Permit CITY OF TIGARD ELECTRICAL PERMIT
34 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00237
TIGARD} 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/26/2009
Parcel: 1S136DCO2701
Jurisdiction: Tigard
Site address: 70400SW- BAYLOR_ST
Subdivision: ELNOLA HEIGHTS Lot: 2
Project: Schroll
Project Description: Replace 200 amp or less panel.
Owner: FEES
CATALINA DEVELOPMENT LLC Quantity Description Date Amount
14630 SW CATALINA DR
TIGARD, OR 97223 1 ea Services or Feeders - 200 05/26/2009 $80.30
amps or less
PHONE: 1 ea 12% State Surcharge - 05/26/2009 $9.64
Electrical
Contractor:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639 -4627
FAX: 503 - 639 -4673
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $89.94
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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800 332.2344.
Issued By: _ 11 ♦ .L Permittee Signature: 41 k1/ ' ��,, *L
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 FOR OFFICI USE ONLY RE C E VE
City of Tigard MAY 2 12009 Received -
`J g Date/By: Permit No.: e (Czz j
13125 SW Hall Blvd., Tigard, OR 97223 p Plan Review
' • Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGARD Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISI01J DateReadyBy: rruis: p SeePage2
Internet: www.tigard - or.gov Notified/Method: (? Supplemental Information
TYPE OF WORK 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 •
aj 1- and 2- family dwelling ❑ 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.: 65637 Job site address: 7040 SW BAYLOR STREET 1001IP or more. occupancy.
❑ 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: SCHROLL RESIDENCE ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
1 Description f Qty. I Fee. I Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 . ' 4
•
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
. DESCRIPTION OF WORK • (with above sq. ft.)
REPLACE ELECTRICAL PANEL Limited energy, multi-family
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 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 -.1
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: A Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
• each branch circuit —
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 2
first branch circuit
Address: • Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
90.90 2
Phone: dwelling, service and/or feeder
( ) Fax: ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: FRAHLER ELEC1RIC COMPANY
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 p. hr min) -. - 62.50.
- .CCB Lic :: "- 37410 Electrical Lie.: . 34 -13C Suprv. Lic.: 1816S ' Industrial plarit per hour - - 73.75
Suprv. Electrician signature, re ed: ELECTRICAL PERMIT FEES
v`� j ✓� " Subtotal: • 80.30
Plan review (25% of permit fee):
Print name: R W. FRAHLER Date: 05/19/09
State surcharge (12% of permit fee): 9.64
Authorized signature: TOTAL PERMIT FEE: 89.94
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.