Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2009 -00374
.TI,GA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07!27/2009
Parcel: 2S115AB01800
Jurisdiction: Tigard
Site address: 11354 SW DURHAM RD
Subdivision: Lot: 0
Project: Chase Bank
Project Description: Add /alter (2) branch circuits for signs.
Owner: FEES
SN PROPERTIES PARTNERSHIP Quantity Description Date Amount
1121 SW SALMON ST .
PORTLAND, OR 97205 2 crt Branch Circuits 07/27/2009 $53.50
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 07/27/2009 $6.42
Electrical
Contractor:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639 -4627
FAX: 503- 639 -4673
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $59.92
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 throu h 0 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 699 or 1.800.332.2344.
Issued By: W1\ AQ akiLA Permittee Signature: 4 1 , 1 n •
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.
r lb i ' ECE IV ED Ele ctrical Permit Applicati l FOR OFFICE USE ONLY
i'l City of Tigard Receive
yd FIC2 , oc)
JUL 2 2 200 Plan Re: Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503. 639 -4171 Fax: 503.59 Date/By: Other Permit:
'TIGARD Inspection Line: 503.639.4175 OF TIGARD Date Ready/By: huffs' El See Page 2 for
Internet: www.tigard or.gov B UILDING DIVISION Notified/Method: 1 I Supplemental Information
DIVISION
TYPE OF WORK PLAN REVIEW
❑ New construction EX 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 ❑ OtheI: 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 g Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family • ❑ Master builder
ID Other: ❑ Fire pump. 0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 ", "1 -3 ",
Job no.: 66645 Job site address: 11354 SW DURHAM ROAD 100HP 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: CHASE BANK ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: on Fee. total I F
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.)
CONNECT NEW SIGN(S) Limited energy, multi- family 75.00 2
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
Address: - 601 imps to 1,000 amps 240.60 2
•
' , 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
Owner signature: Date:
.Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT
A. Fee for branch circuits with
❑ 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, 1 46.85 46.85 2
first branch circuit
Address: Each add'l branch circuit 1 6.65 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, alteration, er or t i o n , or
energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD
extension. Describe: Page 2 2 .
City /State/7.TP: 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 lir min), - "62.50 '
CCB Lic.: - 37410 - El Lic.: 34 -13C Suprv. Lic.: 1816S Industrial plant per hour _ _ 73.75
Suprv. Electrician signature, rd: 4 „� ELECTRICAL PERMIT FEES
Subtotal: 53.50
Print name: D ate: Plan review (25% of permit fee):
R • W. FRAHLER 07/14/09 State surcharge (12% of permit fee): 6.42
Authorized signature: TOTAL PERMIT FEE: 59. 92
This permit application expires if a permit is not obtained within 180
Print name: Date:
days after it has been accepted as complete.