Permit CITY OF TIGARD ELECTRICAL PERMIT
C . r� COMMUNITY DEVELOPMENT Permit ft: ELC2013 -00421
Date Issued: 07/24/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 7/24/2 6
Jurisdiction:
Site address: SW NO ADDRESS
Project: Walmart Subdivision: Lot:
Project Description: (1) 200 amp service and (3) branch circuits for new service at SW corner of 72nd Ave and Beveland St.
Contractor: E C COMPANY Owner:
PO BOX 10286
PORTLAND, OR 97296
PHONE: 503 - 224 -3511 PHONE:
FAX: 503 - 295 -3012
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/24/2013 $100.70
Specifics: amps or less
3 crt Branch Circuits w /Purchase 07/24/2013 $22.26
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/24/2013 $14.76
Electrical
Type of Const:
Occupancy Grp:
Total $137.72
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 952 - 001 -0090. 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: Permittee Signature: O// /97 iG‘f
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 603.639.4176 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.
Jul. 19. 2013 2:17PM ECEIVED No. 0938 P. 1
Electrical Permit ADplicati 1-01:01.1.14. I. ,;[. ('l.'
City of Tigard JUL 2 2 2013 Received
Date/B : 2 t3 Allinill Permit14 6 --400/
II --- • 13125 SW Hall Blvd., Tigard, OR 9 oF TIGARD pianR,iview
Phone: 503.718.2439 Fax 503.5 DatrJB . other Permit,"
, _, Inspeclion Line: 503.639.4175 BUILDING DIVISION ttate ReadY/BY; laic 4 lid See Page 2 for
Internet www.tigard-or.gov Notified/Method: „re Supplemental Information
. . -
. TYPE OF WORK • . . • . . .
• . ,.. . . :
El New construction 0 Addition/alteration/replacement Please check all that apply (submit a seta of pleas wittems checked below):
0 Service Of %eclat= amps or more 0 Building over three stones
0 Demolition 0 Other: wheic the available fault cm:rent 0 Marinas and boatyards..
'
• CATEGORY . OF CONSTRUCTION • • - • ' • • • exceeds 10,000 amps at 150 volts or 0 Floating buildings.
— less to ground, or exceeds 14,000 0 Commercial agricultural
0 1 - and 2 dwelling 183 CommerciEillindustrial 0 Accessory building amps for all other iostallations, buildings.
0 Multi-family 0 Master builder 0 Other: El Fire pump. 0 Lei:religion of 150 KVA or
• . • 0 Emergency system_ larger separately derived system.
JOB krz 1NFORMA'TION AND LOCATION, • . • . ['Addition of new motor load of ID 'A", "E", "1 9-3",
.Job no.: 65469 Job site address: 72° Ave @ Beveland St. 100HP or more. °coupe:Icy.
1:i Sin Or more residential wigs. ID Rccrcational vehicle parks.
City/State/ZIP: Tigard, OR 0 Health-care facilities. 0 Supply voltage for mare than
. . 0 Hazardous locations. 600 volts nomiaal.
Suite/bldgdapt. no.: Project name: Tigard Walmart 0 Savicc or guider 600 amps or more.
.,..• •• ..::'' • . : '. ... .': . ' .' ME SCHOVII• ::::: • :• • ' .. '• • • . '• . , - .
Cross street/direetionS to job site: tisteramo I 019. I he. I Ton I •
- 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 500 sq. ft. or portion 33.92 1
Tax map/ptuzel no.: S & (, Limited energy, residential
75.00 2
. . . • DESCRIPTION OF WORK • ' .1 . . . .. • , ' . • (with above 14. ft-)
• .
Limited energy, multi-family
Install service for new traffic signal i51-7 5 Co /29VE7. residential (with above sq. ft.) 75.00 2
Renewable Energy , J See Pay 2
Services or feeders installation, alteration, and/or relocation
I
• • • CI PROPERTY OWNER ..". .• ' . 1 ... ' . • 0' TENANT • : • . . 200 amps ar less I 100.70 100.70 2
201 amps to 400 amps 133.56 2
Name: : 401 401 amrs to 600 amps 20034 2
Address: 601 amps to 1,000 raps 301.04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP:
_ Temporary services or feeders installation, alteration, and/or
Phone: ( ) 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 amps to 400 125.08 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: .r Branch circuits— new, alteration, or extension, r panel
t APPt KANT • • • " .. • • I ' . 0 CONTAcr• *MON • . • . ....il.. : A. Fee for branch circuits with
above service or feeder fee, 3 22.26
7A2 2
Business name: E C Company each branch circuit
B. Fee for branch circuits without
Contact name: Sharma Fullbright service or feeder fee, fire
56,18 2
branch circuit
Address: P0 Box 925 Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not Included)
City/Stnte/ZIP: Albany, OR 97321
Fach manufactured or modular 67,84 2
dwelling, service and/or feeder ,
Phone: (541) 926-4266 Fax: : (541) 926-0165
Reconnect only 67.84 2
E-mail: shannaf@e-c-co.com Pump or irrigation circle 67.84 2
67.84 2
_
Business name: E C Company Sigma] circuit(s) or limited-energy . ' See
panel, alteration, or ectension. , Page 2 2
Address: P0 Box 925 Each additional inspection over allowable in any of the abov
Additional inspection (1 hr min) 6625/ hr
City/State/ZIP: Albany, OR 9'7321 Investigation (1 hr min) 66.25/ iii-
Phone: (541) 926 Fax: (541) 926 Industrial plant (1 hr roin) 78.18/ hr
Inspections for which no fcc is
90.00/ br
CCB Lic.: 49737 1 Electrical Lie.: 22 Suprv. Lie.: 7s specifically listed os hr min)
ip ' •,, ••,..., :: ..;•'•' :, ;:•1 . :7ELECTRICAL . PERMIT.:FIES:1 -
- Suprv. Electrician signature, required: b
Subtotal: 122.96
Print name: William R. Coburn Date: 07.19.13 Plan review (25% of permit fee):
State surcharge (12% of permit fcc): 14.76
Authorized signature: TOTAL PERMIT FEE: 137.72
Tha permit application mires if a permit is not obtained within 180
Print name: Date:
days a.fter it has been accepted as complete.
. .•
LIW '—ik \Mk
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
SW NO ADDRESS, TIGARD, OR
Commercial - Electrical
199 Electrical final
PASS - No C of O
August 14, 2014 at 2:09:51
PM
ELC2013-00421
Jeff Grove
Violation Summary:
Inspector Contractor