Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00698
COMMUNITY DEVELOPMENT DATE ISSUED: 12/7/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AD -R -O -W
SITE ADDRESS: SW NO ADDRESS ZONING:
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: PUMP STATION. Intersection of Bonita & Sequoia - SE corner. Replace contactor.
Job #64225.
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: 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:
CITY OF TIGARD FRAHLER ELECTRIC CO
13125 SW HALL BLVD 11860 SW GREENBURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: FAX 503 - 639 -4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
[ELPRMT] ELC Permit 12/7/2006 $46.85 LIC 37410
[TAX] 8% State Surcharge 12/7/2006 $3.75 SUP 18I6S
Total $50.60 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: Permittee Signature: j_ 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 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 Appli . FOR OFFICE USE O •
•
City of Tigard 0 F( .,
R. ' ' .. / � Permit No.:6 > O0 6 •
° 13125 SW Hall Blvd., Tigard, OR O P44°3 f 2006 Review
'' • ,, ' Phone: 503.639.4171 .k13,52§.1961. Date/B . Other Permit:
T I G -A R D Inspection Line: 503.639.75 1 t 3j Date Ready/By: 3uris: / 10 See Page 2 for
Internet: www.tl ard - � Notified/Method: X11 Supplemental Information
g TYPE OF WORK TT, !`(,1'N' PLAN REVIEW
❑ New construction Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: 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 Et Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire 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 ", "1 -2 ", "1 -3 ",
Job no.: 64225 Job site address: RIGHT OF WAY BONITA & SW I ixor or more. Recreational l vehicle parks.
City / State/ZIP: TIGARD, OR 97224 SEQUOIA PARKWAY ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
• Suite/bldg. /apt. no.: Project name: BONITA PUMP STATION ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: INTERSECTION OF BONITA AND Description 1 Qty. I F ee. I Total I
New residential single- or multi- family dwelling unit.
• SEQUOIA — SE CORNER Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
•
Limited energy, multi - family 75.00 2
REPLACE CONTACTOR residential (with above sq. ft.)
• Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER : ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Temporary services or feeders installation, 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, per panel
Owner signature: Date:
❑ APPLICANT
I
A. Fee for branch circuits with
0. CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 1 46.85 2
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
. City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
. E -mail: Pump or irrigation circle 53.40 2
• ' CONTRACTOR Sign or outline lighting 53.40 2
Business name: FRAHLER ELECTRIC COMPANY
Signal panel, or t o n , or
energy panel, alteration, or
• Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2
City/State/ZIP: TIGARD OR 97223 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 503) 639 -4627 Fax: ( 503) 639 -4673 Investigation per hour (1 hr min) 62.50
CCB Lic.: 37410 ' Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, r • ed: Subtotal: 46.85
Plan review (25% of permit fee):
Print name: R . W. FRAHLER Date: 12/05/06
State surcharge (8% of permit fee): 3.75
Authorized signature: TOTAL PERMIT FEE: 50.60
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• • Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440-4615T(I I /05 /COM/WEB
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•
• - •
• • 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- 260 -260)
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
❑ Outdoor Landscape Lighting*
. ❑ Protective Signaling
• ❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006-00698
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/3/2007 TIME: 7:07AM PAGE: 33
SITE ADDRESS: SW NO ADDRESS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PUMP STATION
DESCRIPTION: PUMP STATION. Intersection ol Bonita & Sequoia - SE comes Replace contactor.
Job #64225.
OWNER: . CITY OF TIGARD, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 1/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041728-01 503-639-4627
Corrections/Comments/Instructions:
\YA)
PASS fl PARTIAL APPROVAL CANCEL El NO ACCESS
fl FAIL I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: 4408 Date: I - 3 -0 r i Phone #: (503) 718-