Permit CITY OF TIGARD ELECTRICAL PERMIT
:11111 $ : COMMUNITY DEVELOPMENT Permit#: ELC2013-00526
T(GA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013
Parcel: 1 S134BD00100
Jurisdiction: Tigard
Site address: 10650 SW 121ST AVE 7
Project: Westwood Green Apartments Subdivision: ENGLEWOOD NO.2 Lot: 158
Project Description: Convert existing bedroom into 1/2 bath and storage room
Contractor: FRAHLER ELECTRIC COMPANY Owner: GARDNER FAMILY PROPERTIES LLC
11860 SW GREENBURG RD 15315 SW ALDERBROOK DR
TIGARD,OR 97223 TIGARD,OR 97224
PHONE: 503-639-4627 PHONE: 503-590-1542
FAX: 503-639-4673
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 09/04/2013 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/04/2013 $7.63
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 952-001-0090. You may obtain a copy of tha.uiles or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � C Permittee Signature:
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 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.
09-03-' 13 07:34 FROM- Frahler Elec .lii) 5036394673 T-339 P0001/0002 F-168
Electrical Permit Application FUR UII (C;I.US1::ONL,'•
Received
EN City of Tigard �� ' 413 Receive LI/ i • (o
y■ 13125 SW Hall Blvd.,Tigard,OR 97223
Phone, 503.718.2439 Fax: 503.598.1960 r P■ , OerPermit L1(4+U I
s ( 1
Inspection Line: 503.639.4175 S"' wAtIS'�i to Ready/fly: Sea Page 2 for
t_-.- ") ' \N l Notified/Method: Supplemental Information
- .- Internet: vYww.tigard-or.gov
l;"'4 IF,ill;, r! ,,}� !ia✓ f4 J',J,7! 0N! /�� tt)� �J y.•, ,N�: /�rlf•"/, ryy �A � �q', Fr., Mr Oa.4y.h[' �l l I '(„�'� �J /.•A d' L ,R PWII f v 7,f N /r� 4J([3 iF, 1 t it A I/ rl J� q�"
�, r .d , 11.x, ,> 4-��1 l
+ l � '�'��1����������'l �7'.�/��ial�'+CLdJ,?Ax(]��?e'r>�•l�r�r'{;k�f, ,2/l�Y�/���;�.n�„,,,..twit� Z� `�'�#' "� '�x�v�c?c�/lc�u:di�x,. a 90 � KJ1b�l'Y'���ll� I Ll
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans,v/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
Q Demolition ❑Other: whore the available fault current ❑Marinas and boatyards.
it rr//r'/m .ry r,•/�`%Ni f'r p�ly? .1,rw F`1,:;0 r: ?:,;i l hli,.t!f- , ?yry•t��re ::::4,../17,.,7,:''. exceeds 10,000 amps at 150 volts or ❑Floating buildings.
;11.; :r/ J ;. :ei.',G/dr�� .1e&4.'407,464.I4V..A.�?''Ar'a� J.•jS il;it ''.$ ' a ,,k less to ground,or exceeds 14,000 El Comrncrcial-use agricultural
Y;•1-and 2-family dwelling ❑Commercial/industrial d Accessory building• amps for all other installations. buildings.
!/ Multi-family ❑Master builder . ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
larger se p arately derived system.4, ,4/ .;.,, • . ❑Emergency system
-,v 44 ,,a > ,
ffi i " /� ifrti k, �i"� �s # M 1 i ii.l y yJ - , p r ❑. !.., rr 1�d d , Gi,. y NP;uly,,..!lh!r�!i~f r. �p , - Y) ,te r Additionofnow motor load of
ix or Re
Job no.:71011 Job site address: 10650 SW 121st AVENUE,UNIT 7 or more. occupancy.
❑six a more residential units. ❑Recreational vehicle parks.
City/State/ZIP:TIGARD,OR 97223 '❑Health-care facilities. ❑Supply voltage for more than
0 Hazardous locations.
600 volts nominal.
Suite/bldg./apt.no.: I Project name;KAREN GARDNER RENTAL ❑Service or feeder 600 amps or more. U ,[p /e/ /,ny�, IA
- ''.`ll G,..?,
Pr.It 14 , S,, //aa.,H i�r�,2 • f �. SJ s'6,l✓Y 0,,,,,,' ..414�� IA
Cross street/directions to job site: Description Oty. wee.. Tatar ,
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision _ I Lot no.: 1,000 sq.R.or less 168.54 4
Ea_add'I 500 sq-ft.-or portion - - -- -33.92 1 - -
Tax'map/parcel no.: Limited energy.residential •
rrp/, ��//(rr ! y '✓.r� a, fir<+{lr✓m r r ,ry I;f' + r 75.00 2
.Yt}76°!61'' }�},l/f/ '1�.",•N M acid.2,•Yt,� :0 �4'.'lit,J',ttiSM..i�' �..t" l ,-4,,,.aTF' :-"k Wt?� (with above sq.it) .••
(2)CIRCUITS TO ADD POWER TO NEW BATHROOM,INSTAHOT AND
Limited energy,multifamily 75.00 2
( ) residential(with above •.ft.
BATHROOM CIRCUIT. .1Rec .e'F,i ,;, „'y., .' '' , 'r .,-ia,. r; s4M
Services or feeders installation,alteration)and/or relocation
p �y u aW / r/ A j1,n 4' r4 �,r�'/7y 7, � r �� ', � , �` -. 4 f
200 amps or lets 100.70 2
qr� I W ✓ 51 �1 � drJp s1 �vGN�i.d6 •4,•/ , �1Cc�'�� � , y:Aa/E 7� + ,, lSM
'q 201 amps to 400 amps 133.56 2
Name:KAREN GARDNER 401 amps to.600 amps 200.34 2
•
Address:15315 SW ALDERI3ROOK DRIVE 601 amps to 1,000 amps 301.04 2--
• Over 1,000 amps or volts 552.26 2
City/State/ZIP:TIGARD,OR 97224 Temporary services or feeders installation,alteration,and/or
relocation •
•Phone:(503)684-1112 Fax:( ) 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 OR.S 47;449,670,and 701. •401.amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,'or extension, er and
�rye ',,,i,14,/"A-4:e'''„ lJ✓'r„ gibes{,IIr Y H .n ' `y. t 010 r . ay t A.Fee for branch circuits with
1/B6. C' " roirral , f(. �' �r5? �f63J1i;76 J ',t5' ,!$ a y� ','i:c'r d 7,42 2
' it b S,?•'i g rl>; 9 above •service or feeder fee, •
Business name: each branch Circuit
II.FCC for branch circuits without
Contact name: service or feeder fee,first 1 56.18 56.18 2
branch circuit . •
Address: each add'l branch circuit I 7.42 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP; Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:( ) I Pax::( ) "Reconnect only.• • 67.84 2
E-mail: Pump or irrigation circle 67.84 84 2
N' t",,"G.' v%J t /r y r'", r 3"' "�Jr✓,, Yf 1'nil, 4's'„ "l Sign or outline lighting 67.84 2
21..G11��y�A p,1 ;F,;,!�' /f %/�ii .,,,,,,,6,.., > ,s, :Sr6ry�i tr 1'.IA,' Lra>F4' ,t i:....34..,
Signal circuit(s)or limited-energy See
Business name:JRA,'INC.dba FRAILER ELECTRIC COMPANY . , . • _panel,alteration,of extension. • Page 2 2'
Address:11860 SW GREENBURG ROAD . Each'additional inspection over allowable in any'of'the above
Additional inspection(1 hr min) L 66,25/hr
City/State/ZIP:TIGARD,OR 97223 . Investigation(1 hr min) ' 66.25/hr
-
Phone:(503)639-4627 l=ax:(503)6 9-4673 ". Industrial plant(I hr min) 78.18/hr
•
Inspections for which no fee is
90.00/he •
CCB Lic.: 197172 Electrical Lic.: C861 Su rv,.Lie: 51105 . s. cificallv'listed(y4hrmin)p r '1r 9C 1` " ...r: . , „ n gLT:Z l �i� Ay:4 ;0VIAV
'
Suprv.Electrician signature,required: �j/ Subtotal: •63.60
Print name: ADAM ETHENGTON Date: 09/03/13
Plan review(25%of permit fee):
R.I
State surcharge(l2/o of permit fee): 7.63.
'Authorized signature: TOTAL PERMIT FEE 71.23 .
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete. • .
Number of inspections allowed per permit, . ' • . .
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