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Permit C ITY OF TIGARD ELECTRICAL PERMIT e - PERMIT #: ELC2006 -00603 I Ali DEVELOPMENT SERVICES DATE ISSUED: 10/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111BC SITE ADDRESS: 10310 SW CANTERBURY LN ZONING: R - 3.5 SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 005 JURISDICTION: TIG Project Description: Change out motor. Job No. 64285 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD WATER DEPT FRAHLER ELECTRIC CO 8777 SW BURNHAM ST 11860 SW GREENBURG RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: 639 - 4171 395 Contact #: FAX 503 - 639 -4673 PRI 503 - 639 -4627 FEES Description Date Amount Reg #: ELE 34 -13C [ELPRMT] ELC Permit 10/231200( $46.85 LIC 37410 [TAX] 8% State Surcharge 10/23/200( $3.75 SUP 18165 Total $50.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180_days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth ii 'OAR 952 - 001 -0010 th g 0 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1 -8 6 -332 -2344. \, .`-_-."---7 Iss ed By: ) U✓l v - �'!�l Permittee Signatur :)2t ' . � � Keet / ,., - 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 �/� ��� �B� « DATE: l ?/ �/ �'fU v � SIGNATURE OF SUPR. ELEC'N: LICENSE NO: /,(/ Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. E l a1 Permit ApInhcat_i n, a = 4 FOR 0FEICCIUSP- OitirliY, '- _ ��- , 1 City of Tigard — Erik Received eB (C A off! PermitNo.. ELe- /- 61 13125 SW Hall Blvd, Tigard, OR 97223 ay ( Plan Review Phone: 503.639.4171 Fax: 503.598.1960 O C. T 2 3 20 AL. DateBy: Other Permit: Inspection Line: 503.639.4175 ;a ' • 'I 1 ', Date Ready/By: H See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIG..• •-- Notified/Method: / /Ca Supplemental Information .... .-.,port nlviSlON TYPE OF WORK . ` . ,. _ - PLAN REVIEW ❑ New construction © Addition/alteration/replacement Please check all that apply: 0 Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition ❑ Other: 0 Service over 320 amps — rating ['Bulldog over 10,000 sq. ft., - . , CATEGORY.'OF.'CONSTRUCTION , ' , . • - of 1- and 2- family dwellings 4 or more new residential ❑ I - and 2 family dwelling Ea Commercial/industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure ❑Building over three stories ['Feeders, 400 amps or more ❑ Multi- family ❑ Master builder ❑ Other: ❑ Occupant load over 99 persons ❑Manufactured structures or ' ` JOB' STTE= NATION 'AND - ` OCATION• _ - ['Egress/lighting plan RV park 6 4 2 8 5 � 0 / 'EBURY LANE sets ❑Health -care facility ❑ above Job site address_ Job no.: Submit 2 sets of plans with any of the above. City /State/ZIP: TIGARD, OR 97224 The above are not applicable to temporary construction service. Suite/bldg./apt. no.: Project name: "FEE * , SCTIEDULE - - - *It j ASR #1 Description ' (' I Qty. I Fee I Total Cross street/directions to job site: HIGHWAY 99 New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: • Lot no.: Ea. add'l .500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non- residential 75.00 2 . _., i DESCRIPTION+OF:'WORK.;_ ; "`•...- - ' Each manufactured or modular dwelling, service and/or feeder 90.90 2 CHANGE OUT MOTOR Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 . :❑'PROPERTY- - bWNER .❑ `TENANT 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1.000 amps or volts 454.65 2 Reconnect only 66.85 I 2 City /State/7.1P: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: . Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with • . - , - .. ❑ APPIIC ;; '.. ❑ "COIVTAQT"tPERSON service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: r u PP RETURA A CATION B. Fee for branch circuits without service or feeder fee, COPY 1 46.85 46.85 2 Address: Each add'1 branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- ;CONTRACTOR' . energy panel, alteration, or extension. Describe: Page 2 2 Business name: FRAHLER ELECTRIC COMPANY Address: Each additional inspection over allowable in any of the above 11860 SW GREENBURG ROAD Per inspection 62.50 City /State/ZIP: TIGARD, OR 97223 Investigation per hour (1 hr min) 62.50 Fax: (503) 639 -4673 Industrial plant per hour 73.75 Phone: ( 503) 639 -4627 - • 'ELECTRICAL =PERMIT FEES *. - • CCB Lic.: 37410. Electrical Lic.: 34- 3C Suprv. Lie.: 18165 subtotal 46.85 Suprv. Electrician signature, red: Plan review (25% of permit fee) State surcharge (8% of permit fee) 8. 75 Print name R. W. FRAHLLK Date: 10/23/06 TOTAL PERMrT FEE 50.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per pest allowed. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC 006 00603 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/2312006 Phone: (503) 639 -4171 ,u Inspection Requests (24 Hrs.): (503) 639 -4175 ��' `:1. INSPECTION WORKSHEET FOR DATE: 11f8/2006 TIME: 7 :03AM PAGE: 21 SITE ADDRESS: 10310 SW CANTERBURY LN CLASS OF WORK: ' SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 005 TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: Change out motor. Job No. 642135 OWNER: TIGARD WATER DEPT, PHONE #: 639-4171 395 CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639-4627 Inspection Request Scheduled For: Date: 1118/2006 Pour Time: , � Code # Inspection Description Confirm # Contact # Message � '4 199 Electrical final 039447 -01 503. 639 -4627 Y 1) . , - /g a 6, 0 9 Corrections/Comments/Instructions: C ----- ------ rY • y-vr tC,1-- .- SS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION l ADDITIONAL FEES ASSESSED Inspector: Date: if — e O 6 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006.00603 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2006 Phone: (503) 639 -4171 "Olt Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' iI L. INSPECTION WORKSHEET FOR DATE: 11/7/2006 TIME: 7 :03A111 PAGE: 37 SITE ADDRESS: 10310 SW CANTERBURY LW CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS' LOT #: 005 TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: Change out motor. Job No. 6288 OWNER: TIGARD WATER DEPT, PHONE #: 639-4171 396 CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 603 - 639 Inspection Request Scheduled For: Date: 11/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 199 Electrical final 039389 -01 603. 639 -4627 Y . Corrections /Comments /Instructions: F IlitYt 1 1.) t i\c)c,-.16, • G---fLjE - . v i bN V c). M IA) FK L . , ' c c( \,c— . • • The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0030 i, I PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS AIL HALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector:; 4 LE D ate: �� 1 �� Phone #: (503) 718- 1.4410