Permit - CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 -00094
T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2013
Parcel: 251018801300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: CROW PARK 217 Lot: 1
Project Description: Reconnect (2) rooftop units
Contractor: BEAR ELECTRIC Owner: WALTON CWOR PARK BC 8 LLC
PO BOX 389 BY CTMT - WALTON RE TAX
DONALD, OR 97020 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503 - 678 -1355 PHONE:
FAX: 503 - 678 -1108
• FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 02/11/2013 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 02/11/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 • - - • . . ith 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. • ENTION: Oregon aw • ' ires you to follow the rules adopted by the Oregon Utility Notif' • -nter. Those rules are set forth in OAR
952 -0 • -0010 thr•ugh OAR 952 -•r 1 -0090. may obtain a copy of the rules or direct questions to OUNC by callin, - a 232.1987 or 1.800.332.23 A
Iss ed By: . • S /� �/ �� -- / Permittee Signatur _!' iil 1 O( /O—C./
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' C t2P f G ���_ 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.
FEB- 07- 2013(THU) 15:02 Bear Electric (FRX)5036781108 P.001 /002
Electrical Permit Applicat , , CE D FOR OFFICE USE ONLY
City of Tigard D 1 „v 2 d�a � Permit No.: e ag••00tOF A
13125 SW Hall Dlvd., Tigard, OR 97223 Plan Review
-
Phone: 503.718.2439 Fax: 503.59P M 7 2013 Daldliv: Other Pmnit: gt a oi3_oters
TiCA1tp Inspection Lino: 503.639.4175 DateReady/fly runs. 0 See Page 2for
lntcrnec www.liganl- nr.buv CITY OFTIGARD Notified/Method: Supplemental d
Inrormatb
9SI g I G DIVISION Please ch all that apply (submit l of REVIEW N/items checked below{:
❑ New construction ddition/alteration/replacetnent
CI Service or feeder inn amps or more 1:1 Building over three stories.
❑ Demolition ❑ Other:
where the available that current ❑ Marinas and hnmyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps el 150 yobs or I] floating buildings.
lets to ground, or meads 14.000 ❑ Colmtteteial -ate agriculture{
❑ 1- and 2- family dwelling ' 'Commercial/industrial ['Accessory building snips turall usher iasiallatiuns. buildings.
0 Multi-family U Master builder ❑Other: ❑ Fire pump. ❑ Installation of75KVA
JOB SITE INFORMATION. AND. LOCATION ❑ Emergency system. lager separate". derived system.
❑ Addition or new motor load or ❑ "A ", "E ", "I -2 "I -3 .
Job no.; t Job site address: r + O`/L S f. , l P 10011P or more. occupancy. 1 7 7 (,�� w L2 .I� r ❑Six or mare residential units ❑ Recreational vehicle pinks.
City/State/LIP: L .4� , DR_ 17 47.. 2. ❑ I leallhcore teatimes. ❑ Supply voltage for more than I
❑ Hazmduus locations. G00 volts nominal.
Suite /bldgJapL no.: I Project name: tri 0 Service or feeder 600 amps or more.
FEE SCHEDULE' .
Cress street/directions to job site: mem• mie .,,, v.. Taal •
New residential single- or multi -family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. B. or tess 161;04 4
Ea. add'l 500 sq. 11. or portion 33.92 1
fax map /Parsed no.: Limited energy, residential 75.00 Z
•:.. DESCRIPTION OF: woruc I with shave sq. II.)
n j Limited energy, multi-family 75.00 2
V 1 s t± 1 "n - J 1 ii"" , 6 3 may) . residential (with above se. ft.)
Services or feeders Instal atioo and/or relocation
R10 amps or less 100.70 2
0. PROPERTY OWNER ..;: . ' . 0 TENANT • . 201 amps 10 400 amps 133.56 2
401 amps to 600 amps 70034 2
Name:
601 amps to 1.000 amps 301,04 2
Address: Over 1.000 amps or volts . 552.26 2
City!$lnte2lP: Temporary services or feelers lastalation, alteration, and/or
relocation
Phone: ( ) I F ax: ( ) 200a amps or less 50.36 1 1
201 amiss to 400 amps 125.08 1 2
Owner installation: This installation is being made on property that I own which is not
401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits -new, alteration, or (mension, per panel
Owner signature: _ Date: A. Nee for branch circuits with
❑ - cONTACT PERSON' above service or feeder fee. 7.42 2
each branch circuit
Business name: D. Fee for branch circuits without I service or feeder fee. first 56,1 g 'ry. 2
Contact name: branch circuit
Each adtrl branch circuit j 7.42 . 7,'/ Z _ 2
Address; Miscellaneous (service or feeder not included) _
ClrylStatc/LII': Each man111iaetured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.114 2
E -mail: -
=._ ;: 67.84 2
:
Sign or outline lighting
.} : CONT .4'_` ° Siang' eireuit(s)orlimited-energy
/ Business name: &a s— ,e t rl c_ ri1.C.. , panel, alteration, or extension. Page 2 _ 2
( _Each additional Inspection over allowable In any of the above
r Address: f (J (Z c5y 3 Additional inspection (1 hr min) ' 6625/ hr
City/State/ZIP: /���N /� j�� Z Q Investigation (1 hr mitt) 66.25/ Iu
'" 1 "v industrial plant (I hr min) 78.18/ hr
Phone: ( ) 67 8- (355 Fax: ( D3 47R.. it 6 2 Inspectiuus Ihr which no ter it 90.00 / hr
specifically listed Ph hr min)
CCR Lie.; Z0a / 9 I Electrical Lie.: z /07 G Snarl Lic.:41 Tg i, .= t.:" rxers ICAIi'• PLrRM'I'I'•:FI+ - _.. ..,_,`;,=
Suprv. Electrician signature, required: Subtotal: a 4, 0
an review (25% of permit fee):
^ Print name: ( + ,„r � l J A Z � d, , r Date: 2 -7 -1 3 Sete surcharge (12% of permit tee): (
Authorized signature: TOTAL PERMIT FRF,; -2
This permit applleatinn aspires If a permit Is not obtained within
days after It has been accepted as complete. rill
Print Hume: • Dole: • Number of inspections allowed per permit. r
1:11tuitdng \NermintiLe•PermriApp.aoc UM/ 4uu- sat3T(l tirmroM,wrx
•
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11950 SW GARDEN PL 100, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2014-01-09 (null)
ELC2013-00094
PASS - No C of O
Violation Summary:
Inspector Contractor