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Permit ELECTRICAL PERMIT 4 4, - CITY OF TIGARD PERMIT #: ELC2000 -00444 ;�i� DEVELOPMENT SERVICES DATE ISSUED: 8/2/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 115AB -01900 SITE ADDRESS: 16200 SW PACIFIC HWY E SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of service /feeder and 31 branch circuits. 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: 31 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: BIT HOLDINGS LTD PARTNERSHIP FRAHLER ELECTRIC CO BY FORUM PROPERTIES INC 11860 SW GREENBURG RD FIVE CENTERPOINTE DR STE 290 TIGARD, OR 97223 LAKE OSWEGO, OR 97035 • Phone: Phone: 639 -4627 Reg #: LIC 00037410 SUP 1816S ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT DLH 8/2/00 $230.10 HAND Wall Cover 5PCT DLH 8/2/00 $18.41 HAND Elect, Service Elect'l Final Total $248.51 • 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 0 4/ /9_, %oL fd,9 70 /t / ISSUED BY: 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 7:00pm for an inspection the next business day . n • CITY OF TIGARD Electrical Permit Application Plan Check# 13129 SW I4ALL BLVD. Rec'd By TIGARD OR 97223 RECEIVED Date Rec'd Phone (503) 639 -4171, x304 B u"otfilrV ' 60 / 5a. Date to P.E. DST Inspection (503) 639 -4175 Print of Type JUL 21 200 Date rmt to # EG t^a O D eyyy Fax (503) 598 -1960 Incomplete or illegible will not b�1dDEVELOPMENT Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development TIGARD TOWN SQUARE Number of Inspections per permit allowed Name (or name of business) HAIR MASTER Service included: Items Cost Sum 4 Address 16200 SW PACIFIC HIGHvJAY, SPACE "E" 4a. Residential - per unit City /State /Zip TIGARD, OR 97224 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial ® Residential ❑ Limited Energy $ 60.00 Each Manned Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor FRAHLER ELECTRIC COMPANY 200 amps or less 1 $ 64.25 $64.25 2 Address 11860 SW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2 City TIGARD State OR Zip 9 7223 401 amps to 600 amps $ 128.50 2 ry p 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2 Job No. 60169 Reconnect only $ 53.50 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 07/02/01 Installation, alteration, or relocation COT Business Tax or Metro No. 1987 Exp.Date 12/01/01 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n / 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, License No. 1816S Exp.Date 10 /01 /01 see "b" above. Phone No. (503) 639 -4627 4d. Branch Circuits New, alteration,or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owners Name • Each branch circuit 31 $ 5.35 $165.85 2 Address b) The fee for branch circuits without purchase of service City or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on p own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owners Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy panel, alteration or extension $ 60.00 3. Plan Review section (if required): * Minor Labels (10) $ 4 147,09 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4P, e0 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 230.10 * Submit 2 sets of plans with application where any of the above apply. 0► ,a t' Surcharge (.Q5 X total fees) $ 1R 41 Not required for temporary construction services. Subtotal .O$ $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 248.51 i:\dsts\forms\electric.doc 1 CITY OF TIGARD 13125 S.W. HALL BLVD. TO TIGARD, OR 97223 C� IMPORTANT PERMIT NOTICE Z 8a - lo ( d ROSE CITY ELECTRIC CO INC 4012 NE CULLY BLVD PORTLAND, OR 97213 Electrical Signature Form Permit #: ELC2000 -00444 Date Issued: 08/02/2000 Parcel: 2S115AB -01900 Site Address: 16200 SW PACIFIC HWY E Subdivision: Block: Lot: Jurisdiction: TIG Zoning: C -G Remarks: Installation of service /feeder and 31 branch circuits. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BIT HOLDINGS LTD PARTNERSHIP ROSE CITY ELECTRIC CO INC BY FORUM PROPERTIES INC 4012 NE CULLY BLVD FIVE CENTERPOINTE DR STE 290 PORTLAND, OR 97213 LAKE QSWEGO, OR 97035 P one Phone #: 287 -6164 Reg #: SUP 2127S LIC 00003567 ELE 26 -113C AN INK SIGNATURE IS REQUIRED ON THIS FORM X *-1- V t..14i?Ct& Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 Fey to g q - 7a`/7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Requested q 0 c--00 AM PM C BLD Location / ba oU 5 Suite E.6' MEC Contact Person h Ph 77 ! 01 PLM Contractor ye Ci ' y Ph SWR BUILDING Tenant/Owner 1 9c; C DO V2-2,- Retaining Wall — -ER• 4 2W- CO J 2 53 Footing Access: / Q- Q Q c- ci Foundation L ` e- t— li�►'1 / �4 4 / * � /!) S72•7 S72•7 Ftg Drain � SGN Crawl Drain Inspection Notes: c� Slab 1' yZ��"' SIT Post & Beam Ext Sheath /Shear LL // ��/►/� �/- 1 ^� (�z �-- t.V ? ?- Int Sheath /Shear ••,/e If Framing `!- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling . tai d j° V ‘l 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 Smoke Line D ampers Final PASS P RT FAIL RIC Service - ou•h In • a• Low Voltage larm ' 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 reinspectio RE: [ ] ble to inspect - no access ADA Approach /Sidewalk D ate / Other Inspector Ext Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24;Hour Inspection Line: 639 -417 Business Line: 639 -4171 _ BUP • Date Requested , 22 � AM PM BLD Location % • � � _ Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 407— 1 ' _ Retaining Wall - ,t Footing Foundation Access: 1 / / IuIe Z . 1 .20-Lro "'90 3l3 Ftg Drain � � _ oo ' /lei! Crawl Drain Inspection Notes: � 7 7 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 17 PASS PART FAIL PLUMBING Post & Beam Under Slab Z6ia - pe) .? 93 Top Out t r Water Service L L ZCn3'O — OD T T — ��•✓ l.Q, Sanitary Sewer _ �1 Rain Drains C L- 4- Pi ct ^ G ( GO T ZZ - LJA AV Final PASS PART FAIL MECHANICAL 2CLD Post & Beam Rough In Gas Line Smoke Dampers ' z'v - o CDC Final ==t Service Rough In UG /Slab Low Voltage Fire Alarm - F S 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 Date �y Other d 2 9 Inspector Ext Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.