Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00591
DEVELOPMENT SERVICES DATE ISSUED: 9/17/2004
j 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DB -00600
SITE ADDRESS: 15205 SW 74TH AVE
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Install air compressor and radial arm saw. •
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: 1 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:
MEYER, DENNY G + NANCY L FRAHLER ELECTRIC CO
7340 SW LANDMARK LN 11860 SW GREENBURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: FX 639 - 4673
Reg #: 16119-4627 37410
SUP 1816S
FEES ELE 34 -13C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/17/2004 $53.50
[TAX] 8% State Surcharge 9/17/2004 $4.28 Rough -in
Elect'I Final
Total $57.78
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: Permit Signature: _cLe,.e_
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 639 -4175 by 7:OOpm for an inspection the next business day
i
Electrical Permit Application FOR OFFICE USE ()NUN'
City of Tigard
A • _ D B Permit No.: //,, /
13125 S W Hall Blvd., Ti ar OR 97223 y �i ® V 5--e) g � P lan Review
Phone: 503.639.4171 Fax: 503.598.1960 i'i` DateB : OthePenait:
Inspection Line: 503.639.4175 ► ' . L Date Ready/By: Ju is: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental 'Worm ation
. . / f T . . P , �,y .. <`
,,...•.,. _ s,. .,._ ., , .. . ,.. ..,... ,.. . . _. ... .a �,. a .. , ,n.. ,_ . .
❑ New construction ® Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
❑Service over 320 amps — rating ❑ Buildng over L0,000 sq. IL,
<,„ ' ,A °. , ^ , ' ``" CATEGORY.OF . ; GONETR:iUC ` _ , o 1 a nd 2- fam d we lli ngs 4 or more new residential
, ... . ..emu ... r., .,,.. .
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure
❑ Muhl - family ❑Master builder ❑Other; ❑Building over three stories ❑ Feeders, 400 aims or more
['Occupant load over 99 persons ❑Manufactured structures or
w..0 'f y a iJOB rFE jr11FO D L *TI u UN < , j' ` i, ❑Egess/lightingplan RV park
Job no.:
62411A:2 site addre 0,5 3 k.,1 1 j q A--L ❑Health -care facility ❑der:
Submit 2 sets of plans with any of the above.
City /State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.:
Project name: MEYER SIGN ' . �: ,.-. a >,� 2 e FEE"' SGOFDIThE r4k. r , ,n� ^} •.y- x
Description � _ 1 .. Qiy 1 Fee 1 Total I ` ,~•
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
• 1,000 sq. a or less 145.15 1 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
' Limited energy, residential 75.00 2
Tax map /parcel no.:
e� 7 , Limited energy, non - residential 75.00 2
`. „'.z„ " a = z ; rIDESCKIPtION.�OE W()RK , , i . s m ,.. L >:. ,. Eadi manufactured or modular
INSTALL AIR COMPRESSOR AND RADIAL ARM SAW dwelling service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
a f _•, c �, F -k fi s 201 amps to 400 amps 106.85 2
i .. . ,, 1.. ROP.ER1W �,0�3NER ;, .1 . ._ f; �` ,., ., , ® 'TENAN , � , .. _.
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
`
,` i ' l € AP l4 ICAI < `� �, ` i H, 3t �> k ; 3 CO1`17;A r 41iregOF, � i A. Fee for branch circuits with
.- n,v�., »�,'k,, g,54 »y , . . »,,. T,. r . ... :w ,r. . ... .....
service or feeder fee each 6.65 2
Business name: branch circuit
B. Fee for brands circuits
Contact name: without service or feeder fax,
RETURN ��� each branch circuit 1 46.85 +6.85 2
Address:
COPY Each ad�i bianct ci cetit 1 6.65 6 , 65 2
City /Statei7.TP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited- .
IMORMagtetliagigitii.g*410W0tOWNNIONSIIIMegatIgiREM energy panel, alteration, or g 2 2
extension. Describe: Page
Business name: FRAHLER ELECTRIC COMPANY
Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: TIGARI), OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503) 639-4627 Fax: (503) 639 -4673 Industrial plant per hour 73.75
x • <` El •;EC'1`RICAI.4P Z ZR , _ ,.,. M..
CCB Lic.: 37410 Electrical Lic.: 34-13C Suprv. Lic . 2 334 S Subtotal 53.50
Suprv. Electrician signature, required: - 66/
f � _ ., e „ Plan review (25% of permit fee)
KK Da e:: State surcharge (8% of permit fee) 4.28
Print name: MIKE WAGNER 09/16/04
TOTAL PERMIT FEE 5 7 � 78
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: * Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections oer permit allowed_
'CITTY'OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: ,`(503) 639 -4171 MST
BUP
Received Date Requested 7 ' 3 AM PM BUP
Location / 5 S 7 - Suite. MEC
Contact. Person Ph ( ) 639- 4 46 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner iletY `) 5«A1 Ce, , ELCc 2D C OS (
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain &�
Slab Inspection Notes: SIT
Post & Beam Mtn,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing Pr-- ,(f q Firewall ' '' z" F 1 / 1 ( ' ' 1
Fire Sprinkler
Fire Alarm / 1
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
16:: PART FAIL
Please call for reinspection RE: II Unable to inspect — no access
Fire Supply Line
ADA Date J � Inspector fi(t - / `'" 6 ��
Approach/Sidewalk
Other:
Final • DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL