Permit CITY OF TIGARD ELECTRICAL PERMIT
11 4 l: • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00509
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012
Parcel: 2S 101 AB01604
Jurisdiction: Tigard
Site address: 7307 SW BEVELAND RD 110
Project: Welch Subdivision: HERMOSO PARK Lot: 16
Project Description: (10) branch circuits and (1) 200 amps or less
Contractor: JARMER ELECTRIC INC Owner: BEVELAND LLC
5105 SW 45TH AVE #200 7307 SW BEVELAND ST
PORTLAND, OR 97221 TIGARD, OR 97223
PHONE: 503 - 246 -5381 PHONE:
FAX: 503 - 244 -8037
FEES
Quantity Description Date Amount
10 crt Branch Circuits w /Purchase 08/28/2012 $74.20
Specifics: Service or Feeder
1 ea 12% State Surcharge - 08/28/2012 $20.99
Type of Use: COM Electrical
Class of Work: ALT 1 ea Services or Feeders - 200 08/28/2012 $100.70
amps or less
Type of Const:
Occupancy Grp:
Total $195.89
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 9.2 -' 01 -009/ You may o tain a copy of the rules or direct questions to OUNC by calling 503.232. or
Issued By: � / , Permittee Signature: O rl e/ 1 4 r
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.
08/28/2012 07:31 5032448037 JARMERELECTRIC PAGE 01
Electrical Permit A . t 'Ica r ,;i. CPIV 1 t) I' "I I I, 1 I , ,1 11.1 l
ill City ofTigard neava : . - (c)--4'
13125 �l.�i o�01•t -ODSD •
13123 SW Hall Blvd, Tig&d, OR 97 2 3 r 2 8 2012 Plea
ledNet Other � /a o0 -
Phone: 503.718.2439 Fax: 303598. {
....,_ :
lespoction Lino: 503.639.4175 �/ � Data Ready/13y: Ill See p _ for
�/ Internet: Www.tigard•or.gov C 1 1 TII�!'lllD I NedBedMlethod: rj/ Sipplemeohl Information
.,• , ., t f , l Klr /r;My 1 Y l r'{: ;r. Cl ';., y , , 1 F . W.- f 1 ! . 4 /771 L L / r . � ;T;1'4,;; ! PI ,,h^ T I. K '' e 1 +): ] . �. CY r ,. $
ry Raceivad
,,I. ..,�t1.: 3A „ ,, S ., 7.., 3 r,n,,, !t. ,..u, . l,1,. r ,i\ �. t,.1.1: .1 .d,_,,,, ✓,,, ., .. _i, , ru 9, Y :.,
a
7.4 ❑ New construction ” Addition/alteration/replacement Please check Withal apply (submit 2 Ica, doles w % items c below):
❑ Sonic* or 8wda 400 amps or tame ❑ Bonding over throe scarlet.
❑ Demolition ❑Other
7 where the wettable Ruh currant O Marinas and boatyards.
ns f - ', ''.4:,: , .: S- 3` }.. ! , i ' A , 14 y ', y ' r , ' , t � r ` , , r r t r exceeds 10.000 amps at 150 volts Or ❑ Floating buildings.
_I i 4 : ,A..,1' i i7.. u,, G .
,,.., !
. ki 1 � .a
. .i,. f.. a,u, : c Py , � '. ,' , , SN , na,. . +w, .f).:',,, j,, Xyl ,,,
L .4,4,
family dwelling : Commercial/industrial ❑ Accessory building less r Ii o or exceeds on . 0 buildings.
fa! agnc�'�r'l
❑ 1- and 2 -
�$ amps far all other bstslhuloaa. hulldithge.
❑ Mull fitmily ❑ Mate builder ❑ other- 0 Fire
F pump. 0lmreua� of 75 KVA fir
J system.
r _ t r)r Jtd ] , N a, .,, , L ... kv i K} r y 1 } y , li r c r rc ❑ system. tatter Iy derived
, h �'.: C rrr, l r ; rl j rie '' ' 1 ., 2 : , r N : . r .,; 1 'i . i ",. ' , +l i t t° 1 Addition of new motor load of
Job no • l Job site address. ii3kIERAILir y r tooltP or none. occupancy,
I • AL ' L] Six or more resldearbl orbs ❑ Recreational vehicle perks.
C1ty/State/ZZIP' h,► > • ` '� / • — • [� Hoahh -oov ihchtloa ❑ supply "ehage for mote there
ia* �Ic Lt ❑ thosodots locations. 600 volts nominal.
Suite/bldg./apt. no.: i I D Project name: ( F . ` t j / G service a under duo or more.
: mi l tiT C u:A 10 ,( t
Crossstteet /directions to job site: 1 .. :Ai r,,. i •r r.., a . „
New residential single- or multi- family dwelling unit.
Iaeln4ee attaebea garage.
Subdivision: f Lot no.: 1,00o sq. ft. or less - 168.54 a
Ea. add'1 S00 sq. !R or portion 33.92 I
Tax map/parcel no.:
r 1:.;2 S t r. : r r r Limited (with energy, q. a. ) l
,i14 ,, t , n ' a r ;. "r., 3f : ...,,o ,� �.v ., 2 rr 3 �. 71 n r tr ' L 'T'. . r A r I` (WISH above Sq. � � 75.00 2
I
1��� Y r.!• n v.! J . r 7 ...
1 1 AY J hi ' V` �' Limned energy. ith sq. I 73.00 2
l l >u1 With 'bow sq. R)
Services or feeders Imtallatlon alteratlou, and/or reloes�R
200 amps or less 1 100.70 lb") ,,t) 2
_ , ,.,
a , •n,.; � . :.,.i,� :, / t r { } b : .. r 1 . _ ;' 201 ampeLO 133.56 2
Name:
401 /MP m 600 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 maps or volts 552.26 2
- City/State/ZIP: Temporary services or feeders lurtallstlon, alteration, and/or
relocation
Phone: ( ) f Fax: ( ) 200 amps or less 5926 1
Owner installation: This mstalletion is being made on property that I own which is not zo1 amps to 400 amps 125.08 2
L 401 amps to 599 amps 163.54 2
intended for sale, ease, rent, or exchange, according to ORS 447.449, 670, and 701.
Broach rimits - , alteration. or extension. per panel
Owner signature Date: A. Foe bleach dtemib
` ` ,
,, ,'_ :. ,., „ .-^.. n I i` , ''''.'' .. C. 1. : ) l . h,,., ,, .Y,.�. 4< f ••• i .
, _,. :,., ,. .' , J 1 eachb service or it 61e, up 7 .az 2
Business name: B. Fee Su bunch cirmrib wW,old
service ar feeder the. that 36.18 2
Contact name: branch circuit
Each sdd'i branch chug 7.42 2
Address: Miscellaneous (service or Sister not included)
City/State/ZIP � or 67.84 z
dwvlihrg, servic and/ Hader
Phone: ( ) I Faye : ( ) P. ooeneot ally 67.84 2
E-mail:
p a o circle 67.84 2
Signor outline lighting 67.84 2
t I Y , ,._ . , .. . .h,_.,,,.;,.'.>,',,. "1, ,.,1.,.,, ''' ''. ' I . } .. ...,.1 r,s,;; Signal clrwa(s)or limited•wvrgy
p anel, Business name: ,. j, Ai E 4 4 Fe / Al r e_ L . if. Each ale ditlOn or extension. Page 2 2
,
Each addidonal Impaction over allows ble in any of the above
- Address: 0 j Sv a °y "7 ..s e tee, Additional inspection (1hrmin) 6625/ hr
r
investigation (1 le loin) 66.25/ hr
City/State/ZIP:
Ay t� � 4 i¢'.fr•d ()CZ, ) 7,2 1 Industrial phmt (1 hr min) 73.18/ hr
Phone (II) 3) za .. a 'r Fax ( y) 2'V1 i .i. 7 m oat ter °O
: � �- G; fie is 90 oav hr hr min
Lie': 4 7 SI BCectrical Lic._2L. /4/4f 18( rv. Lk.: 44C' . S _ . , r ... ), ".r.' _- ` �,... .;a`_h ; r - , -.. ,
Suprv. Electrician signature, required: w • , ` ' •
Plan ■ review (25% of permit armit tBe): r
yc
--- .... f Dat i
Print name: •
—
surcharge (12% of petuhit fee): r 1 y
R, ✓�I o �H :• / / State s iOTALPFRNIIi FEE: 1 , ima
Authorized signature: Thin permit application espira Ifs permit bunt ., • ... winds 180
dgya alley It Inn bean aeeepmd es complete.
Print name: Date: • iambs? of bspocdom allowed taw permu.
LiBuildingTereasIELCZermitApp.doe 07A1l10 4e6481S711110S/COA11WSB
CITY OF TIGARD ELECTRICAL PERMIT
11 4 l: • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00509
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012
Parcel: 2S 101 AB01604
Jurisdiction: Tigard
Site address: 7307 SW BEVELAND RD 110
Project: Welch Subdivision: HERMOSO PARK Lot: 16
Project Description: (10) branch circuits and (1) 200 amps or less
Contractor: JARMER ELECTRIC INC Owner: BEVELAND LLC
5105 SW 45TH AVE #200 7307 SW BEVELAND ST
PORTLAND, OR 97221 TIGARD, OR 97223
PHONE: 503 - 246 -5381 PHONE:
FAX: 503 - 244 -8037
FEES
Quantity Description Date Amount
10 crt Branch Circuits w /Purchase 08/28/2012 $74.20
Specifics: Service or Feeder
1 ea 12% State Surcharge - 08/28/2012 $20.99
Type of Use: COM Electrical
Class of Work: ALT 1 ea Services or Feeders - 200 08/28/2012 $100.70
amps or less
Type of Const:
Occupancy Grp:
Total $195.89
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 9.2 -' 01 -009/ You may o tain a copy of the rules or direct questions to OUNC by calling 503.232. or
Issued By: � / , Permittee Signature: O rl e/ 1 4 r
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.