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Permit a CITY OF TIGARD � ELECTRICAL PERMIT 7 COMMUNITY DEVELOPMENT � Permit#: ELC2013 -00304 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 �/ Parcel: D ate Issued: 06/03/2013 1S135DA00400 Jurisdiction: Tigard Site address: 11180 SW HALL BLVD Project: Bergmann Subdivision: METZGER ACRE TRACTS Lot: 13 Project Description: (1) 200 amp service for out building. 7/10/13, adding (10) branch circuits. Contractor: FRAHLER ELECTRIC COMPANY Owner: BERGMANN FAMILY TRUST 11860 SW GREENBURG RD BY BERGMANN, KENNETH L & DONNA J TIGARD, OR 97223 TR 10726 SW 63RD PL PORTLAND, OR 97219 PHONE: 503 - 639 -4627 PHONE: FAX: 503 - 639 -4673 FEES - - Quantity Description Date -- Amount 1 ea Services or Feeders - 200 06/03/2013 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 06/03/2013 $12.08 Type of Use: SF Electrical Class of Work: ALT 10 crt Branch Circuits w /Purchase 07/10/2013 $74.20 Service or Feeder Type of Const: 0 ea 12% State Surcharge - 07/10/2013 $8.91 Occupancy Grp: Electrical • Total $195.89 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 accord •P . ' h 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. ATTEN N: Oregon - requi•:s you to follow the rules adopted by the Oregon Utility Notification - • . Those rules are set forth in OAR 952- 001 -001 throu! h OAR 952 -00 -0s • 0. ou • - obtain a copy of the rules or direct questions to OUNC b - —• '87 or 1.800.332.2344. ` Issued B • / •�� `� / Permittee Sigma 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: CONTRACTbR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' �t � Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. 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. CITY OF TIGARD ELECTRICAL PERMIT 11111 11 • - COMMUNITY DEVELOPMENT Permit #: ELC2013 -00304 T [ GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03/2013 Parcel: 1S135DA00400 Jurisdiction: Tigard Site address: 11180 SW HALL BLVD Project: Bergmann Subdivision: METZGER ACRE TRACTS Lot: 13 Project Description: (1) 200 amp service for out building. Contractor: FRAHLER ELECTRIC COMPANY Owner: BERGMANN FAMILY TRUST 11860 SW GREENBURG RD BY BERGMANN, KENNETH L & DONNA J TIGARD, OR 97223 TR 10726 SW 63RD PL PORTLAND, OR 97219 PHONE 503 - 639 -4627 PHONE: FAX: 503 - 639 -4673 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 06/03/2013 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 06/03/2013 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 52- 001 -0090 You may obtain a copy of ., •,,z • direct questions to OUNC by calling 503.232 1987 or 1.800 332 2344. Issued By. — _ — Permittee Signature: % 1_ � _ . 4111/ UMW 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 603.639.4176 by 7:00 a.m. for the next available Inspection date. 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. 07- 08 -'13 16:05 FROM- Frahler Electric 5036394673 T -300 P0001 /0003 F -996 Electrical Permit Application . FON OPPIcE USE ONLY 71 City of Tigard RECEIV• ' R'i•eived Permit No.: ELC2013 -00304 a 13125 SW Hall Blvd., Tigard, OR 97223 Plsu Review _ ; • • Phone: 503.718,2439 Pax: 50 3 . 598 . 1960 9 2013 pate/Ry: OtherPerinit: T Inspection Line: 503.639.4175 . [ /By: tu Otified tuns: Et See Page 2for I nternet: www.tigard- Or.gov • N/[vtethod: Supplemental Information q; r. sty ", �Y. ,. 'n r • a ! I) 'Y, r";'� ., ti- .'� �"' �YJ r. .� rra w,• r ' • ; �� � o �.w "s':¢'J! , �' r: !',. n 7 ;'• l ?; • F kb / 1d/ :/Y 01 Da °�; .+ M• r f .,(./ r r °,nY., • S ' / ��>�' ��/r 5 ?�l ,., f; $ 6 ' SF . ' "h •' J' &4 :Vv t , SG l >, tiy ,, L o . , i " , 1 ",Gl�/' b�� a� f" �r .�y� " �"Y ?NC!_ / �.cc ��,s�u .. ? v� �b,�d,' . .v2 f , -•“' +,. �. , ,v �� +Nr�l;��/lG. curt J: "2�_t}rru�� r '! 1 ■ ►' Ple ase check all that apply submit 2 sets of plans ©New construction ®Addition/alterano � - . � f •' • PP y l ( P' u w /items checked below): ❑ Service or feeder 400 amps or in Ire ❑ Suilding over three stories. ❑ Demolition El Other: where the available fault current 0 and l boatyards. *.,,//, 11,� /�� : r• ,�,) ���;., � ,�•,Ti,'. Y'i , r��,� , ' � •.M' :...�� .: I' �Q �''�'c��r� • 4 �1 ,;r /., ' 3 y Ir �lr/N� e >y�r U PROC /GY F r +,14 1 ;k , `' ;!C 0 , � fd9. r„ i i. g p'Jf _� � 1 v, i .,, exceeds 10,000 am at 150 volts or g g amps ❑ Floating buildings. ti ess to ground, or exceeds 14,000 ❑ Con liercial use agricultural ® 1 - and 2- family dwelling l=1 Commercial /industrial ❑ Accessory building amps for all other installations, buildings. ❑ Multi- family ❑ Master builder U Other: ❑ Fire pump. ❑ Installation of 150 KVA or W a " ' lid',7' ,?� t „ r6 ,; �. t :',W r, /., n .:i:; Ci a� ❑ Emerenc system. larger E Patel derived �, l '''.4%,/ . #4, ido o f �y tf , h l ' ,� j J �/ r ays r �” i?i' u}ii7,.<;�, ., � �r er se ar y rs tem. ..Y k, '; rc/L��X�r -/r�� �'clw r:�rwi.�,�:'h�zr� >rL K °M,,�- F�•;1•�;:n :�,'•�,.t . �), �a�'( ✓ � 1 yl; , ', �( -. ,n' � � } t�l''.7 r ❑Addition of new motor toad of ❑ "A° '•F "1-2", ' 3 Job no.: 70634 Job site address: 11180 SW HALL BOULEVARD 1001-1P or more, oc ❑ Six Or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: TIGARD, OR 97223 D Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: [Pro name: BERGMAN RESIDENCE ID Service or feeder 600 amps or more. Cross street/directions to job site: e_ec5 floe Oty. Fer, Total New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft or less 168.54 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1 " w G / r° , ", ", ',r , r.�,as Limited energy, residential 75 1 f ' �C',,1 "/i j i , (t`- tta $ .D k v 1 :t r c' .,5 ft: �'c , � " 1, �1r '. (with f1. 00 2 • � it a ,Nly Limited energy, multi- family 75.00 2 v �l( ADDING CIRCUITS TO ELC3013 -00304 FOR WIRING INSIDE residential (with above sq. ft y OUTBUILDING FOR LIGHTS, FANS AND OUTLETS Services or feeders installation, alteration, and/or relocation O���,. 4 4S G,,),; i';, /i N,. V .�r . "g,.,....41, • dr.': '1 �.t :.Y / " F.�.N`+.• s't '' 200 amps or less 100.70 2 VI N >1�1. l ,� �4�F :i,.tla,� . ap ,X , '/�lA'R",..`�,: , 201 amps to 4 amps 33.5 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or • Phone: ( ) I Fax: ( ) relocation J 200 amps or less 5936 1 Owner installation; This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel . ' 0 ? A. Fee for branch circuits with 'II:* .';,3,r? ;.."y e''l- 6Y. - - �y% - A p ;,� t3 s n. etc, y ��} ymf p: y y t r .. r r t ,j 1 Y.•s '. �J Y �L' +_'" %'1'd/ 197."? : / ,9i' 1 ' r ' f i �Y '' r •. - '5. :1. a • ( . ° S'ii -• io 0, 1.• ,, T ,. Y ✓ above service or feeder fee, 10 7.42 74.20 2 Business name: each branch circuit B. Fee for branch circuits without Contact name: service or feeder fcc, first branch circuit 56.18 2 Address: Each add'l branch circuit 7.42 2 City/State/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular Phone: ( ) 1 Pal; :: ( ) dwelling, service and/or feeder 67.84 2 Reconnect only 67.84 2 E- mail: �" y Pump or irrigation circle 67.84 2 l, 70 • ,''"I l M 'fi l f'tfi f ,.d/1. 7°:y✓4 Ar" ,f ' 'bw.,nM,l , /'! .w1 "r'. "/! ' •i tea.. >3 wi ,,. is s ed,... ..,. , Sie norout lm e l i ghu ng 67.84 2 Business name: JRA, INC. dba FRAHLER ELECTRIC COMPANY Signal circuits) or limited- energy Sec — panel, alteration, or extension. Pa e�2 ^. 2 Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the above Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: TIGARD, OR 97223 Investigation (1 hr min) 66.25/ hr Phone: (503) 639 -4627 I Fax: (503) 639 - 4673 Industrial plant (1 hr min) 78.18 / hr Inspections for which no fee is gp 00/ hr Lie.: C861 Electrical Lie..�:,,��197172 Suprv. Lie.: 5110$ specifically listed IM hr min Suprv. Electrician signature, required :, ' `-N' iF,•s f.c"y1 i0.ti a`�f x;,2•...1 •�•�;•Z;, l { 4 ' t VI ��"�''""'""�, a.:.,�3..ri. _;i!.f;,s�L:: Subtotal: 74.20 Print name: ADAM ETHERINGTON Date: 07/08/13 Plan review (25% of permit fee): Stele surcharge (12% of permit fcc): 8A0' 84/ Authorized signature: TOTAL PERMIT FEE: WO $3. This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. — ' Number of inspections allowed per permit. 1: ZuiMing\Por,nits\ELC PermilApp ELR ERE.doc Rev 05/21/2013 440 - 461sT(✓ n/OS /COM/WED 05- 29 -'13 14:04 FROM- Frahler Electric 5036394673 T -265 P0001 /0002 F -877 Electrical Permit Application rOR Orrlcf ['SC ON1.1 RECEIVED Received City Tigard Date/13 AV i Permit No.: cdo (3 ' i ra • 13125 SW Hall Permit Blvd., Tigard, OR 97223 Plan Review i ' Phonic: 503.718.2439 Fax: 503.598.1960 MAY 2 9 2013 Date/B : Other / - duo aLL Inspection Line: 503.639.4175 Dale Ready/ay See Page 2 for rii: ,l:D s Internet: www.tigard or.gov l c 1 • TIGARD Notified/Merhod; w Supplemental Information /' 7 °I, ' /err . r•_ r1 / • Y�ie ?rr r.' ri •< • r:,r, C/ �. t d ' a ; t". r 1. Q a ,; r 'w q ; •„ .: S li; r Sr /, ' t 8 r r ! n� g' . T ` ' /fi y /q1 ` = '' { �, ' +c r ` . s 7e, „ 7 1 i , iggf9 '1,•.L`. .'L ,a_1_ < < 'J e•yk!_ :F�. ' • l / �� :C/c %' /ki , �.A , <. ;.h.; _.._'%i•_�' # � • � r7:ia� �o .. �'• d �. „��/ �9 ' ❑ New construction ® Addition/alteration/replacement Please cheek all that apply (submit a seta of plans vv /items checked below): ❑ Service or feeder 900 amps or more ❑ Building over three stories. ❑ Demolition 1=1 Of$e where the available f current ❑ Marinas and boatyards. , a `l �` . .z ° „� r ` " s ° E ; : ' �' r 1 exceed: 10 amps at 150 volts or W le 'f - J c ap' ? :Ek,± w s r t/1i z" ' ' ' is � J� ❑Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other to :teitations buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 150 KVA or #,'w'/ /�[!��� g ' py ,,�� �( i . 'if,' ,�,, r . < e, N $ y, 'i 4 Y , i rr 'e, {{� Q Emergency system larger separately derived system. ! 1,4 ' .d .. 4t': C • ,.:4�:�SS3f iwa. h g a'h(s Lo ki , <, r i ' .Fr7. , • � ,�. ❑ Addition of new motor load of ❑ "A ", "E", "1-2”, "1 -3 ", Job no.: 70634 Job site address: 11180 SW HALL BOULEVARD lOOHP or mom. occupancy. ❑ Six or mora residential units. ❑ Recreational vehicle parks. City /State/ZIP: TIGARD, OR 97223 ❑ Health-care facilities 0 Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: BERGMAN RESIDENCE ❑ Service or feeder 600 amps or more. • Cross street/directions to job site: rp �� *l r v' - %,n IF t rd4 Description ctyt . Dew Total • New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168 54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 1 7 u ry m ry g PS" �� Limited energy, residential 7500 2 7r,a, rYifri l Swith above sq. " ff ,r ` f it it dh , YYil��°/ ✓l gfamr rm� !•5' Limited energy, multi - family NEW 200 AMP SERVICE AND PANEL AT OUT BUILDING residential (with above ft. 75.00 II Services or feeders installation. alteration, and/or relocation r r ! e S' . rYr; rear y r M rw �! x a" a ,, w ' A 9 200 amps �°�ti:'�3.' ', 2 '. x • ' " i f:/ ll ii �G . . P - • r • . .0 2 ps or less I I 100.70 100 70 2 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 r 2 City/State/ZIP. Temporary services or feeders installation, alteration, and/o Phone: ( ) I Fax: ( ) relocation 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168 54 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel 6 Ala /. ; ' �° " r dj v�1! �1F�,y r gavr K r r ja� c A Fee far branch circuits tor a service or feeder fee, 7 42 2 Business name: each branch circuit B. Fee for branch circuits without Contact name: . service or feeder fee, first - branch circuit 56.18 2 Address: Each add'I branch circuit 7 42 2 — City/State/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 Phone: ( ) Fax :: ( ) dwelling. service and/or feeder Reconnect only 67.84 2 E -mail: t' 9 rrPff /I ! , y Viw:1• 7''''' y ,� • l it , h: n u rp.,..,N i t q3 r Pump or irrigation circle 67.84 2 r.,. reI fi r• r • . • 41Ln,a • . r, �s & � :-' s ,' • ., • % r ,!/„ a d ,a 1�r :VerW t Sign or outline lighting 67.84 2 Business name: JRA, INC. dba MRAHLER ELECTRIC COMPANY Signal circuits) or limited See panel, alteration, or extension. Page 2 2 Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the abov City/State/ZIP: TIGARD, OR 97223 Additional inspection (1 hr min) 66.25/ hr l Investigation (I hr min) 66.25/ hr Phone: (503) 639 - 4627 / I Fax: (503) 639 - 4673 Industrial plant (1 hr mm) 78 18/ hr I Inspections for which r fee is CCB Lic.: 197172 / Electrical Lie.: C861 ;� Suprv. Lie.: 5110S � s ifteall listed SS hr min 90.00/ hr % Af'�%r 7 ,e y e, ., • ' ; r ' . -' . t s 4. .,c, �/ . 70 ,. Suprv. Electrician signature, required: Z Subtotal: 100 Print name: ADAM ETHERINOTON Date: 05/29/13 Plan review (25% of permit fee): State surcharge (12% of permit fee): 12.08 Authorized signature: TOTAL PERMIT FEE: 112.78 This permit application expires if a permit is not obtained within 180 Print name. [ Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:tBuild 5 P rmiu\ELCJ'erm;tApuJt.RfR54oc Rev o3/7ih013 440 4615T(11/OSICOM/WEB