Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00413
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/28/2011
Parcel: 2S109AB14500
Jurisdiction: Tigard
Site address: 13372 SW OUZEL LN
Project: Fricke Subdivision: Lot:
Project Description: Solar photovoltaic system.
Contractor: FRAHLER ELECTRIC CO Owner: FRICKE, KENNETH
11860 SW GREENBURG RD 13372 SW OUZEL LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 -639 -4627 PHONE: 503-590-6011
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/28/2011 $100.70
Specifics: amps or less
1 crt Branch Circuits w /Purchase 07/28/2011 $7.42
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/28/2011 $12.97
Electrical
Type of Const:
Occupancy Grp:
Total $121.09
•
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. You may obtain a c. of rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-
Issued By: /I�� ✓� ,c /c 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 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 ApOlication FOR OFFICE usE ONLY to ,E .,0 , b J d6,5 - iL . - . ' . . . . .. .. .. .... :... .
City of Tigard i x ; 'lit �D eB 7 Permit No a I /
' q 131 SW Hall Blvd., Ti ard, OR 97223 ''-'. M
g i a r Review Other Permit:
I
. ®: ., Phone: 503.639.4171 Fax: 503.598.1960 q Date/By:
TIGARD Inspection Line: 503.639.4175 JU L a 20 11 D Date Ready/By: Juris: B See Page 2 for
Internet: www.tigard- or.gov Notified/Method: trip Supplemental Information
s ,4. - .s �fi'
. s w. ; ' Fu t' TYPE 'OF :WOR "K n ,.��i'�� ,. .
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�ay.x:, ; , � it .., _« .. .. . . .. iv ^. 'J' � . � ' : �, ..�. : �.r.•....-� ... ,,.,. ,, °S``�'>>,:� e =, �-. ..
❑ New construction [X Addition /alteration)fe
r li plac�evtne` t, ni� f l VISION Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other:
El Service or feeder 400 amps or more ❑ Building over three stones.
where the available fault current ❑ Marinas and boatyards.
;•` -.:: exceeds ]0 000 amps 150 volts or Floating buildings.
�. �itCATEG .ORY - -' : «; P ❑ s s. g
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. El Installation of 75 KVA or
5 ❑Emergency system. larger separately derived system.
'JOB SITE v INFORMATION AND LOCATION
- ' ❑Addition of new motor load of ❑ "A" "E" "I -2" "1 -3"
Job no.: 68656 Job site address: 13372 SW OUZEL LANE 100HP 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: r'RICK RESIDENCE ❑ Service or feeder 600 amps or more.
°a . e s '; %FEE S.Q LE ,.,� v - °±
Cross street/directions to job site: Description I Qty• I Fee. I Total I *
New residential single- or multi - family dwelling unit.
Includes attached garage.
•
Subdivision: - 1 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
.4e y5' '' with above sq . fi. ) 75.00 2
F. ' ; +" 16,ES F *W'OR .: , � k ,� t a xt x (
Limited energy, multi - family 75.00 2
INSTALL 3.7 kw PV SYSTEM residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 1 100.70 100.7(' 2
s , . - „- ..
i , ®,, ERUottli zokiNtR v i # t „" p : y ® TENANT, 4, } a r3i 4' $ , 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
Clty /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
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 Q
e
. .a - :.
above service or feeder fee
H® , A PPI ICANT s$4,. sv.�...,® CONTACT PERSON 1 7.42 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'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
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail:
Sign or outline lighting
67.84 2
I '• . .-'
_ ,�„ - a _ ,,�! .'.,> �``:; k CONTRACTOR _ G: n -, i n. _t, ;:)k 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
City/State /ZIP: TIGARD, OR 97223 Investigation (1 hr min) 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: ( 503) 639 -4627 Fax: ( 503 ) 639 -4673 Inspections for which no fee is 90.00/ hr
specifically listed (A hr min)
CCB Lic.. 37410 Electrical Lic.. 34 -13C Suprv. Lic.. 51105 .s `1. =M' °ts`'ELECTRICAI E
_. _ `•P RIVIIT 'FEES,; ,,. ,. , _
Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit fee): 108.12
Print name: ADAM ETHERINGTON Date: 05/27/11 State surcharge (12% of permit fee): 12.97
Authorized signature:
TOTAL PERMIT FEE: 121.09
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
" Number of inspections allowed per permit.
1:\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:
!RESIDENTIAL,WORw:oNI:Y 4:,,,_ t ,
Fee for all residential systems combined ... $75.00
Check Type of Work Involved: •
n Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
`��;C01VIiVIERCIAL; WURB 40IVLY � x
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 r
❑ Data Telecommunication Installation
❑ Fire Alarm Install
❑ 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
1:\ Building \Permits\ELC- PermitApp.doc 07/01/10