Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
IN a COMMUNITY DEVELOPMENT Permit #: ELC2010 -00629
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/05/2010
Parcel: 2S102AA00600
Jurisdiction: Tigard
Site address: 12045 SW HALL BLVD
Subdivision: Lot: 0
Project: 7- Eleven
Project Description: (3) branch circuits for exterior lighting.
FEES
Owner:
ALPROP CO Description Date Amount
6149 SW SHATTUCK RD Branch Circuits wo /Purchase Service or 11/05/2010 $71.02
PORTLAND, OR 97221 Feeder
PHONE: 12% State Surcharge - Electrical 11/05/2010 $8.52
Contractor:
BOYLES ELECTRIC, INC.
P.O. BOX 1227
BORING, OR 97009
PHONE: 503 - 668 -7440
FAX: 503 - 668 -7615
Type of Use: COM
Class of Work: ALT
Total Number of Systems:
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N Total $79.54
Intercom/Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions)
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
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 OA' •52- 001 -0100. You may ob •• questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: � �`I`r _ Permittee Signature: L/ _ .•1i._
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' 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.
11/03/2010 15:48 5036639048 BOYLES ELECTRIC PAGE 04
Electrical Permit Application F(m 01.1.1(.1.: 1 oNi.y
City of Tigard % Riateivcd ,
DatetB . a MI I UfffillEfiregnall
, 4 1 1
• 13125 SW Hall Blvd., Tigard, OR 972
• Phone: 503.718.2439 Far. 503.598. 1 \ i % 70 iffill111111111111. Other Permit
c _, A k 1 Inspection Line; 503.639.4175
l'AC)s Dare Ready/By. kris:
lig See Nee 2 Air
Internet: www.tigard-or.gov
, c iGW1 marflett/McOod:
9 noppicomotai Worm:aim'
. .. ? :.1::: - . il:.'. . 1# ',.10411l1tAI.Y.Y tNig ,:-,...::,,..:•:::::;,,
0 New construction C Addition/altemtion1 ,... t !. t Plasm check all dad apply (Inbmit 2 aols of plans Mittens chcekcd below):
D
0 Service or tbcdcr 400 amps or more Ei Building over three stories.
Demolition 0 Other:
where Mc available fault cowent 0 Marinas and boatyards.
r l :::.....;; ; '. :. i.::.g, ,„.,',......,. .610401#.:':Of.*:1:061/01Orsi: ; :: ': ;.. : ' ' 5 . ': ' i l 1'! . • : ' :: : : ',. : : : ; . ....... :.: cxcettIF 3130°° °In° at I" 'vita or 0 11°1441 bufld6
leo to gotmd, or exceeds 14.000 0 Commerciat-usc agricultural
0 1- and 2-family dwelling ED Cormnercial/induStrial 0 Accessory building ' for alt mks imtallartural. building,
O h4ulti-family 0 Master builder 0 Other: Ci Fire pump. 0 Installation of 75 KVA or
.. :"::',.: . .::• 1..:... :....:.:: EAE1=7, i'm load of 0 ' '7 A 11- 7-7 1 172 1-7 . dm' i 1 ' "cm.
Job no.: Job site address: 12045 SW HALL BLVD 01432 or more. oceoponcy.
CI Si x or more natidentkil mats. 0 Recreational vehicle parks.
City/StateiZTP: TTGARD/OR/97223 0 iicataucliic raciiiiic 0 supply von:1p for more than
In llemardous locrtions. 600 volts nominal.
Suite/bldg./apt no.: I Project name: 7 ELEVEN El Service or (boiler 600 amps or more.
.... .,..: ..::;; :',..:::•:, ..',. 1 ! RI T ETnigiti.,... ',''''-. :` '''' '
Cross street/directions to job site:
" " ' • •.. Pm Toed • '
New residential single- or multi dwelling unit.
Includes attached garage.
' 1,000 sq. 11. or Imt; 168.54 t 4
Subdivision: Lomb.;
Ea. addl 500 sq. ft_ or punka, 1 33.92 1
Tax map/parcel no.:
Limited cncra, reridemial
75.00 2
...:. ''.:,: '''..,',. '....i''', • :..: • ,:.' ; '' i .. '' .;: • : . 3 11 tiktiOttio,t010. 7 ,* 4 ;#114 : .'.:::,::.:: : : - ..:;::.:7'.:;•: : ::,:':1. 1. ; • ; : .;,' s :....•;,':;:. 0 41110 b 0 vc Sil IL)
Limited man, mutt-ramify
NEW LED OUTSIDE LIGHTING ON 7 ELEVEN residential with above .- .. ft, 75,00 2
Services or feeders Installation and/or relocation --
200 amps or Icss 100.70 2
.. . : : : .',E !:.:..;;::'i:e.'. l'....k'.5.' 201 =PR 10 400 nrnPS 133.56 2
401 amps to 600 taws 200.34 2
Name!
. 601 amps to 1,000 amps 301.04 2
Address: • Ovcr 1,000 amps or volts 552.26 2
Temporary services o feeders nstallation, alteration. and/or
City/State/ZIP:
relocation
Phone: ( ) Fax: ( ) 200 amps or less
,. 59.36 1
201 amps to 400 amps 125.011 2
Owner installation: This installation is being madc on property that 1 own which is not
401 a to 599 amps 168.54 2
intended for sale, lease, rent, or exclumgc, according to ORS 447, 449. 670. and 701.
Branch circuits - new, alteratio nr extension, r panel
Owner signature: Datc: , A. Fcc.fOr branch circuits with
N • •! ••:•.: ..• above servicoa
.::V..12.."'..':':'..:'.;."''''10;"1.01040 e or rdor foe
11 :',."'::,:'.•::. each branch circuit 742 2
Business name: BOYLES ELECTRIC, INC. B. Fcc for branch LiTuu;1.4 wtrhoar
service or feeder Ice. first 1 56.18 2
b
56.18 rand+ circuit
Contact name: JOHN E. BOYLES ..
Each add' I branch drain 2 7.42 14.84 2
Address: PO BOX . 1227 Miscellaneous (service or feeder not included)
- Each manufactured or modular • 67,84 2
City/State/ZIP: BORING/OR/97009 dwelling. service mid/ar fa:der
ec 67.84 2
Phone: (503) 663 Fax: : (503) 663 Ronnect only ,
- Pump or irrigraion circle 67,84 2
E BYELECDt FRONTIER.COM
Sign Of outline lighting 67.84 2
:. 'F.;. ' • ;".. ''.Z.:!:! ; '.:'..:. ,-..;:::) ''''' • ''....j.;:":'•-,...'::':'001 0 :411t41gralt.'''' • i'.....'f,' '.''''',:',' .' !, : .'!',..:2.:'.‘.' , ': .."''..'. 'i'' ,:!, signal circuit(a) or limited-energy
.:, ci, alteration, or ma:ration. .1 2
Business name: BOYLES ELECTRIC, INC.
Each nddltionaIiii - n osm , _ . _ . r ai 1rmatite in any of the ahoy 2
Address: PO BOX 1227 CA - ris 65-1L1 Additional inspomon (1 hr min)
'i 66.25/ hr
Thvcstigation (1 hr min) 66.25/ hr
City/Statc/ZIT': BORING/OR/97009 ' Industrial plant (1 hr min) 78.18/ hr
...) Phone: (503) 663-2628 (Fax: (503) 663-9048 Inspections for which no tee is
min) 90.00/ hr
specifically listed (lb la
CCB Lie.: 137002 I Electrical Lic 3-4455C Suprv. Lie.: 34045 i . :::•..:-..!: . ,.' r'.' '...;.:•; :-::•.• :
Subtotal; 71.02
Suprv. Electrician signature, required: r
Plan review (75% of perrnit (be):
Print name: JOHN E. BOYLES :11/03/2010 State surcharge (12% of permit fix): 8.52
TOTAL PERMIT FEE; 79.54
Authorized signature:
Thil permit application expires if a permit is not obtained within 180
days ofkr 11 has been accepted an complete.
Print name: Date: • Numhcr of inspections allowed per permit.
lArtill4texTermital.C.Permitapp doe O7/e110 440-4615T(1 1 to5/CC9WWEI3