Permit •
CITY OF TIGARD ELECTRICAL PERMIT
F• • COMMUNITY DEVELOPMENT Permit #: ELC2013 -00110
•
'-F LARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2013
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 100
Project: Starbucks Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: (1) branch circuit for future equipment
Contractor: LIN R ROGERS ELECTRICAL CONTRACTORS Owner: PACIFIC REALTY ASSOCIATES
2050 MARCONI DRIVE SUITE 200 ATTN: N PIVEN
ALPHARETTA, GA 30005 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 770 - 772 -3472 PHONE:
FAX: 866 - 496 -7839
FEES
Quantity Description Date . Amount
1 crt Branch Circuits wo /Purchase 02/14/2013 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 02/14/2013 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports (Conditions)
•
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 OAR '5. I 001 -0091. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344.
Issued By: 4.1, I _ . u� � '� Permi Signature: D� 41'►P(L -/c, .'T7Ul -1.
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 the next available inspection date.
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.
R ECFIVD
Electrical Permit Applica Pt 111 (Hi 1 ( 1 I l l t.l )
City of Tigard FEB 1 4 2013 Received
i AlMill Permit Ne -- C 30/ 3 cot ► 0
III 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5017V) TIGARD DawB Other Permit
Inspection Line: 503.639.4175 , I c i Date Ready/By: hrir. /+_ ® gee Page 2 for
T l l,. l:l Internet www.tlgard- or.gov BUILDING DIVISO ` Notified/Method: T I'.O Supplemental Information
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit' sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Budding over three stories.
❑ Demolition El Other:
where the available fault current ❑ Marinas and boatyards.
t :-.,,..---..,:;--.4.-;.•.. - , _ . ( - exceeds 10,000 amps at 150 von or ❑ Floating buildings.
` less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling i ommercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi -family El Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 KVA or
_ Emergency system.
larger separately derived system.
.-- .. .. . -... _.. _ .. ... .._ - . _ .. _ .. .. ..._ __ __ . _ _. ,., ❑Addition of new moror lord of ❑ "A" "E" "1 -2 ", ° 1 -3°
Job no.: Job site address: 15350 SE Sequoia Pkwy, Suite 100 100HPor morC- occupancy.
❑ Six or moire residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97224 ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name:Starbucks LaBoulange ❑ Service or feeder 600 amps or more_
Cross street/directions to job site: Starbucks i ll iitnoo ! Qty. Fee. Total •
7 ` a Ave New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: 2S112DA01400
Limited energy, residential
.F ∎ : 75.00 2 (with `:' _ _ . `• . . . _.. -. :.: . _ u. _ , .'.....: 2 _ J_ , .._ - . , s __ energy, . multi
.family
— -- ` - Limited gy, •family 75.00 2
Install (1) 120V 20A circuit for future equipment. residential (with above sq. ft)
Services or feeders luatallatloo,alteration, and/or relocation
200 amps or less 100.70 2
i i w 1 r. lamps t0 00 amps
. .- °_ _ ._ >._ .�..._.., .... .. ..... ......._ _._...... ....:. -- = 20 4 13356 2
Name: Starbucks Corporation 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 2401 Utah Avenue South Over 1,000 amps or volts 552.26 2
City/State/Zip: Seattle, WA 98134 Temporary services or feeders installation, alteration, and/or
relocation Jlt
Phone: ( 206 ) 318 -1575 Fax: ( ) 200 amps or less I 59361 1
Owner installation: This installation is bein ro 201 amps to 400 amps 125.08 2
g made on p peaty Ihat I own which is not 401 amps to 599 amps 16854 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel _
Owner signature: Date: A. Fee for branch circuits with
- , i ? = s above service or f ee d er f ee,
` n a + <4 v 7.42 2
.. :_ . ._...� -.. _t, - '- ....2__. r,:..._c _....,_,.. .: ,. _`- -� ._ . � .j _ each branch circuit
Business name: Lin R. Rogers Electrical Contractors, Inc. B. Fee for branch circuits without
service or feeder fee, first 1 56.18 2
Contact name: Alyssa Coursey branch circuit
Each add'l branch circuit 7.42 2
Address: 2050 Marconi Drive Suite 200 Miscellaneous (service or feeder not included)
City/State/ZIP: Alpharetta, GA 30005 Each ma, service a m modular 6764 2
dwelling, service and/or feed
Phone: ( 770 ) 772 -3472 F ax: : ( 86p 496 - 7839 Reconnect only 67.84 2
'r Pump or irrigation circle 67.84 2
E - if �Se'l� IM 11, Sign or outline lighting 67.84 2
ti _e f 1 ". 11..'i ,t„rr ^-k, .. .. ', yt. _ `r ` `,-. " _ N i-2: c -..: F ;.,u
: _ .-._ a a . , : 4 � s c . - ... �- . • _ iL,: � ,� _ zs.._, may. � Signal circuit(s) or limited-energy
Business name: Lin R. Rogers Electrical Contractors, Inc. panel, alteration, or extension. Page 2 , 2
Each additional Inspection over allowable in any of the above
Address: 2050 Marconi Drive Suite 200 Additional inspection (1 hr min) 66.25/hr
City/State/ZIP: Alpharetta, GA 30005 m °�ti8 (1 hr min) 6625/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: ( 770 ) 772 -3400 Fax: ( 866 496 -7839 Inspections for which no fee is 90.00/ hr
cificall listed %a hr min
CCB Lic.:118038 Electrical Lic.: 37 -727C Suprv. Lic.: 4292S ff?.. :' f0".. A.Z.. J _ ... . > r,
Subtotal: $56.18
Suprv. Electrician signature, required:
Plan review (25% of permit fee):
Print name: Paul Howell ph I ME I I Date: 2 -13-13 State surcharge (12 %of permit fee): $8.74
irri TOTAL PERMIT FEE: $62.92
Authorized signature:
p This permit application expire if a permit is not obtained within 180
days after it hit been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
I:lauildmgiPeemiMELC- PcmMAppdm 07/01 no 44046157(1 IAS/COMAVEa
OTO /600Ij XV.t 9£:1 £TOZ /VT /Z0
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15350 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Electrical
199 Electrical final
04/24/2013 00:00
ELC2013-00110
PASS - No C of O
Violation Summary:
Inspector Contractor