Permit 1 11111 CITY OF TIGARD ELECTRICAL PERMIT
" ' COMMUNITY DEVELOPM Permit #: ELC2011 -00162
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/30/2011
Parcel: 25101 CA00400
Jurisdiction:
Site address: 7930 SW HUNZIKER ST
Project: Sunbelt Turret Steel Subdivision: Lot:
Project Description: (4) branch circuits for new tenant. Outlets in office area and run conduit for phone /data.
Contractor: FRAHLER ELECTRIC CO Owner: GOULD FAMILY PROPERTIES IV
11860 SW GREENBURG RD 105 PINE ST
TIGARD, OR 97223 IMPERIAL, PA 15126
P
PHONE: 704- 519 -6130
PHONE: 503 - 639 -4627
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 03/30/2011 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/30/2011 $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 perm' ' issued subje o the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do in accordance with app •v - s. 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 Is -quire you to follow the rules adopted by the Oregon Utility Notifi . nter. Those rules are set forth in OAR
952-'01-0010 th , ugh OAR 952 ∎ 01 -0' • 0 ���• ma obtain a copy of the rules or direct questions to OUN •y callin `'� •87 or 1.800.332. 344.
Iss ed By: d Permittee Signa _�� „ !
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' I 70 iii / 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 FOR OFFICE USE ONLY
City of Tigard Received A / ��
Q? ��
1111 • Permit No.: E� A -(s0 r/
13125 SW Hall Blvd., Tigard, OR 97223 Date /By: of ! Plan Review
r ' Phone: 503.718.2439 Fax: 503.598 � Date/By: Other Permit:
T t Ci A R D Inspection Line: 503.639.4175 0�� Date Ready /By: mr s: H See Page 2 for
Internet: www.tigard e3 1 a" Notified/Method: Supplemental Information
t 1 10 TYPE OF WORK \ (� PLAN REVIEW
❑ New construction El Addition /alteration /replacement:. cP Please check all that apply (submit 2 sets of plans w /items checked belowl'
❑ Service or feeder 400 amps or more ❑ Building over three stones.
❑ 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 [XJ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "1 -3 ",
Job no.: 68348 Job site address: 7930 SW HUNZIKER ROAD 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: TIGARD, OR 97112 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: SUNSET TURRET STEEL ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
Inscription J Qty. j 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'l 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
ADD OUTLETS IN OFFICE AREA. RUN CONDUIT FOR residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
PHONE /DATA. 200 amps or less 1 00.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name:
401 amps to 600 amps 200.34 2
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
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
❑ 'APPLICANT ❑ 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 1 56.18 56.18 2
Contact name: branch circuit
Each add'l branch circuit 3 7.42 22.26 i 2
Address: Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modula 67.84 2
dwelling, service and/or feeder
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 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
Investigation (1 hr min) 66.25/ hr
City/State /ZIP: TIGARD, OR 97223 Industrial plant (1 hr min) 78.18/ hr
Phone: ( 503 639 -4627 Fax: 503 ) 639 -4673 Inspections for which no fee is 90.00 / hr
specifically listed (% hr min)
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S ELECTRICAL PERMIT FEES
J / Subtotal: 78.44
Suprv. Electrician signature, ret ;d: �'i'ee Plan review (25% of permit fee):
Print name: R. W. FRAHLER Date: 03/24/11 State surcharge (12% of permit fee): 9.41
Authorized signature:
TOTAL PERMIT FEE: 87.85
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 pennit.
I:\ Building \Permits\E.LC- PermitApp.doc 07/01/10 440- 4615T(11/05/C0M/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
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
El 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