Permit II CITY OF TIGARD ELECTRICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: ELC2013 -00150
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2013
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15532 SW PACIFIC HWY C - 2
Project: Supercuts 9471 Subdivision: 1997 -016 PARTITION PLAT Lot: 2
Project Description: (5) branch circuits for TI
Contractor: FRAHLER ELECTRIC COMPANY Owner: TRC MM LLC
11860 SW GREENBURG RD 5973 AVENIDA ENCINAS STE 300
TIGARD, OR 97223 CARLSBAD, CA 92008
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
5 crt Branch Circuits wo /Purchase 03/05/2013 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/05/2013 $10.30
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
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 9 -00 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: Permittee Signature: (�/`v el /
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.
03-04-'13 16:51 FROM- Frahler Electric 5036394673 T-182 P0002/0002 F-615
Electrical Permit ApplicaRECEIVFO FOR OrlACE USE ONLY
!AI
City of Tigard Received .2 4 SEM13p . II Penni( bloe- 0%1/3 —Cid /
Datell3v: `-'
-,-_- I 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
. '' : - Phone: 503.718.2439 Fax 503.5O 4 2 013 Oate/B ; Mer runl et/i n t: 2 01/-3 "leV0o7.,
'1 I CARD Inspection Line: 503.639.4175 Date Ready/Ey: El See Page 2 for
'
Internet: mvw.tigard-or.gov C I ; „ NotifiedNethod: . Supplemental futon:nation
,,,. .
% ;'...•:';': --, 1.,....0 ..„.., l ! !Q11TA *.:..,::.;t . ,.. :..:,... i.,. :4 KAME • .........:4'........... :
1:1 New construction E) AdditiOn/alieratiOn/replaeOirient Please check all that apply (submit 2 sets of plans wfitems checked below):
in Service or feeder 400 amps or more J Buildin over three curies,
[]Demolition 1:1 Other: where the available fault current 0 Marinas and boatyards.
1 ......1 , :,.o . Atig - 0,51 - tii6::biii . :05:140.40 - tiiti*:.::::.. ; : . .. ,,,,. . .. , ...r : exceeds 10.000 amps at 150 volts or 0 Floating buildings.
lets to ground, or exceeds 14,000 in Commercial.use agricultural
n 1- and 2-family dwelling El Commercial/industrial 1=1 Accessory building amps for all other installations. buildings.
['Multi-family 1:1 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system,
: ::.`'...:....-..-:,,!.), ClAddition ot.mat.m.bie 1:1“A.,-E-,-1-2-,"1-3^,
Job no,: 70311 I Job site address: 15532 SW PACIFIC HIGHWAY 10011P or more. occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97224 0 Health-care facilities. 0 Supply voltage for more than
1:114azirdous lotions, 600 volts nominal.
Suite/bldg./apt no.: I Project name: SUPERCUTS 0 Service or feeder 600 amps or more.
.;,:::::'::.;";:::::::' '`2:...:0gk4c.44)1)4:!.:.1:.:
Cross street/directions to job site: inummion I cur. I Fee. I Told 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' I 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: above sq . . . , . . ...., Limited energy, residential 75.00 2
, ....i-rwaitit:04-, ilf WORK (with :•••:...;.,••••,•-", v:,...,-,:•••,....,...%.:•;•••:.,.;•••:....,....,;,.,,,. th . ft.)
Limited energy, multi-family
TENANT IMPROVEMENT residential (with above sq. It) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
. , .... .. .,. .,. .....,
.:• 1 P:tt0./0 4. T: : ,;‘ . : . : : ' ''i . .. ', .:: : . : . :; .;:;." 201 amPS to 400 amps 13156 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 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. Ike for branch circuits with
:.; :.::,...;.; ; ; ... ;::, ; :... . y -' ::,::•:,:' : , :.: 0 z , 7 :. 1 : : , ,::: .:. : ! .:.:.;;., ., 3:y ; ,. . ,;,-, ,..: , . i 1. gi fee,
742 2
Business name: . B. Fee for branch circuits without
service or feeder fee, first 1 56.18
56.18 2
Contact name: branch circuit
Each addl branch circuit 4 7.42 29.68 2
Address: Misceliancous service or feeder not included) '
Each manuthctured or modular
City/State/ZIP:
dwelling, service and/or feeder 67.84 2
Reconnect only 67.84 2
Phone: ( ) Pax: : ( )
Pump or irrigation circle 67.84 2
E-mail: sandy@frahlerefectric.com
Sign or outline lighting 67.84 2
.?.: ; • : '::' . .i. ::: : : : : : : ....i . - t g:;...:' : .!':, 1,r ;:!: ." .; : Z.;'. ' .:::.: ; 4 '.■: ''... :;;:::: Signal circuit(s) or limited-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 (I hr min) 66.25/ hr
Investigation (1 hr min) 66_25/ lir
City/State/ZIP: TIGAlftD, OR 97223
Industrial plant (1 hr min) 78.18/ hr . .
*hone: (503) 639-4627 Fax: (503) 639-4673 Inspections fbr which no the is
90.00/ hr
,.. specifically listed (A hr mi)
CCB Lic.: 197172 1 Electrical Lic.: C861 VI Suprv. Lic.: 5110S ' : ', ,....;....:':'...
Suprv. Electrician signature, required; Subtotal: 85.86
red: se ....4 e ."" . ,
,
..... Plan review (25% of permit fee):
_
Print name: ADAM ETHERINOTON Date: 03/04/13 State surcharge (12% of permit fee): 10,30
TOTAL PERMIT FEE: 96.16 t/r.
Authorized signature:
This permit application expires if a permit is not obtained within 180
dayti atter it has been accepted as complete.
Print name: pate: • Number ofinspections allowed per permit.
1:1BuildinsTermildELC-P4rmitApp.doa 07/01/10 440-46157(11/05/C0M/0M