Permit CITY OF TIGARD ELECTRICAL PERMIT
II .,
■ COMMUNITY DEVELOPMENT Permit#: ELC2015-00723
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2015
Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 130
Project: Icon Nails Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: (1)200 amp service,(5)branch circuits,(1)sign lighting and low voltage for date and fire alarm.
Contractor: PORTER ELECTRIC INC Owner: WAL-MART REAL ESTATE BUSINESS TR
7320 NE ST JOHNS RD BY PROPERTY TAX DEPT STORE 5935-00
VANCOUVER,WA 98665 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 360-574-1366 PHONE:
FAX: 360-573-3723
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/09/2015 $100.70
Specifics: amps or less
5 crt Branch Circuits w/Purchase 09/09/2015 $37.10
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea Sign or Outline Lighting 09/09/2015 $67.84
Type of Const:
2 ea Signal circuit or Limited 09/09/2015 $150.00
Energy Panel
Occupancy Grp: 1 ea 12%State Surcharge- 09/09/2015 $42.68
Electrical
Total $398.32
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. NTION: gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1-0010 through OA 95 1 . You may obtain a copy of the rules or direct questions to OUNC by '32.1987 or 1.800.332.2344.
Is ued By: 1 �\\ Perm ittee Signatur•. "Fps,/
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' ( / c 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 R9 EC E IVE D Received
`J ✓ g Date/By:9 9 /7 ��6'1� Permit#: E �/s' -60-74
Ill
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 Phone: 503.718.2439 Fax: 503.598. 9 2015 Related Permit#:
Date/By:
Inspection Line: 503.639.4175 Ready Date/By: Juris:
I ofl See Page 2 for I I( \ s I) Notified/Method: Su pp lemental Info
rmation Internet: www.ti and oi. ov CITY OF TIGARD
TYPE® J PLAN REVIEW
® New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
1-and 2-family dwelling Commercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ y g ® 0 building gfO gr'
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 7500 SW Dartmouth St. ❑Addition of new motor load of system.
IOOHP or more. ❑"A" "E" "1-2" "1-3"
City/State/ZIP:Tigard Oregon 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations.
Suite/bldg./apt.#: ❑Supply voltage for more than 13o Project name:Icon Nails
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:SW 72"d Ave FEE SCHEDULE
Description I Qty. l Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
200 Amp Service/Feeder (with above sq.ft.) .
Limited energy,multi-family
residential(with above ft.) 75.00 2
Circuits and Outlets sq.
Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less X 100.70 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 _ 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee, 5
7A2 37.10 2
each branch circuit
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Porter Electric Inc Sign or outline lighting 1 67.84 67.84 2
Address:7320 Ne ST Johns Rd
Signal circuit(s)er n or limited-energy ® See Page 2 150.00 2
panel,alteration,or extension.
City/State/ZIP: Vancouver WA 98665 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)574-1366 Fax:(360)573-3723 Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr -
1 Inspections for which no fee is 90.00/hr
CCB Lic.: 46678 9114 Electrical Lie,: 37-334C Suprv.Lie.: 2909S specifically listed('1/4�hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
I L t t Subtotal: 355.64
Print name: —,.-1,..1 --7-7-i. - - J<5W_
Date: i - j _ f ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 42.68
TOTAL PERMIT FEE: 398.32
Authorized signature: _
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'Perini ts\.ELC_PmnitApp_ELR_ERE.doc Rev 06,17/2015 440-4615T(II!05/COM,WEB
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 Rene stems combined: $75.00 Rene a Qty.. �arh Iota,
� wable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener*
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning
Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ 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) 66.25/hr
Inspections for which no fee is 90.00/hr
specifically listed('A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00
(SEE OAR 918-309-0000) = Number of inspections allowed per pem,il.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
® Data Telecommunication Installation
® Fire Alarm Installation
n HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical •
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: 2
*No licenses are required. Licenses are required for all
other installations
t:'Bull ding`,PcrmitsELC_PermitApp_ELR_ERE.doc Rev 06/I7/2015
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
7500 SW DARTMOUTH ST 130, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00723
Jeff Grove
Violation Summary:
Inspector Contractor
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
7500 SW DARTMOUTH ST 130, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00723
Jeff Grove
Violation Summary:
Inspector Contractor