Permit •
: ``a' ELECTRICAL PERMIT
ill ' CITY OF TIGARD
Is .. COMMUNITY DEVELOPMENT Permit #: ELC2010 -00385
r ry°�: Date Issued: 07/27/2010
F T { G R L? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S103CA01001
Jurisdiction: Tigard
Site address: 13345 SW HOWARD DR
Subdivision: WOODCREST Lot: 11
Project: Jones
Project Description: Replace electrical panel.
Owner: FEES
JONES Quantity Description Date Amount
13345 SW HOWARD DR
TIGARD, OR 97223 1 ea Services or Feeders - 200 07/27/2010 $100.70
amps or less
PHONE: 1 ea 12% State Surcharge - 07/27/2010 $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: A -1
Total $112.78
Required Items and Reports (Conditions)
This pe ••• issue. • -' to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be : •ne in accordance with - •proved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
• =ys. ATTENTION: Oregon la r 'i - s yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
=52- 001 -0010 through OAR 952 -0� 100 ou 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: -
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 IN TALLATIO ONLY
SIGNATURE OF SUPR. ELEC' �tts , % ✓: "' � . Date:
LICENSE NO.
Can 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, ,,- ' '
; r .
Received • 1' /0 / ` �✓ (J(
City of Tigard l 7 Dateiv : Permit No.: J a
1 3125 SW Hall Blvd., Tigard, OR 97223 r Plan Review
71
C . Phone: 503.639.4171 Fax: 503.598.1 L 27 ZOO Other Permit:
DateB :
T1 C. n I` q Inspection Line: 503.639.4175 Date Ready/By: Mil ® See Paget for
Internet: www.tigard- or.gov I - 1 7 f'. f '..a Notified/Method: Supplemental Information
TYPE OF WORK' ' \ .r,:' '' PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit a 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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
Ei 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 ICVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
Job no.: 67717 Job site address: 13345 SW HOWARD DRIVE oo more. Recreational ceanon.
❑ Six ix o or r more a residential units. ❑ 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: JONES RESIDENCE ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description r Q t y . r Fee. 1 Total 1
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
REPLACE ELECTRICAL PANEL residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 100.70 100.70 2
❑ PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State /ZIP: relocation
Phone: ( )
Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Ci City/State/ZIP: Each manufactured or modular -
ty dwelling, service and/or feeder 67.84 2
Phone: ( )
Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail: Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: Egp,� L ELECTRIC COMPANY panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: TIGARD, OR 97223 Industr p lant 1 hi m) 66.25/ hr
f Industrial plant (1 hr min) 78.118/ hr
Phone: (503 ) 639 -4627 Fax: ( 503) 639 -4673 Inspections for which no fee is 90.00/ hr
specifically listed (%1 hr min)
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S ELECTRICAL PERMIT FEES
tj Subtotal:
Suprv. Electrician signature, reed: Plan review (25% of permit fee): 100.70
Print name R. W. FRAHLER Date: 07/26/10 State surcharge (12% of permit fee): 12.08
TOTAL PERMIT FEE: t 1 9 _7 R
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: * Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(11/05/COM/WEB
Electrical Permit Application City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENT3AL WORKONLYi
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other: - - - -- - — - -- -
COMMERCIAL WORK ONLY: ,.
Fee for each commercial $75.00
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
I:' Building \Permits\ELC- PermitApp.doc 07/01/10