Permit p CITY OF TIGARD ELECTRICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: ELC2013 -00176
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013
Parcel: 2S101AB01400
Jurisdiction: Tigard
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK Lot: 8
Project Description: Electrical for new 137,900 square foot retail store
Contractor: E C COMPANY Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 10286 15350 SW SEQUOIA PARKWAY #300
PORTLAND, OR 97296 PORTLAND, OR 97224
PHONE: 503 - 224 -3511 PHONE: 503 - 624 -6300
FAX: 503 - 295 -3012
FEES
Quantity Description Date Amount
21 ea Services or Feeders - 200 05/28/2013 $2,114.70
Specifics: amps or less
11 ea Services or Feeders - 201 to 05/28/2013 $1,469.16
Type of Use: COM 400 amps
Class of Work: NEW 1 ea Services or Feeders - 401 to 05/28/2013 $200.34
600 amps
Type of Const: 1 ea Services or Feeders - 601 to 05/28/2013 $301.04
Occupancy Grp: 1000 amps
1 ea Services or Feeders - Over 05/28/2013 $552.26
1000 amps or volts
35 at Branch Circuits w /Purchase 05/28/2013 $259.70
Service or Feeder
1 ea Plan Review Electricial 05/28/2013 $1,224.30
1 ea 12% State Surcharge - 05/28/2013 $587.66
Electrical
Total $6,709.16
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 a • -. 'th 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. ATT • ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0' through OAR 952 •0 09 . ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 .800.332.2344.
Issue. By: J 4 / 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' �� / — Date:
•
LICENSE NO.
Call 503.539.4175 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 ,,,, . r- 7 ,
Electrical Permit Application E FOR OFFICE USE ONLY •
City of Tigard ., , Dat Be: /3 63,19 i . Permit Na: e� e O1.3 Gtr /7 ( p
13125 5W . Hall Blvd_ Tigard. OR 97223 MAR 2 0 L Q i J i Plan Recien
Phvnc: 503.71 S 2439 Far 5D: _595.1960 Datc ' // 2/ 3 � _ 1 O1Ii r Pertnie 16unaOva 42067
T I ci A is D . inspection Line: 503.639.4175
CITY f OF = r Dste t�sd 7 rr m: I ® See Page 3 rite
Internet: www.siganl-cir.gov Vt : 1Notifa iAletluidd / 6 Supplemental Information
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T�'PE WORI. . ,^ _ �, ;_ ' P�9, 1' F RE : ;,;�::,. �r,�.- �Y�i_:
® New construction El i Addition /alteration/replaeement Ptcase check a0 that ap := ly (submit 3 s of pans w /items checked beide):
EI.Ser or feeder 40') amps ormcrc ❑ illation over three stories.
I ❑ Demolition 0. Other: I w t�•re the available fault current ❑ Marker and boatyards.
- C AI EGORY OF COi�SI'REJCT IOiV excerJs 101100 amps al t58 volts or ❑ Floating buitdiops.
❑ I- and 2- family dwelling ® Comme ud ustrial ❑ Occe buddin an ed s 1 II of or i 1 ons. u 0Float rcxtt•tlse agricultural
amps fora!! other installations. bnildin,5. ��
❑ Multi- family ❑Master builder ❑Other ❑ Fie pump. ❑ Installation of 75 KVA or
t ❑ Emeryi'ney system. larger separately darted System. 7
;JOB SIIE:INFORMATION'AND LOCATION:= ❑ Addition of new motor laid of ❑'A'. `E', t.2 '1.-3 U
Job no.: J Job site address: 7600 SW Dartmouth St t°atlP.°r°"'R (r
F
❑ Sir. or more residential units. CI vehicle parks.
CityiStateiZlP: Tigard. OR 97223 � � ❑)Iealth -;a faeitiues ❑Supply voltage for More. than
t iiV/// ❑ Hazardous lc niota CCO colts nominal
• Suite/bldgJapt. no.: I Project name: Walmart 1 110 15 EISerti'rceorfeeaer600 amps or More.
, m
2 013 scr en it
Cross street /ditectiutis to job site: SW Dartmouth & SW 72nd Perry oaer,n,ion 1 oar I FR I - Tam • 1
i
BUI t 'F TIGADr New residential sl rn
n )le -or multi- fatly -unit
J� 1N(; ►dry ,I New , Includes attached garage.
I J U I :000 sq. II. or less . I i 165.5 t •l
i Subdivision: 1 Lot t no.: '' no..
f Tax map parcel no OJ200, 00101, 01- El. add'! MO sq: ft or portion 33.92 I in !! 140 Limited energy, r w ide rural 75.00. - 1 , , . - '> 'DESCRIPTIOY_Olr'1 , (with above sq. Q.)
1 Limitedere -,uy, tauiii- family Nk
Construction of an approximate 137,900 SF Walmart Store residential (with above ft.) 1 T _ i
Services or feeders installation, alteration. and/or relocation "
200 attps or less I _21 100.70 ,1!/4/, 7) L 2.
1
i' PROPEItTX' wiiie ❑ ZEP14iVT '_01anpstoZiklamps !I 133.56 J4 _ %,L 2
Name: Walmart Stores, Inc. Steve Dver , 401 amps ( °600 amps I 300.44 -
601 amps to 1.000 amps I i 301.04. . D,' : :,.i -- .
Address: 2001 SE 10th St. Over 1,000 amps or volts I 1 I 552.26 ' _ " . 4,4 -2
City %StatciZlP: Bentonville, AR 72716 Temporary services or_ feeders installation,, alteration. and/Or
relocation . . •
Phone: (479)273 - 4567 Fat: ( ) 200 amps or tens 1 59.36 - I
201 amps to 400 apps 1 125.03
Owner installation: This installation is being made on property that 1-own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 - amps w 599 amps I I ! 63 5 i 1 -
Branch circuits- new, alteration. or extension. r panel
Owner signature: . a
ate: i A. Fee or branch Ctrcuatc nNlr
APPC ICAIYI above or eder
": ;� - . -- Q _ 0.04 . t PE eac seniee txan circuit fe fee, 35 7.42 �'S`` � ")` 2.
Business name: BCRA. Inc. B. Fee rue tit'sneh circuits wi hoed 1
.
• srni.�eorCoderfee tint 56.i3 '
Contact name: Lorle ulmson Cole . branch circuit
Each midi branch circuit E. j 7.4 - '
Address: 2106 Pacific Ave, Suite 300 1
Miscellaneous (service or feeder not included)
City/State/ZIP: Tacoma, ll!A.9J3402 Each manufactured or modular _ I 67.3-(
dwellitY, -
service and/sir feeder
Phone; (2S3) 627 - 4367 - Fax:: ( ) J Reconnsst only I 67:34 . 1 .2
Pump or irrigation circle - I 67.84 '
E- mail: lcole(bcradesign.com ,
_ Sim or Moline Gsfirine . 67.34 .
_ r , . - r CONRAGt ::_ , Signal circuit(s) or Inniicd -entry " .
.Business name: : EC Electrical Construction Company paneka re Pawn ;
Each additional inspection n over allostable.in an? of the above
. Addr�: 2-121 NW. - Thurman - - Additional inspection(' hr rnin) F 2
- 6625/ hr
- .City /State/ZIP: Portland, Oregon 97210 in stn l p lant 1 ra n 66.25 / hr ( _ i
9 IntitislYialpLtiat(i hr min). ( 78 1& °fir
•
.Phone: c 503) .224 -3511 • • Fax: (503) 503- 242 -0953 inspections for which no fee is 90.00/ hr
specifacinl hstedl •hr min) _
CCB - Lie.: Ele ctrical L ie.: Suprv. Lie: 7 c __ : '::
# 4 9737 ., (P G p zSIOS 1 ; F- 1- FCFRICAL.'P.ERA T-YEE.B
L Sulnoial: // `3 77.
G ,
3� O 5 t (1 ! ' % Plan review (25% of permit- fee) :. /
Suprv. Electrician signature, required: , A: 11. =v
Print name: r Date: State surcharge ((2 °.o of permit fee): 7 • (: j
Authorized signature: TOTAL PER,NIT FEE: , iG " 49. _
_ This permit applimition expires fro permit is not obtained ordain 150
Print name: Date: { - da,s alter it bat been accepted ascomprete.. I
p -Ae� es,.....- -r-ii )-3 ° Nunib r of irespeaioas allowed per permit. I
I: &;iraim � PecmuvELC- Pennaarp,loc 07-0110 141- 46tgT411 Gs COST NFU t i
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Electrical Permit Application RECEIVE
R eceived
City of Tigard Pennit No.: �C.0
13125 SW Hall Blvd., Tigard, OR 97223 R' 2 0 2013 Date/By: ,3 610 / 3 /�t 3-0152 /7
;� MA Plan Revew n • Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Y//W73 Other Permit: 64 /'aO /a A:067
f I G A R n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified /Method: // 7 / 3 7 " � Supplemental Information
TYPE OF WORK PLAN REVIEW
® New Construction Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Addition /alteration /replacement
El Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. IC
less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑
r.
Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. Z
❑ Addition of new motor load of ❑ "A' , "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: 7600 SW Dartmouth St. IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
t
Suite/bldg. /apt. no.: Project name: Walmart ® Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SW Dartmouth & SW 72nd Ave Description I Qt.'• I Fee. I Total I • 1D
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.: 04200, 00101, 01400 Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi- family 75.00 2
Construction of an approximate 137,900 SF Walmart Store residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 21 100.70 a ) /4/, 20 2
►/ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 11 133.56 )4/49' 2
401 amps to 600 amps I 200.34 ,;: 4I 2
Name: Walmart Stores, Inc. (Steve Dyer) 601 amps to 1,000 amps I 301.04 / . ctf 2
Address: 2001 SE 10th St. Over 1,000 amps or volts I 552.26 .;3 2
City/State /ZIP: Bentonville, AR 72716 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (479)273 - 4567 Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
401 amps to 599 amps I68.54 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
® APPLICANT ❑ CONTACT PERSON above service or feeder fee 35 7.42 7b 2
each branch circuit oZ�9
Business name: BCRA, Inc. B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Lode Limson Cole branch circuit
Each add'I branch circuit 7.42 2
Address: 2106 Pacific Ave, Suite 300 Miscellaneous (service or feeder not included)
City/State /ZIP: Tacoma, WA 98402 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: (253) 627 - 4367 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: Icole @bcradesign.com
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
e
Business name: ' , C G L f C I , 2 t c4 G t / c 1J 9r. ec . panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: t � � � Additional inspection (I hr min) 66.25/ hr
I i O IL 1 Investigation (I hr min) 66.25/ hr
City/State /ZIP: /L ' t t
4,9 � ) Industrial plant (1 hr min) 78.18/ hr
Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00/ hr
(✓�_ O I ('y specifically listed (' /: hr min)
CCB Lic.: t Electrical Lie.: Suprv. Lie.: ELECTRICAL PERMIT FEES 7
Subtotal: / q 77.
Suprv. Electrician signature, required: Plan review (25% of permit fee): / / A; Li, .30
Print name: Date: State surcharge (12% of permit fee): 6g 7 . (o!o
Authorized signature: TOTAL PERMIT FEE: / i 7o9. 1
This permit application expires if a permit is not obtained within 180
Print name: Date: • days after it has been accepted as complete.
Number of inspections allowed per permit.
I: \Building \Permits \ELC- PermitApp.doc 07/01/10 440- 4615T( II /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
[ WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
F COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\ Building \ Permits \ELC- PermitApp.doc 07/01 /10
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7600 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2013-00176
Jeff Grove
Violation Summary:
Inspector Contractor