Permit -, CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00769
COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136D D -00600
SrlE ADDRESS: SW NO ADDRESS ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 004 JURISDICTION: TIG
PROJECT: CITY OF TIGARD
Project Description: (2) branch circuits for rectifiers. 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: 1 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
[ELPRMT] ELC Permit 11/15/200' $53.50 LIC 37410
[TAX] 8% State Surcharge 11/15/200' $4.28 SUP 5110S
Total $57.78 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 ar= -- • in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies o e rules or direct questions to OUNC at
503.246.6. z • or 1.800.3%2. `44.
Issued : -y: l.- ` A 11.114 4 Permittee Signatu
,!bi
i� , . z �V`l n�__
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:
TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _,! - �,! %IL/'�� 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 FOR OFFICE ICE USE ON LY
I City of Tigard e��e V RRec ea /&/ 7 /VI/ PermitNo.: L &7 - � 71p 9
v 13125 SW Hall Blvd, Tigard, OR 9f122E
Plan Review
Date/By:, - Phone: 503.639.4171 Fax: 503.598.1961 ;1v 4 7UW OtherPemiit:
y:.
Line: 503.639.4175 Date Ready/By: Juris. 0 See Page 2 for •
TIGARD Inspection Li II v
Internet: www.tigard - or.gov WY OV. ['G'R ® Notified/Method: Supplemental Information
. l
_ 1t. - • ,,... construction „ Addition/alteration/replacement � •.,. . .. . � .,,.,.:.:.,._a., .., ,.� ^ r ... � PLANZiE't�W� � , � �,. : �� ' :: "� ° � �
❑ on/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 0 Marinas and boatyards.
exceeds
1000 amps at - 0 sa 150
-CA� volts c
T.Et:,O or Floating build' s.
RY: tut m
U
F C0 ❑
- „ ; ..r _ NSTRUCTION °, mP B g
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling [I Commercial/industrial ❑ Accessory building • amps for all other installations. buildings.
Ej Multi-family i
Y ❑
_ "• � � z , Master builder ❑ Other; re pump. ❑ Installation of 75 KV A or
`- .:..:..c- , ..; _ stem larger separately derived system.
F'
JOB S ITE INFORMATION AND :'LOCATION ❑ Emergency system_
• _•.. :..- :, .., -. - .. � • of new 1
. ' ❑ Addition f n ❑ «A" `B" "1 -2" '• -3 ",
Job site address:
Job no.:
6 5236 / 6 /3c ' .DV - C0 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks. .
City /State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: BAYLOR WATER RESERVOIR ❑ Service or feeder 600 amps or more.
FEKS:CHEDULE " ^
Cross street/directions to job site: BAYLOR AND 66th AVENUE Description I (Trey. j Fee. ( 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.: ` 5/36 b
..::: •: entt
d �Q Limited energy, resid 'al 75.00 2
- - `LDE$CRIPTION OF WORK- (with above sq. ft.) .
•Limited energy, multi- family
(2) CIRCUITS TO RECTIFIERS residential (with above sq. ft.) 75.00 2
' Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
PROPERTY OWNER s,_ ®°.- TENANT a, 201 amps to 400 amps 106.85 • .2
Name: . 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/ZIP: 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, per panel
Owner signature: Date: A. Fee for branch circuits with
❑,APPLICANTi ❑".CONT PERSON".;` above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit 1 46.85 46.85 2
Address: • Each add'l branch circuit I 1 I 6.65 6.65 2
City/State/7.1P: /State/7.TP: Miscellaneous (service or feeder not included)
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
` :' CONTRACTOR -- Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: FRAHLER ELECTRIC COMPANY
energy panel, alteration, 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
'1)1 . 503 639 - .4627. ._ . Fax : -( .503) 639 -4673 Investigation per hour (l III min) 62.50
CCB 37410 Electrical Lic.: . 34 -1 S uprv.. Lip.: 1816S Industrial plant per hour 73.75 •
� '..`.,._;:..: ELECTRICAL; PERMTf E$ 50 :. ; . - t
• Suprv. Electrician signature, re eel: , / U, ' - .
Print name: R W. FRAHLER Date: 11/13/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 4.28
Authorized signature: TOTAL PERMIT FEE: 57.78
Print name: This permit application expires if a permit is not obtained within 180
Date: days after it has been accepted as complete.
I: Building Pcamits1ELC i itApp.d°c 05/23/06 440.4615T(I 1 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONS. Y
Fee for alLresidential systems combined $75.00
Check Type of Work Involved: • :
❑ A udio and . Stereo Systems*
❑ Burglar Alarm
El Garage Door Opener*
❑ H eating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
El O ther:
C g 1V MERCLAL WORK C3NLy .... '
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved: _
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
0 Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
Instrumentation - .
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
- - ❑ „Outdoor Landscape Lighting*
K .
❑ Protective Signaling . _ _ -
.. _ . .
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I NSuildinOetmitsNELGPamhApp.doc 0323/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00769
13125 SW Half Blvd., Tigard, OR 97223 DATE ISSUED: 11/Th12007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/2/2008 TIME: 7:01AM PAGE: 48
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: (2) branch circuits for rectifiers. Job No. 65236
OWNER: CITY OF TIGARD, PHONE #: 503- 639.4171
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503639 -4627
Inspection Request Scheduled For: Date: 7/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072097 -02 503 Y
Corrections /Comments/ Instructions:
0)4-4 d y c17 pert
n PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS
(t FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 074 Date: — Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00769
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1r/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/30/2008 TIME: 7:00AM PAGE: 25
SITE ADDRESS: Syy NO ADDRESS CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: (2) branch circuits for rectifiers. Job No. 65236
OWNER: CITY OF TIGARD, PHONE #: 503 -639 -4171
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503- 639 -4627
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071992 -01 503-639-4627 N
Corrections /Comments/ Instructions:
0 a1 locked - no Orc€S .
( n 6 , . 14_ w e K S p t !✓f'!
0 1 rr ; cc - -e_sS 4-0 y-& L Pt s 14 p---
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
ISL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6 °30 - .cl ? Phone #: (503) 718-
CITY OF TIGARD
1'
BUILDING DIVISION PERMIT #: ELC2007.00769
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111 J2097
Phone: (503) 639- 4171gi�l
Inspection Requests (24 Hrs.): (503) 639 -4175 .'„ 1.1.
INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:OOAM PAGE: 48
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: (2) branch circuits far rectifiers. Job No. 6.5236
OWNER: CITY OF TIGARD, PHONE #: 513- 639-4
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 603 639 - 4627
Inspection Request Scheduled For: Date: 402008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 067693 01 503,639 -4627 Y
Corrections /Comments /Instructions: oF�.
r �2.CZ.0N � I "� 26� �
6 6 �. _ — '600_b 1 4 I - 3 01 07/0 cat_
41 9 '�= l.
Ilya � � 1 ,� -
, ! ■ � � 1 � ♦ �: � i:�. � • lam �.
C EA -1 - ► _ _ � �ii►t� t� ' . 1 \ 7 -- .C.- ? l�l• i ' ,
P n
j WI 1 )5 2_ 30 scc_NrctE c.tblZ 1 s.vuQ. 3 Et •
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL A CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: G NUS Date: q' 2.- v V Phone #: (503) 718- v`f`Y
r , .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FL C2007-00769
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/i5/20f7
Phone: (503) 639 -4171 '., flx
Inspection Requests (24 Hrs.): (503) 639 -4175 'II
INSPECTION WORKSHEET FOR DATE: 1/1012008 TIME: 7:02AM PAGE: 19
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: CITY OF 1IGARD
DESCRIPTION: (2) branch circuits for rectifiers. Job No. 66236
OWNER: CITY OF TIGARD, PHONE #: 503-639-4171
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639 -4627
Inspection Request Scheduled For: Date: 1/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
106 Underground/slab cover 063527 -01 971 -221 -7466 \ Y
6C0 _
Corrections /Comments/ Instructions:
91 la\
R•0\1 % Or' S WA E bC.S c&ig 10A 1/4:f 1' 1
∎AAV 1LE - % ∎ S b� � 1 S j N eT A Ilia ► O () .
Ci■Or4■T 4N5 ..4 " S " ;: c 6 OT
1<Now ADQ6a6S NOk. wilt # Bo uTS
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20 •
calendar days per OAR 918-271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
,AIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N6€ L Date: 1 - 1 1 ' O Phone #: (503) 718- ltiLiti