Permit CITY OF TIGARD ELECTRICAL PERMIT
^., - COMMUNITY DEVELOPMENT Permit #: ELC2013 -00143
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2013
Parcel: 2S 112AC01600
Jurisdiction: Tigard
Site address: 14975 SW 74TH AVE
Project: Meyer Sign Co Subdivision: FANNO CREEK ACRE TRACTS Lot: 17
Project Description: Provide (1) circuit for paint booth and (1) circuit for lighting.
Contractor: FRAHLER ELECTRIC COMPANY Owner: SKOURTES, JOHN & JACKIE
11860 SW GREENBURG RD 17010 SW WEIR RD
TIGARD, OR 97223 BEAVERTON, OR 97007
PHONE: 503 -639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 03/05/2013 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/05/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 0 9 - 0 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r — Permittee Signature: B'V ft"XPPLi('.f1-T//1
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.
02- 28 -'13 17:02 FROM- Frahler Electric 5036394673 T -181 P0001 /0002 F -602
Electrical Permit Application FOR Off "ICE USE ONLY
City Of Tigard j El-YE D Received 2,�z �m Permit No.: &GC . # /J -ev_/ 3
:
Date/By:
13125 SW W Hall Blvd., Tigard, • R an Review
111 Phone; 503,718.2439 Pax; 503,598.1960 p
Other Permit: 4 g ) i ♦ -(,it:122 `
Inspection Line: 501639.4175 -cg 28 2013 DateRcady/By: BM El Ste Page 2 ror
T[G.4RD Internet; www,tigard or,gov Notified/Method: Supplemental Information
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❑ New construction ® Addi , r. , 1 , .' !V .73 F1 01 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 *talent 0 Marinas and boatyards.
.r ?; "a;I•� "4'." -:R' ,yis:' �; w�:px7ary.i kiiiiT- id _ti'.,,a• "s : ,.:Q`Mi5,4.,'i•
` ' exceeds 10.000 am at 150 volts or ❑Floati build'
;.? 4.; :- r- .tl,' a." :, l''9!. "' ,..'.,. ".17:''): '7'R x CtC *.:''!• 7!1..'T.N'''' 5 > r ^ 2''C'1�, t �., , xc n$ buildings.
a , <a . , F,�,1d : . :.P, .F' r , s . . , . (.,.,, c. -: ;'.:...,. r, t,!i:') .4., less to ground, or exceeds 14 000 ❑ Commercial agricultural
❑ 1 - and 2- family dwelling II Commercial/industrial ❑ Accessory building amps tbr all other installations. buildings, •
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
}} ; \ :'.: ,,t•�,y •>, �' 4 },,,. . ..;. .. • , ... ❑ Emergency system. larger separately derived system.
, ;Z.t ! ;.1t, %.? ?•';; -IP.. '` o �t {ac^ q��,,,�TtQ•:', �\ v, .;, ', . , !� i +f' ; .: 1∎ 4 lcrl:l :, ,
, ;: :. „�:�:;tr,.;1.��Y1Q :ter. *,'r�:.rs: `+� A � I � v. : Q . r. r. �->; �INr� :�c- .'�:..s.�.w :,;o= 1;•...! ['Addition of oav motor load of ❑ », ,1
Job no.: 70046 , Job site address; O5 SW 74 AVENUE 1001{P or more occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parka.
City /State /ZIP: TIGARD, OR 97224 iY97c-- ❑ Health -care facilities. ❑ Supply voltage for more than
Htuardons locations, 600 volts nominal.
Suite/bIdg. /apt. no.: I Project name: MEYER SIGN PAINT BOOTH ❑ Service or feeder 600 amps or more. I T
y �
Cross street/directions to job SItC: �5: ?;la's v� °p G ti5 a,a . 1 <i l ;,l�C »tJL "` r� �}il:Y �' 4 �\ ? y:;l i'. ,' c`,
nes
j ertptten I Qty. I Pm wat • ' . I >,
"' New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I 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
°; _ rr+ ;' >a,r >; ; r,`• (. :•. r l / : , , y r 75.00 2
;'t�`l %; ,.:iii:. . .• %' ;,.- ° -;i��l�._.�.:; >'�;•, ,, a, (with ft.
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Limited energy, multi-family 75.00 2
PROVIDE 100a CIRCUIT TO PAINT BOOTH AND (1) LIGHTING CIRCUIT residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 J 2
'` ?S' %s�'` M}(� ','/,��' r{r� •;5' �O, y)�ip/ rct..`� ':,T;: ' . t... ( f:S ?CyK: , �, 5'.•✓ � "� a; 201 amps to 400 am S 133 56 2
�: 3 ': !F ,':ri�VgL1LF l; -40. 4A 1 !1� :•1. . T : Ps P , .4
1..:, 'J..1 :... .. . ....... ....,. .......d....,. ... ,. � \ }Y(� � ,. r.. ,:t.'::i %1;{ � .. . _. r .��:.1:�,-r...'{:,`.Y: ":....tiF "<
401 amps to 600 amps 200.34 2
Nye 601 amps to 1.000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: lState/ZIP: Temporary services or feeders installation, alteration, and/or Q �
ty relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 ^ 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to $99 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
:, A �: ,.�„ .,,' .. +_;; , ; , r,;: i? - r, g ' . . -,.. , ,, ,. ,v . i:' abov service or fe eder fee 7A2 2
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Business name: B. Fee for branch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: blanch circuit
Each add'i branch circuit 1 7.42 7,42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: ( ) Reconnect only 67.84 2
- -- Pump or irrigation circle 67.84 2
E -mail: sandy t@frahlerelectric.com A Sign or outline lighting 67,84 2
: i ,cM1t•.. \:'+1�Y )'S'tS= '(i,::•JrtYY: 1 k. �: l > i : r .. y
..,., , ,..v? ,es.i�ad:. , .._..:. ��, a. �r a�.:�...,��Q�;r;c.. ,,.t�.'�_ ::f:! ..... ,.:,�'a:: ir•.,�... ? <r.. „. ... signal eirc0it(s ) or limitcd- energy
Business name: JRA, INC. dba 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 I Fax: (503) 639-4673 Inspections for which no Re is _ 90.00 / hr
I s cificall listed ( %:hrmin) -`I
CCB Lie„ 197172 Electrical Lie.: C861 Suprv. Lic„ 51105 ,:;; ;;ia ;�. ti':sr-'T;)E ;IE . (4J) .1P�k 0. 'P '�T a
Suprv. Electrician signature, required: Subtotal:
review (25% of permit fee)t fee) 63.60
�� :
Print name: ADAM ETHERINGTON Date: 02/28/13 State surcharge (12% of permit fee): 7.63
TOTAL PERMIT FEE: 71.23
Authorized signature: This permit application expires if a permit is not obtained within 180 ✓
days after it has been accepted as complete.
Print name: 1 Date: • Number of inspections allowed per permit,
I:1 BUadite\Permiw\ELC- PermitApp.doc 07/01/10 410-461ST(I1 /0S/COM/N617
03- 05 -'13 11:38 FROM- Frahler Electric 5036394673 T -183 P0001/0002 F -621
DE FRAHLER ELECTRIC COMPANY - —
11860 S.W. Greenburg Road, Tigard, Oregon 97223
PHONE (503)639 -4627 MAR 5 2013
CCB #37410
CITY OF TIGARD
Fax Transmittal BUILDING DIVISION •
Fax # (503)639 -4673
DATE: 3/ 5/ 13 RECEIVING FAX NUMBER:
RECEIVING LOCATION: c D7 7:9;ev Pr,n ( �
PERSON SENT TO:
SENDER
NUMBER OF PAGES: °'� (including transmittal
SUBJECT:
MESSAGE:_ ci s ,
t.
44/8
fj reit&d /
COMMENTS: •
COMMERCIAL * STREET LIGHTING * INDUSTRIAL