Permit J UP CITY OF TIGARD
PERMIT
Iry
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00192
•T f GAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/21/2010
R
Parcel: 2S102CA00232
Jurisdiction: Tigard
Site address: 9560 SW FREWING CT
Subdivision: Lot: 0
Project: Swanson
Project Description: Grounding for electrical panel (due to replacement with plastic water pipes)
Owner: FEES
SWANSON, PRISCILLA Quantity Description Date Amount
9560 SW FREWING CT
TIGARD, OR 97223 1 ea Reconnect Only 04/21/2010 $67.84
PHONE: 1 ea 12% State Surcharge - 04/21/2010 $8.14
Electrical
Contractor:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639 -4627
FAX: 503- 639 -4673
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $75.98
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 OA 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 246.6699 or 11 � 800.332.2344. _ /
Issued By: � - - Perm itteeSignature: 0/V °/ L��
eA./
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 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 App [t `�i, i t_ F 3 ,s ': s >alv.1 . T* t ,1 �� •
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�,s.1�""r�'� t Y g . City Of 'Tigard � I ,.,max. ( � : � .,� g � I I na :�s .tx.,
L,., '� ii 13125 SW Hall Blvd., Tigard 9 ®�Q . - Permit No.� o�Q�Q / X02
Phone: 503.639.4171 Fax: �M 3 a 9iS�1� �l� 2010 Plan Review
Date/By: Other Permit:
Inspection Line: 503.639.4175 _
t'T 1 C r l 1 Qq Date Ready /By: !uric . t H El See Pa
s' rc .rxak Internet: www tigard - gc CITY OF TI , Notified/Method: Page l information
,r � ,O t it � Supplementallnformation
rn 3;31f. t 4r "S rl�sz kitW , . - 3t,� ?fd!T '�`c t
�� aG., e 1 «. t� �h' ✓ f �ft ".5 „iI I tN h 1 S�FF�i I & ",! �� ...: . , t '.t.111";, a:ti,:�r . ,'��+. � 5 � „ v J�1 .3 � t r , '^ W U �I � ��r i ��,� ; r!�R
` 1n74,' � n7�,. y,a ��'- l nl���'- �'r�����V�� :,r�l �>�� °`g'P 'r�'lu!�� u
• ❑ New construction E Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w/items checked below):
❑'DemOlitiOn E] Other: • ❑ Service or feeder 400 amps or more 12 Building over three. stones.
�, '4 l� 'Demolition
t, r a �i,� � ., {ykaN,x may, ,e- ..7 -,s _ } s where the available fault current El Marinas and boatyards.
Sc, rip if f Orin fr :.�"Jlr O 'Jm" o ( Y s Tt it � 5;1 r :; " r? a , 1 . s • u {'' y exceeds 10,000 amps al 150 volts or ❑ Floating buildings.
"' '''' less to ground, exceeds 14,000
1 - and 2- family dwelling ( Commercial /industrial ❑commercial- uscagr;euitural
❑ Accessory building amps for all other installations. buildings.
❑ M ulti family ❑ Master builder ❑ Other ❑ Fire pump ❑ installation of 75iCVAor
A , j e , ft;V •�� 'a rc` Er F �Irl1 i i, y 41f 'I t ,:, Tr •la c^ "" r r ❑Emergency system. larger separately derived systc
I ,' ._n I .i i�34 .'tf�l°i*xsea. el 344"�i f� 5 ` L P 2 - i f ❑
?cs��Ml + t w .;�, Addition of new motor load of ❑ "A ^, "E', "1 -2 ^, "1 -3 >'
. Job no.: 67482 Job site address: 9560 SW FREWING COURT 100HP or more, occupancy:
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97223 ❑ Hearth -care facilities. ❑ Supply voltage for more than
❑ Hazardous lotatilms. 600 volts nominal.
Suite/bidg. /apt. no.: Project name: SWANSON RESIDENCE ❑ Service or feeder 600 amps or more.
Cross street/directions to job site:
'o : ,.c s r , `� .U ! i , .V
i_ a,FxW,�
Description Qty. Fee 'Total '
New residential single- or multi- family dwelling unit
• Includes-attached garage.
Subdivision: Lot no.: - 1,000sq. fi• or less' 168.54 t
Ea. add'1 500 sq. ft. or portion 33.92
Tax map /parcel no Limited en
F •7 c m ,-+ ' Tarr .^ r 4; -e m cas °' ° , a u energy, residential 67.84
r f*i f 7: t v �, r 3y 'Ir..t `d i t , I „ t :1 s 7 �.. 5 _.r - ( sQ )
ve: c. suk:_. �, v�:,.. �.> �_.... �. �,..,. L�.....,'.a:.: 's��.a:Wk� =a-•:; .,,. ��. : �z >•� .u.- Mrt...-�i "- ,.,.. ..,,. a ._�.s�.a.,,....,_,��..Liss... with above . ft.
Limited energy, multi - family • 67.84
■ 11 sir • I►D k 0 : a MY: a • e dm 1 1 ILO : 0iJ t aulaki1 residential (with above sq. 8,)
•
U /\/ /
PLASTIC WATER LINE Services or feeders installation, alteration, and /or relocation
r+ PLASTIC 200 amps or less 100.70
.f,_, ....d .w, 7 i. : 't" 1 V7. t ,« ,� _ .
, :z; t,'2, 4 r 1 t r , k'� - �r.. s t(, 7 � ter-. °"was
•t 5,_t ...,.�ss L:. .. r� .a.c�a ?ll Ys3.'L^ • � u �'-.:.ia .. A,.,. � 4,: ta, s.-,.,. S ..we >f*. ^s .fi.. I ..i. i t ._ 201 amps to 400 amps 133.56
Name: sW ,g j�/�' `,e / s e/ G L 401 amps to 600 amps 20034
Address: 601 amps to 1,000 amps 301.04 :
j .4 1 C Over 1,000 amps or volts 55226 :
City/State/ZIP Temporary services or feeders installation, alteration, and/or
relocation _ -
Phone: ( ) I Fax ( )
, 200 arnps or less . 59.36
Owner installetion: This installation is being made on property that I own which is not 20] amps to 400 amps 125.08
intended for sale,_ lease, rent, or exchange, according to ORS 447, 449, 670, and 701. • 401 amps to 599 amps 168.54 :
Owner signature: Branch circuits - new, alteration, or extension, per panel
Date:
A. Fee for branch circuits with
4. a '' &s:v - -- ,,i _� � : : � . `� -E .� abov serv ice or feeder fee, 7.42 :
each branch circuit
Business name: B. Fee for branch circuits
Contact name:
without service or feeder fee, 56.18 '
first branch circuit
Address: Each add'l branch circuit 7.42 :
Miscellaneous (service or feeder not included)
City/State /ZIP: Each rranufsctured or modular 67.84 .
dwelling, service and /or feeder
Phone: ( ) Reconnect only 1 67.84 67 .84 :
Email
Pump or irrigation circle „n ycle 67.84 •
yn,�'�' -e -' w;-v `hF' �ttIS Fx '- i A `� t c-sxs �'aF.
:., r•. max+ , � agrAt *'' l W x t �« s. TZA : . Sign or outline lighting 67.84 -
Business name: Signal circuit(s) or limited -
FRAHLER ELECTRIC COMPANY energy panel, alteration, or
Address: 11 860 SW GREENBURG ROAD extension. Describe: Page 2 :
City/State /ZIP: TIGARD, OR 97223 Each additional ineprrtion over allowable in any of the above
Phone: ( Fax ( ) Per inspection 66.25
503 )
639 -4627 - 503. 639 -4673 • :. Investigation per hour (1 hr min) 66.25
CCB Lic.: 37410 Electrical Lic.: 34 -13CI Suer`'. Lic.: - 1816S lndustrlal plant per hour 78.18
.. .., /���' � / ^ - - 'FSi1 ' ' n i.', 4e a . . l o r y t5 � JFr + S" , TT -!
Suprv: Electrician signature, r red: ' Subtotal: . E0 R(,
e
Print name: Date: Plan review (25% of permit fee):.
R R. W. FRAHT .FR n4 /1 A/10 State surcharge (12% of permit fee): 8.14
Authorized signature: TOTAL PERMIT FEE. 75.98
Print name: This permit application expires if a permit is not. obtained within iS
Date:
days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\BuildingkPermits\ELC -Perm itApp.doc 10/01/09 440 -4615T(11 /05 /COM /WEB
*** TEMPORARY PERMIT FROM 04/20/10 THROUGH 04/27/10