Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00272
' COMMUNITY DEVELOPMENT DATE ISSUED: 5/14/2008
; 1 GA 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: BAKERY
Project Description: TI - (1) temp service, (16) branch circuits. Job No. 439248 - 17720
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
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: 15 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 BROADWAY ELECTRIC - COCHRAN INC
BY CAP ADVISORS 626 SE MAIN ST
38345 W TEN MILE RD, STE 170 PORTLAND, OR 97214
FARMINGTON HILLS, MI 48335
Phone: Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 5/14/2008 $213.45 L1C 72942
[TAX] 12% State 5/14/2008 $25.61 SUP 3447S
Total $239.06 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard MuniapaI 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 f. • = • 180 days. ATTENTION: Oregon law requires you to follow rules adopted b • - Oregon Utility Notification Center.
Those rul- are set forth in • - .52- 001 -0010 through OAR 952 -001 -0100. You may obtain co. - of these rules or direct questions to OUNC at
503.246 •699 0 1.800.33 y,44.
Issued :y: ` k 4 1 j / Permittee Si.. nature: , 10 .of 1/ •
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:
NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: / �5.. 4 0/ '' 6)- 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.
-FROM COCHRAN - BROADWAY RECEIVED FRI > MAY 9 2008 14: 52/ST. 14: 51 /No. 7500000100 P 4
+
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard MAY 0 9 2008 Received
DaDate/By: 5 / q Q el r/ ,41 Permit No.: 6 et a 7 2
. • 13125 SW Hall Blvd., Tigard, OR 972A Plan Review
Phone: 503.639.4171 Fax: 503.598. 06 OF TIGAR Date/By: Other Permit:
1 I i; A R Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: luri B See Page 1 for
Internet: www.tigard- or.gov Notified/Method: 1 m • Supplemental Information
TYPE OF WORK .... PLAN REVIEW • . " • ❑ New construction Addition/alteration/replacement
Please check all that apply (submit 2 sets of plans whims checked below):
❑ Service or feeder 400 amps or Inure 0 Building over three stories.
❑ Demolition ❑ 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
❑ 1 - and 2- family dwelling . (Commercialfindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- farnily ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
013 SITE INFORMATION AND LOCATION . ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1.3 ",
Job no.: 77 Job site address: 13 loco 5 k r0001P or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle ptaks.
City/State /ZIP: " TSc iLt r/y tJ � Q R �� ❑ Health-care facilities. ❑ Supply voltage for more than
L- ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: )4, s ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: 11 Description FEE SC Qty. -
lam. I Pee 1 Total 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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
=: DFSCRIP71ON OF WORK . (with above sq. ft.)
1 k ' C � ( Limited energy, it multi-family
residential (with above ve s sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
• ❑ PROPERTY OWNER::: • . _ - _ ❑-- TENANT 201 amps to 400 amps 106.85 2 _
Name: 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 I 66.85 6( . 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 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, per panel
Owner signature: Date: 1
A. Fee for branch circuits with
.. D. APPLICANT: -'. .. • jrCONTACT- PERSONS - i. • ` - above service or fecder fee, 6 65 2
each branch circuit
Business name: B. Fee for branch circuits
� without service or feeder fee, /`/
Contact name: c � e �� ( first branch circuit 46.85 `-Ice. 2
Address: Each add'I branch circuit 1.5 6.65 - 1 1' 4 3./5 2
Miscellaneous (service or feeder not included) _
City/State /ZIP: Each manufactured or modular I
dwelling, service and/or feeder 90.90 2
Phone: (5 ) 5 . - - 13 (o LI- Fax: : ( ) Reconnect only 66,85 2
E -mail: Pump or irrigation circle 53.40 2
- • CONTRACTOR - , •
.. . . . ' Sign or outline lighting 53.40 2
Business name: /" Signal circuit(s) e r limited -
��LT?211/� -; VY (� t. U t/ �� �nergy panel, alteration, or
Address: ULU fl..' V � b-t- I extension. Describe: Pace 2 2
City/State /ZIP: ` k C -, g 7 2-1(4 Each additional inspection over allowable In any of the above
c � Per inspection 62.50
Phone: (5 mss) 2, 34.4 -(,p5 �( std
.4 Fax: ( ) Z, 31( - 2 .)ci D Investigation per hour (I hr min) 62.50
CCB Lic.: 7agL I Electrical Lic.: 31 Suprv. Lic.: 41a._<.. Industrial plant per hour 73.75
ELECTRICAL' PERMIT. FEES -
Suprv. Electrician signature, required: Subtotal: OZ / 3 �� j
` t I Plan review (25% of permit fee):
Print name: \L�. �k� 1/ Date:
CCC --- "` Slate surcharge (12% of permit fee): d 5, 62
Authorized signature: TOTAL PERMIT FEE: a 3
Print Warne: Date: This permit application espires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I 'Building \PermitsV:LC•PermitApp doc 05/23/06 440- 4615T(1I /05 /COWWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/200[3
Phone: (503) 639 -4171 t �'
Inspection Requests (24 Hrs.): (503) 639 -4175 III
INSPECTION WORKSHEET FOR DATE: 6/11 /2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: H MART
DESCRIPTION: Bakery TI (1) ternp service, (16) branch circuit.. Job No. 4392 - 17720
OWNER: 13500 PACIFIC CORP, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503 - 2346561
Inspection 'Request Scheduled For: Date: 6t11/2008 Pour Time:
Code # Inspection Description Confirm #\ Contact # Message
199 Electrical final 071206.01 \ I 503- 522-73E4 N
Corrections /Comments /Instructions: /
'
IE PASS n PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
❑ F IL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G , V 6 6 Date: 4( 11 6 Phone #: (503) 7181,
CITY OF TIGARD .
. •
BUILDING DIVISION PERMIT #:EJ..G2608•00
i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:6_0 .0(6
Phone: (503) 639 -4171 �, t i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6 TIME: PAGE:
SITE ADDRESS:rb606 6 CA) 'p h c.iR.,, AM kli CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 16. o:; /.
DESCRIPTION:
OWNER: Jk PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6 • e t% Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
2XX A,. L (1--
r
❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
ild
FA ' n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CD '1" Date: b'C 0% Phone #: (503) 718 - iLib'