Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00550
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 10/05/2011
Parcel: 25101 CB00400
Jurisdiction: Tigard
Site address: 12700 SW HALL BLVD G
Project: Tigard Central Industrial Park Subdivision: 2007 -064 PARTITION PLAT Lot: 1
Project Description: (1) subpanel and (2) branch circuits.
Contractor: FRAHLER ELECTRIC CO Owner: TCTPI LLC
11860 SW GREENBURG RD 4260 GALEWOOD ST, STE A
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE 503 - 639 -4627 PHONE
FAX. 503 - 639 -4673
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 10/05/2011 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 10/05/2011 $14 84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 10/05/2011 $13 86
Electrical
Type of Const:
Occupancy Grp:
Total $129 40
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 - • •pied. the Oregon Utility Notification Center Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090 You may obtain a copy of the ules or direct questions to OUNC by calling 503 232.1987 or 1.800 332 2344. ti
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Issued By: , — Permittee Signature: 46.
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 OFFICE USE ONLY .
Iii City of Tigard ` Received ) \A \ Date /By l U mo Permit No M ..... 0. 0 �, 00,53
- V 13125 SW Hall Blvd , Tigard, OR ' �� Plan Review
Phone. 503 718 2439 Fax. 503 5 ` �Q :•� Date /B Other Permit
TIGARD Inspection Line 503 639.4175 .\ 0 ' \11ate Ready /By lures H See Paget for
• Internet www ttgard- or.gov % n � 4 \N. C \ Notified /Method ty Supplemental Information
a L EO WO'RTi,'
COY;;AStias7P4 . P ali > REr'1k1 ent Please check all that apply (submit 2 sets of plans w /items checked below)
0 New construction El Addition/alteration/r ❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
:f EGORY ON4TRTlCTjON , exceeds 10,000 amps at 150 volts or ❑ Floating bu11dmgs
r ' 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 f ❑ Emergency system larger separately derived system
OB
B SI'I D- NFOA'TTIONNADT CAT O
„ ,�� ° ,� �� e _ 0 Addition of new motor load of ❑
Job no.: 68844 Job site address: 12700 SW HALL BLVD, BLDG. G I00HP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZiP: TIGARD, OR 97223 ❑ Health -care facilities ❑ Supply voltage for mote than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: G Project name: TIGARD CENTRAL IND PARK ❑ Service or feeder 600 amps or more
: dam a EEE3SGI3ED -3 ., .
Cross street/directions to ob site' *
J Description I Q ty. I F ee. � 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' 1 500 sq ft or portion 33 92 1
Tax map /parcel no.: _ Limited
energy,
o� � t rgy, 75 00 2
X 4 DWG: 0 U =Y4rORIC - . (with above sq ft )
Limited energy, multi-family 75 00 2
ADD SUBMETER FOR SOUTH TENANT SPACE AND 7.5kva TRANSFORMER residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
AND SUBPANEL FOR NORTH TENANT SPACE 200 amps or less 1 100 70 100 70 2
_. -toPE Ow _ 'E r T$ , ,_ ' 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
. Temporary services or feeders installation, alteration, and /or
City/State /ZIP: relocation
Phone: ( ) Fax: ( )
200 amps or less 59 36 i
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, pe panel
Owner signature: Date: A Fee for branch circuits with
oi i I x �` s i A ER v above service or feeder fee, 2 7 42 14 84 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'1 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:
Sign or outline lighting 67 84 2
.7CONTRACl,OTt� - . - 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 mm) 66 25/ hr
industrial plant (1 hr min) 7818/hr
Phone: (503) 639 - 4627 Fax: (503) 639 - 4673 inspections for which no fee is 90 00/ hr
specifically listed (% hr mm)
CCB Lie.: 37410 Electrical Lic.: 34 -13C Suprv. Lie.: 51105 M:ELEC 'RIC PERMIT. EES e
Suprv. Electrician signature, required: , Subtotal 115 54
(�/ � Plan review (25% of permit fee)
Print name: ADAM ETHERINGTON Date. 10/04/11 State surcharge (12% of permit fee) 13 86
TOTAL PERMIT FEE 129 40
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: * Number of inspections allowed per permit
I \Budding \Permits \ELC- PermitApp doc 07/01/10 440- 4615T(1 I /05 /COM /WEB
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