Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: ELC2017-00162
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2017
T I t 1i kt.1 9
Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE
Project: Red Rock Center Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Building C-Temporary service
Contractor: KEC ELECTRIC INC Owner: TIGARD TRIANGLE PARTNERS LLC
761 SW BAILEY AVE 18187 SIERA DR
HILLSBORO, OR 97123 LAKE OSWEGO, OR 97034
PHONE: 503-439-0904 PHONE:
FAX: 503-640-3838
FEES
Quantity Description Date Amount
1 ea Temp Services or Feeders- 03/09/2017 $59.36
Specifics: 200 amps or less
1 ea 12%State Surcharge- 03/09/2017 $7.12
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $66.48
Required Items and Reports(Conditions)
This permit is iss =--- 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 = cordance with a•.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. ' ENTION: Oregon la re•uires ou to follow the rules adopted by the Oregon Utility Notificati• Center. Those rules are set forth in OAR
952-0. -0010 through OAR 952-01 10•I. o may obtain a copy of the rules or direct questions to OUNC by calli c 13.232.1987 or 1.800.33 344.
/ 1
Iss ed By: i�r�i� � Permittee Signa —sem /
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' ���
.' 1%';„,.1 Date: Q�7
LICENSE NO. 7!/:
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.
Please add to-ELC2016-00879, no .lan review, or just treat as seperate
Electrical Permit Application u 7. _ _' FOR OFFICE USE ONLY
CityofTigard '-" ' *° 'Received q
- g Date/B 9 f 7 Permit#: CO c�I7 1�
lli • 13125 SW Hall Blvd.,Tigard,OR 97223 A,, ,--,
k Plan Review Related Permit#: Q
Phone: 503.718.2439 Fax: 503.598 1960 r 4 C Date/B : fi�oj0`�Y�p 79
Inspection Line:
503.639.4175 IR Ready Date/By: �
BSee
e Pa e2forTIGARDInternet: www.tigard-or.gov Ye a f Notified/Method: Supplemental Information o
rmation
fat rn g.i� 71t b } � r:7 gig:al Rln �� �z- . � 101 � „ 0
1
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked).
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other where the available fault current ❑Marinas and boatyards.
g irtlc V:AqOV OSR � t_ lt 'kiMI exceeds 10,000 amps at 150 volts or
0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi family ❑Master builder ❑Other: o Fire pump. 0 Installation of 150 KVA or
i ii r”- o I "INqV:4 A iO f'I I) 1t')OA1OKIiaI a'' ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: I Job site address: 12115 SW 70th Ave Tigard,Or 100HP or more. ❑"A","E","1-z","1-3",
City/State/ZIP: ❑Six or more resident al units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Red Rock-Temp service ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
Iiikelliiier:TAMOW0014.71CM:11M
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
.ys _ Ea.add'I 500 sq.ft.or portion 33.92 I
'�. y�i�ht . aN :t �v'r!j i' 0:1# , ki1 O 'lILW 1 �KII916':; � i �' �tl .
`��' '" �t� "�' �"�' � �' its, - m �' r .. - Limited energy,residential 75.00 2
Temp-Construction service (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
a = Renwable ESP2
1,111k 11 oltoPlt;I Y 4 ih � I tot Serveices or feedersnergy installation,alteratio❑ een,aagend/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone: ( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 1 59.36 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
r 1);' A� 1CA - a r 5r 1 .� a-„c Branch circuits—new,alteration or extension'
xtension er panel t" �" '� °° ���Ic� A.Fee for branch circuits with
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
AddrPSSi service or feeder fee,first u,to 3
branch chcuh
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
Email:
dwelling,service and or feeder 67.84 2
Reconnect only 67.84 2
I j"'` :134- l tPump or irrigation circle 67.84 2
r i�� �,�- �Ir1'.
Business name:KEC Electric,Inc. Sign or outline lighting 67.84 2
Address:761 SW Bailey Ave Hillsboro,Or 97123 Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/StatelZIP: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)9697419 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: kenc@kecelectric.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee 1s
CCB Lic.: 99267 Electrical ic.: 34-426C Suprv.Lic.: 4489S specifically fisted('z hrmit90.00/hr
Suprv.Electrician signature,required:
Subtotal: 59.36
Print name: Kenneth E.Conway Date: 3.9.17 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): -q-137!
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180/4
Print name: Date: days after it has been accepted as complete. / / Cr
* Number of inspections allowed per permit. (P CP
I:\Building\Permits\ELC_PermiiApp_ELR_ERE.doe Rev 06/t 7/2015 440-461 ST(t t/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00162
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor