Permit C CITY C TIGARD
I T Y O F ELECTRICAL PERMIT
PERMIT #: ELC2009 -00022
COMMUNITY DEVELOPMENT DATE ISSUED: 1/16/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DB - 00600
SITE ADDRESS: 15205 SW 74TH AVE ZONING: I -
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT : 014 JURISDICTION: TIG
PROJECT: MEYER
Project Description: (3) branch circuits.
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:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /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: 2 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:
DENNIS & MARY MEYER FRAHLER ELECTRIC CO
7340 SW LANDMARK LN 11860 SW GREENBURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: FAX 503 - 639 -4673
P R I 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
(ELPRM'hj ELC Permit 1/16/2009 $60.15 LIC 37410
[TAXI 12% State Surchar 1/16/2009 $7.22 SUP 5 1 l OS
Total $67.37 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: Oatni Permittee Signature: QQ ` Q 0Y
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.
rtEuci v c:.
** Permit Application FOR oFricE USE ONLY
- City of Tigard .
JAN 1 e ? • Received '
• . '
14 q 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503 . 598 . 1 tfrY OF TIGARL) Date/By: Other Permit:
Inspection Line: 503.639.4175 uris: See Page
El 2. or
f
TIGARD' BUlt.DING DIVISIO . °ate ReadYIBY: J
Internet: www.tigard i 1 otified/Method: 1lci Supplemental Information
• ..,,... ,....':'.',i:'.::1'.,;;*:'F;':' ..*:::i:::::':....:::::::'..i.'..;::::::::::':;?',:i'',.:1;•lkiA.1■1
0 New construction. DI Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CAtEGoiiV;bF: ..,..: ' ;.';:l''' ' .';:::':':::- '' i'..: ...'' ',..: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
' less to ground, or exceeds 14,000 0 Commercial-use agricultucal
El 1- and 2-family dwelling 12c.Conamercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. ' 0 Installation of 75 KVA or
.... — .,' .:.:''' 'JOB SITEAINTFORMATION : 'I:DC-AT:IOW - .. : ..' -- ''. . : , . :: :..,
BEAmddierttenncOlfs:estewmm load of 0 la al . d 1 e . ri 3 v , ed system
Job no.: 66389 Job site address: 15205 SW 74th AVENUE 100HP or more.
Six or more residential 0 units. occupancy.
Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97223 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: DENNY MEYER SIGN 0 Service or feeder 600 amps or more.
Cross street/directions to job site:
Description I Qty. I Fee. 1 Total r *
• New residentialsingle- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft_ or less 145.15 4
Ea. add'l 500 sq. ft or portion 33.40 1
Tax map/parcel no.:
i
Limited energy, residential
75.00 2
:A'i4 ( a sq ft
Limited energy, multi-family
RELOCATE EQUIPMENT TO MEZZANINE residential (with above sq. ft) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less S0.30 2
012OPtItti"a0**12:.: : 8*.•..t .. .: .... :t1E#E101!I.** - .:i.':: : . :,!:4..:..':-..-:: . g.,"gi:''i 201 amps to 400 amps 106.85
Name:
401 amps to 600 amps 160.60 2
,.. ... . •. . •
601 amps to.1,000 amps 240.60 — * - 2
Addreas: . • •. --- ------ - . _ . •
Over 1,000 amps or volts 2 454.65
. ,
. _ . . .. .. _ .
CitY/StatelZIP: - - - .. : -. .- . . . - . , ' ' . r - • Temporary services or feeders inst.allation, alteration, and/or
_ .,. . . .,. „ . .., .. _
relocation -
Phone: ( ) . - Fax: ( ) 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, . • r panel
Owner signature: Date:
A. Fee for branch circuits with
, '..,' , : : ••• , ..:';'',:',:; 1 1::.:: , '•:':::::::' , .:4 - 1D.:::OPLICAN'T-.. - .:'' ) .;J . :'' :; ....,':-''' ::- ' '':'"::::' '...-:-:::: j, above service or feeder fee,
6.65 2
each branch circuit
Business name:
B. Fee for branch circuits
without service or feeder fee, 1 46.85
Contact na 2
me: 46.85
first branch circuit
Address: Each add'l branch circuit 2 6.65 13.30 2
' Miscellaneous (service or feeder not hicinded)
City/State/73P: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
CO1TRACTOR or outlme lighting 53.40 2
Signal circuit(s) or limited-
Business name: FRAPIER ELECTRIC COMPANY energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2
City/State/7JP: TIGARD, - - . --
OR 97223 . : Each additional inspection over allowable in any of the above
-
. . . . ... Per inspection 62.50 - . -
.
• .--
P66: ' - 503 ) 639-4627 Fa ( 503 ) 639-4673 Investigation per hour ( hr min) . 62.50 •
'CCI3, Lib.: 37410 • Elebtrical Lib.: 34-130 . Suprv. Lic. 5110s . Industrial plant per hour - 73.75
,. .. . . .. . . _ .
• Suprv. Electrician signature, required • : ' e — ' . subtotal: 60.15
Plan review (25% of permit fee): _
Prtntname ADAM ETHERINGTON Dale 01/13/09 State surcharge (12% of permit fee): 7_ 72
Authorized signature: TOTAL PERMIT FEE: 67
This permit application expires if a permit is not obtained within 180
Print natne: Date:
days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2009-00022
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /16/2009
Phone: (503) 639 -4171 ,,U
Inspection Requests (24 Hrs.): (503) 639 -4175 ` _ .
INSPECTION WORKSHEET FOR DATE: 1/20/2009 TIME: 7 :OOASMM PAGE: 43
SITE ADDRESS: 15205 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE' Tf,ZACTS LOT #: 014 TYPE OF USE:
PROJECT NAME: IVIIFYER
DESCRIPTION: (3) branch circuits.
OWNER: MEYER, DENNIS & MARY PHONE #:
CONTRACTOR: MAHLER ELECTRIC CO PHONE #: 503639-4627
Inspection Request Scheduled For: Date: 1/20/2009 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
199 Electrical finial ( 079821 -01 503 686.0862 N
Corrections /Comments /Instructions: \._
t \, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Fl ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k N 6 3 IBC Date: 1 - 1 • Phone #: (503) 718-