Permit Support Document (15) foi CITY OF TIGARD .1 ELECTRICAL PERMIT
=�" Permit#: ELC2017-00175
COMMUNITY DEVELOPMENT
Date Issued: 03/15/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112AD00300
Jurisdiction: Tigard
Site address: 6830 SW BONITA RD
Project: 76888 Climate Control Subdivision: BONITA GARDENS Lot: 4
Project Description: 8 heat pumps,8 air handlers, 1 plug circuit.3/23/2017: REPRINT permit to add(5)branch circuits for a total of
(22)branch circuits.
Contractor: FRAHLER ELECTRIC COMPANY Owner: STEMS FAMILY HOLDINGS LLC
11860 SW GREENBURG RD BY JOHN E SMETS
TIGARD,OR 97223 PO BOX 560
AURORA, OR 97002
PHONE: 503-639-4627 PHONE:
FAX: 503-639-4673
FEES
Quantity Description Date Amount
17 crt Branch Circuits wo/Purchase 03/15/2017 $174.90
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/15/2017 $20.99
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 03/23/2017 $45.00
0 ea 12%State Surcharge- 03/23/2017 $10.30
Type of Const: Electrical
Occupancy Grp: 5 crt Branch Circuits w/Purchase 03/23/2017 $37.10
Service or Feeder
0 ea 12%State Surcharge- 03/23/2017 $-5.85
Electrical
Total $282.44
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 07ihl
2-0 -0090. -ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
44-05r,
e7
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.
Electrical Permit Application il t ( ., . i
,
, FOR 0 FFI('E USE ONLY
City of Tigard
IIReceived
i i A D c.,
• --Y =2:3 /7 fhi 'emit#Eze,;20/7-0 0/2.5`
NI 13125 SW Hall Blvd.,Tigard,OR 97223 '.','•;', .. „' Plan Review
® Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit ft:
Inspection Line: 503.639.4175 (.:- ' •- _ ,,',,, Ready Date/By: kirk 10 See Page 2 for
fIGARD Internet: www.tigard-or.gov . , •- ' Notified/Method: Supplemental Information
OrAl:.:ciy:WORK :,-:. .: J: :::', -:',.,:.,::: ',:.,i::: .,:- :': ,..,:::::,:'!. 7 ::j,;:•.:::n:::,.,. .s,;AN,gtytow,.:
0 New construction Ei Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current Cl Marinas and boatyards.
CATEGORY OF CONSTRUCTION::... :: '::. .- ;' :,:. ':: :; exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 13Commercial-use agricultural
El 1-and 2-family dwelling El Commercial/industrial 0 Accessory building
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB 00:.09040.01::00 LOCATION.,.: : : 1: . : , :: 0 Emergency system. larger separately derived
Cl Addition of new motor load of system.
Job#:76888 Job site address:6830 SW BONITA ROAD 100BP or more.
0 Six or more residential occupancy.
City/State/ZIP:TIGARD,OR 97223 units. El Recreational vehicle parks.
0 Health-care facilities.
Suite/bldg./apt.#: Project name:CLIMATE CONTROL El Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: :' :::':':::;':;:...,:':':-.:',:'::: ,t.tk SCHEDULE:.: ':.•':':'''..' ,',..-. .:.,i '-'''' '
Description I Qty. I Each I Total 1 .
New residential single-or multi-family dwelling unit.
Subdivision: Lot 4: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4:
Ea.addl 500 sq.ft,or portion 33.92 1
, . . .
DESCRIPTION OF.WORK , . : - :: . : ,:- ':::::::.' Limited energy,residential 75.00 2
PLEASE ADD(5)MORE CIRCUITS TO PERMIT#ELC2017-00175 (with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
: Renewable Energy El See Page 2
'-'...0 pAppptTY (:**.Npk','.:•::',. ;:::: . . , ::::, 1=1:;TENANT ; '-',:::: ;' 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 snips 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 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
:
new,alteration,or extension,per panel
,.:,!:y.i:.IL .0N,IAor ktoco,: ;: , ABrFaneechror circuitsbmn
ch—circuits with
Business name: above service or feeder fee,
7.42 2
- each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Each add'l branch circuit 5 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
; : ..:,: , : : :...: ...-. ;, Pump or irrigation circle 67.84 2
Business name:JRA INC.dba FRAHLER ELECTRIC.COM Sign or outline lighting 67.84 2
Signal circuit(s)or llirlited-ellergy
Address:11860 SW GREENBURG ROAD panel,alteration,or extension. El See Page 2 2
City/State/ZIP:TIGARD,OR 97223 Each additional inspection over allowable in any of the above
Additional inspection(1 hr mm ) 66.25/hr
Phone:(503)639-4627 Fax:(503)4673 Investigation(I hr mm ) 90.00/hr
Email:sandy@frahlereleetrie.com
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 197172 Electrical Lie.: C861 Suprv.Lie.; 5110S specifically listed(Y.hr min)
''.' .•.''.,, .', SELETRICAJL, PERMIT PEES'
Suprv.Electrician signature,required: Subtotal: 37, /0
Print name: ADAM ETHERINGTON Date: 032317 Cl Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 44 /-13'
TOTAL PERMIT FEE: ri
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit. ‘4.5:. 1-'7)
latilding\Permits\ELC_PermitApp_ELit ERE.doo Rev 06/17/2015 440-4615T(11105/COM/WEB ,......-- ---
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6830 SW BONITA RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2017-00175
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor