Permit rfgqirVAI ELECTRICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00199
T I GfLRU 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/23/2010
Parcel: 2S 102 BA00302
Jurisdiction: Tigard
Site address: 9908 SW TIGARD ST
Subdivision: Lot: 0
Project: Barrier Corporation
Project Description: (4) branch circuits for heater, exhaust fan and lights for dryer room
Owner: FEES
TIGARD INDUSTRIAL LLC Quantity Description Date Amount
5805 JEAN RD
LAKE OSWEGO, OR 97035 4 crt Branch Circuits 04/23/2010 $78.44
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 04/23/2010 $9.41
Electrical
Contractor: 0 da Electrical Permit 04/23/2010 $0.01
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639 -4627
FAX: 503 - 639 -4673
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $87.86
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through 0001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I .
Issued •B y: ��� - - Permittee Signature: Al `MAL- /C W / w' .
•
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' 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 RECE e 1 -' FOR OFFICE.USE ONLY ;
City of Tigard \ :;, Received ;+ r �^ /�
1 111 /
C ° 13125 S W Hal i l vd ., Tigard, OR 97223
DateBy: -4 . Permit No.g� /�
Phone: 503.639.4171 Fax: 503.598.1960
A 2 2 2010 Date/By: Other Permit:
Inspection Line: 503.639.4175 Ready/By: ®See Pa e 2 for
TIGARD
Date tuns g
Internet www tigard -or gov CITY OF TIGARD Notified/Method 1 1 e Supplemental p emental Informatio
CITY 1 l� l.�
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❑ New construction [;I Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked belot
❑ Service or feeder 400 amps or more ❑ Building over Three stories
❑ Demolition ❑ Other:
where the available fault current ❑ Marinas and boatyards
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„ 0;`2.. X , •, l r " , I IC ADD PX,� Q b tf 4i$�I4V / a t ql ; f « exceeds 10,000 amps at 150 volts or ❑ Floating buildings
` ` -w, ( );',4,a::44 less to ground, or exceeds 14,000 ❑ Commercial -use agricultun
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ M u lti-fami ly ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75KVAot
tz t r I r ❑Emergency system•
larger separately derived s)
`'�'� � ' � -,.., ,i. ❑Addition of new motor load of �"
Job 110.: l ob site address: 1OOHP or more. occupancy.
67492 9908 SW TIGARD STREET ❑ Six or more residential units. ❑ Recreational vehicle parks
City /State /ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more th
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more
BARRIER CORPORATION �, ; r /t;
2
Cross street/directions to job site: a "
Description 1 tnv. I Fee. 1 - Total of
New residential single or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54
Tax map /parcel no
Ea. add'I 500 sq. ft. or portion 33.92
try* , m,} • t c, Limited energy, residential 67.84
?:1� -�'trac;.a.,:t�`, :r 4 a `�D . Ge tit r3 a cct 0 K ., t* '•-s i t (with above sq. ft.)
Limited energy, multi - family
67.84
CONNECT HEATER, EXHAT 1.ST FAN, ANT) T ,T(;HTS FOR DRYER residential (with above sq. ft,) ,
Services or feeders installation, alteration, and /or relocation
ROOM
� � , � *_� °, &� � .� 200 amps or less 100.70
` uVa: * ' . ` _ (' <. _ h . _ 4 W z a 201 amps to 400 amps 133.56
Name: 401 amps to 600 amps 200.34
601 amps to 1,000 amps 301.04
Address: Over 1,000 amps or volts 1 552.26
City /State /ZIP: Temporary services or feeders installation, alteration, and /e
relocation
Phone: ( ) Fax: ( ) 200 amps or less 1 59.36
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. • 401 amps to 599 amps 168.54
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
WA r 441 , . .,..' , ,t x,,, ,,d: ,..r v V, E w ' ;t3(il' = r � r - above service feeder f
ce or eeer ee.
`a'_. . ;., bv 7.42
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 56.18 56.18
first branch circuit
Address: Each add'l branch circuit 3 7.42 22.26 t
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) G7.84
Reconnect only 67.84
E -mail: � Pump or irrigation circle 67.84
it -?: n .a's, , , .!.j, 0 0 :, 0 a V' r i K , y . . a Y Sign or outline lighting 67,84
Business name: F RAHLER FT FC,T'RTC COMPANY Signal p an e l, a er or t o n , or
energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2
City /State /ZIP: Each additional inspection over allowable in any of the aboN
TIGARD, OR 977 ?3
Per inspection 66.25
k Phone: ( 503 ) 639 -427 Fax: ( -503 ) L 639 -4673 investigation per hour (1 hr min) 66 25
/ CCB Lic.: 37410 Electrical Lic.: � -13Q Suprv. Lic.: 1816S '/ Industrial plant per hour 78.18
- s1l LEC' RToAD',PJ37 i r . FEES
Suprv. Electrician signature, rid: Subtotal: 7 R
'' Plan review (25% of permit fee):
Print name: .R. W. FRAHLFR Date: 04/21/10
State surcharge (12% of permit fee): g.42
Authorized signature: TOTAL PERMIT FEE: 87.86
This permit application expires if a permit is not obtained within 1/
i Print name: Date: I days after it has been accepted as compler,
" Number of inspections allowed per permi:.
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