Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00047
AA; e II DEVELOPMENT SERVICES DATE ISSUED: 2/3/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25101 BB -01400
SITE ADDRESS: 12176 SW GARDEN PL BLD3
SUBDIVISION: PARK 217 ZONING. C -
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: (7) branch circuits, Job No. 61981
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: 6 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:
SPIEKER PROPERTIES LP FRAHLER ELECTRIC CO
4380 SW MACADAM AVE STE 100 11860 SW GREENBURG RD
PORTLAND, OR 97201 TIGARD, OR 97223
Phone: Phone: FX 639 - 4673
Reg #: BO -4627 37410
SUP 18I6S
FEES ELE 34 -13C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/3/04 $86.48
[TAX] 8% State Surcharge 2/3/04 $6.91 Rough -in
Elect'l Final
Total $93.39
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 O ' • -101 -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- 2 -2344.
, I' —
Iss ed By: !,, 11111116 .f k ' Permit Signature: IX, i ovf(
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 7:00pm for an inspection the next business day
\I.
' Elec trical P ! 1 • pplicati ®II O1 1 (i x l O l_\
Date received: ` / , r Permit no.: , . , • ii0 '
4 .,
City 0 'g ait Pmject/appl. no Ar d ate:
Ci._ Ic
City of Tigard Address: 13125 1 a, OR 97223 Date issued: ,Ving Receipt no.:
Phone: (503) 9 - 4171
Fax: (503) 598 �3F TIGARD Case file no.: • Payment type:
CITY
Land use ffgattaiii0 DIVISION
I1 PI` OF r1 12III I
❑ 1 & 2 family dwelling or accessory INCommercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
Job address: 12176 SW GARDEN PLACE Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: [Block: I Subdivision:
Project name: PARK 217 ,co I Description and location of work on premises: TENANT IMPROVEMENT
Estimated date of completion/inspectia:
(OV"I12 kt I'OM 1 - \ II0V t r i St 11EI)1'l L -
_ - - Fee Nina
Job 61981 Description Qty. (era) Total no.insp
New d enhi
Business name: FRAIILI;Il ELECTRIC COMPANY al- or -fandlyper
Address: 11860 SW GREENBURG ROAD dweltimg adesaMachedgarage.
City: TIGARD I State: ORI ZIP: 97223 Serrireinemdsd:
Phone: 639 -4627 I Fax: 639-46731E-mail: 1000 sq. 1t. or less 4
Each additional 500 sq. ft, or portion thereof
CCB no.: 37410 I Elec. bus. lic. no: 34 -13C - Limited energy, residential 2
City/metro lic. no. Limited energy, non - residential 1 2
1 01/29/04 Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder - 2
Sup. elect. name (print): R. W. FRAHLER License no: 1816S Servleesorfeeders— lnstaAation,
alteration or relocation
> hVt \ I ; R 200 am or less - 2
1 MO 1'1, 1 1 ( �
Name (print): 201 amps to 400 amps - 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax Reconnect only ° I 1
Owner installation: The installation is being made on property I own Temporary services or feeders - _ _ --
inshdlaiion, Ethel venom, or relocation:
which is not intended for sale. lease. rent, or exchange according to 200 amps or less 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owner's s'.1,1 • tore: Date: 401 to 600 amps 2
I :N(.1 \ 1 F 1.1 Branch circuits - new, alteration, - - I
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 1 46.8f 2
Phone: Fax: E -mail: Each additional branch circuit: 6 39.9C
Ill I\ U ' II (Ile.iw check Al Ilt:1 :with 1 MIsc . (Service or feeder not included):
0 Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of l d&2 0 Hazardous location Each sign or outline lighting 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
0 System over 600 volts nominal more residential [nits in one structure cture alteration, or extension* 2
❑ Building over three stories 0 Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons 0 Manufactured structures or RV pads Each additional inspection over the allowable in any of the above:
0 Egressrlighting plan O Other: Per inspection I I r
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $ 86.48
Not all jurisdictions accept credit cards, phase call jurisdiction for more information. Notice: This permit application Plan review (at %)
CI Visa 0 MasterCard expires if a pemtit is not obtained 6.9(1
Credit card number. / / within 180 days after it has been State surcharge (8 %) .....$ 93.39
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 - 4615 (6100 /CON
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE•OF - WORK INVOLVED - RESIDENTIAL ONLY
Inspections per Res A Energy EM $75.00
Number of ins
pe pe permit allowed (FOR ALL SYSTEMS)
Service included: • Items Cost Total
Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less _ $145.15 4 ❑ Audio and Stereo Systems`
Each additional 500 sq. ft. or , .
portion thereof $33.40 _ 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener*
Services or Feeders 0 Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less $80.30 2 ❑ Vacuum Systems
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 _ 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.08
200 amps or less $66.85 _ 2 (SEE OAR 918 -260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see "b" above. ❑ . Audio and Stereo Systems
Branch Circuits
• New, alteration or extension per panel - - ❑ Boiler Controls
a) The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circuit $6.65 2 ❑ Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service
- or feeder fee. I:: Fire Alarm Installation
First branch circuit $46.85 .
Each additional bra, . h circuit
$6.65 El HVAC
. Miscellaneous
(
El
Service or feeder not included) Instrumentation
Each pump or imgation circle $5340 .
Each sign or outline lighting $53.40 . ❑ Intercom and Paging Systems
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 ❑ Landscape Irrigation Control"
Minor Labels (10) $125.00
Each additional inspection over ❑ Medical
the allowable in any of the above
Per inspection - $62.50 ❑ Nurse Calls
Per hour $62.50
In Plant . $73.75 - ❑ - Outdoor Landscape Lighting*
•
Fees:
in Protective Signaling
Enter total of above fees $ n Other
8% State Surcharge $ Number of Systems
25% Plan Review Fee
See "Plan Review' section on $ * No licenses are required. Licenses are required for all other Installations
front of application.
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account # 8% State Surcharge $
All New Commercial Buildings require 2 sets of plans. Total Balance Due $
i :\dsts\forms \etc- fees_doc 02/05/02