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Permit
y� 1, i! N CIT OF TIGARD ELECTRICAL PERMIT Ip t , PERMIT #: ELC2007 -00767 ! - COMMUNITY DEVELOPMENT 7m ;; DATE ISSUED: 11/15/2007 TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S11OBB 00500 SITE ADDRESS: 14201 SW 119TH PL ZONING: R -2 SUBDIVISION: RESERVOIR - TIGARD WATER DIST. LOT : JURISDICTION: TIG PROJECT: CITY OF TIGARD Project Description: (1) circuit for rectifier. Job No. 65236 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: CITY OF TIGARD FRAHLER ELECTRIC CO 13125 SW HALL BLVD 11860 SW GREENBURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503 - 639 -4171 Contact #: FAX 503 - 639 - 4673 PRI 503 - 639 -4627 FEES Description Date Amount Reg #: ELE 34 -13C IELPRMT] ELC Permit 11/15/200' $46.85 LIC 37410 ITAX I 8% State Surcharge 11/15/200' $3.75 SUP 511OS Total $50.60 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 rule -re set • • in • • - • 5. - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direc questions to OUNC at 503.246.:699 or 1.800.3 .1r Issued =y: • Permittee Sign- re: in .l.fusi� I 1 !� .— �irr./ / r ■ OWNER INSTALLATION ONLY The installation is being made on property 1 own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: ONTRACTOR INSTALLATION ONLY • SIGNATURE OF SUPR. ELEC'N: . o' 40.4f4r % 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. . - Eleettrical Permit Application FoiZ OFFICE USE ONLY Ci}� of Tigard Received B: i l L/ 67 - ' l Ek4/001 Q0 7�v `J g Permit No.: v 13125 SW Hall Blvd., Tigard, OR 97223 Ian Review h Phone: 503,639.4171 Fax: 503.598.19 ' bate/B a Other Permit: 'I' I G A R D Inspection Line: 503.639.4175 � '�u EI ate Ready/By: I El See Page 2 for Internet: www.tigard- or.gov Notified/Method: . 7 ` Supplemental Information �t-p : `ELAN REtrIEW 12 New construction ® A d d i t i o n / a l t e r a t i o n / 1 1 t fl G 1D Please check all that apply (submit 2 sets of plans w /items checked below): BU��tl� \1tp1 +�s�o� ❑ Service or feeder 400 amps or more ❑ Building over three stories. 12 Demolition ❑ Other: L1 {d N where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ❑ 1- and 2- family dwelling ® Commercial/industrial 1:1 Accessory building less to ground, all of exceeds 14,000 ❑ Commercial -use agricultural amps for all other installations. buildings. Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB .SrTE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. . ❑ Addition of new motor load of ❑ "A ", E ", "1 -2 ", "7 -3 ", Job no.: 65236 Job site address: 14201 SW 119th PLACE ] 00HP or more. occupmcy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State'ZIP: TIGARD, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: 19 th WATER D ESERr r9+ , ❑ Service or feeder 600 amps or more. '.: - FEE SCHEDULE Cross street/directions to job site: GAARDE STREET C t rY °C ‘ l Q I F»• I Total I • New residential single- or multi -family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTiON. OF.: WORK (with above sq. ft.) 75.00 2 Limited energy, multi- family 75.00 2 EXTEND CIRCUIT' TO RECTIFIER residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation amps or less 80.30 2 PROPERTY OWNER'. ❑ T_ ENANT 201 amps o 400 amps 106.85 2 Name: Cl. i ry 0 ii /7 / 0" 401 amps to 600 amps 160.60 2 • / 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/Z1P: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 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 100.30 • 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, par panel Owner signature : Date: A. Fee for branch circuits with • 0 APPLICANT i : ❑ - CONTACT. PERSON- - above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 1 46 85 46.85 first branch circuit 2 Address: Each add'l branch circuit 6.65 2 Miscellaneous (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 Pump or irrigation circle 53.40 2 .. CONTRACTOR : Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: FRAHLER FT ,FL ritIC COMPANY energy panel, aheration, or Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2 City /State/ZIP: TIGARD, OR 97223 • Each additional inspection over allowable in any of the above 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.: 1816S Industrial plant per hour 73.75 iv. Electrician signature, r ELECTRICAL PERMIT FEES Suprv. /� /t .— Subtotal: 46.85 Print name: R W. FRAHLER Date: 11/13/07 Plan review (25% of permit fee): State surcharge (8% of permit fee): 8 7 9 Authorized signature: TOTAL PERMIT FEE: 50_ Print name: Date: This per application expires If a permit is not obtained within 180 days after it has been accepted as complete. L•tBalding\Pamits itApp.doc 0523/06 440-4615T(11ro5 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: • Fee for all residential systems combined $75.00 Check Type of Work Involved: O Audio and Stereo Systems* O Burgar Alarm 0 Garage Door Opener* 0 Heating, Ventilation and Air Conditioning Systern* 0 Vacuum Systems* O Other: COMMERCikLWORKONLY .: • Fee for each commercial $75.00 system (SEE OAR 918-260-260) Check Type of Work Involved: 0 Audio and Stereo Systems El Boiler Controls O Clock Systems 0 Data Telecommunication Installation 0 Fire Alarm Installation • HVAC O Instrumentation O Intercom and Paging Systems O Landscape Irrigation Control* 0 Medical 0 Nurse Calls 0 Outdoor Landscape Lighting* O Protective Signaling O Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\BuildineermiiAELC-PermitApp.doe 0323/06 Page 1 of 1 Dan Petrin From: "John Goodrich" <johng©tigard- or.gov> To: "'Dan Petrin " <dan ©frahlerelectric.com> Sent: Wednesday, November 07, 2007 3:51 PM Subject: RE: water Res. Dan, Baylor tanks are listed as "66th Avenue and Baylor "; Reservoir #2 is 14201 SW 119th PL, Tigard, OR 97223. I have a very long tax id number for Baylor, but the City will understand where it is located. Thanks. John From: Dan Petrin [mailto:dan @frahlerelectric.com] Sent: Wednesday, November 07, 2007 3:23 PM To: John Goodrich Subject: water Res. Importance: High John, I need addresses for both sites to get my electrical permits. Thanks Daniel Petrin Frahler Electric Company 503 - 639 -4627 office 503 - 679 -9278 cell 503 - 639 -4673 fax dan © frahlerelectric.com 11/7/2007 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00767 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2007 Phone: (503) 6394171 Inspection Requests (24 Hrs.): (503) 639 -4175 ;111. INSPECTION WORKSHEET FOR DATE: 7/2/2008 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 14201 SW 119TH PL CLASS OF WORK: SUBDIVISION: RESERVOIR TIGARD WATER DIST. LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: (1) circuit for rectifier. Joh No. 65236 OWNER: GI1 Y OF TIGARD, PHONE #: 503-639-4171 CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503.639 - 4627 Inspection Request Scheduled For: Date: 702008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072097 -01 503-639-4627 Y Corrections /Comments /Instructions: PC 31 440 ' ( w - riv lei ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date 7 - Z — Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00767 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F'I �.. INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 14201 SW 119TH PL CLASS OF WORK: SUBDIVISION: RESERVOIR WATER DIST. LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: (1) circuit for rectifier. Job No. 65236 OWNER: CITY OF TIGARD, PHONE #: 503 CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627 Inspection Request Scheduled For: Date: 6/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 193 Electrical final 071990 -01 603-639-4627 N Corrections /Comments/ Instructions: ' Six i / 'ar ( o. c- e4 C o cL 1 I-- co , re4. b e _ i u S r e Pie ccse p Aci ;c1 e ee Cee-s3 uyr co to i & Co 44 cj c1 Co- B a �e rv. f�' 4 e-._ h sp n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ri NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: AP614 Date: 6 30 V c2 Phone #: (503) 718- J CITY OF TIGARD BUILDING DIVISION 1 PERMIT #: ELC2007.00767 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '11/ 15/2(1()7 Phone: (503) 639- 4171w '�p'ti�l Inspection Requests (24 Hrs.): (503) 639 -4175 ",_ • INSPECTION WORKSHEET FOR DATE: 1/2/2008 TIME: 7:01AN1 PAGE: 20 SITE ADDRESS: 14201 SW 119TH Pl. CLASS OF WORK: SUBDIVISION: RESERVOIR TIGARD WATER DIST. LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: (1) circuit for rectifier. Job No. 65236 OWNER: WY OF TIGARD, PHONE #: 503-63B4171 CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503G39-1627 Inspection Request Scheduled For: Date: 1/2/2008 Pour Time: Code # Inspection Description Cow m_ #.__ Contact # Message 120 Electrical rough -in 062406 -01 503-702.0760 \ Y Corrections /Comments /Instructions: 1 a ?)s-pLA mc f)Vc- wi`rA 2QkN Ac.I .< S . v c s iaLE_ &c tWr LA)T114 Appit64C 02 \u c: -- ti5UNW. 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