Permit CITY OF TIGARD ELECTRICAL PERMIT
a
5;>z COMMUNITY DEVELOPMENT Permit #: ELC2010 00285
T EGfAAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 06/15/2010
„ r Parcel: 2S104AA07900
Jurisdiction: Tigard
Site address: 12685 SW KATHERINE ST
Subdivision: Lot: 0
Project: Ryan
Project Description: Electrical panel replacement.
Owner: FEES
RYAN, PAULA Quantity Description Date Amount
12685 SW KATHERINE ST
TIGARD, OR 97223 1 ea Services or Feeders - 200 06/15/2010 $100.70
amps or less
PHONE: 1 ea 12% State Surcharge - 06/15/2010 $12.08
Electrical
Contractor:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639 -4627
FAX: 503 - 639 -4673
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You ma o• - les or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By
,o-4001.40. Permittee Signature'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Applicati I I-: , � FOR OFFICE USE ONLY . •
City of Tigard Received /
g G SUN 1 2010 Date/Sy: - „0 'if) �� Permit No.: �olU unc--
13125 SW Hall Blvd., Tigard, OR 972 D a t Revrew
Phone: 503.639.4171 Fax; 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 -/ �f i {` § o Date Ready /By: orris: 0 See Page 2 for
Internet www ti ardor ov �� ` 1 �t I E `� u Notified/Method g
g g , 4 �� y ��' plvi$J(�'`,! Supplemental Information
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❑ New construction Ea Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
x " k ' ' e ' ' amps at 150 volts or ❑ Floating s
`� ��i'�.R,� O�`�C{�N'>JaL;tq�� � a t : z S
� � d exceeds 10,000 am P d 14,000 Commercial-use � buildings.
.
less to ground, or exceeds ❑ agricultural
[X i- and 2- family dwelling I Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
E Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75KVAor
., a s , v y ❑ Emergency system larger separately derived sysn
❑ Addition of new motor load of ❑ "A ", "E ", "i -2 ", "'1 -3 ",
Job no.: 67598 3 ob site address: 12685 SW KATHERINE STREET 100re. occupancy.
o more r
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /Z1P: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: RYAN RESIDENCE ❑ Service or feeder 600 amps or more.
Cross street /directions to job site: , n M " r . F ~ ° tt,17.t t37sE , ; ..t „
l Description 1 Oft. I Fee_ 1 - Total I
Desc
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54
Ea. add'I 500 sq. ft. or portion 33.92
Tax map/parcel no.: Limited energy, residential
>� *'t ' �` * D S 'r9`IOJ4T i � .. W. :" .. : g, w (with above sq. ft.) 67.84
t
E � � �
Limited energy, multi-family
67.84
REPLACE FPE ELECTRICAL PANEL residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
x, I ,: ;A:6*ti O f ] 31K °''""� -_ = a. _.:. ''' . ' 201 amps to 400 amps 133.56 133 100.
Name: P ��u . 401 amps to 600 amps 200.34
I Y' ' I 601 amps to 1,000 amps 301.04
Address: Over 1,000 amps or volts 552.26
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36
Owner installation: This installation is being made on property that I own which is not 20] 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
:RiTt ,b:( t'T x �i . .- ' kr 4 J , !•gin , ,, "� Via' above service or feeder fee,
7.42
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee 56.18
first branch circuit
Address: Each add'I branch circuit 7.42
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67.84
Phone: ( ) Fax: : ( ) dwelling, service and /or feeder
Reconnect only 67.84
E -mail: Pump or irrigation circle 67.84
7 .. ,. 4 '.. } , r .... - ;CO '.,Rt C OR g , .0 z ; ;t- :%: =K'_ t . .. Si or outline lighting 67.84
Signal circuit(s) or limited -
Business name: FRAHLER ELECTRIC COMPANY energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2
City /State /ZIP: TIGARD, OR 97223 Each additional inspection over allowable is awy of the above
Per inspection 66.25
Phone: ( 503) 639 -4627 Fax: ( 503 ) 639 -4673 investigation per hour (1 hr min) 66.25
CCB Lic.: 3741 1 Electrical Lic.: 34 -130 J Suprv. Lic.: 1816 Industrial plant per hour 78.18
- 7/1 ppi �'_ t o i / 101, l J y , ,-R cm,— 4, + , i s r
Suprv. Electrician slgtnature, r red: �'wV � Subtotal: 100.70
Plan review (25% of permit fee):
Print name: R. W. FRAHT FR . Date: 06/08/10 State surcharge (12% of permit fee): 12.08
Authorized signature: TOTAL PERMIT FEE: 112.78
Print name: Date: This p ermit application expires if a permit is nat obtained within 18(1
days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:\ Building \Perniits\ELC - PermitApp.doc 10/01/09 440- 4615T(I 1 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined ... $67.84
Check Type of Work Involved:
❑ Audio and Stereo Systems*
C Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial $67.84
system
(SEE OAR 918- 309 -0000)
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
P \ Building \ Permits \ELC- PermitApp.dor 10 /01/09