Permit CITY OF TIGARD ELECTRICAL PERMIT
11111( q = PERMIT #: ELC2008 -00280
COMMUNITY DEVELOPMENT DATE ISSUED: 5/15/2008
T1cAgD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 BC -02401
SITE ADDRESS: 12650 SW HALL BLVD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: KING
Project Description: Installing (2) feeders.
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: 2 W /SERVICE OR FEEDER: 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:
JAMES KING FRAHLER ELECTRIC CO
12650 SW HALL BOULEVARD 11860 SW GREENBURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: FAX 503 - 639 - 4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
[ELPRMT] ELC Permit 5/15/2008 $160.60 LIC 37410
[TAX] 12% State Surchar 5/15/2008 $19.27 SUP 3046S
Total $179.87 REQUIRED ITEMS AND REPORTS
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 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: cP cd-v.
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application � V-j� FoR o r T I C F. USG: ()NIX
City of Tigard g� a Received w: ziir p Permit No.; / c ,
IN 13125 SW Hall Blvd., Tigard, OR 97223 1 mit
kl00 p ,
M Phone: 503.639.4171 Fax 503.598.1960 t ,A P`( - 1' �u/g Other Per:
T 1 G A R 13 Inspection Line: 503.639.4175 \`l` gead leis: HI See Page 2 for
Internet: www.tigard-or.gov 1
N1 5 gar d g ov � ea/Method. 5
❑ New construction M Addition/alteration/ r raceme M �
Please
Service or feeder 400 apply a sets of
❑ plans
Building over checked
o e):
low
0
Demolition where the available fault current
❑� 0 Marinas and boatyards.
r ry ' a 1 ' .,.., �' r , , f; ; i ,� ∎-•el,A? ..S CONSTRUCTrON, -;, ; t r,'.:,:: _ exceeds 10,000 amps at 150 volts or ❑ Floating btdtd;n .
El 1- and 2- family dwelling M COmmercial/lIIdUStrlal lass to ground, or exceeds 14,000 ❑ Commercial-use agricultural Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived syster
;; t _.. ' .JOB SITE II .-Q iiiitigi S V D's LOCat flON i motor load of l
� : 0 of new ❑ "A ", "E ", "] -2 ". " -3 ",
Job no.: 65764 I Job site address: 12650 SW HALL BOULEVARD 1001IP or more. occupancy.
❑ Six or more residential amts. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. • 600 volts norainal
Suite/bldg. /apt no.: I Project name: SNYDER ROOFING ❑ Service or feeder 600 amps or more.
`ilk'e i i ;. :riR: _g .StEm',scHlriDl:7:L'E FAY!,.. fi:;; .aigiirr
Cross street/directions to job site: SW COMMERCIAL I Oly 1 Fee. I Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 • 4
Tax map/parcel no
Ea. add'1500 sq. ft or portion 33.40 1
Limited energy, residential
ti ` 7,F is k t ,r x ,�s �a wH 75.00 2
x .� ..I:S;IO1N1 =)F aW1�l�C, 7 ^ i "n , . e�. s (with above aq. 8.)
Limited energy, multifamily 75.00 2
NEW SERVICE /PV INSTALL residential (with above sq. ft)
Services or feeders installation, alteration, and/or relocation
200 amps or less 2 80.30 160.60 2
} .1V M .�� I�P$+DP t* giA33 3 2. " ` � z it gt.,.. ?, a x . b.4 ErhT ' * k , i; *.'`` %: ` 201 amps 400 amps 106.85 2
*C'�-�!Y..�N. -. _i'. -,� new ..� M1. ...
Name: .. 7 - cruS Kvi 401 amps to 600 amps 160.60 2
Address: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, Per panel
Owner side. Date. A. Fee for branch circuits with
• y�tx' '' t '�"' . r .� 'i *r "� r a t r ,`
¢ . a �44 ts f �a.,r1P��J"IC.1�!1.T x . t.<` � . -. '�r..f ,ic *����*ONT,v1CTrERBt43t1 -�+�f above service or feeder fee, 6.65 2 ^: each br'ancll Circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, ac Of rt
gust DM= UTIMn
Address: Each add'l branch circuit 6.65 2
MisoeDaneons (service or feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax:: ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
.,: ftij 7V,`: L .. i 4; -C, , ;4CO!'I toit;1t, vke., M .. `. :.
- ;,.y, : Sign oroutlinelighting 53.40 2
BI1SmeSS name: Signal circuit(s) or limited -
FRAHLER ELECTRIC COMPANY energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension Describe: Page 2 2
Far'h additional inspection over allowable in any of the above
City /StateJZIP: TIGARD, OR 97223
Per inspection 62.50
Phone: ( 503 639 -4627 Fax: ( 503) 639 -4673 Investigation per hour (1 hr min) 62.50
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 3046S Industrial plant Per hour 73.75
r xiP�L E IRicAL:M r'REiS ' : :. ■
Suprv. Electrician signature, required a .11 /�1 / . Subtotal: 160.60 -
Print: Date: ' D Plan review (25% of permit fee):
RICHARD MATHER 05/13/08 State surcharge (12% of permit fee): 19.27
Authorized signature: TOTAL PERMIT FEE: 179.87
This permit application expires if a permit is not obtained within 180
Print name: Date: days after It has been accepted as complete.
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
`�� ' - g�" � °.d�j'y�Yp� � t � rf r y:'� ry _ x '���Ti'�. �l.S i��:
'e+Y1 .7$00, r�, ;L3�: A' r SHAY , �.If,4rn ".+ . '' ,A; ...c..(3�s. nr!' i�,.
Fee for a ll residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other.
Fee for each commercial $75.00
system
(SRF OAR 918 - 260 - 260)
Check Type of Work Involved:
❑
.Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication. Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
CITY OF TIG r .
BUILDING DIVISION PERMIT #: ((r2( }o (' }02t3O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5115120011
Phone: (503) 639-4171 ' ' '��, R i� ' IIti
I nspection Requests (24 Hrs.): (503) 639 -4175 .-±+-
INSPECTION WORKSHEET FOR DATE: 7/25/2008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 1765() SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KING
DESCRIPTION: Installing (2) feeders.
OWNER: KING JAMES PHONE #:
CONTRACTOR: FRAILER ELECTRIC co PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 705/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final ( 073188 -01 `, 550- 3E38462 '`(
Corrections /Comments /Instructions: \ i
- � ■
___________
..
\.\\
\,
\\._,r,
\
,,,
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
1 CALL FOR INSPECTION
El ADDITIONAL FEES ASSESSED
Inspector: CY YV 6€ Date: - 1 ' W crt Phone #: (503) 718- 1- 44
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: 1=LC "1000- oo280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2008 Phone: (503) 639 -4171 Milk
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2008 08 TIME: 7:00A li PAGE: 48
SITE ADDRESS: 126510 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KING
DESCRIPTION: In1alling (2) feeders.
OWNER: KING, JAMES PHONE #:
CONTRACTOR: FRAI - tLER ELECTRIC CO PHONE #: 503,639.462i
Inspection Request Scheduled For: Date: 7/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073103 -01 503. 9338229 N
Corrections /Comments / Instructions:
ON I 'IN At R A,:j e i Iva . 6010 . S 3
S 1•7_Jot of tw hs .,s p,0 o .c.aasx.2`' bE\i" (Q5 I An. 6501 •8 -I
1147 I, r V aka '. Ate* 1;1't0 • 10 (1
1 N g'Fit.U
L . AMZ'j''. 110.3 (D .
❑ PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL X CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 6—, N GG L Date: il 2-11 a Phone #: (503) 718- 1,1{Ift
CITY OFTIGAR® j =
BUILDING DIVISION PERMIT #: Et .C2008-00280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: DI fii20013
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6112/2008 TIME: 7:O2AMv1 PAGE: 36
SITE ADDRESS: 12650 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: KING
DESCRIPTION: installing (2) feeders.
OWNER: KING, JAMES PHONE #:
CONTRACTOR: FRAI ELECTRIC CO PHONE #: 03- 639 -4627
Inspection Request Scheduled For: Date: 6/12/2008 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electiic:al service 071278 -01 500.353 -0673 N
Corrections/Comments/Instructions:
t
►�s iGY l (Is6F t �
PASS XPARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 ' Date: 0 O . Phone #: (503) 718- 2,1M