Permit Ilf CITY OF TIGARD ELECTRICAL PERMIT
" COMMUNITY DEVELOPMENT Permit #: ELC2012 -00446
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2012
Parcel: 2S101AB00100 •
Jurisdiction: Tigard
Site address: 12023 SW 70TH AVE
•
Project: Red Rock Center, Phase II Subdivision: Lot: 0
Project Description: (1) 200 amp service and (2) branch circuits for parking lot and landscape lighting.
Contractor: LIGHTWORKS ELECTRIC CO Owner: FRY, DOUGLAS
20915 SW 105TH AVE STE A 23077 SW NEWLAND RD
TUALATIN, OR 97062 WILSONVILLE, OR 97070
PHONE: 503 - 691 -2959 PHONE:
FAX: 503 - 691 -2918
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 . 07/25/2012 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 07/25/2012 $14.84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/25/2012 $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 0 95 - 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r - w /
Issued By: /, Permittee Signature: Q� 417 a / 0L / e o' v
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 503.639.4176 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.
07/25/2012 11:40 5036912918 LIGHTWORKS ELECTRIC PAGE 02/04
McNeal Permit Application
1 \til� i�. ro1. orni:� L
I :
McNeal ()NU'
City of Tigard «elm'
' 75 SW Hall Blvd,, Tigard OR 97223�Y' As �iZ ►mitNo "� /off —
- 131
O fy6
i� P lrm Review
Phone; 503 . 63 9 . 4 . 1 71 Fax 503 JUL J U L 2 5 2 012 Date/By: Other permit:
T I G A R. n Inspection Line: 503.639.4175 Date Rea See Page
Internet: www.ti d.or. ov lr1 OFTIG r h '7� f ae 2 for -"
S CITY L Ii D at e Ren J Supplemental lnfomm�tioe
jou New con •.. .. .... ,.. .:. . :.,.; � :• : ::: : . x;A1,V. .WM. ; : �. .: ',: • ...
struction 0 ,A.ddition /alteration/neplaecment Plano cheek • � all that apply (submit 3 sots of plans w/itente chco below)
❑ Service or feeder 400 nmps or more 0 Building over three stories.
❑ Demolition ❑ Other:
,. ..�.:� _ y
':;�. .,: `: ': ,:`: ORYt -Oxt co : . ntcccd ,
here
the available at 150 volts .
�� current ❑ M9rfnns and boaryarde
<' ' •. t�ndl!T.. -.:, • , ., : : ":-:.... •� • I m ❑ Renting building.
❑ I and 2 .family dwelling ommercial/industrial ❑ Accessory building Icss to grormd, m xceedst 14,000 El Commercial -use agricultural
❑ Multi-famil g mop for all oth lations. buildings,
... - —
Master builder Other: El Ore pump. in4�ilt
❑ orlon of 75 KVA or
` 1O$ S A',tk't 7;lAl�lu.:' .CAti ❑fimcrblem:Y*ster. lar of derived system. •
.... •:.,., .... ,.. nPi<: ;,:.. separately {Addition nfnew motor Initd of ❑ "q -, ••g^, 1 -2 ", "1.3 °.
Job no.: Job site address: 207.3 5, - l 0'f" i t x or or more, ocenp,moy,
❑ Six or more tssidentinl em ❑ Raorrational vehicle parks,
City /Statc/ZIP: Ti I'F 4 OR R 7 Z y - 5 ❑ F,tonitlt -care Mollifies. ❑ Supply voltage for mote than
�/ 1 6 �J3oaudous locations. 600 volts nominal,
Suite/bldg./apt no.: ( Project name: g., t 7 . ❑Scrvicc orfeodcr600 l"
r. am or more'
Cross sttcct/directions to ob site: 1 ; °• •:::'; ; •.,P SC>FiEb 1'"' '.: .: ::
I__9.1 l Fee Tolal I
- New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft or less 145,15 4
Tax map /parcel no.: Ea add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential
:
i s •:.� :� ..... •'DESCk - Ot NV.'O '•' !OR'l r' it 75.00 2 sq,
(.. 'tft l C4 l tee. At.' ry (� (� i hr � Limited energy, multi-family
� ,,w residential (with above sq, ft,) 75.00 2
1 ' L Ca L ^ d Installs alteration,
:: ;..:.., • � 200 amp ..
Services or ceders installation, alters n, and/or relocation
_ g�Ot ,,� s or less 80 '10 �, 2
:.. . amps to 400
..,. . � •.,- +�.'`�ENdCl�;:�•: ;'.: ,,. :;�. 201 a ps amps 106.85
Name: � �-( � l � �` _ oG C--- 401 amps to 600 amps 1.60,60 2
''idress: 5w L).�,, 1A.v �?S � Lq Over 1, 0 0 m mp s0re s 454.65 2
Over 1,000 amps or volts 454,65 2
: •ty / Statc/ZIP: Lodsermv "c �1. 9 - 0 Temporary services or feeders installatton , alteration, and/or
p � / relocation
Phone: mo3) 7(v — / �/ 7 % D Fax: ,3) 5(' Of Y 5 200 amps or less 66.85 1
Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 1.0030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: circuits- new, alteration, or extension, Qer panel
',:::':::::':,..:!::::7 3::::: — A Fee for branch circuits with 0� 2
.APPI:3CAN1 � - r !a �COI!1TAc'r P �R§Ottia ,:;:: shove service or feeder fcc' 6.65 1,30
1usiness name: cash branch Circuit
B. Fee for branch circuits
Contact name: without service or feeder foe, 46,85 2
first branch circuit
Address: Each add't branch circuit 7 I 6.65 I 2
Mine iia service or feeder n ot inclndl
City/ State/ZIP: Each manufactured or modular
dwellin 90,90 2
Phone: ( ) Fax :: ( ) ' Reconnect only and/or feeder 66.85 2
E -mail' Pump or irrigation circle 53.40 2
, .._, ,.r ,e:... .,, . - : - ..:•- -.Go1GToFt;':-. • : ,,w • -- Sign or outline lighting 53 40 2
Business name: U Signal circuit(s) or limited -
��" tt u te5 E .e ` `I C energy panel, alteration, nr
Address: i SW l D rgV � extension. Describe: Page 2 2
City /State/llP: ' T " 1
Vt q (ci r.. i ' �7O Co ` 2--- Each additional Inspection over allowable in any of the stave
/
Pcr inspection 62,50
l t P ' • o: (9 3) +� 1 Fax: (9)3) r" 1--' 6 Investigation pct hour (1 hr min) 62.50
4 CCB Lic.: )SS 54f- Xlectrical Lie, :3 Suprv. Lie.: 0,( (ts' Industrial plant per hour 73,75
Suprv. Electrician signature, required: / /��� r . •llti' >34 l 4L : &14 `
/ I ' a — - Subtotal: bto � , /L 0
.1t name: Q on, a id L. Pp •� Date: '7 —� I . Plan review (25% of permit fbe).
( State surcharge (12% of permit fee): I( i Z --
Authorized signature..a 4( �� '_ TOTAL PERMIT FEE: IN 8
lc I TDate: 1...25:—/Z___ This WWI appft� �Piras its permit is not obtained within 180
1 days after it has been accepted as complete
I;u3tdlditum mmiuli app.• 0 3/06 • Number of inspections allowed per permit /� 7 �
44a4615T(iIro5/COM/wEa /
07/25/2012 11:40 5036912918 LIGHTWORKS ELECTRIC PAGE 01/04
LI G H 1NO R KS 20915 SW 105 AVE., SUITE A
TUALATIN, OR 97062
PHONE: 503.691.2959
ELECTRIC COMP FAX: 503.69t2918
CCB # 158595
JUL 2 5 2012
CITY OFTIGARD
BUILDING DIVISI
,To: P � jtf-- From: (,G(2--
Fa= 516 — (el o Pages: et
Phone: Date: '7- 5- l
Re: CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
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07/25/2012 11:40 5036912918 LIGHTWORKS ELECTRIC PAGE 04/04
/ 09;27 5635981568 • CITY OF TIGARI7 211 PAGE 81/01
CITY OF TIGARD ELECTRICAL PERMIT
c&.' COMMUNITY DEVELOPMENT PennR$' ELC2012-00181
I' I • A ; n 13120 9W Hag Blvd.. Nam OR 97223 603.718.2430 Data Issued: 03/23/2012
Parcel; 25101AS00100
Jurisdiction: Tigard
Otte address: 12023 SW 70TH AVE
Project Red Rock Center. Phase II Subdivision: Lot: 0
Protect Description; Elertfical for poising lot and landscape Lighting.
Contractor, LIGHTWORKS ELECTRIC CO \_'
20915 20915 SW owner: FRY. DOUGLAS
W 105TH AVE 9TE A /
S !N, OR 97062 WILSONVILLE, OR 97070 23077 SW NEWLAND RD (0(
1J
PHONE: 503-891-2910 PHONE:
FAX 503491.2959
FEES
Qua fltigr Daactlptmn Date Amount
5� 1 ea Services Or Feeders - 200 03/23/2012 $100.70
amps or Ie90
2 crt Brooch Cirques w/ eteoriane 03/23/2012 $14,84
Type of use: COM Servith3 or Feeder •
Class of wort: ALT 1 on 12% State 3urohargo - 03/23/2012 $13.88
Type of Comb Electrical
Ocbupency Grp:
Total $129.40
•
Required Remo and Reperen (Conditlon8)
1'hla per" la 'Bah" luegect to the reouIe ane contained in the Tigard Municipal Code, emir OT PR. S will
be done to ll derwn wiry approved prase. Thin permit will expire 7 work M not MAW withIn 180 ply tr ance end i other Is eu a law. M the 180
goys. A Oregon loon ntg14F90 y01a to fallow .1110 rules ed red Those Is wapna for more In AR
909.001.0010 through Oq- : APT.. 090. You meq e by the Or O Ut01ty lu n g 03 2 C enter. Those nrles are set foRh In OAR
' m ai red quengbns 10 OW NC by ®hung 90x,232.1907 Of I,801),Sa Rua,
Issued By: _��� � - .,----en •
} PBrrrrtttee Signature:
OWNER INSTALLATION ONLY
The Ietallagan re being made en pro oR I own whlgl la net Immured for sale, fosse or rent
OWNER'S 9 lONATLRE
Date;
CONTRACTOR INSTALLATION ONLY
Si0NATURC@ OF SUPR, ELEC' ter.
Date:
U CeNSR NO,
call 503.839A179 by 7:00 am, ennui next avaaable inspection dote.
This permit card shalt be kept In a rost picuoos place on MOO elta until completion of the project.
Approved plans are required en atop* Site at the time or yeah Inspectlen.