Permit a " CITY OP TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00340
hA DEVELOPMENT SERVICES DATE ISSUED: 6/11/2004
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00300
SITE ADDRESS: 12240 SW SCHOLLS FERRY RD
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: (29) branch circuits, (1) sign lighting.
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: 1
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: 28 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:
BPP RETAIL LLC CAPITOL ELECTRIC CO INC
BY BURNHAM PACIFIC PROPERTIES 11401 NE MARX ST
ATTN: JOHN WATERS PORTLAND, OR 97220 -1041
SAN DIEGO, CA 92101
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3I32S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/11/2004 $286.45
[TAX] 8% State Surcharge 6/11/2004 $22.92 Rough -in
Elect'I Final
Total $309.37
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 -2 44.
Issued By: a Permit Signature: p Left ;iy1
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 639 -4175 by 7:00pm for an inspection the next business day
06110/2004' 09:25 5032551966 CAPITOL ELECTRIC PAGE 01
A ..
Jr l� l pe t Application Received Permit no.: ,
City of Tigard � Plan Revi Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 , i I .- :; j -J Dat - : •
Phone: (503) 6394171 Fax (503) 598 -1960 .�'_- 1.',- . 0 Date Ready/By E EN!.
Inspection Line: 503 - 639. 4175 Notified/Method: _
Internet: www•ci.tl • ,or.ua
`.,, < .,:_ .,, - -,. -..
• New construction .. J Addition /alterations lacement Please check all that apply:
❑ Demolition ■ Other: ❑ Service Over 225 amps, comml ❑ Hazardous location
„::" " '' _ .... ...... :, :... ❑ Service over 320 amps - rating Building over 10,OOD sq.R.
• I- and 2- family dwelling El Commercial/industrial • Accessory building of 1 - and 2 - family dwellings 4 or more new residential
❑ Multi -thmil ❑ Master Builder El Other ❑ System over 600 volts nominal units in one structure
... �.,. ._ _.
�. _.. 7 - 777-• -.. ,..
.._...- -- - ... ,.. - ...
-,. _ _ .-- - --- ...,.:,.. --- ...... ❑Building Over three erodes 0 Feeders, 400 amps or more
Job no.: 24 -716 Jab site address: 12240 SW SCHOLLS FERRY RD ❑ Occupant load over 99 persons ❑ Manufactured structures or
❑ Egress/ngflting plan RV park
City /State/ZIP: TIGARD, OR ❑ Health-care facility ❑ Other. _
Submit 2 sets of plans with any of the above.
Suite/b1dgJapt. no.: Project name: RITE AID 45353
The above are not applicable to tem construe tlon service.
Cross Street/Directions to job site: Description Qq•• tae. Tore: '-
New residential - single or multi - Roily dwelling unit
Subdivision: n0.: Include; attached garage.
1000 sq- ft. or less S 145.15 4
Tax ma • I no,: Ea, Add, 500 sq. Q or Portico► 3 3 3.40 1
' ` . .. .,. _ .. ,_ _ ; '. Lim rgy ited ene residential 75.00
TENANT IMPROVEMEN Limited ene non - residential 5 75.00 2 _
Each manufactured home or modular
..,...__ - -- --- ... -- :� - - ....- - - -. -' ---' 2
+:'.��_... �- ..: a, .c:•- :•:::,: "•• ,...,.::�,.,;., , .., , . . ' .: - - _.� ,.. , .,..... .: dwelling, � relocation
" �;, and�or feeder
Name: R A a, - CGS ` Service 0 am feeder ineta titer alteration. and /or re stlo
J ) 200 amps or less S 50.30 2
C K 201 amps to 400 amps S 106.85 2
Address J535O 5W. 5 AK?vQ gaRk>a 3- ' 401 amps to 600 amps S 160.60 2
City/State/ZTP: P -I 1� . O �j (1 7 4 601 amps to t000 ems 5 2a0.eo 2
�'1- '1 over 1000 amps or volts S 454.65 2
Reconnect only 5 66.55 2
Phone:(5o 3)6a .s'r$O lr"Ax:(50*468 -0773 Temporary services or feeders Installation, alteration, and/or
Owner Installatlan: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent nr exchange, according to ORS 447. 449, 670, and 701 200 amps or less S 66.85 I 1
201 amps to 400 amps L 1; 100.30 2
Owner si • ature; ass! to 600 amps I l S 133.75 2
�' -- - - ' -- - - - - 7 7 7 : - uit% - new, alteration, or eztanslon, Per pan el
_ - __ � --- - � 401 a
Business Name STo14 - E � , ARC A\ service or A. Foe for branch cir with
tt:eder fee, each
branch circuit $ 6.65 2
Canted name: 8 t 6 L. Lee, Fee for launch circuit;
Address: 6 175- r 5 ti I I 1 '71" VC a a
without servile tpeder foe.
I each branch circuit 1 S 46.85 48.85 2
Each additional branch circuit 28 S 6.45 1115.20 - 2
City/State/ZIP:
B tz -
UkoI 3 � 0 Mlecellraneoas (service or feeder not htcludedZ
Phizmie1 6(1C/ - " e "it a Z, Fax: /) 6 ei y -6 s Sign outline gh le I , S 53.40 53.40 2
E-mail: T - t c--r l Signal circuits(s) or limited -
energy panel. alteration, or
Business. Name: CAPITOL ELECTRIC CO.. INC. cxtcnsion•°`mbe' Page 2 2
Contact name: MIKE SCHMADER Each additional InspeeNeo over ennwable in any of the above
Per inspection 62so
Address: 11401 NE MARX ST. tnvrst On per hour (1 In thin) 5 6250
industrial • lath hour S 73.75
City /Slate/ZIP: PORTLAND, OR 97220 -1041 _- - _ -__ Subtotal 298.45 _
Phone•. 503 - 2554485 Fax: 503.257 -7121 -. Plan review125 % ofpermit tt•e) ,25VQ .i.C6
State surcharge ( 8% omit fee) 22.92
CCB Lie.: 48748 IEleetfical tic.: 26.496C ISuprv, Lie 31324 TOTAL PERMIT FEE 309.37
Suprv. Electrician signature. required: Its s_ 'nla pm* appftm is ere' �pruwm ,pwe,ml.oatobtasednimistan
1 Jf•"`� dens after it by been steepled as complete
Print Name: DARRELL MCNEEI, Date: 06109104 • Fee methodology pet byTrl -County Building rnamtry Servleo Board
Authorized signature: A l **Number of inspections per permit allowed.
Print Name: DARRELL MCNEEL /��
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 1 AM PM BUP
Location - . // / :1 e MEC
Contact Person 94)xn Ph ( / ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC c ?OCR 7 "6D.3g0
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING (/✓
Post & Beam
Under Slab P
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final •
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
S rvice
UG/Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line ,
ADA
Approach/Sidewalk Date .7h0/ / Inspector L� /L / .0.41116111606 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job s 0.
PASS PART FAIL