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Permit CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2008-00574 • ° COMMUNITY DEVELOPMENT DATE ISSUED: 10/8/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA - 00903 SITE ADDRESS: 12090 SW MAIN ST ZONING: CBD SUBDIVISION: RITE AID SHOPPING CENTER LOT : 004 JURISDICTION: TIG PROJECT: MCDONALDS Project Description: (1) service and (12) branch circuits for beverage center. 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: 1 W /SERVICE OR FEEDER: 12 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: MCDONALDS CORP 036/0041 ADVANCED ELECTRIC INC PO BOX 66207 21811 NE 58TH ST AMF O'HARE VANCOUVER, WA 98682 CHICAGO, IL 60666 Phone: Contact #: FAX 360 - 254 -2854 PRI 360 - 254 -6864 FEES Description Date Amount Reg #: ELE 37 -873C [ELPRMT] ELC Permit 10/8/2008 $160.10 LIC 117052 [TAX] 12% State Surchar 10/8/2008 $19.21 SUP 3734S Total $179.31 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: Permittee Signature: %�� G a7 . 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. CT 08 2008(WED) 15:07 Advanced Electric (FAX)360 2542854 P.001 /002 Electrical Permit A lication U sort OFFICE 115E ONLY City of CEIVE D ived l?at Tigard Date/ T eB : , . 1'ennit N�.: p _ y 7 . ` 13125 SW Mall Blvd., Tigard. OR 97223 - _ - - Phnnc: 5113.639.4171 Fax: 503.5'JK.19 p Other Permit Inspection Line: 503.639.4175 U C T 0 S 2��8 Date Ready /ky: Ja Sec P TIGARD ttgc2for Internet: www.tibwd- ur.guv M AR Notified/Method: r� Suppiemen4llurunnailon h t t I ! • I , . .....,......, . . 1> 'ti il L, • yTl', B u u�., i _ �j wow � - ',, 'll�ll�lll�lil� `:'��f ("�i il�l�(ll.�ld�,��� � f; i ,: ,:� ' f . "tl�.Il Itgl �INtl10(Qt� I�til, 7. d +i;� , � ,;i la iv ��i� �, �i •, ,. . 8i1; 41 1i 6116 ❑ Ncw construction 0 Additional on rep =anent Please cheek all that. apply (submit I acts of plans Whams checked below): Floating buildings. 12 Demolition ❑ ()then D Service or feeder 400 amps or more In ltulldins over three s4trie . pp00��0Ot s _ 7,,,7 where the available fault current D Marinas and boatyards. il' y' � i8:dL ono I�N " A�a't v U' 1 i�;?{i' ll; i exc eeds I0,00u amps 50 [] 4, ,1 , � , t ruaun� � �.Ct�. ,Q , l „. a��i „! i ; , U1, � ,;11�, � r :u 1 volts or v lean to sullied, ar exceeds 14,000 ID Commercial -use agricultural 0 1 - and 2 family dwelling 0 Commercial/industrial 0 Accessory building imps for nil other installations. bulld'mts. 0 ''. multi-family ❑ � M , aster builder lW�; 1 ,��,yr,�^ ; Other. '0pg� ❑ F� pump. D Installation of 75 KVA or • OF `' 1110 NI ill l'' e'.72010 10 !! ti!± - ,~ `4 !AWQr At7 i, 1 {:l l IAI01l'. ; ' i D Eric tu,y n e w m motor larger separately lttivcd system io new load of Adiatn o In - A ", "15", - 1.2 ", -1 -3 ", Job no.: I Job site address: 12090 SW MAIN ST. I001IPormore. ea;upaecy. 0 Six or more residential units. D ReCreeational vehicle parka. City / State/ZIP: TIGARD, OR. 97223 ©Health•eare facilities. ❑ Supply voltage far mom than ' D lirrtnhnts locations. 600 volts nominal. Suitc/bldgJapt. no.: Project name: ADD COFFE BAR D Service or feeder 600 amps or more. wilmodnagnimazewscummass .a. , I'll imaged Cross street/directions to job site: SW MAIN ST. & SW SCOFFINS ST. ur,"epttm I taw Ka I I Total I • Ncw residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: I Lotno.: 1,000 sq. f. or less 145.15 4 Ea. add'I 500 sq. It, or portion 33.40 1 � T n a '1 x �p map /p no.: �p yy � y � q � � � p ,:� y � y � �p �� � p p� (h L eneri ', residential I!I(UIItf�Mt J l! ,411MI1111ffigonr7kaa fPNXf Nri�f. i I t01{NINlH1Nff mint 1lR p ;'',''III (with above sq. IL) 75.00 2 Limited energy, multi- family INSTALL 1 -125A SUB PNL & 12CKTS residential (with above 'W n.) 75.00 2 Services nr feeders installatioo and/or relocation 200 amps nr Icss t 110 30 s0.30 2 i 11'", lialli ^ ? i �._.� fll l� 11111 il( 0[4.. . 1 9tlit 1.101 I '!. 201 amps to 400 amps 106.85 2 Name: McDONALD'S RESTAURANT 401 amps to 600 amps 160.60 2 601 amps to 1,0011 amps 240.60 2 Addrecg: 12090 SW MAIN ST. Over 1,000 amps urvolts 454.65 2 City/State/ZIP: TIGARD, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) I Fax ( ) 200 amps or less 66.85 I 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, rcnt, or exchange, according to ORS 447, 449, 670, and 701 - 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, r panel Owner signature: Date: A. Fcc for bunch circuits with !lfllillll,Itl'; i RIM in 1 7 ,111:0861111 I 'iI SHITAIIIMMiNIONICIIKOMUNINNUNIIIIINEI above service or feeder fee, 12 6.65 79.80 2 each branch circuit Business name: B. Foe for bench circuits without service or feeder fee, Contact name: first branch circuit 46.85 2 Address: Each ;WC branch circuit 6.65 2 City/Stale/ZIP: /Sure /7,IP: Miscellaneous (service or fee not in cluded) Y Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect. only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 PJ' I'I 1' li li ! itinll l Nl ;.' , , • fib " ° pu • • . 011,0. 147 LPPININ''glN"71fi Ti' l 1 1111 '!,' ', I t 1, l I r I (Iig Sip or outline lighting 53.40 2 Business name: ADVANCED ELECTRIC INC. Signal circuit(s) or limited- energy panel, alienation, or Address: 21811 NE 58' ST, extension. Describe: Page 2 2 City / State/ZIP: VANCOUVER, WA. 98682 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (360) 254 -6864 I Fax: (360) 254 -2854 _ Investigation per hour (1 hr min) 62.50 CCB Lie.: 117052 I Electrical Lie.: 37 -873C Su . Lie.: 3734S industrial plant per hour 73.75 Suprv. Electrician signature, required: 1 17111 '1t 3 ■■1° 't7' U�IOs I V III IIII l I1 Ahren _.. �� . � Subtotal: 160.10 Print name: KENNETH H. MUNCa Date: 10 /08/ Plan r view (25% o f permi fee) Slate surcharge (12% of permit fee): 19.21 Authorized signature: TOTAL PERMIT FEN.: 170_31 This permit application expires Ira permit la not obtained within 180 _Print name: SAME I Date: days older It has beau accepted as complete. • Number of inspeettaus allowed per permit. I: 10ui1dinacralits \ELC- PdamitApp.duc 05/13106 44o- 46157(IUOS /COM/W00 CITY OF TIGARD , BUILDING DIVISION PERMIT #: F_1.C2008 -00574 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/2008 Phone: (503) 639 -4171 �� � Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. . • INSPECTION WORKSHEET FOR DATE: 10/2212008 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 12090 SW MAIN ST CLASS OF WORK: SUBDIVISION: RITE AID SHOPPING CENTER LOT #: 004 TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: (1) service and (12) branch circuits for beverage center. OWNER: MCDONALDS CORP 036/0041, PHONE #: CONTRACTOR: ADVANCED ELECTRIC INC 5 v S A14:. PHONE #: 360.254 -6864 Inspection Request Scheduled For: i Date: 10/22/2008 Pour Time: Code # Inspection Description Confirm- Contact # Message I! 199 Electrical final 077037 -01 360-254-6864 Y Corrections /Comments /Instructions: ■ >; P+1_-_-- 3bo-51ta- SNP fl 4 6. LL Q 14.L 6 CAUL tA5 A(L ,) $ 1.(t ,\I-;Z.) . �rRrp.3N ‘k ,.... : . 1 , Q o � A S 6 1 IIIN COOL^C� S (Zmorn _ f\a:T.- 2.-o0 K.,:s. .., Di '.! PASS` ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N WI U Date: 10 9. 1 Phone #: (503) 718 - tiit% CITY OF TIGARD BUILDING DIVISION . . PERMIT #: ELC200800574 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1002008 Phone: (503) 639 -4171 � �4G.t il Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 17090 SW MAIN ST CLASS OF WORK: SUBDIVISION: RIl E AID SHOPPING CENTER LOT #: am TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: (1) service and (12) branch circuits for beverage center. OWNER: MCDONAI.DS CORP 036/0041, PHONE #: CONTRACTOR: ADVANCED ELECTRIC INC PHONE #: 360.264 -6864 Inspection Request Scheduled For: Date: 10/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0 6963-01 360.254 -6864 N Corrections/Comments/Instructions: CI • . P ��c 1 P(c3Nk 4\ to s t ebP 't' S Raw 1s)S 6& A) b ( ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '> 4 FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G^" N `u(?) l. 0 Date: 1q10i Phone #: (503) 718 -�7 CITY OF TIGARD BUILDING DIVISION `I PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 0/8/2 08.00!i74 Phone: (503) 639 -4171 A 10/0/2008 Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'� �.. INSPECTION WORKSHEET FOR DATE: 10/1612000 TIME: 7:01AM PAGE: 33 SITE ADDRESS: CLASS OF WORK: 12090 SW MAIN ST SUBDIVISION: RITE AID SHOPPING CENTER LOT #: 004 TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: (1) service and (12) branch circuits for beverage center. OWNER: MCDONALDS CORP 036/0041, PHONE #: CONTRACTOR: ADVANCED ELECTRIC INC PHONE #: 360 - 254 -6864 Inspection Request Scheduled For: Date: 10116/2008 Pour Time: Code # Inspection Description C- nfirm # Contact # Message 125 SC.) � Wall cover 07676:3-01 360.254.6864 \ Y I Corrections /Comments/ Instructions: • 0 w6K,1( Oo ( , csb t Lii1t w1rCi0 k iii W ALL [ _5 ADO us%I.L R.E.- iNSelI 61) - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL ilq CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■ , V ()BL(' Date: 101 Ifiert Phone #: (503) 718- 1-441