Permit M (7` F)-ohe .' �-(dG J
CI Y O F T h G A R D ELECTRICAL PERMIT
PERMIT #: ELC2008 -00188
NC
COMMUNITY DEVELOPMENT DATE ISSUED: 4/2/2008
T IG a' b, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: SWAROVSKI
Project Description: TI. Installing (26) branch circuits and (1) audio low voltage system. 5/20/08 added (1) service.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 1N/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 25 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC FRAHLER ELECTRIC CO
BY THE MACERICH COMPANY 11860 SW GREENBURG RD
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 639 -4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
[ELPRMT] ELC Permit 4/2/2008 $288.10 LIC 37410
[TAX] 12% State Surchar 4/2/2008 $34.57 SUP 3046S
[ELPRMT] ELC Permit 5/20/2008 $40.10
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $367.59
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B 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'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Yermit Application FOR OFTR.'E EISLON1.1'
City of Tigard ---.. ?A
' A tp Received
Date/By:
ai t C f/ti ?'
II II la
Pennit N°.: EL, • 08-00188
14 13125 SW Hall Blvd., Tigard ll: * ,.,, ,', , \''
Plan Review
., .... - • Phone: 503.639.4171 Fax: 501. - ',' : . '' 60 Date/By: Other Pennit:
1
Inspection Line: 503.639.4175 .. ., . Date Ready/By: Dins: 0 See Page2 for
Internet www.tigard-or.gov ■% ' • Notified/Method: Tr.() Supplemental Information
, ..;...,,-..., •••••••• ••• .-, •.: •• . , . , . , • .
'' ': ' '17: ''' • -1 : :::' :' ''' ''. ''::' ' TYPE O 11 ''':';+ ::'.. : 4.... c o. '' 1604 1 ; .'" .-:' ::• :'' .;. ,',-;,:-:-..::': :'' :-...:.'''..''...:--;:' - ... ';''. ' .4 .,....' ...5 . C,g,:1,-, '
0 New construction ES Addition/altiat)tiOORkaCeantit'''" Please check all that apply (submit a sets of plans wlitems checked below):
, .. 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolitien 0 Other 11/ ---- . where the available fault current 0 Marinas and boatyards.
11.; '.: '';''''', :•""•:',.::•'•.::. „ .. .''' ' .•:- ...! : ' ...Clt ;::: Y. • ' - ..,....:. ; .:1 .. . - ...2.,..: : „ ::: exceeds 10,000 arnps at 150 volts or 13 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
I: 1- and 2-family dwelling 13 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 MUld-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
•. 0 Emergency system larger separately derived system.
-:!:: '-..... .: , :: JOB sITE INFORNIATION . - .: : ..-.,1-: 0 Addition of new motor load of 0 "A", "E", -1.r. "1-3",
Job no.: 65653 Job site address: 9646 WASHINGTON SQUARE ROAD DSarmo . mcummT
0 Recreational vebicle parks - .
City/State/ZIP: TIGARD , OR 97223 0 Heauh-c.nit facilities. 0 Supply voltage for mere than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt no.: Project name: SWAROVSKI 0 Service or feeder 600 amps or more.
Cross street/directions to job site:
Description 1 Qty. i Fee. I Total I "
New residential single- or multi-famlly dwelling mit.
Liu:hides attached garage.
Subdivision.: Lot no.: 1,000 sq. ft. or less I 145.15 1 4
Ea. add'l 500 sq. ft. or portion 33.40 1
•
Tax map/parcel no.:
Limited energy, residential
75.00 2
i (with above sq. ft.)
Limited energy, multi-family
75.00
ADD SERVICE TO PERMIT ELC2008 -00188 residential (with above au. ft) 2
Services or feeders installation, alteration, and/or relocation
. 200 amps or less 1 80.30 80.30 2
24*0 ' '.''*: 201 =Veto 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2 .
Address:
Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Far ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 .
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date:
A - Fee for branch circuits with
. 1:3 •, : , , ,. .• , .t, -.,:.,,:: ,...• ,.._.,,. , • . k ,.. above serve or feeder fee ,47P,IICATIT,,,„ .• -:,...--, H.,.. , n). P01. • : PlY ic fd f
4,..,:-.,..,.,.... branc
, , ' 26 6.65 172.9 2
each Business name:
B. Fee for branch circuits
without service or feeder fee,
46.85 _ , r
Contact name: first branch circuit 2
Address: Each add'l branch circuit 6.65 / 2
c_...
Miscellaneous (service or feeder 1.4. mclnded)
City/State/ZIP: Each i=nufae...ured or mc±:lar I I
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) .
Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
.-..,, .:.. .. czoiwntirkeiloR - :-.:•,;:.,';': E..j:'": .:."..::::' - :.:::: .-. : - -: ;1 :::::: , 'j. , '-: ,. ..,.':', Sign or outline lighting 53.40 ' 2
Signal circuit(s) or
Business name: name: FRAHLER ET FCTRIC COMPANY
energy panel, alteration, or
extension. Describe: 1 Page 2 75.00 2
Address: 11860 SW GREENBURG ROAD AUDIO
City/State/ZIP: TIGARD , OR 97223 Each additional inspection over allowable in anyof the above
Per inspection 62.50
Phone:( 503' 639-4627 Pax: ( 503 ) 639-4673 Investigation per hour (1 hr min) • 62.50 '
CCB Lic.: 37410 Electrical Lic.: 34-13 Suprv. Lic.: 5110S Industrial plant per hour 73.75
- • , ".. :::.,...',' v... EECTRICAL : .• . - 7 - '' •
Suprv. Electrician signature, required: " 7 ,
Subtotal: 328.20
Plan review (25% of permit fee):
Print name: ADAM ETHERINGTON Date: 05/16/08
State surcharge (12% of permit fee): --9
Authorized signature: TOTAL PERMIT FEE: 367 , 5e
This permit application expires if a permit is not obtained within 180
Print name: Date:
days alter it has been accepted as complete
PREVIOUS PAID (322.67)
TOTAL DUE ......44-79X
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL 02008.001 BB
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 40120f2
Phone: (503) 639 -4171 '� j'i9� li�
Inspection Requests (24 Hrs.): (503) 639 -4175 ��:: ":..
INSPECTION WORKSHEET FOR DATE: &23/2009 TIME: 7:OOA(VI PAGE: 9
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWAROVSKI
DESCRIPTION: TI. In;-.talling (26) branch circuits and (1) audio low voltage system. 5120108 ADDED (1) service.
OWNER: WASHINGTON SOUARE l-LC, PHONE #:
CONTRACTOR: FRAILER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 5/23/2008 Pour Time:
Code # Inspection Description Confirm. # Contact # Message
199 Electrical final 070327 -01 503-650-4971 Y
Corrections /Comments /Instructions:
r ohtkL Fen) J cst
W ik W `P toN 111 1 N\V -
r
a s k ,. vi►N A) 3 8 LAoKs
w4zz ; `gel`s 1 ))vt :
Lod Allot fNki.A �`�
)g,..P PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,t.,
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr 0 (( :) s b LE Date: S II C Phone #: (503) 718- ti .
- . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00188
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/212008
Phone: (503) 639-4171 '
0 41 0 1. 4°1
Inspection Requests (24 Hrs.): (503) 639-4175 1 . L .
INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 03046 SW WASHINGTON SQUARE RD G14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWAROVSKI
DESCRIPTION: TI. Installing (26) branch circuits and (1) audio low voltage system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MAHLER ELECTRIC CO PHONE #: 503-639A627
Inspection Request Scheduled For: Date: 5/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 069939-01 503-939-8229 , Y
--
Corrections/Comments/Instructions: 7---Th
(\i:•1(L, t FIL t4 ALL Cie, Li tio I. 1
\ /
'-4------
j PAS fl PARTIAL APPROVAL 0 CANCEL NO ACCESS
fl FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
-- (Sr 1(02 -
Inspector: Date: 6 - 11 0 Phone #: (503) 718- /TA
CITY OF TIGARD
BUILDING DIVISION , .
PERMIT #: ELC2008-00188
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4121200B
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,,4.. , 0_,,,.. t
.
INSPECTION WORKSHEET FOR DATE: 5/612008 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWAROVSKI
DESCRIPTION: TI. Installing (26) branch circuits and (1) audio low voltage system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 5/612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 069414-01 503-560-4971 N
Corrections/Comments/Instructions:
411 itstl'AI wic4N) - 10 c--% 1,i)1
• % , Li— k ,01 I
-- , - di
e • ),, 4 . 1 , A, ...
0 )4 In uts si. e 31 1‘,6k)E67 pc5. ,,,,, a,
ckt.sorio 0 -. Ii 'NtC5 66WIS-
,
fl PASS X PARTIAL APPROVAL 1111 CANCEL 7 NO ACCESS
..■', -- CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
....
Inspector: Cr N ■W (.. Date: 6 (otti Phone #: (503) 718-740 •
CITY OF TIGARD • - ii BUILDING DIVISION .. PERMIT #: ELC200B- 001F38
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2008 '
Phone: (503) 639 -4171 f � l
Inspection Requests (24 Hrs.): (503) 639 -4175 _�'.: ":_..•
INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7 :OO.AtMI PAGE: 34
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD G14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWAROVSKI
DESCRIPTION: TI. Installing (26) branch circuits and (1) audio Iovv voltage system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAILER ELECTRIC CO PHONE #: 503 - 639-4627
Inspection Request Scheduled For: Date: 5/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 06923601 503 - 639.4627 N
Corrections /Comments/ Instructions:
W ASS n PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
1 • - Pf CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED
Inspector: &r N66 v Date: (mot Phone #: (503) 718- Z IYO
CITY ������0�������� -- .
��nn n ��m� mmm�m���m�� .. ^
BUILDING DIVISION / , PERMIT #: ELCJOO8'D(1188 s. 13125SVVHa||B|vd..Tigaod.ORQ7223 DATE ISSUED: 412/2008
Phone: (503) 639-4171
/nmpechonRequests (24Hmj:(603)830'4175 `. 4A]L
INSPECTION WORKSHEET FOR DATE: 51292008 TIME: 7:O0AM PAGE: 39
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RE) 014 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWAROVSKI
DESCRIPTION: T|. Installing /26lbranch ri/xui1s and O\ audio low voltage myntmrn.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 505-6394627
Inspection Request Scheduled For: Date: 5/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
�
125 WeU c6*mr 0692304)2 503-659-4627 Y
Corrections/ uctimno:
1)4 0 PARTIAL APPROVAL E] CANCEL pi NO ACCESS
FAIL n CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
��_ w����. ~ � ��k *
Inspector: �� ^ �`«����k~�� Date: Phone (�O3)718'
*w��
� � �` (503) ..
CITY OF TIGARD
PERMIT
'' ° CO MMUNITY DEVELOPMENT PERMIT #: /2/ 2008 00188
DA TE ISSUED: 4/2/2008
T 1 G 1 —
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: SWAROVSKI
Project Description: TI. Installing (26) branch circuits and (1) audio low voltage system.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HM/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: IN/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 25 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC FRAHLER ELECTRIC CO
BY THE MACERICH COMPANY 11860 SW GREENBURG RD
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 639 - 4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
[ELPRMT] ELC Permit 4/2/2008 $288.10 LIC 37410
[TAX] 12% State Surchar 4/2/2008 $34.57 SUP 1816S
Total $322.67 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �--
C:::
ermittee Signature: /j 7� \ 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'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 � �' for
FOR OHH1(F t.isi•: oN 1_v
City W Tigard , j /Uo h L c l
�� �� Permit No
13125 SW Hall Blvd., Tigard, OR 972 �� ' E E L
- 1 503.5' Review
_ 12 Phone: 503.639.4171 Fax: , 1 . r t. . Date/By: �B Other Permit: t
� v
�x�
I nspection Line: 503.639.4175 y Ready /By: H See Paget
T l c A ii 1� � � nau xe 18 runs:
Internet: www.tigard- or.gov V� '� 1" �� ,,146t ed/Method: Supplemental Information
*, ..r ',4 f a rr ` "Y:E P DF: 'O 7.7. 1 ' o.'a k" ,». ; r 4 c .� "n lZ �p .i �t_ , „ ir,.: :, :s
-... y, � �, , .> d,F 4 + . . t .a,: Yt � � s 25 t ,3" n �' }�.f^iyoFu�.as;� ! YL[�i�� x i .r�
El New construction ® Addition/alteration/iipc�elit Please check all that apply (submit a sets of plans w /items checked below):
E l Demolition ❑ Other 9;')\ '> ❑ Service or few 400 amps or more ❑ Building over throe stories.
where the available fault current ❑ Marinas and boatyards.
w FR c � s
. t ,. ,, ,. », a S t exceeds 10,000 amps at 150 volts or ❑ Floating buildings. C'AYI'!EC�OR�'�D�it ON; s � ;.�f
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building less to ground, other e or exceeds 14000 ❑ Commercial -use agricultural
❑ Multi - family ❑ Master builder Fire for a mp. other installations. I buildings. ti
Installation KVA
❑- Fire pump. ❑ tatio
; : , ❑ Emer r
:; , JOB(Arii ,�INIURi1 IO ilkiill)OLOCA ON
system. separate derive
. ... <i ❑ of aew motor loan of ❑ "A ", "E ". "] -2 " . " 1 - 3 " .
Job no.: 65653 Job site address: 9646 WASHINGTON S Q UARE ROAD loop ormore. occupancy.
❑Six or more rasirjrNial wa its. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97223 ❑ Health-care facilities. ❑Supply voltage for mare than
❑Hazardous locations. 600 volts nominal
Suite/bldg. /apt no.: Project name: SWAROVSKI ❑ Service or feeder 600 amps or more
Cross street/directions 1A job site: d, ?i a `' : 4 .-: SC Dip at, };,VNA , ,
1 04 I Fee. 1 Taal 1
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 • 4
Tax map/parcel no.: Ea add'1500 sq. ft or portion 33.40 1
i �Ek <?k;'fi' p^�r� ` #4:E. �' ?'v`` x ,�1.�`°`�2T%: o� i, ..... ! k -s :a; ,tyy a-sg S- i x s ew+w�.�, •� . ±T idffied energy, residential 75.00 2
idential
.,., .. �t3 �TION=.iOIr *O*tt . - *f l s t4 g r } #. (with above sq. ft.)
Limited energy, multifamily 75.00 2
TENANT IMPROVEMENT residential (with above sq. 8
Services or feeders installation, alteration, and/or relocation
=.: 4 : _ paliOP z 34 ►13B$. 1 ' $ � r �4 � *" ' ,E11T.+1 k g:.._ K;. 20 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I on which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner Date: Branch circuits —new, alteration, or extension, per panel
�s��r� A. Fee for branch circuits with
rS' ' : 4.:4' a [k, C � 1,; .POA: ; Gr j., k:'+f yr rJ'' A I I'+' ' !# m K * ***r� Y t H Vi above aervioe or feeder fee,
a,r 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 46.85
Contact name: 46.85 2
first branch circuit
Address: Each add'l branch circuit 25 6.65 166.25 2
Miscefaneons (service or feeder not included)
City /State/Z1P: Each manufactuired or modular 90.90 2
dwelling, service and/or feeder
Phone:
( ) Fax : ( ) Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
.5. . Alk.k`_`, A r ..'' i *CGlt RbiCTAR,' . . 2, iig. i, ti ,, 7 J., Sign or outline fighting 53.40 2
Signal p al or limited -
Business name: FRAHLER ELECTRIC COMPANY
energy petrel, alteration, or
extension. Describe: 1 Page 2 75.00 2
Address: 11860 SW GREENBURG ROAD AUDIO
City /StatelZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 503 639 -4627 Fax ( 503 639 -4673 Investigation i
gation per hour (1 hr min) 62.50
CCB Lic 3741 0 Electrical Lic. 34— 3C Suprv. Lic.: 1816S htduatriai plant per hour 7176
Suprv. Electrician signature, i ,v (1 1 subtotal: 2 8 8.10
Plan review (25% of permit fee):
Print name: R . W . FRAHLER Date: 03/31/08 State surcharge (12% of permit fee): 34.57
Authorized signature: TOTAL PERMIT FEE: 322.67
This permit application expires if a permit is not obtained within 180
Print name: Date. days after It has been accepted as complete.
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
01i0 - iY. , . i s a 2. :�i a l'M. '��, � r x �5N�.1� i � , ti .l . .T � � Flai :
l _ _
a r s. {r �f .. •n n�'..
Fee for a ll residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other.
.�� ervmc . '. O.:*W �N Jx' Y'i "i i x3 Y y� \ 1�'. y{}'� 'l�
Yr�'�... .. n.,. ... .... .. o '���Y..Xlfl'J 1��Pt!1�Y�i) 'R.. ..... .�6
Fee for each commercial $75.00
system
(SF,F. OAR 918 - 260 - 260)
Check Type of Work Involved:
Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems •
❑ Data Telecommunication. Installation
•❑ Fire Alarm Installation
❑ HVAC
❑ Instnunentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
• ❑ Other
•
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations