Permit 111 CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00285
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/26/2011
Parcel: 2S 102 BA00302
Jurisdiction: Tigard
Site address: 9908 SW TIGARD ST
Project: Barrier Corporation Subdivision:RTH TIGARDVILLE ADDITION, AMENC Lot: PTS 21 -.
Project Description: (2) branch circuits to connect power to waterjet machine and compressor.
Contractor: FRAHLER ELECTRIC CO Owner: TIGARD INDUSTRIAL LLC
11860 SW GREENBURG RD 5845 JEAN RD
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 05/26/2011 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/26/2011 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 OAR 952- 001 -0090. Yo • a o• - - • • he rules o •irect questions to OUNC by calling 511 2.1987 or 1.800.332.2344.
_ f
Issued By: "0 .7-- � 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 the next available inspection date.
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 OFFICE USEONLY -.
City of Tigard Received Pit N
III °.a 13125 SW H Blvd., Tigard, OR 97223 G• a te/B y: // � — erm o.: L G�rj j/ a$5
C ' Planview Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 3 � ` Dares ,q�
TIGARD
inspection Line: 503.639.4175 _ V \\ �I)aig '�dyBy: ' luris: El See Page 2 for
-- Internet: www.tigard - or.gov \_\ c \`Notts 2 . Method: ' - ..Ce' Supplemental Information
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- Tl'PE�.OFwW .PLAN *; E
\ Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction DI Addition /alteration /replacement CJI �
❑ Service or feeder 400 amps or more . ❑ Building over three stories.
❑ Demolition ❑ Other: ti • where the available fault current ❑ Marinas and boatyards.
;;” " ' $ '? exceeds ] 0 000 amps 150 volts or Floating buildings.
r'e'in 'c- '��: "':`< <_ �r =GATE`GORY,. " ; � -, NST - -TI . - • � ,_ �r$ . � : � � „ °,� P ❑ S s.
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;�: "v ^ `?.. ���� - w _ ,�• CO RUC . ON� ^t �; ;,,. -, =
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling [21 Commercial /industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
;,,,,, _.. ❑Emergency system. larger separately derived system.
JOB /SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑ "A ", "E ", "i -2 ", "1 -3 ",
Job no.: 68478 Job site address: 9908 SW TIGARD STREET oes. R c r eation.
❑ Six x o or r moo re a r residential units. ❑ecreational 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: BARRIER CORPORATION ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: r i =x' t .FEEsSCHEDULE �` ; :,: ,
Description I Qty. I Fee. I Total I '
New residential single- or multi - family dwelling unit.
Includes attached garage.
•
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
_ tti _,.to k E c ::, s, t,' D'ESCRIPTION::OF°n;WORK ' 0' t M?._,4,;.y (with' above sq. ft.) 75.00 2
- -- Limited energy, multi- family
CONNECT POWER TO WATERJET MACHINE AND AIR COMPRESSOR.
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
4, D ..RROPERTY.,WNER > i - , l,. tl _ „';',' ® TENANT ` ,a 1 1. 201 amps to 400 amps 133.56 2 • . 401 amps to 600 amps 200.34 2
Name:
■ 601 am ps to 1,000 amps 301.04 • 2
Address: Over 1,000 amps or volts' • 552.26 2
City /State /ZIP: - . _ .. ` . _ _ . _ .. - . -- . -- — - - -- Temporary services or'feeders installation, alteration, andfor. _.
relocation„._.
Phone: ( ) 7- Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
' <.;_' ;'rr, ; 'ii=- above service or feeder fee
P T
®':AP 1 I 'AN
h :�;.� C - ''CONTA T; *: °P -.E 7 42 2
,.__....__ „ ,,, , , , , , . , „,, , <,..._ < ....._ .,^ -,, .._..._ :.... ,•.x..., . �- :....�.._ <..... .�_v.,.�., - :.� , each branch circuit
Business name: B. Fee for branch circuits without
service or- feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'I branch circuit 1 7.42 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:
. ; i , CONTRACTOR F ; ° ”, i. s r ~% Sign or outline lighting 67.84 2
5
• �, - - � � • . •- - .. -, -,. „- . -- _ -, ,. ,. Signal circuit(s) or limited - energy
Business name: FRAHLER ELECTRIC COMPANY panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 11860 SW GREEN BURG ROAD Additional inspection (1 hr min) 66.25/ hr
__._ Investigation (1 hr min) _ 66.25/ hr
City /St /ZIP: TIGARD; OR 97223 Indus rial,plant (1 hr min) 78.18/ hr
Phone, ( 503) 639 -4627 _ T F' 639 -4627 . ._ ----- .' Inspections -for which no fee is - - - -: - -= 90.00 / fir
specifically listed (%z hi min)
CCB Lic.: 37410 Electrical Lib: 34 -13C Suprv: Lic::" -"" 18165 w ,' }rt :. e'' .ELECTRICAL PERMIT .F EES,:=x t 5;; : ;:;
Subtotal: 63.60 • Suprv. Electrician signature, reed: �� ^e;it Plan review (25% of permit fee):
Print name: R. . W. FRAHLER Date: 05/24/11 State surcharge (12% of permit fee): • 7.63
- - TOTAL PERMIT FEE: 71.23
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
l: \ Building \Permits\ELC- PermitAppdoc 07/01/10 440- 4615T(11/05/COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAI;WORK ONLY,
.Fee for all residential systems combined $75.00
Check Type of Work Involved: .
Audio and Stereo Systems*
n Burglar Alarm
n 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 - ..
n Clock Systems
❑ Data Telecommunication Installation
Fire Alarm Installation
❑ HVAC
Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting* .
n - Protective Signaling .... :. - —
❑ Other . _ _.. ... .. .
Total number of commercial systems: , '
*No licenses are required. Licenses are required
for all other installations
I \Building\Permns\ELC- PermitApp doc 07/01/10