Permit CITY OF TIGARD ELECTRICAL PERMIT
IN: I
PERMIT #: ELC2007 -00329
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 AC -01900
SITE ADDRESS: 12615 SW 72ND AVE ZONING: C -G
SUBDIVISION: LOWE'S HIW, INC LOT: JURISDICTION: TIG
PROJECT: LOW ES
Project Description: (3) branch circuits for extended 120V circuit and added keypads and data.
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: 1
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:
EAGLE HARDWARE & GARDEN INC CAPITOL ELECTRIC CO INC
PO BOX 1111 11401 NE MARX ST
NORTH WILKESBORO, NC 28656 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 - 9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 5/14/2007 $135.15 LIC 48748
[TAX] 8% State Surcharge 5/14/2007 $10.81 SUP 31325
Total $145.96 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.
n /�
Issued By;/" i/ / _ , _ Permittee Signature: 5,t y J � co-4 ; c riq
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.
05/14/2007 11:37 5032577121 CAPITOL ELECTRIC PAGE 01
.� FOR OFFICE: USE ONLY •
Electrical Permit App
ti o 'a ,- Received
_5114.10 541 Pcrnlit tic,: EL<.'2 0c5 ' 003 2
City of Tigard
Plan Review Other permit
�/
13125 SW HALL BLVD., TIGARD, OR 97223 I4iri l 1 ' • tdll. �ra
I -•. e SReadYBY Juri1 SeoPage
Phone: (503) 639-41'71 Date
Fax (503) 598 -1960 CITY OF TIGAQD fchod: "CIEs O nl""c"s„' t °t°"".`I °°
t
Inspection Line: 503 -639 -4175 �� p ! y t . ,, > C���
B" ��f
www.Gi.ti :' d.or.u1S ^T-'- „' tin I' LI; ,p�:;.."! t^ 1 {Ifll I � I F i f III f ,._,..y p I Ili �'li[j''I �l- ,:I t' 1:I 11,
tf:171Ct "'- ..tul•.Ili,,.l.. I I - .� - I i
� l t. II I�Ir �.1 � I � 7 I , I '21 I, 4:i1JG �I k Id G.T.r� � ... ,: _.:.ewJ... . -f. 1 .�.....
, y - •I�I'll T r it It III I'll " I' 7ii�ll�u. °.. I. �: � L;.: r>. s... a. 1_. Lu�» i�U: �liJ� !�:i.ea.W,..e,..:...:..111L ..
IL. New cons l21. w Please check BO that eppN (submit 2 sets of plans w/ltems checked below):
• New construction ion Other: cn/alteranrm /replaccmer+t ❑ Build:
❑ ❑ Service or fonder 400 amps or more Building over throe stories
Demolition 0 Other z i .' .,,:, n ,,; p l I;nI i ... ; k jl;u where the available fault currant ❑ Marina and boatyards
'1 y.�uli. °.ul� �! i. �i �I�J:�I.Irc . ��iiul� i� .:. t�in�a� `�Ca- . 1 . 21�;:`.i:`::;!S I�a.t,..:..,..,.�y'r �. 1' 1b•f'.I?�,.'-.. i , I
exceeds 10.000 amps et 150 volts or Floating buildings
• 1- and 2- family dwelling 0 Commercial/industrial • Accessory bolding
❑ Multi-tami ❑ Master Builder ❑ Other to ground. or Cxoeeds 10.0110 CommorGal-use agricultural
- -t Tw I , :I •n , . .. ;;: ° amps for aiotherinstaliattons ❑ buildings
r rl - rr, r•'n,: t 1'1: � 'I �lih
, :I, , -ii r. Y.C. , ".1;!•�ari;j
1`LW L` ,�':J :ii � �'� ?,�Ya h';II:Ii.'sj Iii ?�.:::15�:;al „.Ll�i iij,n«..y • :�:e .:tf:'I Ei�
❑ Fife Pump ❑Installation of 751NA or
Job no.: 270668 Job site address: 12615 SW 72ND AVE ❑ Emergency system 4irger separately derNed system.
❑ Addition of new motor load of ❑ "A ", 'E",:1-2", "1.3
City1Statc/ZIP: D, OR 10oHP or more. 0 occupancy
❑ Six or more residential units ❑ Recreational vehicle parks.
IP set name; LOWES ❑ Supply voltage for more than
Sufic/bldg./apt. np.: roj ❑ I;caltb -cart facilities
❑ I aaardous locations ❑ 600 volts nominal.
Cross Street/Directions to job site: ❑ eeder 600
Servidx: or feeder ampE or more
•u; ;q. if na
Sa it lia'i;,;IL: ! y...rLli,' I..,iliil 1 Li •_:2.:::' +:L ..1 Yi I rit. i1i..A.11C:ll.; ; * ; •I .'e,l•!l itmi�
J Lot no.: Description Qt,. Ft` "'
•-
Subdivision: ^ .r.
New residential - single or multi - family dwelling unit
ma• inn
Tax _ I r '*1i 'i 2 ".T "(i �l;Ll I l ri.11R,r. 1, r � I,: r D;:o Includes attached garage. _ ��- _ 4
.
yll,:i�'y;i�1lTu `?11,L'u'.r i,1. �ar!,.ItL: 'i;liM.._,•:.I ' i.11 G , �. I 1000 sq. R. or ices $ 145.15
EXTENDED 120V CIRCUITS AND ADDED KEYPADS Es. Add': 500 sq. R or portion S 33.40 1 ,
1
1 17 �.! <n a ril Lf.?,►� . 1 1.1 I!��, "'Py;,II.I,;,Il;ILIIIll I I '' . a JA - ' zaiii I . i t !t�: iii - Limited energy .l �f �. ti. - -.. with above tt) S 75.00 2
Name: a C a . C �� I so ....41 _ ' C.. Limited energy, multi -f roily
residential (with above sq. R.) _ 3 75.00 2
Address: (3�
_ �Y- V 1
t x 1 1 1 Service or feeders installation, alteration, and/or relocation
2pp - S 60.30 Z
111 f�
City/State/ZIT; _ ,,S
' c e 201 amps to 400 amps M 1 106.85 - 2
A01:. •s to 600am•s S 160 2
Phone: Fax: 601 arms to 1000 am~_s S 240.60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 am . . or volts
1 454.65 2
intended for salt, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and/or
relocation
Owner signature: _ 200 amps or less 3 66.85 1 I 1 ,
S 1003° t I l L 2
1 am t0 400 g s -
t 1' , y r., it I I "',r �!U .- 1 i'Dlli'" 7 0 1t 7 t:/ . .7 1, ,�-.1::;/ �i'Libtlil '2 O
irtl12.i'.r'c,rc ;: "IeGliaui :,;Ili r Liai cy r 1 l •: X 401 amps to 600 am pa 5 133.75
Business Name: CAPITOL ELECTRIC CO., INC. Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
Contact name: J I Eddin gton _ service or feeder fee, each
_ branch circuit S 6.65 _ 2
Address: 11401 NE MARX ST. B, Fee for breech circuits •
without service or feeder fee,
City /Stare/ZIP: PORTL.AN13, OR 97220 -1041 first branch circuit 1 3 46.85 46.85 2
Each additional branch circuit: 2 3 6.65 13.ao 2
_
Phone; 503 -255 -8488 Fax: 503- 257 -7121 Miscellaneous (service or feeder not included)
Each manufactured or modular
Email Im x c0 ! S 90.90 2
n_ ' n';4 •n l I:: +'- .
' , a I dwelling. service and or feeder
- �- ';-•1-: -r.;:� I �- Ilal I".'r r I . II. 1. I, In 1 •i °i1,� � I f
�{i:}iL: lr .]sduL, Ir. �uIaa� ,.:l`,J.,: +- . :e• , n.:l� �l :I.• ��•r.NO> =as l.es.1'+i-:i�'�.,;..o.
Business Name: CAPITOL ELECTRIC CO., INC. ' Reconnect o nl y S 66.85 2 ,
P or irrigation circle S 53.40 2
Sign or outline lighting I 53.40 2
Ckmeset tiptoe: Jim Eddinglton Signal eircuit(s) or limited-
energy panel, alterations, or
Address: 11401 NE MARX ST. extension, Describe: Da cr -trek, , 1 75 75 2
City/Statc/ZJp: PORTLAND, OR 97220 4041 Each additional Inspsition over allowable in an of the above
Per uls�aetion S 62.50
Phone: 503-255-948B Fax: 503 - 257.7121 blveatiR8bon per hour (1 hr mitt) - S 62,50
96C S industrial
CCB Lie.: 48748 - IElectriral - Lit.: � I uprv. Lie.: 3137r� • lane • er hour S 73.75 -. I r •. vl�;, :r I '; ^ `ee a'yl��;l
''ti`u;�,1u '• u:'f :� . ;3ilJlii- �oll!,Ilicl c.u._..
Suprv. Electrician signature, required: D. • Subtotal $ :- 135.15
Print Name: DARRE L MCNEEL Date: 05/1110 Plan review (25%ofpermit fcc) 3 "i6 of permit fee) $ 10.81
- State surcharge
Authorized signature; TOTAL PERMIT Fi61t $ 145.56
Print Name: DARRELL MCNEEL -
Thh penult sp pueadon expires We permit h ant obbknotl allkla Ike
days after it ha bees stapled us cempkte
" Number of inspections per permit snowed.
/,
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/14/2007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' IL.
INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 12615 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOWE'S HIW, INC LOT #: TYPE OF USE:
PROJECT NAME: LOWES
DESCRIPTION: (3) branch circuits for extended 120V circuit and added keypads and data.
.4 J
OWNER: EAGLE HARDWARE & GARDEN INC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255 -9488
Inspection Request Scheduled For: Date: 5/23/2007 Pour Time:
Code # Inspection Description Cofif rim\# Contact # Message
199 Electrical final ' 048887 -01 971-506-3388 Y
Corrections /Comments /Instructions:
0 )
2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Vv 6 8 1 --E Date: cl 1 2b'1 Phone #: (503) 718 - 2'44