Permit CITY OF TIGARD ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: ELC2019-00191
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2020
T[`+AJ'.J 1 g Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY Z3
Project: Starbucks Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Electrical for a new Starbucks coffee shop with outdoor seating and drive thru facilities.
Contractor: ON ELECTRIC LLC Owner: SN PROPERTIES PARTNERSHIP
15555 SW BANGY RD 1121 SW SALMON ST
LAKE OSWEGO, OR 97035 PORTLAND, OR 97205
PHONE: 503-313-6016 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Plan Review Electricial 04/07/2020 $245.66
Specifics: 1 ea Services or Feeders-201 to 04/07/2020 $133.56
400 amps
Type of Use: COM 87 crt Branch Circuits w/Purchase 04/07/2020 $645.54
Class of Work: ALT Service or Feeder
Type of Const: 3 ea Sign or Outline Lighting 04/07/2020 $203.52
Occupancy Grp: 1 ea 12%State Surcharge- 04/07/2020 $117.91
Electrical
Total $1,346.19
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �-
a
Issued By: Permittee Signature: o f ot.�>
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale.lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Iectrieal Permit Application '.11)11011 tt'► t QF tiN%
u« .,-,a
City of Tigard VECE„VEL) oatemy: 3 q t Puna m ; iG' 0!j- j f$t
y e 13125 SW Nall 111vd.,Tigard,OR 972 Nan Review • t Related Permit k: f ! /1� Jr�j Phone: 503,718,2439 Fax: 503,598.1 Date/By; d
1 IL Rif inspection Lille:B 03.b39.4175 MAR A 1019 ReadyDal , OP lads PI Page2 far
. IMMICI: www,fi ard-or,gov " Iedfhtet d; 4J /4 �l ., S0p please tsl info rmatio0
.r\ LJY .T'R%X"�lS .
TYPE OF WOR 0 6 - r it PLAN IIEV1EW
[1 New conslnctfon CI Add ilion/alteratiottkot, t Please check all that apply(submit 2tinof plans w/itemechecked):
�Servtee or feeder 400 amps or more InBurlding over ranee nodes.
0 Demolition 0Other: , ,+f�. where the available fault;meet 0 Marinas and boalyards.
• CATEGORY OF CONSTRUCTIO .rr,f ,' r exceeds 10,000 amps at 150 voila or ❑Floating buildings.
D I-and2-family dwelling ire Commercial/Industrial I ',. 'd, r ! lets to ground,orexceeis14,000 ❑Commcrcia!•usaagecunuml
❑Multi-family 0Masterbuilder /f' M amps
ropump all ether installatlonr, buifdings.
❑Kira pump. 0 1»stallarion of 150 KVA or
.IOB SITE INFORMATION AND LoCAT ON UEmergenaysystem. larger seyatatetyderived
0 Addition of new motor load of system.
Job#: Job site address:16200 SW PACIFIC HWY 10011P or more. El"A","E","1.2","1.3",
City/State/ZIP;TIGARD,OR 972,24 '7 M1 ❑six or more raidentialunits. occupancy,
❑Health-care facilities, ❑RecreationalvehicleNAL
Suite/bldg./apt,#:7,3 Project name:STARBUCKS ❑Hazardous locations. ❑Supplyvloliage for more then
❑Service or feeder 600 amps ormore, 400 volts nominal,
Cross street/directions to Job she:PACIFIC HWY W&SW DURRAM RD FgE SCIIEDL) E
Don-fo ga I Oly, I eaea I Tale: I •
New residential single-or multi-family dwelling unit.
-4.,. `Subdivision: Lot#: Includes attached garage.
Tax map/parcel#;2SI I5BA02S00 I,000 sq,R,or lets t68.54 4
Ea add'1500 sq.P.or po tlon 13.92 1
D $CRPTION OF WORK Limited energy,residential 75,00 2
Tenant build out of existing building,new service end meter,lighting,BTUs (with above sq.ft.)
a► Limited energy,multi-family 7500 2
coffee equipment,DT equipment,etc. raidendal(with above so.n.)
Renewable Energy I_See Page 2
T> bj!E[iTY OWNER j '`• TENANT Renewable
or feeders installation,alteration.,and/or relocation
tk Name:STARliUCKS COFFEE COMPANY 200ampsorless 100.70 2
Address:2401 UTAH AVENUE SOUTH 201 amps to400amps i 133.56 2
401 amps to600 amps 200,34 2
O ity/State/ZIP:SEATTLE,WA 98134 601 amps to 1,000 amps 301.04 2
, Phone:(206)318-1575 I Fax:( ) Over 1,000 amps or volts , 552.26 2 '
Email: Temporary services or faders Installation,alteration,and/or
relocation
,t Owner installation:This installation is being made on property that I own which is not 200 amps or less 59,36 t
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to400 amps 125.08 2
_1/4)' Owner signature: Date: 401 amps to 599 amps 168,54 2
Nil , ' i_+ esl PLICASer • 1 d Co(JTe1C'tr Pfi tSdN • Branch circuits-nerve alteration,or extension,pa panel
A.Pee for trench eirculta warn
Business name:GPD GROUP Contact name:GUY RiPLEY
Address:4600 E WASHINGTON ST#310
City/Slate/ZIP:PHOENIX,AZ 85034
above service or feeder fen $'
each branch circuit 7.42 2
0.Fca forbrarxh circuits wlrhour
service or Rau fa,first 5618 2
branch clrouit
Each add'l branch tartan' 7.42 2
Mlteeileneous(service or feeder not Intruded)
Phone;(602)733 6202 Fax;:( ) Each manufactured or modular ' 67.84 2
Email:it
gripley®gpdgroup,com dwelling,service end/or feeder
sordy 67.84 2
® CONTRACIOIt Pump orfrrlgauoncircle 67,84 2
Business name: Joesph Hughes-Construction `La 5,44, ii G6c_ sign oroutlinelighting 5 . 67.84 2
Signal circuh(s)or Limited-energy
Address: 11125 SW Barbur-Blvd / eI,aneratton,txexlemton. ❑ SeePage2 2
� '�� ) u f>f � c h additional inspection over allowable In any of the above
City/State/ZIP: Portland R 7-4;} �ji Jsi,kyLiz D
�� �L Additional Inspection(I hrmin) 6525/hr
Phone,( 503)624-7100• - 3 • Pax:( ) lnvesllgetion(I hrmin) - 90.00/hr
Email: mdonner@jhc-companies.com industrial plantfor
whichnohr 70001ii i
I3 Inspections far no fee is
CCB Lie,:2 510l 8061 •Electrical Lic.: C 1078 7/ ( Suprv.Lie,. 3o9.5"S specifically listed OS hr min) 90.00lhr
ELECTRICAL PERMIT FEES 1
Suprv.Electrician signature,required; , " Subtotal:
Print name: �J ENoc._ Date: ' ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fro):
Authorized signature: TOTAL PERMIT FEE:
Print name: GUY RIPLEThis permit applkatiaa'spires]fa permit is not obtained wlthia 180
Date: 3/4/19 days Bier it has been actepted as torvplele.
• Numbcr of iorpections allowed per permit.
I lnuadl°aVkrmn,lgLC_p pp_aLFLERa.doo Rey06/17/2015 440-46151(11M1/COMAYEO
Electrical Permit Application ` F(IR OFFR F I se(yyi.v
` City of Tigard Received !21�' �J G
Permit 0: '�' ny1 r —i.�)I-iL
:� • 13125 SW Hall Blvd.,Tigard,OR 972�99]]C rE�VE DateBy: 3 • ej I ,v 1.1
CiV
a Phone: 503.718.2439 Fax: 503.598.I�bI1 Plan Review
DateB : j`w � Related Permit k, ,-C) C
"r I c; h 1) Inspection Line: 503.639.4175 rs p O 1.019 Ready Dat : '.� ,7 /p Inns 63 See Page 2 for
Internet: www.tigard-or.gov �{� ff ded/Melh.d. For
41 Supplemental Information T
TYPE OF WOR Or �1llG
K( �N IVISION — r , PLAN REVIEW
❑New construction ®Addition/alteratioebg11131Rlt� Please check all that apply(submit 2 sets of plans w/items checked)'
lSl Service or feeder 400 amps or more 0 Budding over three stories.
El Demolition ❑Other:
0 '' where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTIO 14 " exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0commercial-use agricultural
❑ I-and 2-family dwelling LEI Commercial/industrial
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ the ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived
Job#: I lob site address: 16200 SW PACIFIC HWY El Addition of new motor load of system.
IOOHP or more.
City/State/ZIP:TIGARD,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:Z3 I Project name:STARBUCKS 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:PACIFIC HWY W&SW DURHAM RD FEE SCHEDULE
Description I Qty. I Each I Total 1
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#:2S115BA02500 1,000 sq.ft.or less 168.54 4
Ea.add'I 50D sq.R.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
Tenant build out of existing building,new service and meter,lighting,RTUs (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
coffee equipment,DT equipment,etc. residential(with above sq.ft.)
❑ PROPERTY OWNER Renewable Energy 0 See Page 2 —�
® TENANT Services or feeders installation,alteration,and/or relocation
Name:STARBUCKS COFFEE COMPANY 200 amps or less 100.70 2
Address:2401 UTAH AVENUE SOUTH 201 amps to 400 amps I 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:SEATTLE,WA 98134 601 amps to 1,000 amps 301.04 2
Phone:(206)318-1575 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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 I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:GPD GROUP above service or feeder fee, 9 y
each branch circuit 7.42 2
Contact name:GUY RIPLEY B.Fee for branch circuits without
Address:4600 E WASHINGTON ST#310 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:PHOENIX,AZ 85034 Each add9 branch circuit 7.42 12
Phone:(602) Miscellaneous(service or feeder not included)
733 6202 Fax::( ) Each manufactured or modular 67.84 2
Email:gripley@gpdgroup.eom dwell ing,service and/or feeder
-7/�1 Reconnect only 67.84 2
0 CONTRACTOR
Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 5 67.84 2
•
' Address: Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( ) Fax: ( ) Investigation(I hr min
ga ) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: Electrical Lie.: Suprv.Lic.: specifically listed OS hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: -
Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: GUY RIFLE Date: 3/4/19 days after it has been accepted as complete.
`---- ' Number of inspections allowed per permit.
1'Building\Permns\ELC_P pp ELR.ERE.doe Rev 06/17/2015 440-4615T(1 I/05/COM/WEB
i
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 ne °" I aIr• I Each I r°I,I I
Renewable electrical energy systems: •
Check Type of Work Involved: 5 kva or less 100 70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to25 kva 20034 2
Wind generation systems in excess of 25 kva:
I I Burglar Alarm 25 01 to 50 kva 301 04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309.0040)
❑ 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 anof the above:
❑ O• ther: Each additional inspection is 66.25/hr
charged at an hourly(I hr min)
Inspections for which no fee is 9000/hr
specifically listed(4 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
® Audio and Stereo Systems
n B• oiler Controls
Ft C• lock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
® HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
I I Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems: 2
*No licenses are required. Licenses are required for all
other installations
1 rBuildingPeroi5s"LC PeernitApp.FI A ERE doe Rev 06/17/2015
Electrical Permit Application i. j �'gr •.I FOR OFFICE USE ONLY
rA• q(►City of Tigard ReceivedDatwBy: e11m" 6l(1 G1 —Ga'�/Y/
• 13125 SW Hall Blvd.,-figard,OR 97223 MAR 7 2019 Plan Review
r • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit a.
FIG,5 P.I) Inspection Line: 503.639.4175 cm?V OF TIGARD
ti Ivry Ready Datc/By: Luria 0 Sec Page 2 for
Internet: www.ligard-or.gov ! t t71'N1LJ Notified/Method: Supplemental Information
al 111 DING DIVISION
TYPE OF WORK PLAN REVIEW
t Please check all that apply(submit 2 sets of plans w/items checked)-.
❑New construction ®Addition Addition/alteration/replacement
❑Demolition ❑Other: ®Service o feeder 4le amps oe more ['Building over three dsries.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings.
El I-and 2-family dwelling ®Commercial/industrial ❑Accessory building
less to ground.orexceeds14,000 ID Commercial-use agricultural
amps for all other installations, buildings.
❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 16200 SW PACIFIC HWY 100HP or more
City/State/ZIP:TIGARD,OR 97224 0 Six or more residential units. 0occup Recreationala vehicle parks.
cy.
❑Health-care facilities.
Suite/bldg./apt.#:Z3 Project name:STARBUCKS ❑Hazardous locations ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:PACIFIC HWY W&SW DURHAM RD FEE SCHEDULE
Description I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:2S115BA02500 000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.II,or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Tenant build out of existing building,new service and meter,lighting,RTUs
(with above sq.ft.) 75.00 2
Limited energy,multi-family 7500
coffee equipment,DT equipment,etc. residential(with above sq ft_)
Renewable Energy ❑ See Page 2
0 PROPERTY OWNER ® TENANT Services or feeders installation,alteration,and/or relocation
Name:STARBUCKS COFFEE COMPANY • 200 amps or less 100.70 2
Address:2401 UTAH AVENUE SOUTH 201 amps to 400 amps 133.56 2
401 amps to 600 snips 200.34 2
City/State/ZIP:SEATTLE,WA 98134 601 amps to 1,000 amps 301.04 2
Phone:(206)318-1575 Fax:( ) Overt 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 1 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
El APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A Fee for branch circuits with I
Business name:GPD GROUP above service or feeder fee, 7 42 2
each branch circuit
Contact name:GUY RIPLEY B Fee for branch circuits without
service or feeder fee,first 56 18 2
Address:4600 E WASHINGTON ST#310 branch circuit
City/State/ZIP: PHOENIX,AZ 85034 . Each add'I branch circuit 7 42 2
Miscellaneous(service or feeder not included)
Phone:(602)733-6202 Fax::( ) Each manufactured or modular 67.84 2
Email: ri le �a d rou corn dwelling,service and/or feeder
g p yvgp g p' Reconnect only 67.84 2
-rep CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Address: Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional Inspection(I hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90 00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lie.: Electrical Lic.: Suprv.Lic.: specifically listed(7:hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature.required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit tee).
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within ISO
Print name: GUY RIPLEy " Date: 3/4/19 days after it has been accepted as complete.
i�.�— • ' Number of inspections allowed per permit.
I_\Building'Permiis\ELC PeKte,ELft ERE doe Rev 06/17,2015 440-161571t t/05/C0MJWEB
Branden Taggart
From: Branden Taggart
Sent: Friday, March 15, 2019 4:48 PM
To: gripley@gpdgroup.com
Cc: Darwish, Rafia;#Building Permit Technicians
Subject: Starbucks Permit Submittals: 16200 SW Pacific Hwy Z3
Attachments: Starbucks Permit Applications.pdf; SIT_PermitApp_080216.pdf; PLMF_PermitApp.pdf
Hello Guy,
We received your permit submittals for the Starbucks located at 16200 SW Pacific Hwy 23. However,we are missing
various information that we will need to process these permits and to complete plan review:
Site Work:
• The valuation on the application is the same as the building permit valuation: $812,000.00. What is the
valuation specifically for the site work? The site work valuation needs to be separate from the building permit
valuation.
• We received (1) set of site work plans. We will need to receive (2) additional sets of civil plans. I have attached
our site work permit application above for you to reference with the permit requirements listed.
• We did not receive a signature at the bottom of this application. We would appreciate it if you can sign, print,
and date the application and return it to us.
Mechanical:
• What is the valuation? We need the valuation of this work to determine fees. Please enter the valuation on the
application and return it to us.
Electrical:
• The application was missing the quantities in the fee schedule. Please enter the quantities on the application
and return it to us so that we may begin plan review.
Plumbing:
• We are missing the plumbing fixture quantities in the fee schedule. Please enter the quantities on the
application and return it to us.
• The second page of the plumbing fixture application was not included with your submittal. Please submit the
second page with the completed Commercial Fixture Work section. I have attached the plumbing fixtures
permit application above for you.
If you have additional questions, please let me know.
Thank you,
1