent fan connected to a single duct _ 4.75 _ Engineer City/State zip Pnone 16)Ventilation system not inducted in a liancrs ermil _ _ 7.00 Describe work to be done: 17)Hood served by mechanical exhaust 7.00 New O Repair 0 Replace with like kind: Yes)S No O 18)Domestic Incinerators Residential O Cammercial Modification O 12.00 19)Commercial or Industrial type incinerator Additional information or description of work: _ 48.25 RP Q I AU (-f,' H V A C U it P S , rt 2 w r)A S f 20) Other units,In-Juding wood stoves 7.00 NOTE: For Commercial projects only;Units over 400 tbs.,located on the 21)Gas piping one to four outlets t1 roof,re uira structural caics.prepared by licensed engineer. _ 3.75 Type of fuel. oll O natural gas�% LPG O electric O i 22)More than 4-per outlet(each) .75 N I hereby acknowledge that I have read this application,that the information Minimum Permit Fee$50.00 _ SUBTOTAL given is correct,that I am the owner or authorized agent of 8%SURCHARGE 4 PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only , 2 50 J_ _ m S ature of Owner/Agent Date TOTAL � Contact Person Name Phone Other Inspections and Pees U J] .. y a.O 1 Inspections outside of normal business hours(minimun charge-Nro hours) $50(Kt per hour Q. f'o, 7 2 Inspections for which no fee N specifically Indicated (n,;rimum charge-half hour) Foonotes for commercial projects only: $50 00perhour 1. Provide fill schematic of existing and proposed gas line and pressure. 3 Additional plan review required by changes,additions or revisions to plans(minimum 2. Provide drawings to scale showing existing and proposed mechanical charge-one-half hour,E50.1`10 per hour 'State Contractor Boller Certification required units. _� "Residential A/C requires site plan showing placement of unit 1:lmechperm.doc rev 11/1/99 Q CL ' C a 0 I J ,- �' U LL 3 CO d �_. ...� r a (C 4CV- kn° oma �-- � � enE.9 ow •rpt N •,� v •ntl-y1 > � $ Eo"o� � U � a� , > $ t7 � . C U 00 - 'a > E ET Q. 175 C J ••P � e o o a E o w g o �0 a E t t tg� Zp .� CITY OF TIGARD BUILDING INSPECTION DIVISION BAST 24-hour Inspection Lima: 539-4175 Business Line: 639.4171 BUP Date Requested / AM,- BLD Location �` �iN Suite MBC Contact PersonPh (o.3 PLM �T ' Contractor Ph SWR BUILDING Tenant/Owner CLC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab - SIT Post R Beam Ext Sheath/Shear Int Sheath/Shear Framing �- Insulation Drywall Nailing _—^ lei Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling _ Roof Misc: Final PASS PART FAIL -- ---- PLWABING 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 ---- - ------ — RT FAIL -- 4. Service Rough In UG/Slab ----A- - -- --- -------— W Low Voltage F' farm AS PART FAIL, S W Backfill/Grading - --- ---— — -- - - Sanitary Sewer Storm Dram ( J Reinspection fee of$-- -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bat in ( ]Please call for reinspection RE: -_- I ]Unable to Inspect-no access Fire Supply Line ADA ApproacldSidewalk ' / Other Date 4-i B-v Inspector E>Ict Final _ PASS PART FAIL 00 NOT REMOVE this Inspection record hinm the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 638-4176 Business Line: 639.4171 �- BUP r Date Requested" AM PM _ BLD Location /Z-2,U S S�-' fl'14�� n 5 '� _ Suite __ MEC 206'0 Contact Person Ph �4eZ Z-- PLM Contractor Ph SWR BUILDING Tenant/OwnerELC Retaining Wall � ELI3 _ Footing Access: Foundation PPS Ftg Drain SGN Crawl Drain Inspection Notes: i Slab — SIT Post&Beam — — Ext Sheath/Shear _ Int Sheath/Shear Framing _ Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: __— Final PASS PART FAIL — PLUMBING Post 3 Beam Under Slab _ Top Out Water Service _ Sanitary Sewer _ Rain Drains Final PASS PART FAIL ECHANIC Post 8 Beam ----- —-- --- Rough In Gas Line -----—�— --� — Smoke Dampers AS PART FAIL .CTRICAL CL Service EK Rough In J U) UG/Slab ?' Low Voltage — J fire Alarm Final PASS PART FAIL --- W SITE — Backfill/Grading Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE:._ I Unable to inspict-no access Fire Supply Line ADA Approach/Sidewalk Other Date Inspector At Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 L RR F ggp, 148 DATE ISSUED: 03/27/98 PARCEL.: 4-:S 10�AB-0a 700 SITE ADDRESS. . . : 1,-:,245 SW MAIN ST SUBDIVISION. . . . :KINGSTON ZONING:CPD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG Pr-o j ect Description : Install 4 branch circuits without a service or feeder. - ---RESIUENTIAL' -- - P- UNIT---- ---TEMPI ----- -- MISCELLANEOUC -- - 1000 5F OR LESS. . . . : 0 0 - 200 amp. . . . . . . : N PUMP/ IRRIGATION. . . . � EACH ADD" L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -• 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MA!VF. FIM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 5Ef tV 1 CE:/1=EEI7ER---- -_-- BRANCH CIRCUITS- - -----ADD' L I NSPECT I ONS__.._._.. 0 - c00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPIECTIUN. . . . . : 0 2ol - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . e 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 IN PL.ANT. . . . . . . . . . . 1 0 601 - 1000 .smp. . . . . : 0 -----------------PLAN REVIEW SECTION------------------ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/5P'EC OCC. : Owner: - ----__--------. ._-------------------- FEES _- __--------- - SOUTHWEST OFFICE SUPPLY type amount by date rer_pt 1: e45 SW MAIN STREET PRMT 4 50. 00 DEB 03/27/98 98-304449 TIGARD OR 97223 ;f'l:;l b 2. 50 DEB 03/27/98 98--304449 Phone #: Contractor: ---------------------_..__._...______ 1-RAHLER ELECTRIC CO t 52. 50 TOTAL 11860 SW GREE.NBURG R17 --•-•----- REflU I RED INSPECTIONS ------- ibARD OR 97223 Elect' 1 Final I-'hone #e 639-4627 Iaeq #. . : 000:374 This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 6pecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not started within 180 days of issuance, or if work is suspended for more than IN days, ATTENTION: Oregon law requires you to fellow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 052-001-1987. You itay obtain a copy CL of these rules or direct questions to OUNC by calling (5@3)246-1987. AC — N ,e r m i t t e e Si gnat u r e : (��l.x-E .,, _ I S S i_i e d N Y _ _. _..e___....__.__.._._.._. _�.___ _•'__- ---------------------------OWNER INSTALLATION UNL_Y-------- the installation is being made on property I own which is not inlnciPd fnr W gale, lease, or rent. -� OWNER' S SIGNATURE: DATE: ___-_.-._.-------------C;ON1"RAL TOR INSTALLATION 1 UNA FURL OF SUP'R. ELEC' N: _ DATE: Orf.•f•++++++.++++++++++t•++++++++++++++++++++++•f•+f++++++.++++++++•F+++++++.+++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business da + 4 4-++++ t-++++++++++++++++++++++•+++++-++-e+•+f+-r+++++++++++.++.*++++++++++++++++++++ �- 37 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: A.M. — P.M. MST: / Location: ( 2 BLTP: Tena:it-5)Cf —� Suite: Bldg: _ MEC:— Contractor:— 1.e� " i'hone: — PLM: towner:--— Phone: _ _ ELC: AA__)---�� — — ELR: — _ SIT: BUILDING BLDG(con's) — PLUkBING MECHANICAL ELECTRIC SITE Site Post/Beam Post/Bcam Post/Beam Cover/Service Sewer/Stmm Footing Roof UndFd/Slab Rough-In Ceiling Water Line Slab Framing Top Out Cies Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/D uct Reconnect Vault Bgmt Damp D^ !. Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm CrawUFound Dr Heat Pump Low V Approved Approved Approved Approve — Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved E FINAL FINAL FINAL FINAL i L Q U f7 Call for reinspectio O Reinspe:'on fee of S rquir 30 before �next inspection O Unable to inspo�t Inspector A-- -- Date: •2.�. _ Pme of CITY OF TIGARD ELECTPICAL PERMIT DEVELOPMENT SERVICES PERMIT S D: 03/0148 DATE ISSUED: 0.3/27/98 13125 SW Hall Blvd.,Tigard,OR 97223 (93)6394111 PARCEL: 2S102AB-03700 SITE ADDRESS. . . : 12245 SW MAIN ST SUBDIVISION. . . . :KINGSTON ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG Project Description: Install 4 branch circuits without a service or feeder. -------- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201. - 400 amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . : 0 601 -- 1000 amp. . . . . : 0 -----____.___--__----PLAN REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVr,/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ------------------------------------------------------ FEES ---------------- SOUTHWEST OFFICE SUPPLY type amount by date recpt 12245 SW MAIN STREET PRMT $ 50. 0it DEB 03/27/98 98-304449 TIGARD OR 97223 5PCT $ 2. 50 DEB 03/27/98 98--304449 Phone #: Contractor: ----------------------------------------------------------------- FRAHLER ELECTRIC CO $ 52. 50 TOTAL 11860 SW GREENBURG RD ------- REQUIRED INSPECTIONS ----- TIGARD OR 97223 Ceiling Cover Elect' l Service Phone #: 639-4627 Wall Cover Elect' i Final Reg #. . : 000374 This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Sperialty Code% and all other applicable laws. All work will be done in accordance with approved plans. This perait will expire if wor4 is not started within to$ days of issuance, or if work is suspended for sore than 191 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Dregon Utility Notification Crnter. Those rules are set forth in OAR throu,1h OAR n-01-1%7. You say obtain a copy of these rules or direct questions to OUNC by calling (M A 246-1987. (�) Qz4eeAL IL Permittee Signature : LL. Issued By OC N ---------------------------------OWNER INSTALLATION ONLY----------------------------- J The installation is being made on property I own which is not intended for sale, leaso, or rent. OWNER' S SIGNATURE: DATE: uu J .--_------------- ---------CONTRACTOR INSTALLATION ONLY---------------------------- SIGNATURE OF SUPR. ELEC' N: _ifs �- DATE: S-,,7 7- LICENSE NO: ++++++++++++++++++++++++++4+++++++++++++++++++++++++++++++++++++++++++++++f++++ Call 639-4175 by -:00 p. m. for an inspection needed the next business day ++-}++.++++++++++++++++++++++•*++++++•+++++++++++++++++++++++t++++'v++++f++++++++++ CITY OF TIG119D Electrical Permit Application Pla 13125 SW HALL BLVD. Rey 1 'TIGARD OR 97223 Data Recd Phone(503)639-4171, x304 Inspection 503 639 4175 Print Or Type Date to DST P ( ) C�''P*f tlil* UrEVELOPtIENI , i4g,0I(vg Fax (503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Cornpiete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) SOUTHWEST OFFICE SUPPLY Service Included: Items Cost Sum Addresses 2 4 5 S W MAIN STREET 4s. Residential-per unit Ci /State/Zi TIGARD OREGON 97223 1000 sq.n.or less $110.00 4 City/State/Zip P _ Each additional 500 sq.IL or Commercial ® Limited Energy thereof Residential ❑ potion l $25.00 t 525.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only. (Attach copy of all current Ilcenses) 4b.Services or Feeders Electrical Contractor FRAHI FR FI FCTRIC C(1MPANY Installation,alteration,or relocation 2 Address- 11860 SW GR--N URG ROAD 200 amps or less $80.00 _ -� -- 201 amps to 400 amps $80.00 2 City T I GA RD _.-State IIR _Zip__qU 23 _. 401 nmps to 600 amps $120.00 2 Phone No. 639-4621 S01 amps to 1000 an ps $180.00 _ 2 Job No. 5810 Over 1000 amps or volts -_ $340.00 - 2 Elec.Cont. Lice.No._ 34_13C Ex Date 10/1198 Reconnect only $50.00 _ 2 OR State CCB Reg.No. 37 4 I QExp.Date 7/2/98 4c.Temporary Services or Feeders COT Business Tax or Metro No. 1987 Exp.Date 12/1 _U Installation,alteration,or relocation n �� ^ 200 amps or less _ $50.00 2 �L/ 201 amps to 400 amps � $75.00 .� _ 2 Signature of Supr. Elec ti! 401 amps to 600 amps $100.00 -_ 2 Over 600 amps to 1000 volts, License Nr 18165 Exp.Date 10/1/98 see"b"above. Phone N, 639-4627 -' 4d.Branch Circuits 2b. For owner ins New,alteration or extension par panel u��o� a)The lee for ofbranch ser circu8s with purchase of eerv/cn or Print Owner's Name 10040 feeder fee. Addres. Each branch circuit _ $5.00 2 State I` b)The fee for branch circuits Y - P- without purchase of Phone No- _ service or feeder fee. 35.00 First branc,i circuit 1 $35.00 � 2 The installation is being made on property I own which is not Each additional branch circuit _ $5.05 intended for sale., lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Sigoattlre� 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 n, panel,alteration or extension _ _ $40.00 - 2 Minor Labels(10) $100.00 Please check approprlsic Item and enter fee In section 58. - 4 or more residential units in utie structure 41.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 J Classified area or structure containing special occupancy Per hour $55.00 - m as described in N.E.C.Chapter 5 If.Plant -^ $55.00 NJ *Submit 2 sets of plans with application whe,a any of the above apply. S. Fees: 'J Not required for temporary construction services. 5a.Enter total of above fees $ 50.00 5%Surcharge(.05 X total fees) $ - =� NOTICE Subtotal $ - 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK.OR CONSTRU':TION AUTHORIZED IS Plan Review if r u•r _(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, 11 Tnist Account 4 $ Tota,'balanco Due 52.50 I 11DSTSTLO9G APP Rev 9/96