Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT ELECTRICAL PERMIT
rmit#:
ELC2013 00466
T FG.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013
Parcel: 1 S125DD05301
Jurisdiction: Tigard
Site address: 9810 SW VENTURA CT
Project: ALLEN Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 61
Project Description: Panel replacement.
Contractor: FRAHLER ELECTRIC COMPANY Owner: ALLEN,JAMES&KATHLEEN
11860 SW GREENBURG RD 9810 SW VENTURA CT
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 08/06/2013 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 08/06/2013 $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. 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 ma obtain a co.. of the rul-.or direct questions to OUNC by calling 503.232.1987 or 1.800,332.2344.
Issued By: _�� Permittee Signature:
' 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.
08-05-' 13 14:51 FROM- Frahler Electric 5036394673 T-320 P0001/0002 F-094
Electrical Permit A licati CERTED i:oi oi:l.:icE USE ONLY .
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 972A1 I f b 2 013 Plan Review
'9 Phone: 503.718.2439 Fax; 503.5980' Datc/I3 ; Oilier Permit:
;
/•1c.,,,R Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/Bar I� See Page 2 for
Internet: www.ti! d-Or, ov Notified/Method: Supplemental Information
/a �k � 1t r 'J '/,// 9�7J �ti.o La � b% ?7, � '' m ,/ b i / 4/ nT / %ir '/ P ',/° ,
'.. i 4� Lwg:.I ' lglige:lu/S6No¢17)M_y NLiw72,2: �y K'�i':r^,,, ' . hy2avgftiWikHd4t vxaivi , wY lkialA ,'';•., S lidf/,d,iiet
0 New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Demolition ❑Other: (l Service Or feeder 400 amps Or more ❑Building over three stories.
PAW/. dx where the available fault current ❑Marinas and boatyards.
�4. /y;I!l,,T ��/ap y., ran c111#1,,f5�s� ,x ire :. • h ', s exceeds 10.000 amps at 150 volts or ❑Flavin buildin
l•r l..:',. '• .--1 fan//�IIJ�Ld Nyr s7„.c�adaz aih ''.`'h'''-1 G ,. ,4 ,' • less to grog id,or exrxads 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps r(irali othCrinstaltatior�, buildings.
❑Multi-family ❑Master builder [.]Other: ❑Fire pump. ❑Installation of 150 KVA or
nit•f/ , 'm;,t ]^ri, ,/;ua'� v '',';,.,,.0. e,2.tvi 1. ,v,r,, ., •..4 n. „i �;., ❑Emergency system. ]argot separately derived system.
J d t�x,7. ,'i ,i ii ,t. `'t ,!i � 6 A , n f
l 1 t./4a1daii of lt.,:ldA ,17D itiplt�h b t ct3 I i Y' a t'p
Il'lkv,G/'ux 1,.1•"�..��i"�� l ) 't"77'I>,l�{ �.„l raj j�u�a ,�''��CL?ri. ,:§��1? .>».l �1.�� ,�'!F 0 d0"1�0 0 new motor load of ❑,:A...„E.a1.2..„t 3..
Job no.:70902 Job site address:9810 SW'VENTURA COURT 100HP or mom. Occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:TIGARD,OR 97223 0,1ealth-eare facilities. ❑Supply voltage.for mom than
['Hazardous locations. 600 volts nominal,
Suite/bldg./apt.no.: Project name:JIM ALLEN CO. ['Service or feeder 600 amps or more.
y �/ d Y l nrlo• , lI t / / � ,pry
Vii i i �"/..21 b��d,.94h.V.r/is62:., GiIyrh.frlrl'fi,21Y,1�Jl,.V�IPM.NI,.!,,, ,s �.i. ./P.iy
Cross street/directions to job site: Dascnption Qy. P . Total
New residential single-or multi-family dwelling unit.
. Includes attached garage.
Subdivision; Lot no.: 1,000 sq.ft.or less 168.54 4
Tax map/parcel no.: Ea.add'1500 sq.ft.or portion 3392 1
'a ,pap r '.$//1','",/,/, tli iu,�m, J<•+,�rt,u iar„n ,,�rrof r i,•t v 1.C ,,. Limited energy,residential
4 < 75.00 2
,8� �`�x��:Ira �� ?' r i a nr�t y ��r//��y;' iC� �x..11{� �d lf~�'�'f.--i/ ��� �7�tt�" (with above sq,n.)
.Limited energy.multi-family
REPLACE ELECTRICAL PANEL residential(with above s,.R.) 75.00 2
711i Watiratiii _)y,+'YL..'\NJV: . bat irt•4r�.V•.' w^ing.tl.'.W��in,•C
Services or feeders installation,alteration,and/or relocation
,91711//',.10.114 GY. t, iNe .lard. iAF.tr one e,'WI 4" s1.4..t.e..4.2�.^.6.dr 4a,,. Yg� •Yr ,/ 200 amps Or ION I 100.70 100.70 2
201 amps to 400 amps 133.56 2
Name: _401 amps to 600 amps 200.34 2
Address; 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 _ 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) T Fax:( )
relocation
200 amps or less 59.36 1 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,least,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168,54 2
Owner signature: Date: Branch circuits-new,alteration,or extension.per panel
Zli,/ ,?//, ,/,../r/ .R�t-�,¢.O11�/47''f.(t• -,,,',/,,.,,,p,,,,,,,,,,,.. r, , , ,V
r i "l.. / 6 tadeu r . r •+' ,:rag es e,�1,14,5 ^,`04eLp a ,r-. /. A.Fee for branch circuits with
�% _ .<.•..hic , .�., � above service or feeder fee, 7.42 2
Business name: each branch circuit
B.Fee for branch circuits without
Contact name: service or feeder fee,first
branch circuit 56.18 2
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: MisccllaneOuS(service Or feeder not included)
Each manufactured or modular 67.84 2
Phone:( ) I Fax: :( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail; `` Pump or irrigation circle 67.84 2
l Ir!!/ 'I,/Y ? ,f'!// lal� A'i,(�di ,/r h. r/yKr(e,�,ri �Nr >1�• I,0 ,F• , Sign or outline lighting
L,�'t,,:9i�,�! ��4r�°6/,�t.L���11�x;N�.�9i,'�'��<<i��ri��dh�lur�uft'2,JS,yG�k9x� �r s.';dn�/nnr �r>•�6,•u8 ,v r°rt''�ni � 67.84 2
Business name:.IRA,INC.dba PRAHLER ELECTRIC COMPANY Signal circuits)orlimited•onergy See
panel,alteration,or extension. Page 2 2
Address:11860 SW GREENBIJRG ROAD Each additional inspection Over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:TIGARD,OR 97223 Investigation(I hr min) 66.25/hr
Phone:(503)639-4627 I flax:(503)639-4 3 Industrial plant(I hr min) 78.18/hr
nspectio»s for which no fee is
CCB Lic.: 19712 Electrical Lic.: C861 Suprv.Lie.: 51 l OS specifically listed('F,hr min) 90.00/hr
Suprv.Electrician signature,required:
,€(0,‘44- ' drys ti,J,1r .pF� :f b l/R.a;,7 'a..A.A. th, 1, d:'lr�i,.':b',
Subtotal; 100.70
Print name: ADAM ETIIERINOTON Date: 08/05/13 Plan review(25°/n of permit fee):
State surcharge(12%of permit fee): 12.08
Authorized signature: TOTAL PERMIT FEE: 112.78
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it hat been accepted as complete.
• Number of inspections allowed per permit.
t;'BuildiegwCrmirsUiLC Nam4App_BL5. R8.doc Rev 03/21/2013 440-1615T(1IMS/COWWf.B