Permit CITY OF TIGARD ELECTRICAL PERMIT
°'� _ COMMUNITY DEVELOPMENT Permit #: ELC2011 -00033
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2011
Parcel: 2S101BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder Roofing Subdivision: Lot: 0
Project Description: (4) branch circuits for (3) heaters and (1) exhaust fan.
Contractor: FRAHLER ELECTRIC CO Owner: KING, JAMES F
11860 SW GREENBURG RD 12650 SW HALL BOULEVARD
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 01/13/2011 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/13/2011 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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 -0090. Yo may obtain a copy oft e rules .r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � / i7' %. — _ art- ' ermittee Signature: • /i / �. _�
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 the next available inspection date.
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 I CENED FOR.OFFICE US - •
City of Tigard Received
IN P g DateB � "
ermit No.: 1-....L.c.,, —CJ_
13125 SW Hall Blvd., Tigard, OR 97223 JAN 1 3 zL ; i Plan Review
Phone: 503.639:4171 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 �`I' OF T I GAI� Date Read B lu ris
TiG E) Y Y AR SeePage2tor
Internet www.tigard Notified/Method ns
BUILDING DIVISION_ � Supplemental Information
apt ti i.. i n_ �M ` a }S s _ 5 . . g . ¢ T y t.° a 5f, „ c t
le e,:. ; .. - r . +.. n; �; . � `� - _r. OF WORK a. a i 4 ;thi a 4 ,, - 1 „,„„ PR .t`§� ,,
❑ New construction ® Addition /alteration /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
� 4 ❑Marinas and boatyards.
' '
CATEGORY OF CONSTRUC c , exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
e : * s.. � .` �..; • - _ -x` TION u; °' '(r less to ound, or exceeds 14,000
Sr ❑ 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
£' roses rk`a FORMATION AN , . AT . .ri , ° '. j . ? ❑ Emergency system. larger separately derived system
«• , - - ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
• Job no.: 68162 Job site address: 12650 SW HALL BOULEVARD Six or 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: SNYDER ROOFING ❑ Service or feeder 600 amps or more.
x x - i t ..: a '..g :FEE SCInyryL'?;. ; ` „,te t
Cross street/directions to job site: Description Qty. Fee.. , Total
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
{ a` t� "k , 7)ESCRIPTIONiOFc WORK t` ` (with above s ft.) 75.00 2
Limited energy, multi - family 75.00 2
INSTALL (2) NEW HEATERS, REPLACE (1) HEATER AND residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
ADD EXHAUST FAN - 200 amps or less 100.70 2
4 - . a ®�WPRO P ERTY gWNER `F1' s, u 49A-P-04.4.0 . _ `� amps p -
` , , : l , d... ...•_ * - - ,:.:_ s. A: .,...,-. ; :r 11 ..: • , 20 1 am s to 400 amps. 133.56 2
- - -- - - -- -- • - - ' '40Plainps to 600 amps 200.34 ' 2
ame _
• 601 :amps to' 1,000 amps; ' - - - - • 301.04 - — 2
A less: - ------- . - -. - :Over 1,000 amps or volts • - l 552.26 2 .
City /State /ZIP: - - . . -. - • - Temporary services or feeders installation, alteration, and /or -
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, ler panel
Owner signature: Date:
A. Fee for branch circuits with
wa t W ® APPLICAWIRfs'.: "ryA* AZ,- ? ®, CONTACT PERSONS : above service or feeder fee, 7A2 2
- each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
•
- Each add'l branch circuit 13 7.42 22.26 2 1
Address: Miscellaneous (service or feeder not included)
• City /State /ZIP: Each manufact or modular 67.84 2
dwelling, service and/or feeder
-
Phone: ( ) Fax: : ( ) Reconnect only - 67.84 2
E - mail:
Pump or irrigation circle 67.84 2
; .,, ` ; ..;,"; . t ,..,: , CONTRACTOR„ ,, $ , s Sign or outline lighting 67.84 2
.
= u > - = °• .-F Signal circuit(s) or limited - energy
Business name: FRAHLER ELECl'RIC COMPANY panel, alteration, or extension. Page 2 2
Each additional inspection oyer allowable in any of the above
Address: 11860 SW GREENBURG 'ROAD Additional inspection (1 hr min) 66.25/ hr
• •- • • Investigation (I himiri) - •• -- 66.25/ hr •
City /State /ZIP: - TIGARD - , - OR 97223
_ _ .-Industrial•plant (1 hr min) - -- - • 78718/ hr - - -
Phone: - "639=4627_ _. - -- - - - -' Fa (503) 639 - 4673 Ihspections for which no.fee is - -- - '- -- - •
- specifically listed (/ hr min) 90 00/ hr
CCB Lic.: - 37410 Electrical Lie :: 34-13C Suprv: Lic:: 18165 ' '4,, IeELECTRICAL'PERMITNFEES, e 4 , . - ; •;
,,_
i/� ,- subtotal: 78.44
Suprv. Electrician signature, re d: l�r/ � Plan review (25% of permit fee):
Print name: R . W. FRAHLER Date: 01/11/11 State surcharge (12% of permit fee): 1. ki
. TOTAL PERMIT FEE: V7.15"
Authorized signature: This permit application expires if a permit is not obtained wit in 180
days after it has been accepted as complete.
Print name: Date: * Number of inspections allowed per permit.
l:\ Building \Permits\ELC- PermitApp.doc 07/01/10 440- 46t5T(I1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY.P_ERMIT FEES:
T I RESIDENTAL: WO O itV _ -
F ee for alf resideritial systems• combined $75.00' - •
•
Check Type of Work involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*" —
n Other:
t C(O VS RCI`AL WORK UNLI' r4V 4%,
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
n Fire Alarm Installation
❑ HVAC _ _ . _
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls .
n
Outdoor Landsca e L1 hti
—.. p g ... • g
-❑ 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