Permit CITY OF TIGARD ELECTRICAL PERMIT
' =, COMMUNITY DEVELOPMENT Permit#: ELC2014-00718
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2014
Parcel: 2S101AB03000
Jurisdiction: TIG
Site address: 7150 SW DARTMOUTH ST
Project: RED ROCK CENTER Subdivision: 2012-009 PARTITION PLAT Lot: 2
Project Description: Building B-(1)200 amp service,(1)601-1000 amp service and(10)branch circuits for shell building
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
1 ea Services or Feeders-200 12/18/2014 $100.70
Specifics: amps or less
1 ea Services or Feeders-601 to 12/18/2014 $301.04
Type of Use: COM 1000 amps
Class of Work: NEW 10 crt Branch Circuits w/Purchase 12/18/2014 $74.20
Service or Feeder
Type of Const: 1 ea 12%State Surcharge- 12/18/2014 $57.11
Occupancy Grp: Electrical
119 Plan Review-Electrical 12/18/2014 $119.00
Total $652.05
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in ance wit -••roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. AT TION: Oregon law requi - •u to follow the rules adopted by the Oregon Utility Notification Center. Tho e rules are set forth in OAR
952-001 010 through OAR 952-001-,D•0. You - obtain a copy of the rules or direct questions to OUNC by calling 503.232 r 1
Issu sd By: / — l�il���� Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTQR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' ✓J / Date: gig/..9
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
Electrical Permit Application
City of Tigard DEC 15 2014 DReacteeB"dy: /a /5-/e/ A Permit No.: Ei_e,2p/ —GU 7/$
13125 SW Hall Blvd.,Tigard,OR,9 Plan Review, �} /
Phone: 503.718.2439 Fax: 503 i (0r Ji,j A ll► Date By: ! f f Other Permit: ku p, D/K_oeV a,
I I i A R I) Inspection Line: 503.639.417 1 �i/: n 1! Date Re /B lam ® See Page 2 for
Internet: www.tigard-or.gov $UILDING Jfl T�`ff) i Notified/Method:' / '�, Supplemental Information
TYPE OF WORK IV leitdrLi2-4—.44- PLAN REVIEW
New construction ❑Addition/alteration/replacement
494- / Please check all that apply(submit 2 sets of plans w/items checked below).
❑ Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stones.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
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 ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E" "I-2" "1-3"
^� t\Ct 1� I00HP or more. occupancy.
Job no.: Job site address:
� CL
....044 1 0°-T►'t Ave_ ❑Six or more residential units. ❑Recreational vehicle parks.
l 2 t 1O u-rh, ❑Health-care facilities. ❑Supply voltage for more than
City/State/ZIP: GC p{� q��z3 7150 �w�D►9 T
/l� ' 1 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: LProjeet name: R c\ R QG IL c±i+ 1 L B .5,Service or feeder 600 amps or more.
—_ — 1, 1 tttrrr///��� FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. 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
Tax map/parcel no.: Ea.add'I 500 sq.R.or portion 33.92 I
Limited energy,residential 75 00 2
C/�rr
DON OF WOW (with above sq.ft.)
e- Limited energy,multi-family
75.00 2
��W` :0vAV^(St.i a� bv-11i t\At.) residential(with above sq.ft.)
J Services or feeders installation,alteration,and/or relocation
200 amps or less / 100.70 /On 70 2
0,PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps j 301.04 30(-e N 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
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 ex_tension, r panel _
Owmec signature: Date: A.Fee for branch circuits with
0 APPLICANT 1 0 CONTACT PERSON above service or feeder fee, 2 each branch circuit l G 7.42 7Y C 2
Business name: B.Fee for branch circuits without
BEAR ELECTRIC, INC service or feeder fee,first
56.18 2
Contact name: PO BOX 389 branch circuit
•
Address: 20985 BUTTIIVILL!RD NI Each add]branch circuit 7.42 2
DONALD,OR 97020 Miscellaneous(service or feeder not included)
C8* t9 Each manufactured or modular
City/State/ZIP: 67.84 2
dwelling,service and/or feeder
Phone:( ) Fax: :( )
Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name: J' E lc 'tJ ink , panel,alteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address:. 3� Additional inspection(I hr min) 66.25/hr
City/State/ZIP: tL JCl(lQjcl OR.C c)eC� Investigation(1 hr min) 66.25/hr
e Industrial plant(1 hr min) 78.18/hr
Phone: � ,. ,:6•V� . Fax a_ LSD t V • U OCE Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
CCB Lie.:a t Electrical Lic. .-- uprv. Lic.:. S ELE FRICAL PERMIT FEES
Subtotal: " y7,3,
Suprv.Electrician signature,required: Plan review(25%of permit fee): hg,��
Print name: �k- 4�DateV /)--3 State surcharge(12%of permit fee): c 7,1 z
TOTAL PERMIT FEE: 63-01.0c
Authorized signature:
�r / This permit application expires if a permit is not obtained within ISO
Print name: V6? _e6 Date: 1213//41• * days after it has been accepted as complete.
ll` / Number of inspections allowed per permit.
I:\Building\Permits\ELC-PermitApp.doe 07/01/10 44o-4t,15T(I I/05/COMM'EB p94.0
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7150 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00718
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7150 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00718
Jeff Grove
Violation Summary:
Inspector Contractor