Permit v „ CITY OF TIGARD ELECTRICAL PERMIT
11111 - ; . COMMUNITY DEVELOPMENT Permit #: ELC2011 -00064
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2011
Parcel: 2S101BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder Roofing Subdivision: Lot: 0
Project Description: 200 amp sub panel and route feeder to existing trailer.
Contractor: FRAHLER ELECTRIC CO Owner: KING, JAMES F
11860 SW GREENBURG RD 12650 SW HALL BOULEVARD
TIGARD, OR 97223 TIGARD, OR 97223
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PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
2 ea Services or Feeders - 200 01/27/2011 $201.40
Specifics: amps or less
1 ea 12% State Surcharge - 01/27/2011 $24.17
Type of Use: COM Electrical
Class of Work: ALT 201 Investigation Fee (Equals 01/27/2011 $201.40
Permit Fee)
Type of Const: 24 ea Investigation 12% Surcharge 01/27/2011 $24.17
Occupancy Grp:
Total $451.14
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 • 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. ATTE ION: Oregon I.. requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 thro gh OAR 952 -00 009 r!1 m- yobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 4.
Issued B 1 ./ 1// , � Permittee 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
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SIGNATURE OF SUPR. ELEC' (-- et /rZk // J/; ����e..- 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.
RECEIVED
Electrical Permit Application FOR OFFICE, USE ONLY
JAN 7 CI of Ti and JAN 2 A 201 E!ew Permit No.: t v _ A
v 13125 SW Hall BdTigard, OR 9722
Phone: 503.718.2439 Fax: 503.59CP: t OF TIGARD Date /B Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By: luris: RI See.Page for
Internet: www.tigard- or.gov Notified/Method. Supplemental Information
g"i` , `. a -. . 7i _a 1 W..ORK • .:. PLANKRE TNY. .4 ,,,t i ,,...
❑ 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 ❑ Marinas and boatyards.
s',44: a R � i t e a wCATEGORYAOF. CONSTRUCTION ;' r S. i 4 F; P K" 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 E Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. • ❑ Installation of 75 KVA or
tr 7`a . : '1. - n - - - Emergency Y larger separately system. a m ( "t$f JOB SITEw AND L OCATIO N r 1 t r Addition enc s stem. lar er E aratel derived s stem.
: i , N. Xv" M , , mi ,' ,. x . . ,.. „" zz x., W . «, .., A, _. . r. ,, ' a ., . _ ❑ Addi of new motor load of ❑ .. <, « <.
Job no.: 66079 Job site address: 12650 SW HALL BOULEVARD 100HPormore. 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
n,z yt ER,"' - '` t FEE SCHEDULEt _- y 0, ` )
Cross street/directions to b it
job site: " F e " � .
J Description � - � I Qty I Fee. I 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
i r;"" - t' s x ih s b' 1` DESCRIPTION 4 OF`eWORK % �' ,. abo s ft.) 75.00 2
r�s"_?��..�.:,��'�, =�'u> .,.(.7�m� ._, .,.z, � _::�� ....b,.;�,a`x.._._ .c��yr*, -x.. r ��_..�_,.s (with with b
q'
Limited energy, multi- family 75.00 2
INSTALL 200 AMP SUBPANEL AND ROUTE FEEDER TO TRAILER residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
PLUS INVESTIGATIVE FEE 200 amps or less 2 100.70 201.40 2
; • ®r POOPERTY "OWNER a ' ' " � �i t , � ®'T E N A N T'. vu . A , , i 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 services or feeders installation, alteration, and /or
ty relocation
Phone: ( ) Fax: ( • ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
,. x "v + 'APPLICANT "' j r tai5710006hitql4;;;MAig above service or feeder fee,
each branch circuit 7.42 2
Business name: B. Fee for branch circuits without
' service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'l branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( . ) Fax: : ( )
Reconnect only 67.84 2
Pump or irrigation circle 67.84 . 2
E-mail:
sus 5$ Sign or outline lighting 67.84 2
y '^s; { �r ,,, , } , ;CONTRACTOR , N 5„B ? , , ,. 4;;x < i Si circuit(s) or limited - energy
Business name: FRAHLER 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 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18 / hr
Phone: (503) 639 Fax: (503) 639 - 4673 • Inspections for which no fee is 90.00/ hr
specifically listed ('h hr min)
CCB Lie.: 37410 • Electrical Lic.: 34 -13C Suprv. Lic.: 5110S ; ' . Y ELECTRICj L PE I1T .FEES5,;'";a '/ I ' J ° :2:
Suprv. Electrician signature, required: GEC Subtotal: 201.40
Plan review (25% of permit fee):
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Print name: ADAM ETHERINGTON Date: 01/26/11 State surcharge (12% of permit fee): 24.17
TOTAL PERMIT FEE: 451.14
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 umber o inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(11/05 /COM/WEB