Permit CITY OF ‘TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00061
- COMMUNITY DEVELOPMENT
DATE ISSUED: 1/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 C C -00500
SITE ADDRESS: 13560 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT : JURISDICTION: TIG
Project Description: STARBUCKS 5 branch circuits. Oven and refrigeration outlets
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/ 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: 4 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 HUGHES ELECTRICAL CONTRACTORS
BY CAP ADVISORS 9640 SW SUNSHINE CT STE 600
38345 W TEN MILE RD, STE 170 BEAVERTON, OR 97005 -4689
FARMINGTON HILLS, MI 48335
Phone: Contact #: FAX 503 - 626 -3377
PRI 503 - 626 -3344
FEES
Description . Date Amount Reg #: ELE 34-281C •
[ELPRMT] ELC Permit 1/25/2007 $73.45 LIC 49850
[TAX] 8% State Surcharge 1/25/2007 $5.88 SUP 40255
Total $79.33 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:
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.
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Electrical Permit Applic �jGt FOR OFFICE USE ONLY
City of Tigard Received
_
a 13125 SW Hall Blvd., Tigard, OR owl 2 5 2001 Datt1JB ' 1 fiililiiii_ ����
e Phone: 503.639.4171 FaX 503.598.1960 I)ateBy A
T I GA RD Inspection Line: 503.639.4175 CITY OF T IGARD Date Ready/By: Ju I 55 See Page 2 for
Internet www.tigard- or.gov ID NG DIVISION Notified/Method: Supplemental Information
x v "�' c,•rt f c 'i r 1 • I
4 . , i . • 1:, : )'.:i z' .i:.1 ``1..., l'T p ' ti • iLL r-v ' y . + ° ' 1^ / y Wu r $ L<' �y 'II'J , {. 3 ti ^5ll.
ti I-suu1.,G; ;Z: : - : : =• ..t-1..44.1.. L , a U , t:61 : 14;, ATA d at:: - , " r� :r.=aa•'.2. " 5n .. . '•
❑ New construction ® Addition/alteration/replacement Please cheek all that apply (submit act of plans wrrrt
tes checked below):
• ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: . where the available fault current ❑ Marina and boatyards.
. f • s r'^ =man s s. "'"••' .. "Y. ■ l- 7 .�' s: " 4 '+ exceeds 10,000 amps at 1 SO volts or ❑Floating buildings.
G r .s r' :, ' t4 96 �3 '� # -g'" 'j, ' .. d z 4 - ' 1iI' •sr � , na
n l w'!. . , ,� .. 'r �' , c � r r�� r less to ground, or exceeds 14.000 ❑ Commercial-use agricultural
❑ 1 - and 2- family dwelling in Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ F pump. ❑ Installation of 75 KVA or
••,,::n ;rte ���. ,,,, 7 �' : >F: .: �� . - _ - .... _ a El Emergency system. larger separately derived system.
�
a ,.- .. ..., T..Y1 . `,- 1 - !" . , 9 n, + 1 t ,� - ' -• - 1 'r `` � ,. :?, Addition of new motor load of ❑ "A ", «E", "1 -2 ", "1 -3 ",
t' �N��. �![ W; 4: F9a !�'tF , �I'} ',I:.F°.,n�� ,' - ;:_. � �.v:.. ;n �. rY.n,:L =:.'. � .ntl::.a`�1^Z;?c .1: >' ��5: ?. ! ;�rF= l ���°i'::i�i:,_.,::;n'� . ,.:.e•,,,., ❑
i OOHP Of more.
Job no.: 610731 7 Job site address: 13 ) , •j fj0 # 500 ❑ S;x or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, ( 97223 Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. ll °J
j suss 33F � . E S : a -
zr
Cross street/directions to job site: Description gyt . Fee. Tetni •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax Map /parcel no.: - residential
,lii.' -e• a ..,,,,, ., ..„-,.. „ , .. Y .' C .,.., - - Y . - _ v i... ..Y•^ �. r l�... _ w - 75.00 2
i Fi g•
..._.,.., :: r _ ; . ;, , :•.y.:, : ': : t r �` m with abov ssq. R)
Li
..,�yy Wi�tl,,.... � �-�,• .s �� "�`
,:• rir :: -.• :, rYff4:-Br':i' -i` ` . X' , ` ? A'4rt?; : g : ;::K!'- ..,..,. ._, r::d0.. ii13
`• : •. ; -,. ";;� � •� :� ,. - :. '� ... Limited energy, multi - family 75.00 2
• Install i
c & 3e� � circuits residential (w above sq. ft.)
Services or feeders installation, alteration, and/or relocation
_ 200 amps or less 80.30 2
' " :1 ' '�` ,'" °I ,i i. a n �" C�.a ;'"; •� 201 amps to 400 amps 2
(i�� �, d'' - 106.85
atC4.Ef. :�� �a •.j' '� r� C '.'4 � �. ..ni. 5 :�: �t 'r, 1 �'I >l'��t�l �9�.� �Gj� ;�!+�LiYl.m?�.i. t�E�li .tY. ". N� P P
Name: 401 amps to 600 amps 160.60 2
• 601 amps to 1,000 amps 240.60. 2
!-•' ddress: Over 1,000 amps or volts 454.65 2
City/State/ZIP: / State/ZIP: Temporary services or feeders installation, alteration, and/or
tY relocation
•
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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: A. Fee for branch circuits with
ar5-- ,� a .�5 1 `r �;' ::P; a' ,„ y,�� .�tl�• •r r-.., „ i v. r 'y
' � ! i:._ i ,�, .a f�:,..- r fi! s : above service or feeder fee,
f c �letti 1L���,,_a� t Jl•'E1��4 ^'r...: ,. i ,;;,. .... �,. ..r: 6.65 2
_.:+wl?Tt's E; k; . , , :a't.:: -::ti ; ,," F, Ott° ::'r�: r; .i•:, •„a�.,,. °�iw;' ,:u. :., each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: - first branch circuit 1 46.85 46 2
Address: Each add'I branch circuit 4 _ 6.65 7r ,,. go 2
Miscellaneous (service or feeder not included)
City/State/ZIP: • 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
:o' i:1' '" .� �ic;,^? : ..... Sign or outlineli sing 53.40 2
,'�.� .::x: ,-,k .11 � 10;- ';0: ,x, > : ,�,� ,� t !
x�t�-, �l: kl' FC 7 6���k .`.2..::::i,'ii._..,�[r�"':E�: .:..i!1:;;�,, , �,.. ' °� _ �:;1 _ '4: >�:�':,;_�:Y ,1 y.:�';��. , •
Business name: Hughes Electrical Contractors, Inc. Signet circuit(s) or limited -
g � energy panel, alteration, or
Address: 9640 SW Sunshine Court, Suite 600 • extension. Describe: Page 2 2
City/State/ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 626 -3344 Fax: (503) 626 -3377 Investigation per hour (I hr min) 62.50
CCB Lic.: 49850 I Electrical Lic.: 34 -281 C I Suprv. Lic.: Industrial plant per hour 73.75
r --Suprv. Electrician signature, required: Subtotal: 73.45
: rint name: Carl D. Delgado Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): 5.88
Authorized signature: (2N / 6:) ) / TOTAL PERMIT FEE: 79 -33
This permit application expires if a permit is not obtained within 180
Print name: I Date: days after it has been accepted as complete.
" Number of inspections allowed per permit.
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CITY OF TIGARD _ •
BUILDING DIVISION PERMIT #: ELC2007 -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2007
Phone: (503) 639 -4171 he
s���l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' — `:_..
INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7:05AM PAGE: 49
SITE ADDRESS: 13560 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: STARBUCKS 5 branch circuits. Oven and refrigeration outlets
OWNER: 13500 PACIFIC CORP, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503 - 626-3344
Inspection Request Scheduled For: Date: 1/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042611 -01 503-8/6-8046 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 108 L Date: I 0 Phone #: (503) 718 - 71/1/6