Permit i . .N it
1
3 �;e. ELECTRICAL PERMIT
,, CITY OF TIGARD
q COMMUNITY DEVELOPMENT PERMI ELC2008 -00431
DATE ISSUED: 7/25/2008
,IGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CC 00500
SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT : JURISDICTION: TIG
PROJECT: H MART
Project Description: New panel and (7) branch circuits.
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: SIGNAL/PANEL:
MANF HM/ SVCI FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 7 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
13500 PACIFIC CORP MANZURA ELECTRIC
BY CAP ADVISORS 13617 NE61STAVE
38345 W TEN MILE RD, STE 170 VANCOUVER, WA 98686
FARMINGTON HILLS, MI 48335
Phone: Contact #: PRI 360 - 772 -1321
• FAX 503 - 210 -1558
FEES
Description Date Amount Reg #: ELE C137
[ELPRMT] ELC Permit 7/25/2008 $126.85 L1C 168391
TAX] 12% State 7/25/2008 $15.22 SUP 5184S
Total $142.07 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 ar rth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246 669 or 1.800.3 . "•• , .
Issued By: /=___. • 0 / ' ' Permittee Signature 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 INSTA LATION ONLY
SIGNATURE OF SUPR. ELEC'N: , -- - <Ce 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.
• Electrical Permit Application �� ED Rec eived
q` �m t -ft 7 f)R 41 1 !f 1 (�I ri: l ' n ' sra : +�r " a A
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Cg of Tigard , n /a/it-610 1/ p
4. a 131 Ilan Blvd., Tigard, OR 97223 IkStelHY' 7 S P c m n N o,. C J�4% . 7 J t/
Plan Review
s Phone: 503.639.4171 Fax: 503.598.1900 5 2008 �y Other Permit:
Fie tltlri. InsF0etiort c 503.639.4175 JUL DoteReady/Eor .ru�nt: El $ee Paw 2for z x . Internet: www,tigard - or.gov , ' Notified/Naiad: % 6; Supplemental Infant/alum
I_ .a ill OF W u, i . • •
PLAN REVIEW
❑ New csmstsvetior, l ,Q'Addit {ao/af ,t
' Please check 031 that apply (submit 2 sets of piano v ltcma chaclted below);
U M , e ❑ Building over d a c e macs.
❑ DernOlitt03I ❑ Other: when t available fo It lament ❑ Mminas and boatyards.
CATEGORY OP CONSTRUCTION exceeds 10,000 an at 150 volts or ❑ l'Joathg buildings,
lento ground, or exceeds 14.000 11 Commercial -use ar i idnnal
❑ 1" mid 2- family dwelling I Commercial/industrial 0 Acccssorr building amps for ait other laminations. bwiltlitiss.
® Multi- family Q Master builder Q. Othcr; 0 Fire Piano. ❑Installation of 75 KVA or
i0$ SITE INFORMATION ANTI. LOCATION 0Emergency system, larger separately dammed system,
❑AM:M00 new motor load of ❑'•A^ "h". "I -2" •'1a ". I
Job no.: I .rob site address /3C :o0 �LC/, f�/rf"2C /74)/1:1 IOOHPatmarc. 1 e ancy.
S x a< more resldential units. [] (tecrcatlanat vahicic parlor.
> /_ �� �jj 0 H Healthcare tScltitina. 0 Supply vole, for more than
Ciiy(State /ZIP:
f /6 /%bc�� D "t !R
mnrdous locations. 600 volts nominal,
Suite/bldg. /apt. no.: Project natne: IL/ / 7 --'" CI Scram Scram orfadmom 600 amps or mu
FEE SCREDTJLE
Cross strect/ditecti0ns to job site: nv r oaea I Gtr. f Prv. 1 rt�t i "
New residential single- nr multi fadhly dwelling Unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or Less 145.15 ' 4
Tax map /parcel no.: Ea. add•1500 sq. it. or portion 33,40 l I
Limited cna ', residential 75.00 2
DESCRIIt3TON OE WORK with above sq. ft.)
P •, Limited energy, multifamily 1
d' °( _ ° ` - residential (with above 5. R.) i 75.00 2
7/ ? C./ te2, 1-- ` Services or feeders installation alteration and /or relocation
® PROPERTY OWNER I 200 amps or less /' •�t t
0 TENANT 201 amps to 400 amps ' 106.85 2
Name: 401 amps to 600 amps 160.60 2
Address:
601 amps to 1.000 amps 240.60 2
Over 1,000 snips or volt; 454.65 2
City /StatciZIP: Temporary services or feeders installation, alteration, and/or
-• Taxation
Phone: ( ) Fax: ( ) 200 snips micas I 1 66,85 1
Owner installation: This installation is being made on property that I 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
Branch circuits —new, alteration, or extension, pier panel
OW= signature: Date.
A. Fcc fbr branch circuits with j
❑ APPLICANT 0' CONTACT PERSON above service or feeder fee, / 6.65
Business name:
each branch circuit / � "
B. Fee fir branch circuits
Contact name: without service or feeder fee, 85 2
first branch circuit
Address: . Each add'i branch circuit 6.65 2
-- Miscellaneous (service or feeder not included)
City/State/VP: ' Each manuGxtured or modular
Phone: dwelling, service artl/or feeder 94.p0 2
{ ) Fax: { j Reconnect only 66.55 2
E-mail: Pump or irrigation chute 53.40 `` 2
�
/ CONTRACTOR Sign or outline lighting 53:40 2
Business name: ' / / //V2, 62/24" /:::::----
,.. - � , Signal circtrit(s) or limited
/ /✓( _ energy panel, alteration or
A_ddress: /36 /2 Act 6 / - I cxtensirm. Describe: Paget 2
City /State /ZIP:
/ /r �f[ ()� )!/�%% "9 Each additional inspection over allowable in any of the above Y Per inspection 62.50 I
Phone: ( �GU) '7 7 / / pa ;
x' ( 2 )G 5
/ G / 5 3
Investigation per hour ( t hr,n;e) 62.34
J� / S o rr Lie.,. Industrial lane
CCB Lie.: � . �` r //' Electrical Lic.: � � � p . .
� l� �a � p per hour 7175
Suprv. Electrician Signature, required: f " ELECTRICAL PERMIT FEES
subtotal:
Print name: 7 o � /v /✓ g Dote: / '2.. e T__ _ Plan review (25 of permit fee): ��
State surcharge (12% of permit tie): / 3 ,. tOC�•
Authorized signature: _ TOTAL PERMIT F$B; Z
2 _ D 7
Print name I ndtt; Th7., pV".:c •Pgtic.tiaa capista Ira permit's 0Ot obtained within 150
® — —. i dap after it ha. tee. *tempted ns complete.
t:'Fwi;dingSP •
Pnmirgp�.dae n; /n /I.r, ' Numlxx of inspections allowed per permit
�40dd 15T(I I/05/COVM£R
eJnyzueur /a5.as :wo.d 999101 Z£0Sl (11A10) 90 :0Z :61 9Z - 800Z £ bo Z abed Ja6uassaiN xea ein {ay3oIl} .ol
CITY OFTIGARD
BUILDING DIVISION }' PERMIT #: FLC t?C.I�' -00431 i t
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71 - 5 /2.QGF1
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 � '"I.I
INSPECTION WORKSHEET FOR DATE: 7/29/200B TIME: 7 :0 AM PAGE: '
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 13600 SW PACIFIC HWY TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: 11 MART
DESCRIPTION: New panel and (7) branch circuit:. •
OWNER: 13600 PACIFIC CORP, PHONE #:
CONTRACTOR: MANZURA ELECTRIC PHONE #: 3
Inspection Request Scheduled For: Date: 7/29/7008 Pour Time:
Code # • Inspection Description Confirm # Contact # Message •
�� EIECtrir., l final 073396-01 503.752 -0909 N Y
Corrections /Comments /Instructions: = -Y\i'I NI ,
g.
Vc ovLO" K. O. s. l., 1 N [1 8M1Q P,6o N roLJ
sv(2s- P is . AM. 110.3��J
N to u r'P bow N �1 o o l,, w k. 3 3 x;.30
I, •
J
1 h i
illf\/
PASS 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: C 5---1 1\160 « Date: 11 Phone #: (503) 718- tilt
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
ELC2008-00431
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 . ICI 7 /?.71,60000 Inspection Requests (24 Hrs.): (503) 639 -4175 �'.: a,,, "_..
INSPECTION WORKSHEET FOR DATE: 7/28/2008 TIME: 7:03AM PAGE: 7
SITE ADDRESS: 13600 SW PACIFIC H1NY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: H MART
DESCRIPTION: New panel and (7) branch circuits.
OWNER: 13600 PACIFIC CORP. PHONE #:
CONTRACTOR: MANZURA ELECTRIC PHONE #: 360 - 77? - 1321
Inspection Request Scheduled For: Date: 7/78/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073307-01 364 712 -1321 Y1
SO 112 o � $9 \J
Corrections /Comments /Instructions:
L.A6 L 6 LA OA N�T2AL. c-0 MO LY a e� l W l W gr`74 `T ik .
^
AZTc Q10.11\13 ALL o\Y s cove 6 c N. kiALL.
(5) tau— w\\) e4 ► _,,,A al kc.,LiQs Q.
ALL I P 1 46 6 C.J3 NI) a-7 0 a `l® - E 5
1 `
rr1..o N a vM &,\(Lt- 15 w*GOY ., «� FJ
Jlsrar,tjt J o e Q t.
❑ PASS I / I PARTIAL APPROVAL 1 CANCEL pi NO ACCESS
FAIL ' CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C . N kSgs LP" Date: 1 . #A Ot Phone #: (503) 718- Vilki