Permit CITY O F TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00048
,1111 DEVELOPMENT SERVICES DATE ISSUED: 2/3/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BB 01400
SITE ADDRESS: 12172 SW GARDEN PL BLD3
SUBDIVISION: PARK 217 ZONING. C -
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: (5) 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: 4 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 #: I6119-4627 37410
SUP 1816S
FEES ELE 34 -13C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/3/04 $73.45
[TAX] 8% State Surcharge 2/3/04 $5.87 Rough -in
Elect'I Final
Total $79.32
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1 -800 -3 - .
lss ed By: Lftaik it. Permit Signature: 0 0 ; " Ewed « -
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
•
f �' .OhI I( 1. . - 1 tit 0\1..1 ....
-- 0 EIec r , .: , ii rt b , .
,+. PPS / Pennit no -0494/$
. — — Date reserved -,..
Y
City of T i ar 1 � k Projec
r y ` t/appL no.: Expire date:
/
City of Tigard Address: 131, ' 1 ' 1i '1'i_ / �i / ' l� - Date issued: By: Receipt no.:
Phone: (503) 639 -4171 t'. r �' r y
Fax: (503) bit TIGARD "� Case file no.: Payment type:
Land u
aOIVISION, ?,
'1) 1 '1: 01 PF_I3i11 -1-
❑ 1 & 2 family dwelling or accessory ti Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
Job address: 12172 SW GARDEN PLACE Bldg. no.: 3 Suite no.: Tax map /tax lot/account no.:
Lot: I Block: I Subdivision:
Project name: PARK 217- Description and location of work on premises: TENANT IMPPM7FMENT
Estimated date of completion/ins ection:
CON l R \C`F %I'P1.I( N.110\ Frt. SUFI [1) I.I..
Fee befmc
Job no: 61981 Description (ea.) Total na.insp
Qty. Business name: FRABLER ELECTRIC COMPANY No dential- sinker i- famIlyper
Address: 11860 SW GREENBURG ROAD dweD'mgonit.Indudesattachedgmage.
City. TIGARD I State: OR I ZIP: 97223 Servicelnebidea:
Phone: 639 -4627 I Fax: 639 -467i E -mail: 1000 sq. it or less 4
Each additional 500 sq. ft. or portion thereof
E lec. bus. lie. no:
CCB no.: 37410 I 34-13c Limited energy, residential 2
City /metro lic . Limited energy, non - residential 2
f / C-!� '�'' ~ ` _ 01/28/04 Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder 2
■ . License no: Services or feeders —lnsta ation,
Sup. elect name (print): R • W OR •1 ■�► • • alterationorrelocation:
1'R(11'1;12 1 1 0 \ FR 200 am or less 2
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: Fax: E-mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
Ins•a)lation, elites Tabus, 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' I ature: Date: 401 to 600 amps 2
I \ (:1 Nl : I R Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, fast branch circuit _ 1 46.85 2
Phone: - Fax. E - mail: Each additional branch circuit 4 26.60
I'1. AN 121'1'1 I. 1) (P)e:Iv c heti, :111 fiat apply') 11 Tisc . (Service or feeder not included):
O Service over 225 amps-commercial ❑ Health -care facility pump or irrigation circle 2
y 2
O Service over 320 amps -rating of I &2 ❑ Hazardous location Each sign or outline 1i . Ming
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories ❑ Feeders, 400 amps or more *Description: _
❑ Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lighting plan ❑ Other: Per inspection I I I
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee 73.45
Not all jurisdictions accept credit cards, plase call jurisdiction for more information. Notice: This permit application o $
❑ Visa O MasterCard expires if a permit is not obtained Plan review (at _ %)
/ / w ithin 180 days after it has been State surcharge (8 %) .....$ ) • 8 �
Credit ca rmmber. 9.32
Capers accepted as complete. TOTAL _— _
Name of cardholder as shown on credit card
$
Cardholder signature Amount 4404615 (6 /00 /COM