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Permit (203) CITY OF TIGARD ELECTRICAL PERMIT 'Fri I COMMUNITY DEVELOPMENT '` Permit#: ELC2017-00491 '* Date Issued: 01/04/2018 T i ; la D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 9//. parcel: 2S102CB00200 Jurisdiction: Tigard Site address: 13115 SW PACIFIC HWY Project: Specialty Retail Subdivision: None Lot: None Project Description: Electrical for new 15,085 SF commercial retail store including sign lighting and limited energy for fire alarm and HVAC. 1/24/18:REPRINT to add(1)temporary service. 9/11/2018: REPRINT permit to correct site address. Contractor: COX ELECTRIC INC Owner: TIGARD PACIFIC RE LLC 290 YOUNG ST C/O LEADERSHIP CIRCLE LLC WOODBURN,OR 97071 1521 OXBOW DR STE 210 MONTROSE,CO 81401 PHONE: 503-981-3320 PHONE: FAX: FEES Quantity Description Date Amount 5 ea Services or Feeders-200 12/19/2017 $503.50 Specifics: amps or less 1 ea Services or Feeders-Over 12/19/2017 $552.26 Type of Use: COM 1000 amps or volts Class of Work: ALT 1 ea Temp Services or Feeders- 01/25/2018 $59.36 200 amps or less Type of Const: 141 crt Branch Circuits w/Purchase 12/19/2017 $1,046.22 Occupancy Grp: Service or Feeder 8 ea Sign or Outline Lighting 12/19/2017 $542.72 2 ea Signal circuit or Limited 12/19/2017 $150.00 Energy Panel 1 ea Plan Review Electricial 01/25/2018 $713.52 1 ea 12%State Surcharge- 01/25/2018 $342.49 Electrical Total $3,910.07 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 OA 52-000(0990. 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: ,.'Y L -2 Permittee Signature: cZ4,' . ! �/e 1-770A/ 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. CITY OF TIGARD t ELECTRICAL PERMIT IN COMMUNITY DEVELOPMENT Permit#: ELC2017-00491 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 JAN ` Date Issued: 01/04/2018 Parcel: 2S102CB00200 WJurisdiction: Tigard Site address: 13125 SW PACIFIC HY 4 Project: Specialty Retail Subdivision: None Lot: None Project Description: Electrical for new 15,085 SF commercial retail store including sign lighting and limited energy for fire alarm and HVAC. 1/24/18:REPRINT to add(1)temporary service. Contractor: COX ELECTRIC INC Owner: TIGARD-TUALATIN SCHOOL 290 YOUNG ST DISTRICT 23J WOODBURN, OR 97071 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-981-3320 PHONE: FAX: FEES Quantity Description Date Amount 5 ea Services or Feeders-200 12/19/2017 $503.50 Specifics: amps or less 1 ea Services or Feeders-Over 12/19/2017 $552.26 Type of Use: COM 1000 amps or volts Class of Work: ALT 1 ea Temp Services or Feeders- 01/25/2018 $59.36 200 amps or less Type of Const: 141 crt Branch Circuits w/Purchase 12/19/2017 $1,046.22 Occupancy Grp: Service or Feeder 8 ea Sign or Outline Lighting 12/19/2017 $542.72 2 ea Signal circuit or Limited 12/19/2017 $150.00 Energy Panel 1 ea Plan Review Electricial 01/25/2018 $713.52 1 ea 12%State Surcharge- 01/25/2018 $342.49 Electrical Total $3,910.07 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_obta of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ` mac° -a Issued By: � c �.. . 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 503.639.4175 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. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13115 SW PACIFIC HWY, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2017-00491 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor CITY OF TIGARDvh �: ELECTRICAL PERMIT x COMMUNITY DEVELOPMENT 'f/� Permit#: ELC2017-00491 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued 01/04/2018 TIGARD 13125 2S102CB00200 Jurisdiction: Tigard Site address: 13125 SW PACIFIC HWY Project: Specialty Retail Subdivision: None Lot: None Project Description: Electrical for new 15,085 SF commercial retail store including sign lighting and limited energy for fire alarm and HVAC. 1/24/18:REPRINT to add(1)temporary service. Contractor: COX ELECTRIC INC Owner: TIGARD-TUALATIN SCHOOL 290 YOUNG ST DISTRICT 23J WOODBURN, OR 97071 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-981-3320 PHONE: FAX: FEES Quantity Description Date Amount 5 ea Services or Feeders-200 12/19/2017 $503.50 Specifics: amps or less 1 ea Services or Feeders-Over 12/19/2017 $552.26 Type of Use: COM 1000 amps or volts Class of Work: ALT 1 ea Temp Services or Feeders- 01/25/2018 $59.36 200 amps or less Type of Const: 141 crt Branch Circuits w/Purchase 12/19/2017 $1,046.22 Occupancy Grp: Service or Feeder 8 ea Sign or Outline Lighting 12/19/2017 $542.72 2 ea Signal circuit or Limited 12/19/2017 $150.00 Energy Panel 1 ea Plan Review Electricial 01/25/2018 $713.52 1 ea 12%State Surcharge- 01/25/2018 $342.49 Electrical Total $3,910.07 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 throu R 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987- .1or 1.800.332.2344. Issued By: � — Permittee Signature: /PA/ , 2 ',/'-/e/917C 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. Electrical Permit Application, . -., ,: -.. , — ---, FOR OFFICE USE ONLY / ,,:' . City of Tigard ,.---,- -, - -A- Received j ., De/B : •d-r<l-/ 4 WA Permit#:Et-t 02e/ 2-WO /5y 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960,rAk 4 4 6 LIlc Plan Review Date/B : Related Permit II: Inspection Line: 503.639.4175 „, Ready Date/By: Juris: El See Page 2 for T i GA RD Internet: www.tigard-or.gov 1:_;i'i Y .'..ii 1 '.4i.::;i'\',.::, : Notified/Method Supplemental Information PLAN REVIEW , • , ID New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 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 . exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family El Master builder []Other: 0 Fire pump. 0 Installation of 150 KVA or • • JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of Job#: Job site address:13 i 7-5 &.,0 v a Li fi C R kiQy 0 Six or more residential units,or more. 0"A","E","1-2","1-3", City/State/ZIP: I,qa rd 9 t- 0 Health-care facilities, occupancy. m 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ky-u-,)ra st EirOarS 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: • .. ' . . FEE SCHEDULE Description I Qty. I 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'I500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK ' Limited energy,residential AN75.00 2(with above sq.ft.) Limited energy,multi-family 75.00 2 eLc zoi i- 00(16 i residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER , 0 TENANT • •••' Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 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 61 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 0 APPLICANT :. CONTACT PERSON Branch circuits—new,alteration,or extension,per panel . 0 ' . A.Fee for branch circuits with Business name: CrOx gletkr ic. eabachovebrsanemch.cecirocrufieteder fee, 7.42 2 Contact name: y Ci let/ Aj a 1 ISC.,r— B.Fee for branch circuits without • . service or feeder fee,first 56.18 2 Address: Z....9 0 ci ov Kel 5 y-leu_.}_ branch circuit City/State/ZIP: LA ioth okw-r, ov- act 0 1\ Each addl branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: ) et k 1 - 33m, Fax::(6)3) q 6 ..qci to Each manufactured or modular 67.84 2 dwelling,service and/or feeder • Email: ierilly- i..1,A,, .Cer vv...., Reconnect only 67.84 2CONTRACTOR . ' Pump or irrigation circle 67.84 2 Business name: .' Sign or outline lighting 67.84 2 • Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax ( ! Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: ,i' / 90.00/hr CCB Lie.: Electrical Lie.: ' Suprv.Lic.:T7/4.5 Inspections for which no fee is specifically listed(%hr min) signat ure uired: ,.,,A• , , ELECTRICAL PERMIT FEES Suprv.Electrician - Subtotal: i/Ilf • Print name: —hel,e,54.4 Date: //2 5/1 0 PlanState surcharge(12%of permit fee): Review Required(25%of permit fee): Authorized signature: TOTAL PERMIT FEE: (etha.,<4 i 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. 1.\BuildingTermits\ELC PernitAppELR ERE,doc Rev 06/17/2015 440-4615TO l/05/COM/WED CITY OF TIGARD ELECTRICAL PERMIT ,114--- q COMMUNITY DEVELOPMENT Permit#: ELC2017-00491 -r[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/04/2018 Parcel: 2S102C600200 Site address: 13125 SW PACIFIC HY Jurisdiction: Tigard W Project: Specialty Retail Project Description: Electrical for new 15,085 SF commercial retail store including s None gnlsion:lighting and limited energy for fire alarm and Lot: None HVAC. Contractor: COX ELECTRIC INC Owner: TIGARD-TUALATIN SCHOOL 290 YOUNG ST WOODBURN, OR 97071 DISTRICT 23J 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-981-3320 PHONE: FAX: FEES Quantity Description Date Amount Specifics: 5 ea Services or Feeders-200 12/19/2017 $503.50 amps or less 1 ea Services or Feeders-Over 12/19/2017 $552.26 Type of Use: COM 1000 amps or volts Class of Work: ALT 141 crt Branch Circuits w/Purchase 12/19/2017 TypeService or Feeder $1,046.22 of Const: Occupancy Grp: 8 ea Sign or Outline Lighting 12/19/2017 $542.72 2 ea Signal circuit or Limited 12/19/2017 $150.00 Energy Panel 1 ea Plan Review Electricial 12/19/2017 $698.68 1 ea 12%State Surcharge- 12/19/2017 $335.36 Electrical Total $3,828.74 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 I 952-001-0010 through OAR 952-001-0090. n a.... . --rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �/�? ,L'//i9'�`Ns Com/' /' �- 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 503.639.4175 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. • !trctr3 d EL)ti .."b 4 AA e ' it A► . i ��t ; , ' Cl : � Tard C1 ()ill( t« .fit 0Ni:it n Roll H€cL,Tigard, i3t 8WReettvatt 7 n 7i82439 Cot ,.w « ,7 Fax: 503. ,k.i 2017 ,.d 7, o q tt^ e 503 639 t tcB ttn �" ad Pay*Ak - Ty(VP .-.,-. � NoetudlMe ;} . :wr Ed New construction !ii .... o, airi R 0 Ad .#191 srli#. ' k acetnent ' PUN REVIEW CI n011tion S 0 other Rat*. !�, l seem CATEGORY?Ii IP f?F service or laader400 a or nom 4 CONSTRUCTION where the eveasble fault awned °e over tatya d& Q I-end 2-family dwelling rpt ORY OF IONSTlriaiWL,..,.. '"` . ik �� weeds 1 0150 volt.or ©Manrznand E h -f2-fa .�"' ry•t, .1 -- t...tp © to.a b 8dL 5, 0 builds "'TM , forsnott ,'4.°4:4 4bandana. adana.i.Mu.o t JOB ass ra CFP6a �' ------- Job#, 1541h1 AND C�!`1 Cl of 150 RYA or Jab site scares:13725 sW Pacific ttr�b � n ar of ax en4 irk City/State/2W:TFg rd,OR 97223 t a o •a. p aAr whir*mkt SuiteJbld tt: :� a . i , > ' salt Projerx same: �' wormer. a� Specialty�etalF r 7 ' w U h�eme eooai Cross hhiZ✓dire tioius tti job site:SW School St Se SW Pacific .0, service mss` mama he nom thea " ..,...ram 600 vadat 1, Su€ €Yisioni IYew' tial +' �tTc?!mmo Tax ins pare #: x Lot#:200 ,i t Includes attodted.mar meld-k silly dwt t dg anFt 41"aft,R.or a, .M;3' QDF OP WQRFf ,+1500 W1-$,a• doe U NOW Single story s E aF£y retail stoLind re;ease ealted site work Facladela " °f tot,site furalahFtF parking 7N ad landscaping Lt. ki I P s.. .r TY D rva&laadat • * ., : 75,00 Name;Vitaanin C k,„. ods ..__ -. ' �,� , i a Natural Foods t4larkat tae ` rakes or Enders Fustalla atm Addy ;12022 9V andtar rc � iameda Parkway � ic°s ItKt.7t! � _. City/StatelZlp:Lakewood,CO� 201 a+nla t°4°°."33 -+ 40t m titltlQ now: 03 9 tiVt at40to 7,ttflo t^.k, 3qt 114 Ova t Fl•` G,ar to = IIIMCI r�El riflialleillialliama Owner€nstsFlatic,a;This installation Is beingTem services or inatabolis made on `° a' doe,and/or for lease,.rent,orto lation property that I own which is not 200 em or loss intendedOwner sifor sale,e: exchange,according to ORS 447,449,670,and 701. 5.08 l eld'F' N;' Date` pt — loses • -68-4 * Stud deceits r - _ + S4.. � Business name;V 01rchitecture AC1' eta ar.xfeaslo, i A.Fee for a ....-l33 . Contact name:25107 Genesee Trail Rd �t.b,�ay,na.avko or feeder tke.„ each bran t • Alt i. ., t 1 j, Address:25107 GeneseeTrail Rd H.Far far i. 2 City/State/ZIP:Ganr+ic8 ar .11/4)."' COCt3 lF0401 brtaoh a t (kat_ Escb Phone:(720)390..3891 tdd't cistr#t Q PsX::( ) ad os s egor feeder eel adnded Email: he ehltecture.aom E .. Buafncss tonne:11317 67." EI -y_ Pu •or&rigaioa cider lammilliliff Addy1. signor CitytScttctZTlY 40)� « + e+far �„� Each addttltphn! , 11111.11111 Ahanc: r ) �� , allowable la of the above • Additional in.pectioa(1 brand) 65.25thr Pioartt: / glIy7 a i 0 arm nj ini Industrial. , Armin) ail Cell Lic 4044' Cti 101 hr extrtoat Lia• .. Mingesad Orwk= ,ra+fae ly Mal hr NNW Suprv.Blectticlare �,/� .._ > ..,.... - . nomtNh+hr M .y stgna[u�> 'red: :/' p N � name: Niffinfliall Date: / "aired(257h of Authorized signature; 6 ..r railli CI Pian Review 'work&a: � !�,�v,. re: E ' -. Stator: -,(12%of.omit fen: Print name: Corey fZs �� TOTA.t.PERMIT ice; , Dareparrotappole.,,.ucpi astfa t' eatebb will" v aidotnetPmrttstEtc.penumpp ERE d. '. rot. T744 att.rlt htr lr A aceapt t.aaemtrktb -� swami/ens�fl7/ttyt3 * lkito of Imp icear allowed par pork .ts0..6dt5'C't1 titg`CN'a r ' Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE scFlEuui Fee for all residential systems combined: $75.00 Renewable l ac: I a 1 Teem 1 • Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to 15 kva I 133,56 I 2 D Audio and Stereo Systems* 15,01 to 25 kva 20034 2 0 Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva I 1 301,04 I I 2 Garage Door Opener* 50.01 to 100 kva 552 26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552,26 2 ❑ Heating,Ventilation and Air Conditioning System* solar generation systems in excess of 25 kva: Each additional kva over 25 I I 7.423 0 Vacuum Systems* >100 kva—no additional charge 0.0 I �3 Each additional inspection over allowable in an of the above: ❑ Other: Each additional inspection is charged at an hourly(1 hr min) 66 25/hr 1 inspections for which no fee is COMMERCIAL WORK ONLY: specifically listed(%hr nun) 9000/hr ELECTRICAL PERMIT P Ie 1!) Fee for each commercial system: $75.00 Subtotal(Enter on Mage 1): (SEE OAR 918-309-0000) • Number ofinspections_allowed'per permit. Check Type of Work Involved: 0 Audio and Stereo Systems O Boiler Controls ❑ Clock Systems I ❑ Data Telecommunication Installation ® Fire Alarm Installation ® HVAC O Instrumentation 1 ❑ Intercom and Paging Systems 1 ❑ Landscape Irrigation Control* f Medical ❑ Nurse Calls • ❑ Outdoor Landscape Lighting* O Protective Signaling O Other: Total number of commercial systems: ..2• *No licenses are required. Licenses are required for all other installations L•lBuildioslPermitslELC_Pe mitApp_ELR ERE doc Rev 06/17/2015 Electrical Permit A l TED / EJt af-b APP-1- e_A-T7 o-J City of Tigard FOR oFrlcf, (SF ONLY tt 13125 SW Hall Blvd„ Received t Ir Phone: Tigard,OR 9�''72 Dat ; 3 503,718.2139 Fax: 503.5 J 960 3 2 017 Plan Review crest#: e/...4,361/�� OO i/Q T t[ E,n Inspection Line: 503.639.4175 Ready `t [ Inspect: tin g p� � i . . vw.ti aril-or.gov C ITJ Vt i�/s p Ready Date/By: 4.1► R ll 1 0.l tl NotiQediMethod i� r� See Page 2 for mmamm ®New construction —�� RD i" Iw `�'`' #` �. Supplemental lnformatiun ❑Add 011% ra tonheplacem' "`L ' ❑Demolition Please check ' 0 Other: apply(Submit Z sea of plans wRtems checked). CATEGORY OF ®Service or feeder 400 amps or more 0 Building over three stones. ❑ 1-and 2-family dwellingCONSTRUCTION xceee the,000able fault current ®Commercial/industrialAccessory exceeds!0,000 amps at 150 volts or Marinesmer and boatyards, ❑Multi-family 0 Access0 building less to ground,or exceeds l4,poo 0 Floating buildings, ❑Master builder ❑Other: amps for all other installations, Commercial-use agricultural " JOB SITE INFORMATION.... buildings. _'LVD LOCATION: ❑Fire pump. Job 4: ®Emergencysystem. ❑largerlatioa le150riVAa Job site address:13125���~�"—_... SW Pacific Highway ' " City/State/ZIP:Tigard, ❑Addition of new motor load of separately derived OR 97223 Six or or more, system. Suite/bldg./apt. ❑ or more 0"A",c `nc"1-2","1-3", g./apt.4: Project name:Specialty Retailer residential units. occupancy, ❑Health-care facilities. Cross street/directions to ❑Hazardous locations. 0 SupplyRecreatiolalta rvehicleparks. than job site:SW School St&SW voltage for more than Pacific Highway ®Service or feeder t 00 yam or more. 600 volts nominal, Subdivision: nescri tion New residential d single-or multi-family ® Total 4 ni Tax map/parcel#: Lot#:200 Includes attached:ao family dwelling unit 1,000 sq.ft.or less DESCRIPTION OF WORK Ea add'1500ma�u New single story specialty retail store;assocaited site work includeinor portion Limited energy,residential lot,site furnishings and landscaping g parking with above s•.R. 75,00 �® Limited energy,multi-family all t],PROPERTY OWNER residential with above s..R, 75,00 �� ._`...'." -------- � TIsNA,�V'I• Renewable Ener•, illi --- Services or feeders installation,alteration,and/or relocatio Name:Vitamin Cottage Natural Foods Market Inc n Address:12612 W Alameda Parkway 200 amps or less City/State/ZIP:Lakewood,CO 80228 201 amps to 400 amps Cli 100:70 401 amps to 600 amps IIIII 133.56 _Q Phone:(303)986-4600 MI 200.34 Ito 601 amps to 1,000 amps Over 1,000 amps or volts 11301.04 Owner installation:This installation is being made on rope WESECIIMEMB Temporary services m•feeders installation,alteration,and/or intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701 retoeation property that I own which is not 200 amps or less Owner signature: 201 amps to 400 am 59.36 - 3 1 Date; � 125,08 ` Q APPLICANT 401 amps to 599 amps 10 CONTACT PERSON � Business name:VegaBranch circuits—new alteration Architecture A.Fee for branch circuits with or extension, ,et�hn�' Q ct name:25107 Genesee Trail Rd above service or feeder fee, �� Contact Address:25107 Genesee Trail Rd branch circuit 56.18 each branch circuit1 , Conta , !' r; z H.Fee for branchnch circuits wit/:oat , City/State/ZIP:Genesee,CO 80401 service or feeder fee,first IIIMMINIMID Phone:(720)390.3891 Each add't branch circuit Email:cfisher ve Fax::( Miscellaneous service or feeder not included Q gaarehitecture.com Each manufactured or modular dwelliRecon •.service and/or feeder 1111=�© Business name:TBD CON i Rr1C1{?R �" "i� "--- —— —_ Reconnect only Pump or irrigation circle -�=® Address: Sign or outline lighting Effignel Signal circuit(s)or limited-energy �� City/State/ZIP: net,alteration.or uniteextension. � umEgniming Phone:( Each additional ins.ection over allowable in •Additional inspection(1 hr min) ® of the above PhoEmne: investigation(1 hr mill) industrial plant(I hr mofee is • Inspections for which no fee is ���'® Suprv.Electrician signature,MIIIIIIIMEMETEMIN Suprv.Lie.: sPeclfi%a fisted tar mm gnature,required: _,..-._�j, 90.00/hrIII ELEICI'RICAL PERMIT FEIN,�- Date: Subtotal: ❑Plan Review Required(25%of permit tee): r �=a -- Slate surehaz.e(12%of permit fee): Authorized signature: Print Ikgraggp name: Corey Fisk TOTAL PER This permit application ted FEE: lrlBuildin w MUT Date; .�S pp ication expires if a permit is not obtained within iso B ermits1ELC_PermiWpp_E ERE doc Rev 06/17/2015 days after it has been accepted ' Number of inspections allowedperP as complete. dq0-4615T(tlNsiC0t.4AVEB permit Branden Taggart From: Mike Piscitelli <mike.p@coxelectricoregon.com> Sent: Thursday, December 21, 2017 12:20 PM To: Branden Taggart Subject: RE: Specialty Retail Electrical Permit: ELC2017-00491 Attachments: Natural Grocers Tigard Electrical Permit12212017.pdf Branden, Thanks so very much for your help! Just to make sure the license numbers are legible: CCB 206055 BCD C1096 Supervisors Lic#5769S Michael J. Piscitelli From: Branden Taggart [mailto:brandent@tigard-or.gov] Sent: Thursday, December 21, 2017 12:00 PM To: 'mike.p@coxelectricoregon.corn'<mike.p@coxelectricoregon.corn> Cc: #Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Subject: Specialty Retail Electrical Permit: ELC2017-00491 Hello Mike, Per our phone conversation, I have attached the electrical permit application above for you to sign and return to us. Please include all of your license information as well as the business address. Thank you, Branden Taggart INs City of Tigard % Permit Technician Community Development TWA 4D 13125 SW Hatt Blvd Tigard, OR 97223 (503}718-2449 brandent@tigard-or.gov ------- DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 Dianna Howse From: Dianna Howse Sent: Tuesday,August 15, 2017 4:51 PM To: 'cfisher@vegaarchitecture.cam' Cc: #Building Permit Technicians Subject: ELC2017-00491 - Specialty Retailer Attachments: ELC2017-00491_Invoice.pdf Hello Corey, This electrical permit is ready to issue and I have attached a copy of the invoice for the fees due in the amount of $3,828.74. You can pay these fees online at https://aca accela com/tigard/by searching for the permit number ELC2017-00491,or in person when you pick up the permit Monday-Thursday, 8:00 am to 4:30 pm. We are closed on Fridays. Please note thatprior to issuance we must have a completed electrical permit application identifying the electrical contractor and that is signed by the electrical supervisor. You can present the signed application when you pick up the permit or you can email it in advance to TiardBuildingPermits @ti and or gov. Please include the permit number ELC2017-00491 on the signed application. Thank you and please let me know if you have any questions. Dianna Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd.,Tigard, OR 97223 503-718-2430 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1