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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2014-00127 Date Issued: 03/19/2014 TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Parcel: 2S102CB00302 Jurisdiction: Tigard Site address: 13285 SW PACIFIC HWY Project: 7-Eleven Subdivision: NORTH TIGARDVILLE ADDITION Lot: 33 Project Description: (2)branch circuits for replacement walk-in cooler Contractor: SOURCE REFRIGERATION Owner: CJ GLOBAL LLC 5506 SE INTERNATIONAL WAY PO BOX 5668 MILWAUKIE, OR 97222 ALOHA. OR 97006 PHONE: 800-677-2688 PHONE FAX 503-652-0449 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 03/19/2014 563 60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 03/19/2014 g7 63 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total S71 23 Required Items and Reports(Conditions) This pe issued surbject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable law All work will be do in accordance with approv lens. 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 equi you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 01-0010 thr gh OAR 952-0 1-0090 Y may obtain a copy of the rules or direct questions to OUNC by calling 503 2 .1987 or 1 :II 332 2344 Is ued By: _—(_-�Y Permittee Signature: 1 r-N� 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' r," Dat e. 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. 03/16/2014 21:24 8019663695 THE UPS STORE PAGE 02/04• Electrical Permit A >plialfi�►au 1. 1/1�'E t•';;_ t,l ' I 1 •1: �,\ City of Tigard D _ .�� 13125 SW Hell Blvd.,Tigard,OR 97223 1 9 2 014 Pep Review. ee 00,4 Iaere,le a MN: 503-728.2439 Fu: 703.596.1960 Dais Inspection Line: 503.639.4175 Date Rr+4y iy: as 8 see Prep I ebr brass= wtvw.tigatd ar.6ov Notified Merkel: 6eppieseelwi liftmdla ;.`. TIME OF*VII* !l . r•' •11 R V eW . . Y,.;t........ Pie=check all y.t aeph Milho It j lieu of plan w Ices=slued below): ❑New=imbued= ®Addition/alteratiorl/rteplatxtneot ❑Service or feudtr 4130 carp a trove ❑go:leiae over fact aeries o Demolition ❑Other where the a»irble twit eelrlmnt ❑Minces and ha birds- exceeds exceeds 14.000 amps it I50 volts or ❑Fleming buildings. leas to ground.or em cee&14,000 ❑Commercial-use sgtkLitarl ❑ 1-and 2"family&.dike Comminvialitndustrial ❑Accessary Waits amps ter ell our iostalladaei ttutldinge. ❑Multi-�smi ❑Neater builder ❑Others ❑Fite pump. ❑l�ll,uoo 411'150%VA or i0�1 SZT6 fNl�OI' AT10 it11�' TION seed of 1 "t ©Emergency amen brim separately _ ,' ❑Addition of new motor ❑"n","8","1,2', d". •Job no.: sob site address: 0,-2, 5 /y 100ItP or arose, gym, � a Y4rl ❑Six or more residential unit& 0 Rameedenel vehicle pub, °Health-out Pocilitits. ❑Simply volugc for MOM den City/Stetc/ZIP: I-zfitoiap Of. 61-)2.1..N. ❑}L7ardoas locations 600 volts nominal. ❑Service or feeder 600 emu or mote, SuitrJbldgJapt no.: 11'tOjeCt name'am0: �a r4 EE.$01111`VI:E ` Cross street/diretdans 03 job site: Ski 41,/4e ic:G 64t/...1u i ► tasrersSe I ono. 1 :es.. I arms I • New residential slap-or meld-famlly dwelling nde Incladea attached prep. Subdivision: Let no.: 1.000 q.ft.or less 168.54 •4 Ea.midi 500 eq.ft.or potion 33.92 1 Tali map/pared no.: _ Llmllnd weepy,=idealist 75.00 2 (with above w.n.) _ Limited energy,multi-fanny 75.00 2 ...1_ - (3%.1%( - ' •-: ...,/ _ reckk tlel(with stave P4.11) • Relievable Emeriti Eft he 2 Services or Rrdcs Installotiono lteradoa,aad/pr rtdoade. ❑ rllorEirr1' Oa1niEslt "•Q 't 200 imps or less 1 00.70 2 201 gripe to 400 amps 133.56 2 Name: 401 amps to 600 amps - 200.34 2 Address: 601 sops to 1,000 amps 301-04 2 Ottr 1,000 amps or vote 552.26 2 City/SrereiZlP: Temporary service or fader insdbatbs,&credos,aed/or Phone:( ) I Fax ( ) relocation 1 200 amps or Itas I 5936 1 Owner Installation:This installs:ion is being made on property that I on whicb in not 201 amps le 400Imps 1 125.01 2 intended for sale,least,tent,or exchange,according to ORS 447,449,670.and 701. 401 serape to 599 arse l 16654 2 °Wrier signature: Date: Beach dreulte-sew,atocredo or eartasisn,pier panel _ , ga APPLICAPO L ia CO►P(ACT room. A.Fete for roach circuits with J 4 .Dove service or feeder foe, I 7.42 2 Business unmet • i . — tech breech circlet • B.Fes for branch circuit,without service or Rode Ste,line 1 56.16 ./q 2 CeO a �]la I1..1 �� hrondi circuit Addtea®:SSa Co £A 1 N1"e4 N.r1'T7c.,)A'L.. W 41 Each add':branch circuit - J 7.42 7.09. 2 Mbeellanosos(service or feeds_not Included) City/Sare/ZV I: ;`V..,61A4.;6 I 0 CL 472.2.L Fochmnruftc1ur or modular 67.8+ 2 Fax::(SW dwelling,service and/or feeder Phone:(� , a �`p- j� L �Q Q Q'4 Rcmravect only 67.84 7 E-mail: bbta■AkCL.-(j 50 62ik-cLl162A4 $) • GOWti Pump or irrigatiertcrck 67.04 2 CONTRACTOR Sign or outline lighting 67114 2 •Business nerire: Q� �� ` pia Signal dm-arils)or litaitt+dalatpy Ste ►t { panel,atttroders,or moo sion Page 2 2 Address; e2 QQ iEE pR , Each eddllionel Inspection aver allow ableinensoftieabove ,Art - Additional tMepeetlon(1 hr min) 66.7-5/hr City/State/MP: Aka �� C! A2 50 t ktvetigatian(1 hr Min) 66.25/br, Phone:(1(�)rt.?,- P?0 �Fu'(1(�) S� rd- 4 O a l _itelosnial plat(1 termer) 75.18/br Inspections 1hr which no fee is 1 90.00/br CCB Lic.:14kzC� j Electrical Lie,: Sq I Suprv.Lie.: •GL/ s spexifimny Mead('h hr auto) I - ELECTRICAL mama r'P.6S Suprv.Electrician signature,required: ("/1//(d subtotal: (OS.(Ov Print name:l%r ! / / Dater.3//7`/ - Pier review(12'16 of permit fee): -^ G S C vt Y d G� J State atuohango(12Yo of permit foe), 7.12 Authorized signetur TOTAL PERMIT FEE: 7/.. _Z� f Thla permit apabculon.e•lrs If a remelt Is got sidled%W iA Print name: pc t,. -, 3 Y"' . I Date: 3 1/ i/( I day after It has been accepted ea nempleie. 1 ` a Number of impactions allowed per permit r,.6c arcerermk..ELC IenaltA E1.R 6RHAvr Itcv05/217013 4404615nIl,OS.COMWED Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined ... $75.00 nesenpnon I o h. I Fee I Total I • Renewable electrical energy stems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 3 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 n Heating, Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 6b._5;hr Inspections for which no fee is 90.00'hr specifically listed(' hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application espires if a permit is not obtained within 180 nAudio and Stereo Systems days after it has been accepted as complete. Number of inspections allowed per permit. Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation IIVAC I I Instrumentation Intercom and Paging Systems n Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling I Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations L Buildineermits ELC_PetmuApp_ELR_ERE.doc Rev 0321.2013