Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00409
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2012
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7325 SW BRIDGEPORT RD
Project: BV Centercal LLC Subdivision: COUNCIL VIEW ACRES (LOTS 1 -20) Lot: 18
Project Description: (1) branch circuit
Contractor: BEAR ELECTRIC Owner: BV CENTERCAL LLC
PO BOX 389 ATTN: FRED BRUNING
DONALD, OR 97020 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503 - 678 -1355 PHONE:
FAX: 503 - 678 -1108
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 07/12/2012 $56.18
Specifics: Service or Feeder •
1 ea 12% State Surcharge - 07/12/2012 $6.74
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 95 00 -0090. You may obttaiin'a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / % i 4L £ Permittee Signature: 644 4 P1
/ 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.
•
JUL 12 20R (THU) 07: 40 Bear Electric (FRX)5036781108 P.001 /002
Electrical Permit Application FOR OFFICE USE ONLY
'
II City of Tigard
RECEI D Received ef Z - a— s,' Permit [,e 0 — 00 0
13125 SW 11411 Blvd.. Tigard, OR 97223 Plan Review
e Phone: 903.718 2439 Fax 503.5 9 , t Dale/B v: Outer
TIGARD Inspection Line: 503.639.4175 JUL 1 2 1 6 Pare Keady/Uy: El Seerate3for
Internet; www,tigard -or,gov Notified/Metled: , / Supilemeablteformation .
•
TIP DIVISION P �
• ID New construction Add 1 rep rtea c all t apply (submit 2 seta of plans Wilms checked below):
❑ Demolition 0 U ther O Service or feeder 400 amps or more 0 Building over three ories.
where the available fault current D Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps as 150 volts or D Floating buildings,
less to gourd, or exceeds 14,000 Cl Commercial -use agricultural
• and 2- family dwelling ❑ Commercial /industrial 0 Accessory building amps for all other installations. buildings.
0 Multi - family ❑ Master builder ❑ Other: D Fire pump. ❑ Installation of 75 KVA or
Cl Emergency syel larger sepsta2- system.
JOB SITE INFORMATION. AND LOCATION
Q A Addition ition o of new motor load of ❑ "A ", "E","1-2", "1-3",
Job no.: I Job site address: / 3 a t 10011P or more. occupancy. `IA T7i"l D Six or more residential units. Cl Recreational vehicle packs,
City/State/ZIP: ?-4¼ l rr��� �'T 0 Health-care
azer cue facilities. O Supply voltage for more Than
� l ,1 CI Hazardous (oauions, 600 volts nominal.
Suite/bldg. /apt. no.: { Project name: D Service or feeder 600 amps or more.
Cross street/directions to job site: natrrpltaa I Qty. 1 Fre. I race I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. n. or less 168.54 , 4
Tax map/ parcel no.: - tau. API 500 sq. a. or portion 33.92 , I
p Limited energy. residential 75.00 2
D�CRII!TION OF.:WO1tK with above R. n.) _
Limited energy, multi•family
}•A.CkLg- C■ C CV ∎ - k O CV ,■ W CIA_\ residential (with above sq. (1) 75.00 2
Services or feeders Installatino and/or relocadoa
200 amps or less 100.70 2
' 0 _;I'ROP_E `. :e . ,....2. .... ; CI.:TENANT. ..
201 amps ro 400 amps 133.56 2
40! 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 2
City/State/ZIP: r cl dnc servicesorf eedersInstal lation,alteration,and/or
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 I
201 amps to 400 snips I 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amp to 599 amps 168.54 2
intended for sole, lease, rent, or exchange, according to ORS 447, 449, 670. and 701.
Brunch circuits— new or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
.. -.. :. above service or feeder fee,
CONTAt'1:PERSON: _ 7,42 2
..._ • ..::., : . • _ - -. Q =AP TLIC'A7V�' . =_::' _ . .. . _ b
- each branch circuit
Business name: ' I). Fee for branch circuits without
service or feeder fee, first 1 SG, t 8 2
Contact name:
branch circuit
Each WW1 brunch circuit 7.42 [ 2
Address: Miscellaneous (service or feeder not included)
Each rnanut or modular G7 84 2
City /State/ZIP: dwelling, service and/or feeder
Phone: ( ) I Fax: : ( )
Reconnect Only 67.84 2
Pump or irrigation circle 67.84 2
E •mail:
__ _ Sip or outline Iightin8 67.84 2 •
• — • • -- - -- �- 5igalr circuit(s) Or 'Wiled
;Z _ _ �, (-•' ecirr G panel, alteration, or extension. Page 2 2
Business name: �?CLL G i - �(Z[,, Each additional inspection aver allowable in any of the abov
Address: .0 .li,ic Additional inspection (1 ht min) 66.25/ hr
1 /� Investigation (I hr min) 66.25 / lir
City /Slate/ZIP: Q •► 13 ��+`�c\ , S._ C✓�1 Z U industrial plant (1 hr min) 78.18/ hr
pre: C50 !� 1 - I ) J Fax: (s g) r� --y�� + Inspections for which no fee is
B Lic.: T t !;t 1 ��
specifically listcd1'h hr min 90.00! hr
C C2 `q Electrical Lie.: A — o' Sup Liu.: A • .1 '. _ - 4E.LECTRICA3: TER) _ ___ .:.�' - :-
Suprv. Electrician signature, required: Subtotal: �(� .
'�:. • Plan review (25% of permit fee);
Print name: S .? 3 [ � r g Date: 1 -., t2 - I y- State surcharge (12% of permit fee): ('p /
Authorized signature: �" TOTAL PERMIT FEE: (,z- �j'Z y
This permit application expires if a permit is not obtained within 180
Print name: Date: • days after it has been accepted ax Com plete.
Number of inspections allowed per penal'.
1:1Duiwirg/P rmasvLC -Per m;iApp.duc o7rntna d40- 16,Rf11/05 /COId/WCa