Permit CITY O F T I GA R® ELECTRICAL PERMIT
T y PERMIT #: ELC2007-00628
COMMUNITY DEVELOPMENT
DATE ISSUED: 9/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BC-00100
SITE ADDRESS: 12100 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
PROJECT: 7- ELEVEN
Project Description: (1) branch circuit for power and connection for new sign lighting. Job No. 1577
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 0
LIMITED ENERGY: 401 - 600 amp: SIGNALJPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
•
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
7- ELEVEN CORP FOX ELECTRIC COMPANY
2711 N HAS KE LL PO BOX 42256
DALLAS, TX 75206 PORTLAND, OR 97242
Phone: 253 - 796 -7169 Contact #: PRI 503 - 233 -3033
FAX 503 - 233 -8002
FEES
Description Date Amount Reg #: ELE C23
(ELPRMTI ELC Permit 9/10/2007 $46.85 LIC 163254
[TAXI 8% State Surcharge 9/10/2007 $3.75 SUP 4389S
Total $50.60 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those ru t4prth in • • R • 52- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.2 .6699 or 1 .80'. .
Issu d By: ` ,# , . ` Permittee Signature* '!MMA
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'N: ! IMI c— -- DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Electt 11 Periniiii2opllication
City of Tigard "* 9 e......... 7 ed pennitNo.: e/-4,00.07,006A
Doday: r ii, k, v A 1
/
I 13125 SW Hall Blvd., TigalWAL ') r -- Plan Revicw
M oue: 503,639,4171 Fa 5 3.1" I
Y' _ Vi . Date!r_13 . Ormit:
i } ,..; A I: i..) InsPectim Line: 503.639.4175 — ! Cf ___, Date ReadY/BY: A ' 51 Sr e Paige 2 for
Internet www.tigard-or.g0V s F p Notifiod/Method: I LA ) Supplemenhil Information
:;:::. : :' :,;.: ' .:: • : '': : •••'.:. ' , :i •''7-1 g :::; ::'...:5: , ::. '':,..:': ..:.,:;;;• .:..:.: ;• :,.;:.:,.....,:, ..:.::....:12!.•N;':.: ',... e :'..' "'-; ' 7.'•-• " , ....,: '. • ' "' ' . . '.- ::;.
' 0 N ' cw construction .), dr j a). . . - . •. 4 Please check - all dud apply (submit I seta of plans writerns theeked below):
.W_. •...., ent
0 Demolition 0 Other: n \!L ,,,,, . N i , :10) A , o some," feeder 400 amps or more El Buildies over three tactics.
whore the available fault =rem 0 Marinas and boatYltda-
=:' ' '' ' '' ' ' ' . ' :. ‘ . '':.• : :`.itaTE ..', ,-vo :' (- 1, ‘, ::',::::,:,,.,, exceeds 10.000 amp$ a 150 volts or El Floartng buildniaa.
0 1 - and 2-family dwelling .11 Commercial/industrial 0 Accessory building amps f all other installations. buildings.
0 Multi-family El Master builder 0 Other: 0 Fire pump. D Installation of 75 KVA or
, , , 0 Emergency system. lupe' separately derived syrlem. •
" 100)T or more. occupancy.
Job no.: 1 Job site address: 1 2 OD .5 Ls F .. in six or owe residential units. 0 Recreational vehicle parks.
City/State/ZIP: T
., 0.4 _,..... (:)?.. El Health-eare faellities. El Supply voltage for more than
Cl ••L Hazardous locations
1:3 Service or feeder 600 amps or more. 600 vats nominal.
Suite/bldg./apt no.: Project name: 1- 1, _ sil-tx
' 1::::1-,::::::' 4 :' - .::'i,::4
Cross street/directions to job site: lel; imikg Total „.1._
New residential single- or multi-family dwelling mit.
Includes attached garage. .
Subdivision: Lot no.: 1.000 sq. it. Or less 145.15 , 4
• - Es. add't 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
—_ 75.00 2
PPPtnrrMN-:A1'V.1;*1j0, .. ,,;:.:,:,:?, :.,1 : :: ; - .: :.'. . ,i. :;'.. _ with above 4. ft
L energy, multi-family WI 75.00 2
P00)-..-r 41,7___ , residential (with isbove sq. ft)
"Services or feeders installadon. alteration. and/or relocation
: 200 amps or Is 80.30 2
1:1 PROPERTY : OWNER; ' , : :: . : „.::::,,:: : ' s ., ,_ , : : ...,....,. . 201 amps to 400 amps 106.85 2
— ,
Name:
401 amps to 600 amps 160.60 2
- - 601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: . _ . relocation
Phone: ( ) Fax: ( ) 200 amps or less I 66.85 1 I
4
Owner installation: This installation is being made on property that 1 own which is not 201 amps to - 00 amps 10030 2
intended for sale, lea 1 am
se, rent, or exchange, according to ORS 447, 449, 670, and 701. 40pS to 599 amps L 133.75 2
Branch circuits - new alteration or extension 1 r I anel
Owner signature: _Date - A. Fee for branch circuits with
' .
::: ,..:, :,-,..:, ::70;e6,144A0:44,1tios ' :: i: ,: : above service or feeder fee, 6.65
each branch circuit
Business name: B. Fee for branch. circuits IM
• WM
. without rgiCe or feeder fee
Contact name: 46.85 PiriM. 2
first branch circuit fee, -
_
Address: Each add'l branch circuit ME 6.65 2
ti) . Miscellaneous (service or feeder not indudep -
t4') City/State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and)or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 -
I . -
E Pamp or irrigation circle 53A0 2
4----- 53A0 55-f¢5
1,.. ..': : :: : ;; '':%;;"::: •.] : '.; :::::: T;; :::.!: Y : :' 'I .:::;.:;., : ::: ..,..Y ; 7: .;::: Sign or outline lighting
\
usiness name V-- Signal circuit(s) or limited-
C))( 04 B.
- r C 5...\__P...e-..- _r
---4-:' energy panel, alteration, or
extension. Describe; Page 2 2
1 Address:
N City/State/ZIP: C r.. 242_, Each additional inspection over allowable in any"( the above
-
Per inspection 62,50
Phone: (503) 23 _.' • Fax: ( 3) 2-3S -- . .402- Investigation per hour (1 hr nun) 62.50
-- •
EZIIIIMM Electrical Lk.: , 14. —11311Mir 1 65 Indusbial .1ant per hour
,; . 7
Suprv. Electrician signature, required: AIWIPIF AV Subtotal: 6. g
ul _4•-• ' -
...,
. Print name: ? ate: 7 7 p 7 plan review (25% of permit fee):
41 ;
...... • ' .4. State surcharge (8% of permit fee): 3 -7‹
1 , Authorized Stu( 0111111.41111Prier TOTAL PERMIT FEE: 60 • (oD
.._..--........ Air ,- -
12M11FALWAtiMqw-a"MIA Date: 7 7 c.37 This permit appllestion mites if a permit ie not obtained within 180
d fter
ays a it has been accepted AS COMPIgee.
» • lumber of inspecticos allowed per pennit;
iNn Ant 05/23/06 4464615r(itreS/COM/WEn
C0/Z0 39Vd
10 PE:ZI L00Z/80/60
CITY OF TIGARD
BUILDING DIVISION PERMIT #: • Et_(')007 -006?8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 /10 /2f;O/
•
Phone: (503) 639 -4171 �ai
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'!J 1
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:0(IAM PAGE: 4
SITE ADDRESS: 12100 SW SCHOLLS FERRY Rte CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: 7-ELEVEN
DESCRIPTION: (1) branch circuit for power and connection for new sign lighting. Job No. 1577
OWNER: 7 ELEVEN CORP, PHONE #: 253 796.71 &;9
CONTRACTOR: FOX FLEUR'C COMPANY PHONE #: 503- 233 -3033
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description • • irm # Contact # Message
199 Electhical final 061234 -01 971 - 246 -2338 Y
Corrections /Comments / Instructions:
ea\
.\
\(-\
(-)
PASS 1 1 PARTIAL APPROVAL fI CANCEL ❑ NO ACCESS
1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Vv d4J Date: KO (pl Phone #: (503) 718- /40