Permit CITY OF TIGARD ELECTRICAL PERMIT
II
s COMMUNITY DEVELOPMENT Permit #: ELC2010 -00459
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/31/2010
Parcel: 2S111CB01307
Jurisdiction: Tigard
Site address: 10450 SW DELMONTE DR
Subdivision: DEL MONTE SUBDIVISION NO.2 Lot: 14
Project: WEINGARZ
Project Description: (1) branch circuit to connect new a /c.
Owner: FEES
WEINGARZ, WILLIAM & LYNDA TRUST Quantity Description Date Amount
10450 SW DELMONTE DR
TIGARD, OR 97224 1 crt Branch Circuits 08/31/2010 $56.18
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 08/31/2010 $6.74
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 $62.92
Required Items and Reports (Conditions)
This permit is ' ed subjec • he regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' accordance with approv- • 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. ENTION: Oregon law r -• •-s •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
ir
952 -0 1 -0010 through OAR 952 -001 -: 00. 1 : y •
) o i ain a copy of the rules or direct questions to OUNC by callin 24 .6699 or 1.800.332.2 •4.
Iss ed By: i L Permittee Sig .ture: -!*
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. ELE %/ Q /�`� Date: / o
LICENSE NO. (O /6
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 roll OFFICE USE ONl..l
City of Tigard RECEIVED Received c t �� Permit No.: e46.010/0 -OD 59
1114 Date/B : O ..71 U 13125 SW Hall Blvd., Tigard, OR 97223 Plan •
Review
' II Phone: 503.639.4171 Fax: 503.598.1960 j t _, Date/B : other Permit:
Inspection Line: 503.639.4175 + ` Date Ready/By: Aerie: ® See Page 2 for
. 1 IGARD
Internet: www.tigard -or.gov nri Notified/Method: Supplemental Information
v
TYPE OF WW D j fl l \Ji .PLAN REVIEW •
❑ New construction N Addition/altera ion/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.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 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 KVA or '
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION • CI Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 -3 ",
Job no.: 67791 Job site address: 10450 SW DEL MONTE DRIVE Six or more. occupancy. ❑ Six o or r more residential units. 0 Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97224 ❑ Health -care facilities. ❑ 600 volts nominal, more than
❑ Hazardous locations.
Suite/bldg. /apt. no.: Project name: RESIDENCE L4ited d4,12-7, ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I 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'1500 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
CONNECT NEW A.C. UNIT 1' residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑• ,PROPERTY OWNER •I • ❑ 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
City /State/ZIP:
Temporary m services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) 200 amps or Tess 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 withont
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'l branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City /State/ZIP: 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: FRAHLER FT .FCTRIC 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
Investigation plant ( hr min) 66.25/ hr
� Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 639 -4627 Fax: (503 ) 639 -4673 Inspections for which no fee is 9000/ hr
specifically listed (h hr min)
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S ELECTRICAL PERMIT FEES
/� /
Suprv. Electrician signature, req red: �� Gam/ �c Subtotal: 56.18 ,
Plan review (25% of permit fee):
Print name: R W ER Date: 08/26/10 State surcharge (12% of permit fee): 6.74
TOTAL PERMIT FEE: 62.92
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted.as complete.
N um b er of inspections allowed per pernut.
I:\ Building \Pennies\ELC- PermitApp.doe 07/01/10 440.4615T(11/05 /COM/WEB