Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00161
Date Issued: 03/23/2012
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101A600100
Jurisdiction: Tigard
Site address: 12023 SW 70TH AVE
Project: Red Rock Center, Phase II Subdivision: Lot: 0
Project Description: Electrical for parking lot and landscape lighting.
Contractor: LIGHTWORKS ELECTRIC CO Owner: FRY, DOUGLAS
20915 SW 105TH AVE STE A 23077 SW NEWLAND RD
TUALAT!N, OR 97062 WILSONVILLE, OR 97070
PHONE: 503 - 691 -2918 PHONE:
FAX: 503 - 691 -2959
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 03/23/2012 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 03/23/2012 $14.84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 03/23/2012 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR • - 001 -0090. You may o • ,,'1 : • • • • - • -s or direct questions to OUNC by calling 503232.1987 or 1.800.332.2344.
Issued By: -- i _ Permittee Signature: 4111,
'_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
03/22/2012 13:12 5036912918 LIGHTWORKS ELECTRIC PAGE 02/02
n
Electrical Permit ApplicatiEV i ril irL
fi 4 j ' FOR orricE USE ONLY
lig City of 13125 SW R 2 2
13, Tigard, OR
97
Phone: 503.639.4171 Fax: 503.598
21 2 2 2 012 De
Dun/B; 3 RIMIIIIII,„., ...RN., -&-. , , •
Plan Review
Date/13 : !w•wm
12111!!! iirMgMffi.1
TIC.5A110 InSP Line: 503.639.4175 CITY OF TIGAPD Dote Resdy/Sy: Julia: a * , , Page 3 for
Notified/Method: -.7.---6 Supplemental Information
Internet www.tigarcl-Or,pv RI i r Di vi s !Dm
''''' '''' ;'.. -' :: ' • . ' • • • • '
TYPE :bit *ciiiic .:::. s ::. ' ,:.......:...' :/::.. ,..:.:,... , . ...... ::'::::•: .......: ,,.:.• .:: KAPC:4.04$*".,:.' ...:: C, ..;.. :::........; ...... .. ,..
please check that apply (submit Z acts of plans wiitems checked below):
'New construction El Addition/alteration/replacement
CI Service or fiarder 400 amps or mom 0 Building over threo stories.
ID Demolition El Other: whore to available fault cermet El Marinas and boatyards.
.:. ,• '. Y.:. i!. ... • • ... :;• ' • - " : •
CATEGORY • de :. v , ... • ....... ...... .r.: :. . , : • :... .. 10,000 amps at 150 volts or 0 PI oa t in g boildings.
less to ground, or exceeds 14,000 0 Commercial-use ofmcultural
CI 1- and 2-family dwelling VCommercial/indu.strial 0 Accessory building amps for all other installations. buildings.
CI Multi-family 0 Master builder 0 Other: ID Piro pump. ['instillation of 75 KVA or
0 Erncrgancy syrtom. larger sepremely derived system.
:: ' AA 1 :. .;•': i. . '' '. • ••• ; . 0 Addition of new motor mood of 0 " A" , "6", "1-2 , "1-3",
Oftnrpntry.
Job no.: Job site address: i 2023 5, co , -70.(-- 4 Sa 1 °.°H 1 ' , ..-0-: .
a t or more randenttal units. 0 Roczontisuall vehicle parks.
than
City/State/ZIP: -re 9 h-.4 on. (in z -5 0 Hcaltb-care iticilities. 0 Supply voltage for mono
0 Thraldom locations.
600 volts nominal.
Suite/bIdglapt no.: ' Project name: e e ca ,"44 6 ., ,c1 , r er et 60 o 7n fli■Ne. . . ,, . . . , . . : .. ...
, x,:::;, , ,• , i;•:, 71::; SqraMbt;:.::...:•'s . . ....,...1....::',.
Cross street/directions to job site ..4. ( -t 72. p-.3 0 DC30411111011 i (. j Fee. I Teal i I
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'i 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
: .....•..:',.;:•:;•',.••••..,;'•:'. ••-•:.:.'; .'::::..;." :'•: ' ' •,•:. ..::: 7 ' . : . ' • • • ••‘..1: . : • ':: -...:•::-. (with above sq, ft)
A Limited energy. multi-farnily
COu'd4.3 l+ il (.4) t Ile 4 iie kg j. to f --- i.e-o- residentird (with abow sq. it.) 75-11 ,
Ple9k4ea ci. 50tAii 02 fkr- 4t-d (-00-14: (.47414-0.3 :O ril am te;
ps o o r r f i ee ms dcra installation, altcratio , 8 s ■ lit ..",,, . ti 2 1 • :7c
kk*Oi OVoisii '•:. [',.:..;':';': :...1.:: I jp`:1'PrAzyrt.. -:. ....,.. 201 amps to 400 amps 106.8 - 2
401 amps to 600 amps 160.60 2
NaT ___ 1 2L. ek.4._ 5.7.a f 414 A,S 0 CA I- ("" C-- 601 amp; tO 1,000 amps 240.60 2
Address: 2.3017 61.4) foiaL.4)10q,....d iRofrAct. Over 1,000 amps or volts 454.65 2
City/State/ZIP: Lot (sell v t (k. OK c t - 7 01 f) Temporary services or readers Installation, alteration, and/or
relocation
Phone: (us 740-- (Hy° 1 Fax: t305) S Ot e( 5 200 amps or less 66.85 I a
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - saw, alteration, or extensloruer panel
Owner signature: Date: A. Fee for branch circuits with -- 7 . 141-
i...,: .... .41S : Oritite: 1 0: ::. .. '.L:: :: :',.:::::: :: .A` a m b e r, bran " Tvi ch cc ci o rct rcdcr i fc; ., .....0.31 if5
Business name: B. Fee fbr branch circuits
without service or feeder fee,
Contact name: first branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 90.90 2
' .
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( )
Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
_:: : ,:. ::.4..i ::,..'..,:i:;; :, Sign or outline lighting 5340 2
Signal circuit(s) or limited-
Business name: L.; 1 ee • c
.1 energy panel, alteration, or
Address: 2.1,4 i 5 5(4.) i 051-1- 4 extension. Describe: Page 2 2
City/State/ZIP:, (Lki i" °I 0 Co -4-..- Each additional ins lion crvele in an or t allowable the above
1 - - - Per inspection 62,50
Phone: 605) 6.61(-24 s-c ai l Fax: ( )) bi Fl f e., Investigation per hour (1 hr rain) 62.50
CCB Lic.: ) 50 Electrical Lic.:3147 . . Suprv. Lic.: _264 q Industrial plant per hour 73.75
- . - , . .:::::-,'''' .."•::
A1!.E.T.4MIT.:TEm ::. ...,;:;.:: , . • •
Suprv. Electrici i v a re, required: 7 1 A p to 1 i, -..:- Subtotal: -, C) 1 I 531
-
Print name: Q 6 n 0 to, 1... a Date: '... 2 z,... i .. Plan review C25% of permit fee •
` State surcharge (12% of permit fec):„...tri / .94
Authorized signature ce4-11..• :cll._ Du) a,..a.i.---- TOTAL PERMIT if a permit not PEE: im p-ref . ;
, r i This permit nprilicolioo expires is 013 m11'411111
Print name: t --) ' 1,r....1.1 I Date: 3 ...- 1 z 4.,,c.feer it kaA been neccptri ns co plete i' dpi LIO
..--- • Number of truipectiens allowed pm wink
Katilkling‘rermitarstz-Permitnoo.cloo
05/23/06 140-4615TO bin/COM/WEB