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Permit
,, CITY OF TIGARD E LECTRICAL PERMIT t r 2 `_- C OMMUNITY DEVELOPMENT Perm #: ELC2010 00302 - -, Date Issued: 06/17/2010 T(GREj 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 4:4 Parcel: 2S110AA02100 Jurisdiction: Tigard Site address: 10900 SW GAARDE ST Subdivision: - Lot: 0 Project: Totonchy Project Description: Replacing water ground. Owner: FEES TOTONCHY FAMILY PROPERTIES LLC Quantity Description Date Amount 2651 SW OVERLOOK DR LAKE OSWEGO, OR 97034 1 ea Reconnect Only 06/17/2010 $67.84 PHONE: 1 ea 12% State Surcharge - 06/17/2010 $8.14 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 $75.98 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By • _ , - - _, _ _ Permittee Signature: �� � 47 7 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 A licatio _) .- i,- -� - ,`, ?`, -' - FOR OFFICE USE °NLV 117----) i T, I( 1 i i , I . City of Tigard l I\ - Received t Date/ : 1 f r Permit No.: l „, — 3 ,� gl 13125 SW Hall Blvd., Tigard, OR 97223 = _ _ J N 2010 Plan Review C Phone 503.639.417 i Fax: 503.598.1960 U Date/By: Other Permit: T 1 G A P D Inspection Line: 503.639 Date Read /B ions. Internet: www tigard -or ov '^ See Page I for g / f 1 i Notified/Method: �69 Supplemental;Warman° \ \` r, ,. �� rE. ut' 4A?:: . � � x�rt2xu1 �i 4�ra ����:iix�"��� Y H -.x' k 8.:. � y : '• �?b .. � t� � � �'�-�' ,�4 ,wa�{C.�I'�' �iz , t,",! 1 iN ;;21s �1,� ; r �' ;�` t ,� fit 1...'"'.1.4 � . © r .� ' „n�. , 4 _m. , >6.,:.� : is ....,. IrA' . g _.... � „Fffiii r.,: �d1 �; e,MR4, . 9 ,�;,.is ` S r • :i` ill .. t '"iltifi. 1'_171 .. . ,- T �.�L -. t � 1 ' i _. ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked beim II ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition 0 Other where the available fault current ['Marinas and boatyards �I , A T ,$ tx ` r ,f ,4 ., t ✓`,: 0 041 AV ; r '' t 4 ' ' '( d °�` ''u' N ' H exceeds 10,000 amps at 150 volts or 7 ,.,� ,� i a r Its,& _r, o , �' 11 a„ 1 P ❑ Floating buildings. less to round, or exce 14,000 ❑Commercial -use a ncultur, E 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. g ❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA of s1 ""s a 1c 7 , f ,a Mtt .S y i� x , ❑ Emergency system. larger separately derived sy ,`a.7 �.. ,.:,i ,t 'A, . i P ,Y . .. ,._ ” Y, aa_ h al., ' l ~z. i,n.. ? y tt ❑ Addition of new motor load of ED "A", ., ,. -2 „ " -3 ,, , Job no.: 67610 Job site address: 10900 SW GAARDE STREET 1 00HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks City /State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more th1 1 ❑ Hazardous locations. 600 volts nominal. U Suite /bldg. /apt. no.: Project name: RENTAL HOME ❑ Service or feeder 600 amps or more Cross street/directions to job site: . O s; s'i,E-,tt j .r I` RAZR ni Description r (-Qty. I t wee. I letol i 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 t 3 'o , Limited energy, residential oe �, s,, . s,* � ,�k� * " :t (with above sq. fi) 67.84 Limited energy, multi - family 67.84 `a PROVIDE GROUNDING AT HOUSE TO REPLACE WATER GROUND residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation ,� 200 amps or less 100.70 t . il n3f r � ro 13 ES w m . o J.� .. , „ _ .� ?� T „< x ...:� ' 6 � 201 amps to 400 amps 133.56 Name: 401 amps to 600 amps 20034 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 /o relocation Phone: ( ) - I Fax: ( ) 200 amps or less i 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. • 40] amps to 599 amps 168.54 Branch circuits— new, alteration, or extension, panel Owner signature Date p er p A. Fee for branch circuits with s+ ., :,' T �,�' x :` - ?i .r h ' . }� 6 a �+ ,' : a i ' ," i- = above service or feeder fee, 7.42 �' each branch circuit _ Business name: B. Fee for branch circuits Contact name: withou service or feeder fee, 56.18 _ first branch circuit .......i Address: Each add'I branch circuit 7.42 Miscellaneous (service or feeder not included) • City /State /ZIP: Each manufactured or modular 67.84 Phone: ( ) F es:: ( ) dwelling, service and /or feeder Reconnect only 1 67.84 67.84, E -mail Pump or irrigation circle 67.84 a r 41 zz ; M- , i dPx g'g�.*� S � rz r°"'Y' T y ;i 1R Sign or outline lighting 67,84 Business name: �HLER ELECTRIC COMPANY energy panel, or t o n , or energy panel, alteration, or � Address: 11860 SW GREENBURG ROAD extension. Describe Page 2 � City /State /ZIP: TIGARD OR 97223 Each additional inspection ever allowable in any of the abot Per inspection 66.25 Phon : (503 ) 639 -4627 / Fax: (503) 639 673 j investigation per hour (1 In min) 66.25 CB Lic.: 37410 ectrical Lic.: 34 -13C uprv. Lic.: 1816S Industrial plant per hour 78.18 A.,....:• 3_.E EC 13,:041 ~FRM& :T { Suprv. Electrician signature, rid: /e �// / �/ Subtotal: 67.84 Plan review (25% of pen fee). Print name: R. W. FRAHLER . Date: State surcharge (12% of permit fee): 8.14 Authorized signature: TOTAL PERMIT FEE: 75.98 Print name: Date: This permit application expires if a permit is not obtained within 1: days after it has been accepted as complete. Number of inspections allowed per pennit. 1:1Building \ Permits \ELC- Permit App.doc 10/01/00 4404615T(11/05/COM/wEE