Permit //0K ' v7-7 r7`
CITY OF TIGARD ELECTRICAL PERMIT
s ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00481
T [ G A R Tl 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09108!2011
Parcel: 2S 101 AB00100
Jurisdiction: Tigard
Site address: 12023 SW 70TH AVE
Project: Red Rock Center, Phase II Subdivision: Lot: 0
Project Description: Electrical for new commercial shell. Includes 5 meter section, 1,600 amps. AIC= 35,402 amps.
3/14/12: REPRINTED permit to include (4) additional branch circuits.
Contractor: BEAR ELECTRIC Owner: FRY, DOUGLAS
PO BOX 389 23077 SW NEWLAND RD
DONALD, OR 97020 WILSONVILLE, OR 97070
PHONE: 503 - 678 -1355 PHONE:
FAX: 503 - 678 -1108
FEES
Quantity Description Date Amount
3 ea Services or Feeders - 200 08/26/2011 $302.10
Specifics: amps or less
2 ea Services or Feeders - 201 to 08/26/2011 $267.12
Type of Use: COM 400 amps
Class of Work: NEW 1 ea Services or Feeders - Over 08/26/2011 $552.26
1000 amps or volts
Type of Const: 25 crt Branch Circuits w /Purchase 08/26/2011 $185.50
Occupancy Grp: Service or Feeder
1 ea Plan Review Electricial 08/26/2011 $326.75
1 ea 12% State Surcharge - 08/26/2011 $156.84
Electrical
30 Electrical Permit 03/14/2012 $29.68
4 12% State Surcharge - 03/14/2012 $3.56
Electrical
Total $1,823.81
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 co. of the rule • 'ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - — Permittee Signature: . hY1
�Sta■
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.
•
MAR- 09- 2012(FRI) 15:53 Bear (U,J' pi �� iFr4
" (FAX)50367B1108 P. 001 /002
Electrical Permit Applicatio
row OFFICE l; arse OLI
City of Tigard MAR 9 2012 Reeetved ,Mo tvo: ELC2011 -00481
y D81- r �� . .6.
13125 SW Hall Slvd., TigartJ, OR 97223
Phone: 503.7182439 F x: 503598.15v OF TIGA MD h :
2 for
T I G A R p lnspeetion Line: 503.639.4175 q : Date Read GS See /tape
lnlemet www.ti or. BUILDING DlVIS!0 rbnrredtMelhoe: It Sapplsmsadufa*magom
l New construction ❑Addition/alteration/rcplacement mete cheek au that apply (submit I eet ofptwp w/itema checked below)
❑ Demolition ❑ Other 0 Service or feeder 400 amps or more p nul1dheg aver three stories.
l 3 _ where the available fault current 0 Marines and boupards.
': ;V• .. '..' ;: G1 GORY.`OF;:CONSIRUCCION . , -. 'r'= e■cada I0.000 anti" ISo volts or 0 FiDsti g buildiWBL
1- 2-family dwelling lee so gtowd, or armada 14,000 I] Commercial -um agricultural
❑ Y g ® Commercial /industrial ❑ Accessory bu ilding amps for all other installations. buildings.
❑ Multi - family ❑ Master builder .❑ Other. DEN pomp. O !mutilation of75 KVA or
�° G .: OB : !ffiQttM TION ►� 'LOCATION t Ell B ah s7at 'roger separatelyderival Spam
. ,:i ; ' " :U .,:ta=� ' Addldon efnew motor load of in 'A', "L "1-2 ". `1-3'.
Job no.: I Job Site address: 12023 SW70thAve. 10011Pormore. Gxocava ��� parks.
CI /Sta[tJZIP Tigard, 0 Six or more resideadd units
City/State/ZIP: ard, OR. 0 Health -care ibdlWra 0 Supply voltage for more than
❑ Itaeugnus loationa. 600 volts nominal.
Suite/bldgJapt. no.: Project name: OSmvlee or feeder 600 amps or mote,
Cross street/directions to job site: K.� I� •.4;
tkeerf TTora1 •
New residential single- or mur111.family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1.000 eq. tt or lees 168.54 4
Tax map /parcel no.: Ea midi 500 sq. ft or Donlon 33.92 1
°" ` $S C.R»?j'lON30>'�vORHt=''`: " :- :�«�. = Limited �, s e R 75.00 2
`
Please add 4 circuits to existing -00481 to relocate Limited energy, multi-multi-0=4 g permit # ELC2011 locate 4 residentialCwithabove so. IL)
- 75.00 2
Services or faders lnatamtlan alteration, and/or relocation
rooftop units. 200 amps or less 100.70 2 '
RW a Ordain ,is . : ;. EQ *:' 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 taps 200.34 ' 2
601 amps to 1,000 amps 301.04 2
ver
Address: O 1.000 amps or voila 552.26 2
City/State/ZIP: Temporary services orfeede.r* Installation, alteration, and/or
. relocation
Phone: ( ) F ax: ( ) _200 amps or leas 59.36 1
Owner iaotallataoo: This installation is bein mode on ro y 201 amps to 400 amps 125,08 2
g p perty that 1 own which is not 401 n
intended for sale, lease, rent, or exchange, according to ORS 447.449. and 701. to 599 mops 168.54 2
Branch desalts- sew, alteration, or a tenaton, per panel
Owner signature: Dale: A. Fee for brunch circuits with
gilkiM e7t r a N1 7K �.: IEZ . = aboveseavitxor ree4er fis
_ .><��..:`Q= CON»tic�:��usc1�V�.� branehelreult 7.42 2
Business name: B. Fee for branch circuits without
service or fester fee. scar
Contact name: branch circuit 56.1x 2
Address: Each odd'/ branch circuit 4 7.42 29.68 2
Miaeeusneona (service or feeder not Included)
City/Statell,TP: Each manufactured or modular 67.84 2
_dwelling, service and/or feeder
Phone: ( ) F :: ( ) gamma only 67.84 2
E -mail: Pump or initiation circle 67.84 2
Sign or outline lighting 67.84 2
Sigma circuit(s) or limited-energy
Business name: Bear Electric, Inc. panel or extension. Paste 2 2
Lich additional In.peegon over allowable In any of the above
Address: P.O. Box 389 Additional Inspection (1 hr min) 6625/ hr
• City/Srate21P: Donald, OR. 97020 ln duatTi l plafl hr min) 6625/ hr
Industrial Maul (t hr train) 78.18/ hr
Phone: ( 503) 678 -1355 Fax: ( 503) 678 -1108 Inspections for which no the Is
90.00/ hr
CCB Lie.: 20919 Electrical Lie.: 24-1070 Su .Lies: apecrscally listed (% hr tni9
P 4881 S � gimize A.F .Pal
Suprv. Electrician signature, rcquired�,, - Subtotal: 2 9.68 •
Plan review (25% of permit fee):
Print name: Stephen Shepherd j Date: 3/9/12 State surcharge (12 %ofpermit fee): 3.56
Authorized signature: Tun Pli►tl►uT FEE: 3324
Thta permit appncntim spires If a permit is not otrdlncd within ibu
Print name: l Date after is leas bees accepted al complete.
• ivttmbrr of inspection allowed per permit.
muuMuseTwirmouIILC.wemumpoimc 07/01/10 440.1615Tttrnnmedwwea ,
CITY OF TIGARD ELECTRICAL PERMIT
11 11 ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00481
T [ 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/08/2011
Parcel: 2S101AB00100
Jurisdiction: Tigard
Site address: 12023 SW 70TH AVE
Project: Red Rock Center, Phase II Subdivision: Lot: 0
Project Description: Electrical for new commercial shell. Includes 5 meter section, 1,600 amps. AIC= 35,402 amps.
Contractor: BEAR ELECTRIC Owner: FRY, DOUGLAS
PO BOX 389 23077 SW NEWLAND RD
DONALD, OR 97020 WILSONVILLE, OR 97070
PHONE: 503 - 678 -1355 PHONE:
FAX: 503 - 678 -1108
FEES
Quantity Description Date Amount
3 ea Services or Feeders - 200 08/26/2011 $302.10
Specifics: amps or less
2 ea Services or Feeders - 201 to 08/26/2011 $267.12
Type of Use: COM 400 amps
Class of Work: NEW 1 ea Services or Feeders - Over 08/26/2011 $552.26
1000 amps or volts
Type of Const: 25 crt Branch Circuits w /Purchase 08/26/2011 $185.50
Occupancy Grp: Service or Feeder
1 ea Plan Review Electricial 08/26/2011 $326.75
1 ea 12% State Surcharge - 08/26/2011 $156.84
Electrical
Total $1,790.57
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 the .le`or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: � i Permittee Signature: �`�Y Q t
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.
Electrical Permit Application € / 1 _ FOR OFFICE USE ONLY -
III
CI of Tigard l l s� 8 � - Received qf,
--- - - - - -- b Date /By: 0 °`t 1( ,� Permit No.: � D`l �� O ♦ "
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • I `
Phone: 503.639.4171 Fax: 503.598.1960 C 0 � Lilt. . yc `V ' 6 � I • (� N , Other Permit:
Line: 503.639.4175 � i . e ; eay: lutis: H See Page 2 for
TIGARD Internet: www.tigard- or.gov CITY I TIGARD Noiif ied/Method: Supplemental Information
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�'I■Tew construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
^
CITY OF TIGARD ❑Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. .
'"'„ l�e;' a..::'° L; K;. �W+ m,; y <�;;;k.;�kv<„�CS::= �a.;rU�ss.a� + ;skw;y._v::��r- ^�- r�.::as:..::f ;,•: ::r,:::. _...,,,,..._ ,;,.: �.,
s. ,� ^`= I : �': .: t; i =: ., ^r � `� ar *: '- � ;`.5 _ om =ti d' exceeds 10,000 amps 150 volts or ❑ Floating s
g buildin .
• ,., r ; • t - ... , 4x' l; -,k ;: t ^ -`r. _ T _..... - .. ... O,!1-z'- €XW:Iii ,:; ..:s„ . :, - . ::rdr ,� =_;i: P 6 s
less to ground, or exceeds 14,000 ❑Commercial -use agricultural •
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family 0 Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
a< z �r ; ' : a ' s: <: ,: s- ,r;; , 'Y' F W I r+ Y; ❑ Eme:gency system. lar r ly derived ^ t°:
' _ r a:t , -0E,JO ._,LTImINEORIlzA ON I)r O..„1,., 0.. 4 " vs.
i
- '� �� «i4 .�,>yw.,� �ar.,,.> u __,�.- �,�:'- ,t�,,:.:>:�„ - _ �" k' �a- �:-r.�,.�.::.ra,,- ;E���,,;�;�: ❑Addition of new motor load of .. .. ..
Job no.: Job site address: I a3 SW ' 0 re...
100HP or more, occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: .w^
T1G� oil- ■ ealth -care facilities. ❑ Supply voltage for more than
r� I+ : rardous locations. 600 volts nominal. .
Suite/bldg. /apt. no.: Project name: - 1, . b ervice or feeder 600 amps or more.
Cross street/directions to job site: 1- 'Z ' ' and hart e" au+ 1 - Description I Qtv. I Pee.' I Total I
New•residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'1500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
p� ';s:a�- •'%e:•,".;:a'� - �-1. '7i= .1?.,a°,'.s"r:. iaRr�.;;-;3 ;�E:o,or�.__. a� a'n�^'� . .isa_ ..k"``''C"_°.�;_"`- as "R�7
'_': i� ` E6 . s „�u• �i: t�: ao a ar ... D,L',• OF; : 'ORK,,:. _ a - :i :: s-rc .1:,: (with above sq. ft.) 75.00 2
" " Limited energy, multi - family
( 75.00 2 + 1 Q
N W � f D1-1"... eret, 4 St. G residential (with above sq. ft.)
�� Services or feeders installation, alteration, and /or relocati • • 200 amps or less 3 100.70 AO 2 9 �
saw < ,:;< , _. p�i� , �rss;< ¢i..^.=a;+ ;.;. kaus a:. rya„e�c - --_�t, r `.' :; .'. ' s 'Er: Y '; t : =�i i'�'��. y .. ^`- .fir e � �:.-,cEs:3 ;m +.E iHi`= 5 s
s w > °� e mM:,,_ �•�v-, = ,K.� -�.:,- 201 amps to 400 amps 133.56
.; e a ak ®'r O til l'p�'rXt (� I.i'`IZ,fa ;, "u ;a.'�r_ r "3u":3 _ a•3 itz 'I' .E''lyr` 1 e-i P P it,. A� f I
w' Md., c-.`%< ieh.: v.:..,-,,. _- ..._.::...^sr:,`.«;.-- '41i.:, ., . a�w _ .. , .1..,a+arr., ,'. =<._ -ta, ...�!:�s<"';;1!�L7. .'�,
401 amps to 600 amps 200.34 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts [ 552.26 s5aix 2
Temporary services or feeders inst Nation, alteration, and/or
City /State /ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
a = S s igr a- M =" iii. "€ ; ; , R � ,.., =tii~?xr;-!` _ above service or feeder fee,
7.42 2
c APPLTCA Tr-sz ebm . a : ' -,a} s.. .... .1� a ;f4, _l ' x 4 aM4 "•"
- �� r`d `•`�^ YM � ' each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first
Contact name: branch circuit 56.18 2
Each add'I branch circuit 1 2.6 . 7.42 / D$t S 2
Address: Miscellaneous (service or feeder not included)
Ci City/State/ZIP: Each manufactured or modular
ty dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: 67 84 -- • 2
° -.:. . , 4 - � ,, ,.K,_ CO . ,1. . AG' 21 — ; 1 , ,, =.KM1Fi?.Itii m . S c cu (s)
Business name: X0,4 pi. ,art L` � -N C ` panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 3 So j Additional inspection (1 hr min) 66.25/ hr
got (1 hr min) 66.25/ hr
City /State /ZIP: 2::::0, a R-- c n O Z G7 Industrial plant (I hr min) 78.18/ hr
D Inspections (4g Phone: (jo3) Gi (355 Fax: (503) G7 Q (I g ections for which no fee is 90.00 / hr P
specifically listed (% hr min)
CCB Lic.: ,: / Electrical Lic.: 4 9E11 i) c Suprv. Lic.: • jam �9� ii ELTa Ai Riyiz?i'=SF T ' Subtotal: 4J
S Electrician signature, required: I . 3 tO n ' 1 '
� ....:� Plan review (25% of permit fee): }Q vx
Print name: / � _ s'Z c fr l Date: � ,1( a t� f State surcharge (12% of permit fee): / q e q S' V L�(p t� q
TOTAL PERMIT FEE: k `7
Authorized signature: This permit application expires if a permit is not obtained within 180 ✓ri t
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
L1 Building \Pennits\ELC- PekmitApp.doc 07/01/10 4404615TQ1/05 /COM/WEB
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard
Building Division •
TIGARD
TRANSMITTAL LETTER
TO: 60,7 DATFr , ICE ., HIVED .
DEPT: BUILDING DIVISION
SEP 2 2011
CITY OF TIGP D
FROM: E r :
k f3 ,t.' WI_ DI ISiOt
COMPANY: 5c r EIecfivI C
PHONE: 5- 03 -c-?g _ (358 By:
RE: (Sit Addre S ) 7f- (Permit N 0 —' 00 2 i k f
' rolect name or su• • ivision name an' of um,er
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: • Copies: , De e sc - ription:
Additional set(s) of plans. 4 / Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
�eam calculations. Engineer's calculations.
�/ Other (explain): are /,w, d f r4( cAr
REMARKS: •
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
•
_$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \Building\ Forms \TransmittalLetter- Revisions.doc 02/08/2011