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Permit CITY OF TIGARD ELECTRICAL PERMIT 11 111 / q . a COMMUNITY DEVELOPMENT Permit #: ELC2010 -00413 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/09/2010 Parcel: 2S114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Subdivision: Lot: 0 Project: Caring Closet Storage Building Project Description: Owner: FEES TIGARD - TUALATIN SCHOOL Quantity Description Date Amount DISTRICT #23J, 6960 SW SANDBURG ST TIGARD, OR 97223 1 ea Services or Feeders - 200 08/09/2010 $100.70 amps or less PHONE: 3 crt Branch Circuits w /Purchase 08/09/2010 $22.26 Service or Feeder 1 ea 12% State Surcharge - 08/09/2010 $14.76 Contractor: Electrical FRAHLER ELECTRIC CO 11860 SW GREENBURG RD TIGARD, OR 97223 PHONE: 503 - 639 -4627 FAX: 503 - 639 -4673 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $137.72 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 O • : 952- 001 -0100. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. c 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 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 l , , .: FOR OFFICE: USE ONLY City of Tigard Received 5 2010 Permit No.: • 13125 SW Hall Blvd., Tigard, OR 97223 AUG Plan Review ® . , Phone: 503.639.4171 Fax: 503.598.196 Date/B : Other Permit: . L4 /� w _ oo Cr r I �i n R D Inspection Line: 503.639.4175 , - = . ' ' 5. Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard or.gov . ,, 1 , 'r`' '' Notified/Method: T,] £ Supplemental Information ..i ' ,t `; Q , ' . J- TYPE OF W PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: CI Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ® Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: DFire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", 100HP or more. occupancy. Job no.: 67736 , Job site address: 9000 SW DI TRHAM ROAD ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: TIGARD OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: CARING CLOSET STORAGE ❑ Service or feeder 600 amps or more. BUILDING FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 • 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'I 500 sq. ft. or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK ( with above sq. ft.) Limited energy, multi - family 75.00 2 FEEDER, HEATER, LIGHTS AND OUTLETS residential (with above sq. ft) Services or feeders installation, alteration, and/or relocation 200 amps or less 1 100.70 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 ' 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: /State /ZIP: Temporary services or feeders installation, alteration, and/or 1 n relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 3 7A2 22.26 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: _ Miscellaneous (service or feeder not included) Each manufactured or modular City /State /ZIP: dwelling, service and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: FRA LER ELECTRIC COMPANY panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: TIGARD OR 97223 Investigation (1 hr min) 66.25/ hr Industrial p lant (1 hr m in) 78.18/ hr Phone: (503 ) 639 -4627 Fax: ( 503) 639 -4673 Inspections for which no fee is 90.00 / hr specifically listed (/2 hr min) CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S ELECTRICAL PERMIT FEES Suprv. Electrician signature, re red: ��� Subtotal: 122.96 Plan review (25% of permit fee): Print name: R • W • EPAHL ER Date: 08/03/10 State surcharge (12% of permit fee): 14.76 TOTAL PERMIT FEE: 137.72 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. 1:\ Building \Permits'ELC- PermitApp.doc 07/01/10 440.4615T(11/05/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: , RESIDENTIAL WORK ONLY: Fee for all 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: - — - -- COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations C \Building\Permits\ELC- PermitApp.doc 07/01/10