Permit 11 111 CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00493
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/07/2011
Parcel: 25101 BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder R000fing Subdivision: Lot:
Project Description: Connect temporary trailer.
Contractor: FRAHLER ELECTRIC CO Owner: JFK PROPERTIES OREGON LLC
11860 SW GREENBURG RD 12650 SW HALL BLVD
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 09/07/2011 $100.70
Specifics: amps or less
1 ea 12% State Surcharge - 09/07/2011 $12.08
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 o. - -- - -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By' lJ` 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 Application ///��� 1 . _ `FO OTFIC E'USEONLY ',.
y Received ` n i — CO /IQ
City of Tigard \ \ Date / B y . �Jr Permit No.: W
v 13125 SW Hall Blvd., Tigard, OR 97 \ Plan Review
0 Other Permit. TIGARD
P hone: 503.718.2439 Fax: 503.598.1 60 gate /By: Ins Internet: www tigard or gov � 4 � Notified/Method: Line: 503.639 4175 � G 11 Date Ready /By. raris: El See Page 2 for
G'�� ♦rj�
♦ 1 Iementallnformation
Supplemental
r t# - -' YP mtvoR.I er CS " _ - 4 PLAN REVIEW :. -, ,, „-3.r
�', -a te �f e� .,� - ? :s >,_ .< P.r ' - � � ,.a .. �� � �� Ns - �` : ���",�5''
❑ New construction E Addition /alteration /riaement 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.
` � � � exceeds 10,000 amps at 150 volts or ❑ Floating buildings
G A r eilW � GpNSTkiregitJ 6 g s
" less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑. I- 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
s - ,- v w ❑ Emergency system. larger separately derived system.
70 SHIP, INF -927 ll1 �4CATI(1 ` � " Addition of new motor load of
Job no.: 68723 Job site address: 12650 SW HALL BLVD. l00HP 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
. c -. .w rFEEgGHeI)L7>iE:E ; 7
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: 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 '
Li mited energy, residential
7ig-" DESCRCPTIOI�t}T Wt1RK (with above sq. ft) 75.00 2
�� �� ' � �, �, Limited energy, multi -family 75.00 2
CONNECT NEW TEMPORARY TRAILER residential (with above sq. ft.)
•
Services or feeders installation, alteration, and /or relocation
200 amps or less 1 100.70 100, 70 2
" . .: k Z �N .a r ' , .
-* rii c'R ERT O R _ .. � , � ��7., "fly „ 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
Y relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 ��
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 l 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
r ' �_ above service or feeder fee
itr te j rCONTACT�i'ERSaN - 7.42 2
� � — . - ,.. each branch circuit
B Fee for branch circuits without
Business name: service or feeder fee, first
Contact name:
branch circuit 56.18 2
Each add'l branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Ci City/State/ZIP: Each manufactured or modular
tY dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( )
Reconnect only 67 84 2
Pump or irrigation circle 67.84 2
E Sign or outline lighting 67.84 2
z. _, 0 70 EtfCONTRAGTOR ., g .Z. iz = ,: 4 :24, , , 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 (1 hr min) 78.18/ hr
Phone: (503) 639 - 4627 Fay : (503) 639 - 4673 Inspections for which no fee is 90.00 / hr
specifically listed (% hr min)
CCB Lie.: 37410 Electrical Lie.: 34 - 13C Suprv. Lie.: 5110S WitT SE7J+UT'RiCAI 1? RM[tl EES , .;"
Suprv. Electrician signature, required: X - (25% Subtotal: 100.70
G� ���� Plan review (25 /o of permit fee):
Print name: ADAM ETI IERINGTON Date: 08/23/11 State surcharge (12% of permit fee): 12.08
.TOTAL PERMIT FEE: 112.78
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.
Number of inspections allowed per permit.
I :\Building \Permits \ELC- PennitApp doe 07/01/10 440- 4615T( 11/05 /COM/WEB