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12353 SW MAIN STREET 133HIS NIVW MS ESM W W 1- N Z_ Q 3 ch M N M N r 12353 SW MAIN ST CITY OF TIGARD El_ECTPICAL PERMIT DEVELOPMENT SERVICES PERMIT #: : 137 03/009//99 DATE ISSI;c0: 03/ 9 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 PARCEL: 2S1O2AB-05800 SITE: ADDRESS. . . : 12353 SW MAIN ST SUBDIVISION. . . . :PP1996--026 ZONING:CBD BLOCK. . . . . . . . . . . LO7. . . . . . . . . . . . . .001 JURISDICTION: Pro.j Qct Descr i pt i on: installation of temporary electrical service for dedication ceremony of parking lot. Job No. 5M. -------------- ----------------- 8 88.- __ UNIT---- ---RESIDENTIAL - _----TEMP 3RVC/FEEDERS---- -,----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 1 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 421 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : a 601+amps-1000 volts. : 0 MINOR LABEL ( 1O) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------------------------------------------------------- FEES ----------------- . TIGARD CHAMBER OF COMMERCE type amount by date recpt 12420 SW MAIN STREET PRMT $ 50. 00 DEB 03/09/99 99-313542 TIGARD OR 97223 SPCT $ 2. 50 DEB 03/09/99 99-313542 Phone #: Contr^actor. ----------------------------- FRAHLER ELECTRIC CO f 52. 50 TOTAL 1. 1860 SW GREENBURG RD REDUIRED INSPECTIONS ----- TIGARD OR 97223 Elect' l Service Phone #: 639-4627 Elect' l Final Reg #. . : O003I4 This permit 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 accordarce with approved plans, This peri 1l rMpire if work is not started within 1N8 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Ortlaw require nu to fellow the rules riipted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-88 through OAR -01-1987. You Day obtain a copy of these rules or direct questions to OUNC by lin )2W19e7. 4. '� Issu d By. Permittee Signature. F- U) -- -----------------------------OWNER INSTALLATION ONLY--------- ---------------. ---- -� The installation is being made on property I own which is not intended for m sale, lease, or rent. DATE: W OWNER' S SIGNATURE: -- J -----------------.-------CONTRACTOR INST LLA ION ONLY----------- SIGNATURE OF SUPR. ELEC' N:'�� C �� DATE: LICENSE NO: � ++++t•+++++++-1•++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++i + Call 639-4175 by 7:00 P. M. for an inspection needed the next business day ++++++++++++++++++++A+++++++F++++++...i.F+++++++++++++++++++++++++F++•f++++++++-F++ RECEIVED AR rl r 19`10 CITINOF TIGARD Electrical Permit Application/" Plan ck li ' 43125 SW HALL111 V "MM 1 Y PERMIT FROM 03/03/99 THROUtiH 03/09/99 Date Recd . TIGARD OR 97223 \ ) Date to P.E. Phone (503)6319-4171, x,304._1L�' r l P 9 P will nol be accepted or Date to DS '- Inspection (503) 639 T� 39 LJ Print Or Type � � � a letillegible ted Permit 0 - Fax (503)684-7297 Called 1. Job Address: f 4. Complete Fee Schedule Below: Name.of Development _ Number of Inspections par permit allowed Name(or na of business) TIGARD CHAMBER OF COMMERC E Service Included: Items Cost Sum Addre sM;11 SW MAIN_ 4a. Residential-per unit City/State/Zip.__ TIGARD, OR 97223 Each sq.n.or lass $110.00 4 Each additional 500 sq.It.or potion thereof $25.00 1 Commercial® Residential❑ Limited Ensrgy6rgy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Fender �_ $68.00 2 (Attach copy of all current licenses 4b.Services or Feeders Electrical Contractor, F RA H L E R E L E h 1 R I C COMPANY Installation,alteration,or relocation Address 11860 SW GREENBURG RUAU - E 200 reps or less $60.00 2 201 amps to 400 amps $80.00 2 City TIGARD State OR Zip 9722 3 _ 401 amps to 600 amps _ $120.00 2 Phone No. 503 639-4627 601 ampr to 1000 amps _ $180.00 2 Job No. 58480 Over 1000 amps or volts $340.00 2 Elea Cont. Lice. No. 34-13C F-xp.Date 08/30499 Reconnect only $50.00 _ _ 2 OR State CCB Reg. No. 3_4 10 Exp.Date_ O 4c.Tomportilry Services or Feeders COT Business Tax of Metro No. 1981 Exp.Date 12 O1 99 In a at on,alteration,or relocation 200 amps or less 1 $50.00 $50.00 2 Signature of Supr. Elec'n�✓ di f�' Lr 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date 10/01/01 see•'b'•above. Phone No. 503 639-4627 _ _ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner ins014 a)The fee for t�ranch circuits with APPUCATIOH purchase of service or Print Owner's Name�� J leader fee. Address Each branch circus $5.00 2 h)The fee for branch circuits City _ State VUt Ap- _ without purchase of Phone No. service or feeder too. First branch circuit $35.00 2 The installation is being made on property I owr which is not Each additional branch circuit_ $5.00 _ 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Ownel's Signature Each pump or Irrigation circle $40.00 2 Each sign or outline'fighting $40.00 2 a 3. Plan Review section (if required) Signal circuits)or a limited energy �- panel,alteration or extensicn $40.00 2 Lit Minor Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. _ 4 or mote resk;antiai!mits in one stnicture 41.Each additional Inspection over Service and feeder 225 imps or more the allowable In any of the above - _+ System over 600 volts nominal Per Inspection $35.00 J Classified area or structure cr staining special occupancy Per hour $55.00 _ m as described in N E.C.Chapter 5 In Plant $55.00 _ J "Submit 2 sets of plans with appf!cation where any of the above apply. 5. Fees: 5 0 Not required for temporary construction services. 5a.Enter total of above fees $ .00 5%Surcharge(.05 X total fees) $ NOTICE $ Enter 25 5b.Enter 25%of line So to, PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.?) $ 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, U Trust Account k___ 52.50 Total balance Due : L\MMELC96.APP Rsv W% 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 f' 3_ c.t' ,t�7�_.a.L _ Suite MEC Contact Person Ph PLM Contractor_ Ph 51(�Z Q SWR BUILDING Tenant/Owner ELC 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 _ Firewall Fire Sprinkler 'LZ �—� ✓f L�„�� 's� Fire Alarm Susp'd Ceiling Roof Misc: _ �11 / Final PASS PART FAIL — - PLUMBING GI C J 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 Rough in l— UG/Slab N Low Voltage C Fire Alarm i ASI PART FAIL 0 WIT ►U 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 7 Approach/Sidewalk c� � .��_ Ext Other Date �� ' X, lr i inspector_ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job alto.