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Permit I II d,� CITY OF TIG ARD ELECTRICAL PERMIT se COMMUNITY DEVELOPMENT Permit #: ELC2013 -00200 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/02/2013 Parcel: 1 S136DB01900 Jurisdiction: Tigard Site address: 10910 SW 74TH AVE Project: Magley Subdivision: AZOIC TERRACE Lot: 1 Project Description: Replace electrical panel Contractor: FRAHLER ELECTRIC COMPANY Owner: MAGLEY, PAMELA L 11860 SW GREENBURG RD 10910 SW 74TH AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 639 -4627 PHONE: FAX: 503 - 639 -4673 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 04/02/2013 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 04/02/2013 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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. ATTENTIO . •r-••n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 thr' ue h OAR 9 -001 -B' •0. You may obtain a copy of the rules or direct questions to OUNC by calline : ! 32.1987 or 1.800.33 .2344. • / Issued By: " Permittee SignatL " .l r! 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' u - ✓ ilig'1r% _ 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. 04- 01 -'13 12:55 FROM- Frahler Electric 5036394673 T -213 P0002/0002 F -713 Electrical Permit Application +(EivED Foie OFFICE liSL (NL1 City of 'Tigard Received v ff�al C �013 D0.2 4 : 0 PermitNo.: 4 oo . r 13125 SW Hall Blvd., Tigard. OR 97223 APR 01 2013 P lan x eview t3 ' Phone: 503.718.2439 pax: 503.598.1960 i atelB : Outer Permit: T I C A R 17 Inspection Line: 503.639.4175 ci Vr TIG � �n slate Ready/By: lurk: 171 See Paget for Internet: www.tigard- or.gov • IiJ ( N'otifled/Method: Supplemental Information - .- II k t s i p ' :;Y., ? f't ti ; + ` *' �" ; ° e . *. m '.r ,r :rn ^ -• � f .•' a 'a• �w �' r7r 'S nttf F {rC, -� 6 a, a �a , ;. , : a u a: U';R , .i' • ii:! ,.•V•�� .a i � 4i ��:� -. r :.. �, t�:`: ,ti � ,�1 \�,9 � , D � '!. t (: i< c:,' i „� �M 1 , +,,��. �` •. },t r mss, • A • " �..M y'+ .rvf Q:as. �.t ,� i ..a � .w e,c :nt:l.s,. , +� �� , r.. '. ..;. � , .. . nn'.,�.,a�.Y. :. ... ?.d.sn .La...o'. c. c m'4Str . ���� , .•C • .di 5a;�• . .lka " .. ' .5�� .: � :��i ° u , ,,:,a� � k' ❑ New construction ®Addition/alttration /replacement Please check all that apply (submit 2 sets of plans w /deals checked below): ❑ Service or feeder 400 amps or more ['Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. '. `l ',`•"r0. r •r ? ; r Vi l ti. 4.:t A P` (+ grti r. t - r, ' rr + .', x ? 4 exceeds 10.000 amps at 150 volts or ❑ Floating buildings - .. , .1 :i- ;i; n +� , '0 , l',::i ;. e e,'.e v,: . .. •. ,, � ,, ., ,>{Y... r:.. , i ., . w ;. lose to ound or exceeds 14000 gr , , ©Cotllmeraial -use agriatltural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. Multi- family ❑ Master builder Q Other: Orin pump. ❑ Installation of 75 KVA or r s F , �7r ry,�,ar , l u ;A , ❑ Emergency system. larger separately derived system. .0§ P 'k:(:} l` i;� t: / ! t ' 4Q$ i.SIT�1,Y, $Oft V,oN A4 ,i , ' 'r' t n . - t } ,- ❑ Addition of new motor load of LI " .E,.. "1 ..1 - 3... Job no.: 70412 Job site address: 10910 SW 74 AVENUE i00lIP or more. 000upancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ ilaaardous locations, 600 Volts nominal. Suite/bldg. /apt. no.: Project name; MAGLEY RESIDENCE ❑ Service or feeder 600 amps or more is . �.r ,V g3' 're ?, r '' .t s Cross street/directions to job site; Description • i r . I r? ly" i Tend : ' p I Dir. I Pee. I T6tal I " . 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'l500 sq. R. or portion 33.92 1 Tax map/parcel no `- t x k + x jam_ "Y ,, 1 `1 ^, Limited energy, residential 75,00 2 i Y w,..4+'`:s .. y ?aS��"C „ J i/"�er..,,.�. (i b s i . ,- + n t , � - r + V eg :A : f Wi Sr it (with above so. ft.) +t T Limited energy, multi - family UPGRADE SERVICE TO 200A AND REPLACE ELECTRICAL PANEL residential (with above sq. R) 75.00 2 Services or feeders installation, alteration, and/or relocation yQ � 7 F p n �t p . ` y , 200 amps or less 1 100.70 100.70 2 At fsei �' }:,�;.r p, ., ,1 ,'h Vito?..:nAE a f � : 6.. `; ''�d » �� , t K ' ,! l � :N a L ° , t`� rc,,, ! I i � � � r - amps t 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 City /State/ZCP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or loss 59.36 1 1 201 amps to 400 amps 125.08 2 Owner Installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, altcratio_n ,or extension, per panel Owner signature: Date: A. Fee for branch circuits with ` ,,t pt n, , rat ..' 44 ,, / ❑ i t tiii. ` ' %,%,;!:i4 lrl ' "<:4. - 4'"�� " ii .q rp `/� ` , w '�';: above service or feeder fee, S N each branch circuit 7.4� 2 Business name: B. Pee for branch circuits without Service Or feeder fee, first 56.18 2 Contact name: _ branch circuit Each add'l 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 Reconnect only 67.84 2 Phone: ( ) Fax:: ( ) y Pump or irrigation circle 67.84 2 E n or outline lighting :+ , ''ia� t t+, f,s 4t � � : '4 r n •c �, w . g P.ht� g 67.84 2 • r: j••a , , :,r, :... .�;� . t. �....._,,C..�?�!l�.?�..... .�.,��i `Ma.c.ti i H... \. r,. ��..L.., xr Sign , a� •. signal circuit(s) or limited-energy Business name: J•RA, Inc. dba FRAILER ELECTRIC COMPANY panel, alteration, or extension. Page 2 Each additional inspection over allowable in any of the abov Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66.25/ hr Investigation (I hr min) 66.25/hr City /State /ZIP: TIGARD, OR 97223 Industrial plant (1 hr min) 78.18/ hr Phone: (503) 639 -4627 I Fax: (503) 639 -4673 Inspections for which no fee is szcciftcall listed is hr min 90.00/ hr CCB Lic.: 197172 Electrical Lie.: C861 Suprv. Lie.: 5110S ,: '� "'" _ s n .. '; 1 ° `'l; �' , l bw'` i ; "' )'�P P a ;��iw 1 .�� vc 5 .at1a ,s ,a;,a,r:. Subtotal: 100.70 Suprv. Electrician signature, required: , , , `` Plan review (25% ofpermit fee); Print name: ADAM ETHERINOTON - Date: 04/01/13 State surcharge (12% ofpermit fee): 12.08 TOTAL PERMIT FEE: 112,7$ Authorized signature: This permit application expires if a permit is not obtained within 180 6 / days after it has been accepted as complete. Print name: I Date: • Number Of inspections allowed per permit. I:\ Building \Permits\LLC,PefmitApp.doc 01 /01/I0 440- 4615T(11/05 /COM/VEB