Permit q CITY OF TIGARD ELECTRICAL PERMIT
--- COMMUNITY DEVELOPMENT Permit #: ELC2013 -00173
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/18/2013
Parcel: 2S110AA00500
Jurisdiction: Tigard
Site address: 10580 SW MCDONALD ST 101
Project: Ogden Building Subdivision: KING CITY TERRACE CONDO Lot: 3 -6
Project Description: (5) branch circuits to replace /retrofit light fixtures in suites 103, 104 and 205
Contractor: JRA, INC DBA FRAHLER ELECTRIC COMPANY Owner: OGDEN DISCLAIMER TRUST
11860 SW GREENBURG RD BY MARY JOAN OGDEN TR
TIGARD, OR 97223 24030 AIRPORT RD NE
AURORA, OR 97002
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
5 crt Branch Circuits wo /Purchase 03/18/2013 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/18/2013 $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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234 4. 1
Issued By: � / l.trL t Permittee Signature: 1 kS ► 1 P 1 LI e� r - 7 Q&I
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- 18 -'13 14:50 FROM- Frahler Electric 5036394673 T -191 P0001 /0002 F -665
Electrical Permit ApplicatioIEivED FOR OFFICE 1SE ONLY
11 VV ����!! t�oei,�wt
City of Tigard natJ" ; 3(18 13 r Penult No. .6-2e ;0/3 ..- 120113
13125 SW Mall Blvd., Tigard, OR 91V3 ii AR 18 2013 Plan Review Other Permit:
.
Phone: 503.718.2439 Fax: 503.598.19 Date/Bv:
1 1 GAR Inspection Line: 503.639.4175 Date Ready/By: twi ' la See Page 2 for
Internet: www.tigard -or.gov CITY OF TIGARD Notified/Method: Supplemental information
WA;
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❑ Ncw construction ® Addition/alteration /replacement Please check all that apply (submit E sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault currant ❑ Marinas and boatyards.
,.',4': •,,4, C4. EGO):t ' OF it‹.6: 1'RUonoN :' : '.r:' exceeds 10,000 amps at 150 wits or ❑ Floating buildings
cf e: : : , .:;.:' • : :., :... , ..: <.. ' .,: •. : :. ,.,... :..... :... '': : .' :•- ; < .... . less o ground or exceeds 14,0 Comme us ag W at
r OD p racial. a rk mr
❑ 1 - and 2- family dwelling ® Commercial/industrial 0 Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder El Other: 13 Fire pump. 0 Installation 75 or
larger separately derived
,�. ❑ Elnorge system.
..,Y . :':.••..::,...''... .Y O$ i INF T ION : ' A ND;I;O C ATI T4,:.... , ❑ Addition of new motor load of ❑ "A " l ", "I.2 ", "13 ",
Job no.: 70357 I Job site address: 10580 SW McDONALD STREET 100HP or morn Recreation•
0 Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: OGDEN BUILDING ['Service or feeder 600 amps or mom.
z.I.5F:'... _ ) W..SC10 f `' :':: :, ?. ' ..
Cross st to job site: De,rription i am. I Pee. 1 To tal I •
Ncw residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l500 sq. ft. or portion 33,92 I
Tax map/parcel no.: , . , Limited ener residential 75,00 2
• •
`' . • (with above s II
Limited energy, multi - family 75.00 2
REPLACE/RETROFIT LIGHT FIXTURES IN SUITES 104, 103 AND 205 residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
; , ;' 400 133.56 2 201 a mps to 4 amps
':;r'-: ® ? POPEI>ti°Y ,QWrJksR:; I : .. ' : :: :' ..
Name: 401 amps to 600 amps 200.34 2
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
tY relocation - _
Phone: ( ) I 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 ?
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54
Branch circuits— new, alteration, or extension, per panel
Owner signature: Date: A. Pee for brunch circuits with
above service or circuit feeder fee, 7.42 2
APPY.ICAIV7' ❑ aCr
OiVAG 'Y':��RS,QN ` :'•�r; :; :' °.'. :,� cacltb cinch
• , :.Cl; :. , . . �'�``<' ' ;..... �. r
Business name: B. Fee for branch circuits srlrhor, '
service or feeder fee, fug 1 5618 56.18 2
Contact name: branch circuit
Each add'I branch circuit 4 7.42 29.68 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular 67 84 2
City /State/ZIP: dwelling, service and/or feeder
Phone: ( ) I Fax:: ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E
CON'lt'Itu4�'I'Qlt` :, Sign or outline lighting 67.84 2
'::: ,, ■:. . ... .. : Signal oireuit(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 (1 hr min) 66.2,5/hr
City/State/ZIP: TIGARD, OR 97223 Investigation (1 hr min) 6625 / hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 639.4627 I Fax: (503) 639 - 4673 Inspections for which no fee is 90.00 / hr
specifically listed (%a hr min)
CCB Lie.. 197172 Electrical Lic.: C861 Suprv. Lic.. 5110S "r• %EL•ECI'R1C14 .P.tOrf. PEIrS ::
Subtotal: 85.86
Suprv. Electrician signature, required:
Plan review (25%ofpermit fee):
Print name: ADAM ETI•IEILINOTON Date: 031813 State surcharge (12% of permit fee): 10.30
TOTAL PERMIT FEE: 96.16
Authorized signature: This permit application expires ifa permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
1 1: 1Bwlding \PermilOELC.PermiiApp.doa 07/01/10 4404615T(11/05/COMIWEe