Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 00282
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/15/2012
Parcel: 2S 101 AB02900
•
Jurisdiction: TIGARD
Site address: 12023 SW 70TH AVE
Project: Red Rock Center Subdivision: HERMOSO PARK Lot: 29 & PT:
Project Description: 200 amps or less
Contractor: BEAR ELECTRIC Owner: RED ROCK BUSINESS ASSOCIATES LLC
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
• 1 ea Services or Feeders - 200 05/15/2012 $100.70
Specifics: amps or less
1 ea 12% State Surcharge - 05/15/2012 $12.08
Type of Use: COM 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 0 R 52 -001- 90. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. `'
Issued By: Permittee Signature: !/A1 l �C 4� Dki,
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.
•
MAY - 1n.- 2012(MON) 15:30 Bear Electric (FAX)5036781108 P. 001 /002 5 I
Elect rical P ermit App 6� IicatiREC l °'I D I (JR orrlc lc ('tit. i�
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4 4
City of Tigard MAY 4 2012
13125 SW Hall Blvd. Tigard, OR 97223 Pt= Review 1
Phone:
nspeelioni Line: 503.639.4115 50339§4 In' OF TIGAi R Other Parma See trace l Car
T11 :, Internet: wwwr.tigardor.gev BUILDING DIV,aIS . ON NoUOed,Methad; Suppkmattalinformatbo
„t'., 1 ,1 "d v 1 „ 4' 1 a :s'1 , ss t i 1> o: , v s ' i ; .> x 1 ;,14.
�, `' ,,t,t4s, ,Y,;'J`! ^ Lc : 5 , w OW—AWNS' 11, i. tl,. 1+ ,,! .,,iti I t .� , il ,, �i• : 1 ry r ' 1 ` w', b 4
.f „an
❑ New construction ;.4 Addition/alteration/replacement Please cheek all that apply (eubmit2 sea orptam wlitmn chatted Wow):
12 Demolition ❑ot her • ❑ Service or feeder 400 amps or mote O Building ova dime atones.
Demolition the available than current 1' Marinas and boatyards.
• ��` �' " �� r. "'ell r �l `rC "n;�,�{ meads 10,000 at ISO volts or Flmrti
: 11 ?ai'�; i'; iNI';Iast.i.�M1 Axe r earns ns buildings.
' W lass to ground, or =ads 14,000 Q Comtnacial -use agricultural
U I- and 2- family dwelling $41:1 Commercial/industrial ❑ Accessory building amps fbrall other inetallations. buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. O Inetallatlon of 75 KVA or
.. .._ �� Emergen system, area den system.
; "!, >•I,Ni I. ! ,1 tic a ,: 9, .,j; 7' • {,r 9 1 • t; Rii " :fil,ll + w
.S .� �. ,,. �..'., .!StC�t1'!!f�....�..� i 'l Q Addi tionmf rlewmotor losdof ❑ "A "t, "1.2 " , "1•] ".
Job no.: Job site address: 142. Sl„] l» 100HPermore. occupancy.
Cl Six or more raidentid writs_ 0lual:Won t vehicle parks.
City /StateJZIP' (� • ❑ Health -este Balks. ❑ Supply voltage For more dwr
1 , O Herardous locations. 600 volts nominal.
Suite/bldgJapt. no. Project name: ❑ mom
or feeder 600 amps ur mar
-
r ; 1.,... ;',';f nip. :G!,rr,r : ..' 'eti!!r :M :A;r;K ro:is,. ItlyY; d•• ; :7.1' :7IT?i?u;S
Cross street/directions to job site: _oerenmtua I err. I rte. I Taw •
New residential single- or multi-bunny dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. R or Ices 168.54 4
Ea. add'! 500 sq. tt or portion 33,92 1
Tax map /parcel no.: Limited energy, eesidentia'
nf-�,r, !, i T n,, .. iI • Y^'^°r i t; 1 ^ r^ " : ,* r^ .h (with above tt 75.00 2
Ir :7ir' :1',ii ,M�'1,,1' �1'f' !ti j ,� 1 1 , ,,, nl , c F V h E !i r• C � Ii �.1,ry:J i r; ^a ( aq• )
' i;u.� :f7•IMI�I�`aai &rtlil! r :i J�,e�'.�a.. )� i,l. ,� :Jii .1 d,ir;rr- ; :!li; '.t;li; il;`;t
- ( � , i � Limited energy, multl•1'stmily
2- P / eest4entUd (wish shove set ft) 75.00
• 1 Services or feeders IoalallatIon, nitration, and/or relncadoo
200 amps or less r 100.70 1 00,10 2
I , u • L U ', po 7n l o • ,, t1. i P Ir it i ' ru• , Cif i k�. j'1 i i •'1'C'{ i
rC l r 1 20I amp° to la
40nes 133.56 2
i ' ii ilia;, � :,, f� � � � ,;, ...... ...., �,� rfw; u�di>rh Iill;,ffi��l�� �G� i�l�.,:.lr ��T {,aGi•� :,ILtiilL 11 •
Name: 401 amps to 600 amps 20034 2
601 amps to 1.000 amps . . 301.04 2
Address: Over 1.000 amps or volts 552.26 2
City/State/ZIP re oration services or feeders Installation. niterntioo, und/ur
Phone: ( ) I Fax: ( ) 200 amps or Ices I 59.36 I
Owner installation: This installation is being mule on property that t own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, of coaling to ORS 447, 449, 670, and 701. 401 amps to 599 amps 16854 2
Branch circuits - new, alteration. or extension. per punel
Owner signature Dale: A. Fee for branch circuits with
1 • , �1 ,, I iti i 1 • rr BSI n "4`+'11(1.+1 1'� l r m �' I) '•�F }f II n ;,i7"4" '�u rwrw • r above service or feeder fee.
�s 1 ' l� Q'. , . Jstllf:lliJ11!��lattt�9f�l��f� ti5 olh "^ ! :n n I 1 1. ,• if h each brooch circuit 7.42 2
Business name: • D. fee I'urtratk h circuits willow
service or focdcr fee, first 56.18 2
Canna name:
hesnch circuit
End/ add'1 bnulch circuit 7.42 2
• AddresS: Mlecel(aoenus (service or feeder not included)
Ci /StatelL1P: - Each manufactured ormodular
ty . dwelling, service and/or feeds 67.84 2
Phone: ( ) I T•ux:: ( ) • Reconnect only 67,83 2
Pump or irrigation circle 67.84 2
E -mail: Sign or outline lighting 67.84 2
r ' T ' tj. V 1 , v rq��jF,1;r�za,i"'�ri6014.,i 5 r•," T Ir 1 - g:
„ � ! f�� ! t �i{I ;� � � "I �t +
1 Wru .,li �,,..r t In i U'i i1 � ! ' : { : IL �! f .I; Signal circuit(s) of limited-mug
Business mim fl16 y Nc + panel,alterabon. or extension. Pune 2 2
Each additional Inspection over allowable in any of the above •
Address: Cf7 a 3 Additlotlal Inspection (1hrmin) 66.25 /hr .
City/Slate/ZIP: A..L� 6.R. 01_0 lmeeti{�tioa(therein) A625r ht
Industrial plant (1 hr fain) 78.18/ hr —
Phone: (z ) se 1 8 l ss 5: Fax: (Sq '3) c--18 l) o,R Inipectinns lilt winch 00 rvo is 90.00/ hr
specifically listed tys hr o h s
C9 tic.: 0 0911 +' ElElcctrical Lic.:ay - /O c 1 Suprv. Lie.: vs • 04010 h etlitigatiagerai `t IflzItll 1 +aimmiiii 1R81i1N11111NN
Suprv. Electrician . t4t r!!r4tiircd: 2 1 % te , , / 114 r 113 Subtotal: 1 60,1
le Plan review (25% of permit fee):
Print name: l M1 e , " Date: Stat surcharge (t2% of permit fee): i 2.08
me: £ c S �7 TOTAL PERMI FEE! ► 17,1
Authorized signature: This permi ' 8
application enders If permit U flat obtained within ISO
Print mime: J Date: days ever It has been accepted as complete.
Number nfinspectiums animal per perrniL •
I: Wdildingll 'wnil,tFLC•PwmuApp.dac 01/01/10 441 76UT(LIIUSR OM/WUII • .