Permit •
CITY OF TIGARD ELECTRICAL PERMIT
:11 a COMMUNITY DEVELOPMENT Permit #: ELC2013 -00276
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03/2013
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14385 SW PACIFIC HWY
Project: Harbor Freight Tools Subdivision: CANTERBURY PLACE, AMENDED Lot: PTS 1-4
Project Description: (1) 200 or less amp service, (1) 201 to 400 amp service and (64) branch circuits for TI
Contractor: DICKINSONS ELECTRIC Owner: KOLVE, G C
8449 SW BARBUR BLVD 14389 SW PACIFIC HWY
PORTLAND, OR 97217 TIGARD, OR 97224
PHONE: 503 - 246 -3550 PHONE
FAX: 503 - 213 -6049
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 06/03/2013 $100 70
Specifics: amps or less
1 ea Services or Feeders - 201 to 06/03/2013 $133.56
Type of Use: COM 400 amps
Class of Work: ALT 1 ea 12% State Surcharge - 06/03/2013 $111.05
Electncal
Type of Const: 64 crt Branch Circuits w /Purchase 06/03/2013 $474.88
Occupancy Grp: Service or Feeder
0 ea 12% State Surcharge - 06/03/2013 $ -25.95
Electrical
Total $794.24
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 rdance • 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. TENTION Oregon 'w re• ices you to follow the rules adopted by the Oregon Utility Not cation Center. Those rules are set forth in OAR
952 01 -0010 th • ugh OAR 952-01 •090 e a may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800.3 - 344
Is ued By: Permlttee Signature: f i
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' `'� I 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.
Electrical Permit Application FOR OFFICE USE ONLY •
•
City of Tigard D ECEIVED Date/By
6, 6 / 5 Permit No �"�,a02o13-UDd
13125 SW Hall Blvd , Tigard, OR 97 Plan R iew
I 2 • Phone. 503 718.2439 Fax 503 598.1960 Date/B Other Permit -
TIGAKD Inspection Line 503 639.4175 JUN 03 2013 DateRead))/9y Juns ® See Page 2 for
Internet. www tigard - gov Notified /Method Supplemental Information
TYPE OF WICY UF`PIGAR� \ �l - PLAN REVIEW
❑ New construction t Please check all that apply (submit 2 sets of plans w /uems checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
Jra � / less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system
o
❑ Addition of new motor load of ❑ "A ", "E ", "I -_ 19
Job no.: Job site address: /4/30,_.>" l ^ / /i !/ IOO or more occupancy,
^ `' i./ ❑ Sir or more residential units ❑ Recreational vehicle parks
City /State /LIP: 7 j �� Iy�/J AYE( ❑ Health care facilities ❑ Supply voltage for more than
!, f� /� ) x /77 �I 11 ❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qis. I Fee. 1 Total I . _1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq R or less 168 54 4
Ea add'I 500 sq ft or portion 33 92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq lI) 75 00 2
y� Limited energy, (with above sq 75 00 1
/'/: residential (with multi-family
above sq (t) _
Renewable Energy I ❑ See Page 2
Services or feeders installation, alteration, and /or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less / 100 70 4 i/ ' 2
201 amps to 400 amps ,/ 133 56 143 / 2
Name: 401 amps to 600 amps 200 34 7
Address. 601 amps to 1,000 amps 301 04 2
Over 1,000 amps or volts 552 26 2 1
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation T_ J
200 amps or less 59 36 I 1
r Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125 08
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. --
401 amps to 599 amps 168 54 L2
Owner signature: Date: Branch circuits - new, alteration, or extension, er panel _
❑ APPLICANT ❑ CONTACT PERSON A Fee for branch circuits with
�� / 7 42 lq? �
above service or r feeder fee
er fee 7
Business name: each branch circuit
B Fee for branch circuits without
Contact name: service or feeder fee, first 56 18
branch circuit
Address: Each add'I branch circuit 7 42 -L H
Miscellaneous (service or feeder not included) ,
City /State /ZIP: - 1
Each manufactured or modular 67 84
Phone: ( ) Fax: : ( ) dwelling. service and/or feeder
_ Reconnect only 67 84 _ 1
E -mail: Pump or irrigation circle 67 84 2
CONTRACTOR Sign or outline lighting 67 84 2-1
Business name: r Signal circuit(s) or limited- energy See
- ice• ii _ 4�t %� panel. alteration, or extension Page 2 ?
[ 5 4 4 9 s.,,,, 6(,....1/ Each additional inspection over allowable in any of the abov
rCily /State /ZIP: Ai e
bb�� --�� Additional inspection (I hr mm) 66 25/ hr
Al ` Investigation (I hr mm) 6625/
Phone: j�) Gib J ? 5� Fax: ( • ) a /3 6.99 - Industrial plant (1 hr min) 78 18/ hr
Inspections for which no fee is 90 00/ hr �
CCB Lice3 Electrical L�_'� Suprv. Lie l� specifically listed ('G hr min) _
c ELECTRICAL PERMIT FEES
Suprv. Electrician signature, ree�.ir ��� ' Subtotal. .7
Print name' / Dateb-- 3 l3 Plan review (25% of permit fee) _
State surcharge (12% of pennit fee) 05' /V ,
Authorized signature' TOTAL PERMIT FEE
Print name: I Date: This permit application expires if a permit is not obtained wi n 180
I __ days after it has been accepted as complete.
• Number of inspections allowed per permit
i \ tsuddmg \Permns\ELC_PermitApp_ELR_ERE doe Rev 05/21/2013 440- 1615T(I I /05 /COMVNEB
. .,.. :
Electrical Permit ApalicatioRECEIVED -Folt OFFICE — - ----- --
City of Tigard Received ,,./ „
AV
Date/By: -6e1 Permit No.:e7.426/3
.74 . 13125 SW Hall Blvd., Tigard, OR 97220AY 1 4 2013 Plan Revim >/ /
a Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permet/Ago ig - j
--„. Inspection Line: 503.639.4175 CITYOFTIGARD Notified/Method!' "I -7 Date Ready/By: e .., ,2 , ., ...4244„,. funs: la See Page 2 for
''''' "''
Internet: www.tigard-or.gov Supplemental Information
: I ; _ .1 I . £ .. • . , ..4177 . _ — - • - ... — _ . —
s .- -, ;gW* - 5: - . ,'": . ; - ..:-f• .. , 7 7 31 7 44yEVE . .iy:19M .. (' , ' . ?!,1, - )::-,; ,. ...: - .=.,:.: -- =::j7r:::...% , - ..•1 --', .:7: - -WE. WT.
•
Please
0 New construction Addition/alteration/replacement check all that apply (submit 2 sets of plans w/items checked below):
(81
0 Service or feeder 400 amps or more 0 Building am three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
. - ,.. -..- - „-- - -, - ,- • - - .
f ,,, -....„ , -..,•:..-::-,..F.,..,-,, , , , ..-...-N:.: , 4 - t: exceeds 10,000 amps at 130 volts or 0 Floating buildings
5 .
-Itg';'N. 0,40* .,„ C07$
.Ri g: _:s. W I h; -:
less to ground, or exceeds 14,000 0 Commercial-use agricultural
12 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installation' Nr ja,, bui r iAin se. / 50
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 14 O, o, mutilation o 75 KVA or
y
larger separately derived system.
- „ . '-:4;.5 ., k - ' . : „ :; :; 0 Addition of new motor load ot "0 "A", "E", "1-2", "1-3",
100HP or more. occupancy.
Job no.: I Job site address: 14385 SW Pacific Highway
0 Six or more residential units. ci Recreational vehicle parks.
City/State/ZEE': Tigard, OR 97223 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: I Project name: Harbor Freight Tools RI Service or feeder 600 amps or more.
7: ..!.*EC 7 .1:q1 s :.i; - ='
Cross street/directions to job site: SW Bull Mountain Road Description I DIY. I Fee. I Total I • I
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 i
Tax map/parcel no.: , Limited energy, residential 75.00 2
P 150 '3 (with above so. ft.)
Limited energy, multi-family 7500 2 I
Tenant Improvement to existing space for new Harbor Freight Tools residential (with above sq. ft.)
'Renewable Energy • ..•‘ .. -..-- 4.:I See Page 2 - ; . - z " •
Services or feeders installation alteration, and/or relocation
/- - -::-. ' , ..-:--;.:.f,-. ; -.1;.,„,:IF... - .,., - ,;: - - - 200 amps or less 1 100.70 100.70 2
201 amps to 400 amps 1 133.56 133.56 2
Name: Harbor Freight Tools 401 amps to 600 amps 200.34 2
Address: 26541 Agoura Road 601 amps to 1,000 amps 301.04 2 :
Over 1,000 amps or volts 552.26 2 1
City/State/ZIP: Calabasas, CA 91302 Temporary services or feeders installation, alteration, and/or
Phone: (818)836-5500 I Fax: ( ) relocation
200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 an to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits— new, alteration, or extension, per panel
'-.;:i -q,r,=';,--:'„:-.T•ft] :C0**tt., Pti*ON.--..;,-..,',;[' A. F
84 623.28
7.42 2
Business name: each branch circuit
B. Fee for branch circuits without
Contact name: Jourdanne Cadavona service or feeder fee, first 56.18 2
branch circuit
Address: 8913 West Olympic Blvd, Suite 102 Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Beverly Hills, CA 90211 Each manufactured or modular 67.84 2
Phone: (310) 275-7774 I Fax: : (310) 881-1135 dwelling, service ancVor feeder
Reconnect only 67.84 2
E-mail: jourdanne@permitadvisors.com Pump or irrigation circle 67.84 2
. ,.:.-„„ - - , - -,:t F .::.- .., i .. ' 5_ 'a'i . . 7 ‘ ‘47 '■• ••,' : '," - 7 : ,- - , T -1 .' 7'4.- • -• ' ' •
.. ,..... , .!.. , • • . -,,,,,....-.,-; z„;,?....- . I AeL‘:14 ..:, ..; - ,..t...;: . •.‘ - .. .‘..: ..= Sign or outline lighting 1 67.84 67.84 2
Business name: ......irs 1 , Signal circuit(s) or limited-energy
panel, alteration, or extensim Page 2 2
Address: 7 iffifAd ( i Each additional inspection over allowable in any of the above
- M
Additional inspection (I hr min) 66.25/ hr
City/State/Z11111 _______ Investigation ti
a■ _..... Investigation (1 hr min) 66.25/ hr
■-•-•
Phone: ( i Fax: ( ) Industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is 90.00/ hr
CCB Lic.: I Electrical Lic.: I Suprv. Lie.: specifically listed (K hr min)
..S 2'..:LitLEOTRIOAL=PERMITTEES2
Suprv. Electrician signature, required: Subtotal: 925.38 F
Print name: I Date: - Pleftlegtew1 'at
IIII State surcharge (12% of permit fee): _11105 el
Authorized signature' f /1( rt _.
_
TOTAL PERMIT FEE:
This permit application expires If a permit Is not obtain le rrX ff 180
Print name: Jourd: , . adavoua I Date: 05/07/13 days after it has been accepted as complete.
• Number of inspections alloned per permit.
1:1Buildined)emitalt_PermitApp 040913.deo 4404615T011031COMMEB I 0
I
{ .i RECEIVED
Permit Advisors MAY 1 4 2013 TRANSMITTAL
CITY OF TIGARD
BUILDING DIVISION
May 13, 2013
FROM: TO:
Jourdanne Cadavona Debbie Adamski
Permit Advisors City of Tigard Building Department
269 S. Beverly Drive # 284 13125 SW Hall Blvd
Beverly Hills, CA 90212 Tigard, OR 97223
(310) 275 -7774 (503) 718 -2439
RE: HARBOR FREIGHT TOOLS
Project Address: 14365 SW Pacific Highway, Tigard, OR
Please find the following in the attached package:
• (3) set of Mech /Elec /Plumbing plans
e (1) Mechanical Application
• (1) Electrical Application
• (1) Plumbing Application
Should you have any questions or concerns, please feel free to contact me at (310)
275 -7774 or directly on my cell at (951) 965 -0594.
Regards,
Jourdanne Cadavona
Permit Advisors 269 S. Beverly Dr_ #284, Beverly Hills, CA 90212
p. 310.275/774 f. 310.881.1135 e_ rnfo @PermitAdwsors.com w. PerrnrtAdvisors.com