Loading...
Permit (7) © CITY OF TIGARD ELECTRICAL PERMIT ,: COMMUNITY DEVELOPMENT Permit #: ELC2009-00129 Date Issued: 03/18/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136DC04500 Jurisdiction: Tigard Site address: 7501 SW DARTMOUTH ST 100 Subdivision: Lot: 0 Project: Winco Project Description: Install (5) branch circuits. Owner: FEES WINCO FOOD, LLC Quantity Description Date Amount ATTN: SUSAN BUSCHE, PO BOX 5756 5 crt Branch Circuits 03/18/2009 $73.45 BOISE, ID 83705 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 03/18/2009 $8.81 Contractor: Electrical JGCM PO BOX 12323 SALEM, OR 97309 PHONE: 503 - 585 -4879 FAX: 503- 364 -0248 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $82.26 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 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by callin 503.246.6699 or 1.800.332.2344. 614 ,1diaL_Lektici Issued By: b Permittee Signature: I t. ,tcv) 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'N Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. :MP /1i /20 /TUE 02:32 PM NORTHSIDE ELECTRIC FAX No, 503 - 0248 P. 001 /002 ` • Electrical Permit Application • FOR t)I r 1C L USE ()N1.1' C1 Of Tigard Received Permit No.: r A ��, �.�pQ //�� ,, �p I I' '''f3125'SW l - Iall Blvd.,' Tigard, OR gECE Ti Pl Rp i te i ?. . ,,. . .. • Phone: 503.639.4171 Fax: 503.598.1960 Date/lgy: - ' OtherPenniti " . • AR• 1 TIGARD Inspection Line: 503.639.4175 *M7 2009 DateReadyBy:. • Jun:: Fd See Page 2for .. . • Internet: www.tigard or.gov Ivt Notified/Method: Supplemental Information .. Csn'tE. "?":"S�" Ala. �ihlAzt ar; +n• �., ,�,� 'r . cra•Yy s:, :y t 't'' "•'�,'� .i .�, A.., .. _.. '''r..ktA -7h {, j tl - r: v rt .: k; ■ :7 : ' , p.. .pe.,t`„' '- i�,+ ( -: . Si , n�ra il k: ",i9' , ' ,T,a, ',3;',.'4g.::'.', i ter.p:f4 �.G�Y' t'� t`'i -. •! +tt•P:1+.�i -'� ;Eix;'�_`.r.�') Y ; tc "'�;' <.t6 .'{p� •',} �' r • , .' �' .. • . � 3'iUr f�L�rL ._, �:,., .4:'� ... >::��r": At'^r.5'� ?N. �' Mi ?W:�,Rr':'�{'`r r ° " • ' j „� � t�.! Q ION Please check 41 that apply (submit j sets of plans w /items checked below): , . •,•❑ New construction Additi0al/al tp^t t� l >�' Cri`E'fv ❑ Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition • . ❑ Other: where the available fault current ❑ Marinas and boap,ards. ' ::� � "F:i�r P"^„, #r`!; •''' >`�Ptc,' -': ' rv��r.0 - -, - r�'.- aYGr:�i't� ^ ^ ` '' �' ���C�., Q�; �Q' �; 1, 2�' j��r�j` rQpt�' �0�= '�� +.�: exceeds l0,000 amps at150 volts or ['Floating buildings. dwelling ►:� less to Bound, or exceeds 14,000 ❑ Commercial -use agricultural. 1- and 2-family g Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family 0 Master builder ❑ h 0 pump. 7 A or I Ot eC: P P- ❑ Jnatallatitin of 75 V .. i t;rs r r c tn' o cy y • • i - y �, t .: t , ❑ Emergency system, larger separately derived system. . , i'd,' .'t' t '-S . b13 , ? .*'1 / 4 IO \„e11 i') iQQATIb �.,., .r ` :1 z!' ';i' 1: r r ra ,. x- ,..,, ., ;�... , A c +. ❑Addition of new motor load of . Job no.: y10O5 I Job site address :' , SW 'bDrtnicks S x or or more. occupancy. ❑ Six or more residential amts. ❑ Recreational vehicle parks. City/State/ZIP: i ` . `�li ,,3 ❑Healer care facilities, El voltage for more that, ❑Hazardous locations. 600 volts nominal. • , Suite /bld /apt. no.: I Q • r Project name: N.) e. 'r'� CI Service or feeder 600 amps of more. job site: `'C/ ` r : " " y a?: ' ' '• ` >M' ' ' ;t . Cross street/directions to Peecrlpt Qty. Fee. l Torn' ` • New residential single- multi - family dwelling unit. • • - Includes attached garage. • Subdivision: • Lot no.: 1,000 sq. ft. or less 145,15 4 Tax map/parcel no.: Ea. add'1 500 sq. ft. or portion 33.40 1 h Y , r a v 4 �,. Limited energy, residential :4 r ' K w xr Vy; , ..., _ . ...,; 75.00 2 • m l S GZi,.: �ij1EL t1 +� s. &n "' "'rt "?r.,,tiM_1 , (with above ' " : r,^�i . ; yv '' �'L° v'.e;;'•jr'.' ... ..y..� Y . ��.._ ,.t °{(j•:iYri. � , Limited energy, multi - family 75,00 2 0 it iS 'tai ' la..' .' t tS residential with above aq. ft.) Services or feeders installation, alteration, and/or relocation • y 200 amps or less 80.30 2 ''if .,t1cg�iMali `-} -+•.C;sp yyy n;� .`.t T +!y . .' . 'wail w`f:' ^� ' ^o; ... �..,, �' QRl�I� n,.• c 2;�-,M . .... ;�,C' °.. ^., . ^ � : �`:�, ,� � 7.01 amps to 400 amps ..:,,........,....._ � ! . ... `,,';I'ENx1N.::•�::'t;• , .r.. 106.85 2 1 tame: �` 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 . City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation • Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 - Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: • Branch circuits -- new, alteration, or extension, per panel A. ,,gGCSK, 'i #,, k7 C+Vi ,$.11 i '. . .. `_ :.1 t i r, ,ri-;:'yl, • ; A. above service for branch circuits with ce of feeder fee •. , 4,. -. w . '.&� � ®';C QINrTdiC I.f.'D r� i ce; ?i4 tvi £ee , 6.65 2 Business name: each branch circuit B. Fee for branch circuits Contact name: with service or feeder fee, r� first branch circuit 46.85 41 r �J� 2 Address: • Each add'-1 branch circuit 6.65 I.-lp .10U 2 Miscellaneous (service or feeder not in cluded) City/State /ZIP: Each manufactured or modular • 90.90 2 dwelling, service and /or feeder • Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 • E - mail: Pump or irrigation circle 53.40 2 • ( . ' .. • ' ' • ; _ CON I RA ' • CTOR ..` .. . , Sign or outline lighting 53,40 2 Business tul'l'es " Q l ! cj , �L . t t t t� !� A Signal circuit(s) or limited- , r� � t `�LT V l` ^ • ',( J1Iri , energy panel, alteration, or Address: 1J 0 K r a s extension. Describe; Page 2 2 City /State /ZtP: i�. - 1 0 f? �•"I G� Each additional inspection over allowable in an of the above �-� +� 1� I `� ' (� Per inspection 62.50 Phone: ,3j'`-lZN 25 -1 (�, ! 1 Fax: lW� ) 1.3to�ir ' -0� Li Investigation per hour (t hr min) 62.50 CCB Lie.: 0,I 2 Electrical Lic. :D -J LK_ Suprv, Lie.; • `1 Industrial plant per hour 73.75 . �/ 1 b ' ' - lv . i' ELEC')'R};CA,T: .;ERl! '&::FEES:. Suprvtlec .. . trician l signature, required: j /.taw , 1.� Subtotal: - -w.,.� • Print name: • A. � A � / D Plan review (25% of permit fee): State surcharge (12% of permit far ): ' � Authorized signature: _ TOTAL PERMIT FEE: ' , Print name: • (Date: This permit application expires if a permit Is not obtained within 160 days after it has been accepted as complete. - • Number of inipectfons allowed per permit. 1:\ Building \Perrnits'ELC- PermitApp.doc 03/23/5 440-46tS1 i /o5 /COM/WEB 7 ELECTRICAL PERMIT " ,' � CITY OF TIGARD PERMIT #: ELC2008 -00129 COMMUNITY DEVELOPMENT _'..., DATE ISSUED: 3/6/2008 1GARrD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112AC SITE ADDRESS: 14655 SW 72ND AVE ZONING: I - SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: PGE Project Description: Installing (3) branch circuits for power electronic gate. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ALPHA LIMITED PARTNERSHIP OREGON ELECTRIC CONSTRUCTION INC 14725 SW 72ND 1010 SE 11TH AVE TIGARD, OR 97224 PORTLAND, OR 97214 Phone: Contact #: PRI 503 - 234 -9900 FAX 503 - 535 -2763 FEES Description Date Amount Reg #: ELE 26 -95C II LPRMTI I LC Permit 3/6/2008 $60.15 1,1C 203 ITAX 1 12% State Surchar 3/6/2008 $7.22 SUP 48185 Total $67.37 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By 'ermittee Signature: X92 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'N: DATE: LICENSE NO: CaII 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. MAR -06 -2008 10:41AM FROM —OR ELECTRIC SVC 5035352763 T -764 P.001 /002 F -570 Llecrrical rermir appucano>n y _ , cl,z}( >I 11.1 �t ti, t >�� � 1? t 1, C ' of Ti e / 1 3. ..„ 0 rj • P e rmitNo.: � e 1rer---- !xJ/ 13125 SW Hall Blvd, Tigard, (3 2- Plan � , Other Permit: Review r A � LtJU Phone: 503.639,4171 Fax: 503.598 1� — 6 OA i c A I . l) Inspection Line: 503.639.4I75 n r � Date Ready /8y: ruris: ® Sex Page 2 for '. _ . t.CA Internet www.tigard-or.gov CITY OF [f GP f lr�D Notified/Method Supplemental Information . TYPE OidtiN Un JI S {Gi . • PLA RE V>Ew ❑ New construction Addition/alteration / replacement Please check all that apply (submit 2 sets of plans w /items Checked below); ❑ Service or feeder 400 amps or more ❑ Building over three stories, ❑ DemOIition ❑ Other: where the available fault current ['Marinas and boatyards. • CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 0 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps Ibr all other installations_ buildings_ ❑ Multi- family _ [] Mastcr builder ❑ Other: ❑ Piro pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION • ❑ Emergenc system. larger separately derived system. Li Addition of new motor load of ❑ "A ", E. "1 - 2 ", "1 - 3 ", Job no.: 99695 I Job site address: 14655 SW 72 AVE 10011Pormom. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: TIGARD, OR 97224 D Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: I Project name: PGE ❑ Service or feeder 600 amps or amore. • Cross street/directions to job site: FEE SCHEDULE j Description 1 Qty. 1 pea 1 Tad 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft or less 145,15 4 Ea. add'( 500 sq. R or portion 33.40 1 Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK - (with above sq. ft.) 75.00 2 INSTALL POWER ELECTRONIC GATE Limited energy, multi - family 75.00 2 residential (with above, ft.) Services or feeders installation, alteration, and/or relocation • 200 amps or less 80.30 2 0 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: PORTLAND GENERAL ELECTRIC 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240,60 2 Address: 121 SW SALMON ST Over 1,000 amps or volts 454.65 1 2 City /State/ZIP: PORTLAND, OR 97202 Temporary cervices or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 10030 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: Branch circuits - new, alteration, or extension, per pane! A. Fee for branch circuits with ❑ APPLICANT 1 4 CONTACT PERSON above service or feeder fee, 6,65 2 each branch circuit Business name: O B. Fee for branch circuits Contact name: D ave �/� rr� 11 -- }�aa without service or feeder fee, 1 46.85 46.85 2 1 ' ' c, V 1 v`J. . fast branch circuit Address: Each add'1 branch circuit 2 6.65 13.30 2 Miscellaneous (service or feeder not included) City/ State /ZTP: Each manufactured or modular 90.90 2 Phone; (.503 ) C z4 — 5 I Fax; ; ( ) Reconnect t service o and/or feeder ReCOnneoct only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: OREGON ELECTRIC CONSTRUCTION, INC Signal circuit(s) or limited energy panel, alteration, or Address: 1010 SE 11" AVE extension. Describe: Page 2 2 City/State/ZIP: PORTLAND, OR 97214 Each additional Inspection over allowable in any of the above Per inspection _ 62.50 - Phone: (503) 234-9900 Fax: (503) 535 - 2763 investigation per hour ( hr min) 62.50 CCB Lie.: 203 Electrical Lie.: 26 I Suprv. Lie.: 45495 Industrial plant per hour 73.75 • •ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 60.15 - Print name: RICHARD MCELLIOTT Date: 03 /06/08 Plan review (25% of permit fee): State surcharge (12% of permit fee): 7.22 Authorized signature: . e. TOTAL PERMIT FEE: 67.37 Print name: RICHARD MCELLIOTT I Date: 03/06/08 ' This permit upplleutinn expires If a permit 1s not obtained within 180 days after It has been accepted as complete. a Number of inspections allowed per permit. I:\ Building \Pemelta \ELC- PamirApp.dac 05/11/06 440.4615T(l I /05 /COWWEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008.00129 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/20013 Phone: (503) 639 -4171 Alb ����� Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 14656 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PGE DESCRIPTION: I nstalling (3) branch circuit for power electronic gate. OWNER: ALPHA LIMITED PARTNERSHIP, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTIRUCTION INC PHONE #: 603.234 Inspection Request Scheduled For: , Date: 3/18/2008 Pour Time: • Code # Inspection Description Confirm:: # Contact # ■ Message 17:9 Electiical final 06687:3-01) 503 - 849.2662 Y Corrections /Comments /Instructions: '. • ,\\ \ PASS (1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS U FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G N VeLE Date: 3 DI) Phone #: (503) 718 - v $ CITY OF TIGARD o BUILDING DIVISION PERMIT #: LLG2003 0012J 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3 /%f .0O8 Phone: (503) 639 -4171 tta Inspection Requests (24 Hrs.): (503) 639 -4175 ,�'_'� INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:OOAM PAGE: 20 SITE ADDRESS: 14655 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PGE DESCRIPTION: Installing (3) branch circuits tor power electronic gate. OWNER: ALPHA LIMITED PARTNERSHIP, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC; PHONE #: 603- 234 -9900 Inspection Request Scheduled For: . Date: 3/11/2008 Pour Time: Code # Inspection Description 7 'firm # Contact # Message 105 Underground/slab c:over 0E;f482 02 x03143:1 2852 Y Corrections /Comments /Instructions: ( vt \IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 ' N66 L-G Date: d ' 1 ` - Phone #: (503) 718 I 1 t J CITY OF TIGAR® , BUILDING DIVISION PERMIT #: Et .L c;1t1tt3 O0123 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/612008 Phone: (503) 639 -4171 m 1i(it Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:OUAM PAGE: 44 SITE ADDRESS: 14656 SW '?2ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PGE DESCRIPTION: Installing (3) branch circuits for power electronic grate. OWNER: ALPHA LIMITED PARTNERSHIP, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INClgrre 4 - IC 5 2 - - PHONE #: 503.234 - 9910 Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 10 5 Undergroundislab cover 066375 -01 503.849- 2552 Y Corrections /Comments/ Instructions: .. ,9 ci9,4-e. 1414-0•r c-tg-IAA:1- co 1, ( n PASS RTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: #2-1/4-4 Date: 3 r f (f-s Phone #: (503) 718-