Permit (16) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT f Permit#: ELC2016-00425
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 NJ �6 Date Issued: 05/24/2016
TI "� L� g Parcel: 1 S 136AD06100
Jurisdiction: Tigard
Site address: 11419 SW PACIFIC HWY
Project: BUSTERS BBQ Subdivision: None Lot: None
Project Description: (3)branch circuits. 5/31/16, REPRINTED to add(2)additional branch circuits.
Contractor: FRAHLER ELECTRIC COMPANY Owner: SCHOLIBO, GEORGE E JR&
11860 SW GREENBURG RD SCHOLIBO, STEPHEN A
TIGARD, OR 97223 12241 SW TERWILLIGER BLVD
PORTLAND, OR 97219
PHONE: 503-639-4627 PHONE:
FAX: 503-639-4673
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 05/24/2016 $71.02
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/24/2016 $8.52
Type of Use: COM Electrical
Class of Work: ALT 2 crt Branch Circuits w/Purchase 05/31/2016 $14.84
Service or Feeder
Type of Const: 0 ea 12%State Surcharge- 05/31/2016 $1.78
Occupancy Grp: Electrical
45 Misc Administration Fee 05/31/2016 $45.00
Total $141.16
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
952-001-0010th OA 2-00 090.1 You may obtain a copy of the rules or direct questions to OUNC by calling 5 232.1987 or 1.800.332.2344.
Issued B : \ � /L-1'44A-3(1-1 L` Permittee Signature: P Air
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.
05-26-'16 07:23 FROM- Fr ilioQ 5036394673 1-841 P0001/0001 F-370
Electrical Permit Applicati
City of Tigard Received 634 /4 ts..0j✓ Permit ti: E'L.CO'G/I I"6O ;'S'
,1111 0 13125 SW Hall Blvd..Tigard.OR 972p!.Y 2 6 C016 Plan Review Berated Permit ii;
Phone: 503.718.2439 Fax: 503.598.1960' paw
Inspection Line: 503.639.4175 tllu Ready Datetliy: bits; PJ See Page 2 for
T I t;A ti L.),„ Internet: www.tigard-or.gov CITY t�Tfi NotiGedlMettu> �< l/� Supplemental information
i :0,g7 N,G: N .. . i:i '.:,,•t ° .a . 777 1V"1*]!gwil` . .
❑New construction ®Addition/alteration/replacement Please check all bat apply(submit 2 sets of plans w/items checked):
❑Demolition ❑Other:
In Service or feeder 400 amps or more 0 Building over three stories.
M where the available fault currant CI Marinas and boatyards.
, , „ Cd1 ti'O,O tYi Off,:CONSTR.lYC7'ION. •. i,, exceeds 10.000 amps at 150 volts or ❑Floating buildings.
CI1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. C I Installation of 150 KVA or
. .• .. .'-',11:013.0.11; u0oRMAT1WnNn't;paTiaN '.,.-7777:77=
0 Emergency system. larger separately derived
(i Addition of new motor load of system.
lob#:75306 Job site address:11419 SW PACIFIC HIGHWAY loolfP or more, ❑"A".'B"."1-2".•`1-3
City/State/ZIP:TIGARD,OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: jProject name:BUSTER'S BBQ ❑tlaaardou$locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal,
Cross street/directions to job site: I ,PEE,SCHEDUI{E.. .<
pcscripfon rot), 1 Each J Total I "
. New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168,54 4
Ea,add'1500 sq.ft.or portion 33.92 1
, ; AES,CRIPTION OF WVOR1( .. Limited energy,residential
ADD(2)CIRCUITS TO PERMIT IIELC2016-00425 (with above sq.ft.) 7500. 2_
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
w.� ,Y— Renewable Energy 0 See Page 2
°PR
f OPERTY,OWNER 0,iTENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address:— — 201 amps to 400 amps 133,56 . 2
401 amps to 600 amps 200.34 2
City/State/ZIP 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670.and 701. 201 amps to 400 amps 1 1 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 12
Branch circuits—new,alteration,or extension, er•panel
❑ APPLIOAN'F riCON tAc `PERSON •, A.Fee for branch circuits with
Business name: above service or feeder fee.
7.42 2
each branch circuit
Contact name: 13.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
___ branch circuit
City/State/ZIP: Each add'l branch circuit 2 7.42 14.84 2
Miscellaneous
Phone:( ) Fax::( ) Each manufactured or(service ot included)
modular
dwelling.service and/or feeder 67.84 2
Email: Reconnect only _ 67.84 2
. `_ TO
. % ,, CONTRC1
1Pump or irrigation circle 67.84 2
Business name:JRA INC.dba FRAMER ELECTRIC Sign or outline lighting 67.84 2
Address:11860 S tiV G12EEN1iI1t2G ROAD Signal circuits)or limited-energy ❑ See Page 2 —2
panel,alteration,or extension.
City/State/ZIP TIGARD,OR 97223 Each additional inspection over allowable in arty of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)639-4627 Fax:(503)639-4673 Investigation(1 hr mm) 90.00/hr
Industrial plant(1 hr min) 78,18/hr
Email:sandy@frablerelectric.corn Inspections fpr which no fa is
CCB Lic.: 197172 Electrical Lic.: C861 Suprv.Lie.: 51105
specifically listed OS hr min) 90.00/hr
'Ir'.,';:, Y;E`( ' 1Q p il►j11<`)*E$ '. _
Suprv.Electrician signature,required' i Subtotal: 14.84
Print name: ADAM ETHERINGTON Date: 05/26/16 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 1-'c _
Authorized signature:
TOTAL PERMIT FEE: 4 /6.G,2-
This permit application expires If a permit is not obtained within 180
Print name: Date: days after it bas been accepted as complete/7/5; C G
• Number of inspections allowed per permit.
1:\QuitdinglpermitOPLC peroutAppPLA PAPM/
.doo kev06/17/201i 440-1615T(11/OS/COWES ?ft---6,7-01----.4•
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11419 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00425
Jeff Grove
Violation Summary:
Inspector Contractor