Permit •
CITY OF TIGARD ELECTRICAL PERMIT
iai,i �1' I DEVELOPMENT SERVICES PERMIT #: ELC98 -0194
� ' I DATE ISSUED: 04/16/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S115BA -00101
SITE ADDRESS...:16200 SW PACIFIC HWY #0
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description: Kit's Calera job #58195
- -- 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 • 1 W /SERVICE OR FEEDER: 27 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
INSIGNIA /FORUM COMMERCIAL type amount by date recpt
5 CENTERPOINT DR PRMT $ 195.00 JSD 04/16/98 98- 304990
#290 5PCT $ 9.75 JSD 04/16/98 98- 304990
LAKE OSWEGO OR 97035
Phone #:
Contractor:
FRAHLER ELECTRIC CO $ 204.75 TOTAL
11860 SW GREENBURG RD
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'l Service
Phone #: 639 -4627 Wall Cover Elect'l Final
Reg #..: 000374
This permit is issued subject to the regulations contained in th Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with appro ed plan This permit will expire if work is no started within 180
days of issuance, or if work is suspended for more than ,j: day -. A 'J ION: Oregon law requires you to fall the rules adopted by
the Oregon Utility Notification Center. Those rul s a(set f. th i OAR 952 - 001-6610 through OAR 952-00 - 7. You nay obtain a copy
of these rules or direct questions to OUNC by c.'ling (503)2 :0- 44,
Signatu / Issued By 1
OWNER 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 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + ++ + + + + + + + + + + + + + + ++ + + + + + + + + + +++
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CITY OF TIGARD Electrical Permit Application Plan Check # A
13125 SW HALL BLVD. Rec'd By ip -- /�` _--
Date Rec'd irar %II.ri11
TIGARD OR 97223
503 639 -4171, x304 Date to P.E.
Phone
( ) Date to DST
Print or Type
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # /
Fax (503) 684 -7297 Called /� /
1. Job Address: 4. Complete Fee Schedule Below
Name of Development TI GARD TOWNE SQUARE Number of Inspections per permit allowed
Name (or name of business) KITS CAMERA Service included: Items Cost Sum
Address 16200 S.W. PACIFIC HIGHWAY 4a. Residential - per unit
City/State/Zip T IGARD, OR 97223 1achaddiional 500 $110.00 4
tY P Each additional 500 sq. ft. or
Commercial ® Residential ❑ portion 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 F RAH LER EL COMPANY Installation, alteration, or relocation
Address 11860 SW GREENRIIRG ROAD 201 amps or less 1 $60.00 60.00 2
201 amps to 400 amps $80.00 2
City TIGARD State OR Zip A 7 2 2'1 401 amps to 600 amps $120.00 2
Phone No. 639 -4627 601 amps to 1000 amps - $180.00 2
Job No. 58195 Over 1000 amps or volts - $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 34-13C Exp.Date 10/ 1/ 98
OR State CCB Reg. No. 37410 Exp.Date 7/2/98 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 1 987 Exp.Date 12/1/98 Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps 7.0
Signature of Supr. Elec'n 44-/(94.411A---- 401 amps to 600 amps $100.00 2
Over 600
1816S 10/1/98 see "b" ab 1000 volts,
License No Exp.Date
Phone No. 639 - 4627
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner ins> t{Qi APPLICATION a) The fee for branch circuits with
ETUU purchase of service or
Print Owner's Name feeder fee.
Address COPY Each branch circuit 2 7 $5.00 13500 2
b) The fee for branch circuits
City State 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 circui $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 described 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: 195.00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ G 75
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 # 204 75
MtArgg■ Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
•
4 /28 /99 . Activities for Case #: ELC98 -00194
10:04:35 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 4/16/98 JSD USPS JSD 4/16/98
ELCC003 Permit created 4/16/98 JSD PASS JSD 4/16/98
ELCC799 Elect! Final 5/12/98 CD PASS J'H 5/15/98 Per Tom, approved slips on job.
ELCC500 (F)Issue permit 4/16/98 ' JSD PASS JSD 4/16/98 •
ELCC725 Underground Cover 4/24/98 CD PASS CD 4/24/98 under slab from panel to display
case
ELCC720 Wall Cover 4/27/98 CD PASS CD 4/27/98
ELCC730 Elect'I Service - 5/6/98 CD PASS CD 5/6/98
ELCC800 Case Fineled 5/15/98 CD PASS J *H 5/15/98
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Page 1 of 1
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0194
INSIGNIA /FORUM COMMERCIAL
16200 SW PACIFIC HWY Unit: 0
09/02/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received / / / / 04/16/98 USPS JSD 04/16/98 JSD
ELCC003 Permit created / / / / 04/16/98 PASS JSD 04/16/98 JSD
ELCC500 (F)Issue permit / / / / 04/16/98 PASS JSD 04/16/98 JSD
ELCC720 Wall Cover / / / / 04/27/98 PASS CD 04/27/98 CD
ELCC725 Underground Cover / / / / 04/24/98 under slab from panel to display case PASS CD 04/24/98 CD
ELCC730 Elect'1 Service / / / / 05/06/98 PASS CD 05/06/98 CD
ELCC799 Elect'1 Final / / / / 05/12/98 Per Tom, approved slips on job. PASS CD 05/15/98 J *H
ELCC800 Case Finaled / / / / 05/15/98 PASS CD 05/15/98 J *H
•
MS t9e- ozi0 ?-
CITY OF TIGARD BUILDING INSPECTION DIVISION c L ( Qf - 0240
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
.0 •
Date Requested: " /,' / A.M. P.M. MST:
Location: /6.20D 'W ' _ • / BUP:
Tenant: - ___% ,_ i //.1. _' Suite: Bldg: MEC:
Contractor. L_. .41..$1 i/ _ Phone: p _ / '- (p .2.7 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BLDG (con't) PLUMBING MECHANICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved toot roved Not Approved
FINAL FINAL FINAL AL FINAL
0 e.4 le 4/7 P e / frt 6,1-e_ i4A//4- L - tai95_5
C(
O Call for rein tion O Reinspection Date: � on ffee of $ required before next inspection O Unable to inspect
Inspector: _�
/ /" f 3 - /'� /2, ° �,f- Page of