Permit CITY OF TIGARD ELECTRICAL PERMIT
-
s • COMMUNITY DEVELOPMENT Permit#: ELC2013-00557
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/23/2013
Parcel: 2S104AA02900
Jurisdiction: Tigard
Site address: 12205 SW 126TH AVE
Project: SAUNDERS Subdivision: BELLWOOD Lot: 37
Project Description: (3)branch circuits for kitchen remodel.
Contractor: FRAHLER ELECTRIC COMPANY Owner: SAUNDERS, DAVID D
11860 SW GREENBURG RD MARY E
TIGARD, OR 97223 12205 SW 126TH
TIGARD,OR 97223
PHONE: 503-639-4627 PHONE:
FAX: 503-639-4673
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 09/23/2013 $71.02
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/23/2013 $8.52
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
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 thirect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ _ 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 503.839.4175 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.
09-18-' 13 15:24 FROM- Frahler Electric 5036394673 T-346 P0002/0002 F-187
.Electrical Permit Applicat j,
c_>,ohi_IC'E I SI () I.V• ;
;Cl tJ of Tigard Received ���
Permit No t9.0/ _ • 1 P
(• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
4F ' Phone: 503.718.2439 Fax: 503.598.18(glp 1 8 2013 Date/13 : Other Permit.
.i,.: I,I s, Inspection Line: 503.639.4175 Date Ready/By: ..,._101P11111 Ed See Page 2 for
Internet: www.tigard-or gov
y _ Notified/Method: Supplemental Information
,■ , I.! 1 p�Wt a'lc C U l d 1, �iUc ; `
. Y R ' .':—.7t;'. 7,.'i')'''''1,1464311.:✓ l // r m i {ci" a hc C il ii ,, iy o i 14 .li'o 1�z , / /,v �
�Y l,1/,,e,, ,s,..t44 ( ,./ � '1i7 1.r : g.21:1!47' zn k :t" >° a '/ v , ,, , , ii�,,[,✓/1f 71� ' h. YK i 7, !.:h•i 1 n.1
Q New Construction ®Addition/alteration/replaceme Please check all that apply(submit 3 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other:
a,/�/../_ ;. .., "7., ifiero rri,,trG,cep iefWdr?.�aca�ri,Y:cir:/,s:riey,71.f.)fp. :eft4.',,,g.��1it,,,,'/
where the available fault&arrant ['Marinas and boatyards.
�Cx ,,, ,„ ":,,,/,./;./..//,,/,,,' �,,; , ,,. ;' �1s -.,, ,,v,,,,,-,,,,l ','7?. .> ,,•f,hi,/ ,0./1,;,,1I,,4''/∎?;'/R,Igni` .•:,{k"
exceeds 10,000 amps at 150 voh6 or ❑floating buildings.
less to ground.or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations buildings.
❑Multi family ❑Master builder C1 Other prim puma ❑Installation of 150 KVA or
File-f !/lt r, 1r Ill i ,/ '.0 r/rr ;q,;c,r',17 ,11,f 'G,4�"t,9,,Pi,. 1 , ry j Ar ', 1+.!'l v,:a��a ❑Emergencysystenl. larger separately derived system,
. ee g lak'eg,ti24 t iii" ecVc?.4)2 f.f 41,i eki,4 !.gay.`c".d s.,zi. /' J f . t' ;.: .1 ❑Addition of new motor load of ❑"A'.,"E","1.2","I.3
Job no.:70794 Job site address:12205 SW 126m AVENUE 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.: f Project name:SAUNDER RESIDENCE 0 Service Or feeder 600 amps orr/(more.
ry p� ��/(/ %/
'eI, l 1 111 I�J;./ J",}.YC 14 j,Y1/YA`.:ltf�l.h�i'''�".i;f/��'Y,'. 1
Cross street/directions to job site: Description� �! i l � a7r r Qt Y.qtr, wee. 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
- Ea.add'/500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
If?* 1, gh1/l.(/ We r#1!''''''4'f7" an '� a feral, liOlJ,r'aj/�•, f11y Ei fd 75.00 2
/,.co.x14.f44..1'til. eNl�./X�`�'Att .l�r,1tf��,? 9'tp' tcr; e<. L_�h �"curV.aEk(-''• l' ! .'.,f; (with aboveSq.ft.)
Limited energy,multi-family 75.00 2
KITCHEN REMODEL residential(with above sq.ft.)
.. ',PI,''::';iii+' A +"` i*; �" ''f4YRNIeR-a.' ti;
Services or feeders installation,alteration,and/or relocation
I `4 4 ` ' ar e+ 07r � n NN . . » R j l v iw s ,• r»r.j' 200 amps or less 100.70
2
... . .22 ` '! ! : .ire F a , d rt fai ?ay.M., N tLio..i/j.,,3
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 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
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
i f l�1gq11;+ //,(el/,t'G`./(ry ,(ry nYIVlF' L7 �'U M./�'//N4�Y d /,�^ry / vy i N r , ..
y 7/!4///�//l,fit`^1, 4,if [r�,lyZ' 7aN/l����7�a, / r r /�^,(�,1 /.t '„,4/4,7. 0 A.Pee for branch circuits with
it,'V P Gdt.ta led,14,,.r./Gll11 aVilillln lln.lzhlty A..4frG„.,;,1,,A ✓gil,g�.0AFA luDt%/.( � ,J t 1„>fi above service or feeder fee,
Business name: each branch circuit 7,42 2
B.Fee for branch circuits without
Contact name: service or feeder fee,first 1 56.18 56,18 0
branch circuit
Address; Each add'I branch circuit 2 7.42 14.84 2
City/State,/ZIP: _Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:( ) Fax: ( ) Reconnect only 67.84 2
E-mail: ”
ryrr�1% y:fi7r/a Pr/! ,r W / �S C q,i7 l r n 'I;r Pump or irrigation circle 67.84 2
r ,!. rl,l '!0• r,� ' g/1,',Y"�11,7ll'/"/ ,1, ' � ' �u�/ r ,� a Yl bgir �"f,
'/7 ,1.7“,..;.4 4'dt eV”, ilFo1rid.., .(1 „ v.,g7 Sign or outline lighting 67.84 2
Business name:JRA,INC.dba FRAHLER ELECTRIC COMPANY Signal circuit(s)of limited-energy See
panel,alteration,or extension. Page 2 2
Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the above
City/State/ZIP:TIGARD,OR 97223 Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Phone:(503)639-4627 1 Fax:(503)4673 Industrial plant(1 hr min) 78.18/hr
I Inspections for which no fee is 90 00/hr
CCB Lie.: 197172 J Electrical Lie.: C861 Suprv.Lic.: 5110S . s ciftcall��listed VA hr min)y L 00 ryy
• ! ;,,i.h���:Ab.///i 1/,,.1G�el r /Winil>,..��1/r�r til�i�;?!al•�I'i1, c�MlaY1/ 7 d7� l.G��."l6�',
Suprv.Electrician signature,required: ./ ,� / 2
�`. Subtotal: 71.02
Print name: ADAM ETHERINGTON Date: 09/18/13 Plan review(25%of permit fee):
State surcharge(12%of permit fee): 8.52
Authorized signature: TOTAL PERMIT FEE: 79,54 ✓/
Print name: Date: This permit application expires if a permit Isnot obtained within 180
days after it has been accepted as complete. •
Number of inspections allowed per permit.
1:1Buldin$Termits1ELC_ParmitApp ELR ERE.doc Rov 05/21/2013 440-4615T(I 1/O5/COMIWEB ,
t