Permit CITY OF TIGARD ELECTRICAL PERMIT
i
F ..- COMMUNITY DEVELOPMENT Permit #: ELC2013 -00428
Date Issued: 07/24/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 7/24/2
Jurisdiction:
Site address: SW NO ADDRESS
Project: Walmart Subdivision: Lot:
Project Description: (1) branch circuit for existing service at N side of street on Pacific Hwy at Hwy 217 northbound ramps.
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 crt Branch Circuits wo /Purchase 07/24/2013 $56.18
Specifics: • Service or Feeder
1 ea 12% State Surcharge - 07/24/2013 $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 9¢2 -00 90. Y u may obtain a copy of the rules or direct questions to OUNC by calling By: 503 .2232.198 /
Issued B 2.
Permittee Signature: 'A" / / G /��N O
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.
Jul. 19. 2013 3:26PM No, 0945 P. 1
Electrical Permit ApplicatioRECEivE FnRR („rrl( r. 1 ,r. (1. I.\
City of Tigard Received
2 3 � Penult No - 3 _OD
- • 13125 SW Hall Blvd.. Tigard, OR 97223 `� U 2 2 2 013 aura t=i 20,2
' _ Phone: 503.718.2439 Fax: 503.598. Mr permit ' / /1 - era O
T i C . k r, Inspection Line: 503.639.4175 'Y OF TIG� ►RD rare ReadyBy an See Page 2 far
Internet www.tigardor.gov BUILDING DIVISION Notificd/Mmhod: Supplemental Informadon
TYPE OF WORK PLAN1 RElIEW.
El New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wreems checked below):
O Service or Sada 400 amps or more 0 Building over three stories.
El Demolition 0 Other
where the available fault current 0 Marinas and boatyards.
- ' CATEGORY OF CONSTRUCTION accede 10,000 amps at 150 vohs or 0 Floating buildings.
❑ 2-family dwelling El less to ground. or exceeds 14,000 0 Commercial -use agricultural
1 -and 2- fa
Y S ❑ Accessory building amps for all other insmfadons. building
El Multi family ❑ Master builder ❑ Other: 0 Fire pump. O Installation of 150 KVA or
JOB SITE E INFORMATION 'AND LOCATION ❑ Emergency dam. larger separately derived system.
. 0 Addition of new motor load of 0 "A ", `F", "1.2 ", "1 -3 ".
Job no.: 65469 J Job site address: OR99W ® OR217 ]Northbound Ramps Ism' or more - occupancy,
0 Six or more residential micro- ❑ Recreational vehicle parla-
City/State/ZIP: Tigard, OR 0 Healthcare Ilxtlities. 0 Supply voltage for more than
Hazardous locations. 600 volts nominal-
Suite/bldg. /apt no.: I Project name: Tigard Walmart 0 amps or more.
Se rvice or fe eder 60 0
' iNEle• SClE1ED[i4.E,:`:� . .. ; :: ; : -,
Cross street/directions to job site: Dese ipnen I otv. I Fes I Total I •
New residential single- or multi - family dwelling unit. ,
Inchades attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 168.54 4
Ea add' 1500 sq. R or portion 33.92 1
Tax map /parcel no.; -S-EG - 7B / Lbnitod cacrg residential 75.00 2
DESCRWTION OF WORK (with above sq. I)
Limited energy, multi- fitmily 75.00 2
Modifications to existing traffic signal ell MAR/ SA6 C p/= s residential with above . ft.
Renewable Enerlty 0 See Page 2
Services or feeders installation, alteration. and/or relocation
❑ PROPERTY OWNER la I` TENANT 200 amps or lass 100.70 2
I 1 201 amps to 400 amps 133.56 2
Name:
401 amps to 600 amps 20034 2
Address: 601 amps to 1,000 amps 301.04 2
Ci /$ Over 1,000 amps or volts 55226 2
�` Temporary services or feeders Insulation, alteration, and/or
Phone; ( ) I Fax: ( ) relocation
200 amps or less 59.36 1
Owner installation: This installation is being made on property that 1 own which is not
201 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. amps to 400 amps
401 maps to 599 amps 168.54 2
Owner signature: Date: Branch circuits - new, alteration, or extension, panel
® APPLICANT • ( 0 CONTACT PERSON' . , A. Fee f ar branch circuits with
above service or feeder the' 7.42 2
Business name: E C Company each branch circuit
B. Fee for branch circuits wW,ora
Contact name: Sharma Fullbright service or feeder fee, first 1 5618 56,18 2
branch circuit
Address: P O Box 925 Each add', branch circuit 7.42 2
Giry /StateJ21P: Albany, OR 97321 — Miscellaneous (service or - feeder not Included)
Each manufactured or modular
Phone: (541) 926 I Fax: : (541) 926 dwelling, service and/or feeder 6784 - • 2
Reconnect only 67.84 2
E-mail: Shannaf@e Pump or irrigation circle 67.84 2_
CONTRACTOR • . . Sign or outline lighting 67.84 2
Business name: E C Company Signal circuit(s) orlimited-crtergy See �..
panel, alteration, or extension. Page 2 2
Address: P 0 Box 925 Each additional inspection over allowable in any of the abov
Additional inspection (1 hr min) 6625/ hr
City/State/ZIP: Albany, OR 91324 mvestigatiem(1 hr min) 6625/
Phone: (541) 926 -4266 I Fax: (541) 926 -0165 industrial plant (1 hr min) 78.18/ br
Inspections for which no fcc is 9000/ hr
CCB Lie.: 49737 Electrical Lic : 22 - 15c Su M. 3257s , specifically listed (g Malin) _
Suprv. Electrician signature, required: a � Subtotal: i
Subtotal: 56.18
Print name: William R. Coburn Date: 07.19.13 Plan review (25% of perms fee):
State surcharge (12% of permit fee): 6.74
Authorized signature: TOTAL PERMIT FEE: 62.92
Print name: Date: - This permit application aspires if a permit Is not obtained within 180
days after it has ban accepted as complete
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 2:49:36
PM
ELC2013-00428
Jeff Grove
Violation Summary:
Inspector Contractor