Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00520
c COMMUNITY DEVELOPMENT DATE ISSUED: 9/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 1346C 00500
SITE ADDRESS: 12388 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: PP1993 -057 LOT : 001 JURISDICTION: TIG
PROJECT: MCDONALDS
Project Description: Electrical service and circuits for new beverage center.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 7 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
MCDONALD'S CORPORATION NEW TECH ELECTRIC
036/0002 13970 SW 72ND AVE
PO BOX 66207 PORTLAND, OR 97224
CHICAGO, IL 60666
Phone: Contact #: PRI 5036481900
FAX 503 - 670 -9571
FEES
Description Date Amount Reg #: ELE 26 -4I8c
[ELPRMT] ELC Permit 9/9/2008 $126.85 LIC 41868
[TAX] 12% State 9/9/2008 $15.22 SUP 4286S
Total $142.07 REQUIRED ITEMS AND REPORTS
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This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended - • • - • -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those • es are set forth • OAR 95 - 001 -0010 through OAR 952 -001 -0100. You may obtain - • - •f these rules or direct questions to OUNC at
503. '6.6699 or 1.800.33- 13 .. .
Iss -d By: �% � � / Permittee Sig ��1 ter
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: i %iJ ! V"� - DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
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_ ' 09/05/2008 16:26 5036709572 NEW TECH ELECTRIC PAGE 01/01
�1Cat FOR OFFICE USE ONLY al Permit App 1 5 of : f -- /gt 6 00
Received Pcrmlt No.: , O�c7 0t
City of. Tigard Receiv
u 13123 SW Ball R 97223 Plan Review Other Permit:
ll Blvd., Tigard.
. IR DnIc/B Ju Sec Page z for
Phone: 5n Line: Fax: 503.598.1 0 Date Ready/By: 0 Sec information
TIGARD Inspection Line: 503.639.417 Notified/Method: _ ' `G
intcrnet; www.tlgard- or,$ov PLAN REVIEW
TYP OF WO RK 1 ubmit 2 setaofpinns wlite,
what ats checked below):
❑ New construction
Please Chec alS nDP Y ('•
® Addition / alteration /replacement ❑ Sorvice or fader 400 amp or more ❑ Building over three stories.
Other: where the available fault current ❑ Marinas and boatyards.
❑ Demolition _ ❑ - exceeds 10,000 amps at 150 volts or ❑ Planting buildings.
CATEGORY OF CONSTRUCTION lass to ground, or exceeds 14,00n ❑ Commercinl.nsc agricultural
El 1- and 2- family dwelling ® Commercial /industrial ❑ Access 1 building amps for all other installations. building.
lldig .
ry 0 Fire puma. 0 I uil d i neon of 75 KVA or
❑Multi - Family ❑Master builder ❑ Other: Fir derived system.
❑ Fir pum cy system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of 0 RE ev ,1 -2 ", "1 -3 ".
I00NP nr more. occuan
SW Scholls Ferry Rd. Si r or more residential units. O Recreational vehicle Darks.
Job no.; .fob site address: 12388 RY ❑ ❑supatyvohagcfar
Health - care facilities. 60O volts nominal.
City /State/ZIP: Tigard, OR. 97223 ❑ Hanurdous locations.
Project name: IVICT)O O Service or feeder 600 amps or more.
Suite/bldg. /apt, no.; I FEE SCHEDULE
Dcarlpfnn „ I Qt�l Fee 1 Tolnl I "
Cross strect/dieections to job site: _ New residential single- or multi- family dwelling unit
r' includes attached garage.
Subdivision: [Cot no.. 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft, or portion 33. j
Tax map/parcel no.: -- Limited energy, residential 75,00 2
DESCRIPTION OF WORK (with above sq. ft.)
_ _ Limited energy, multi- family 75.00 2
Add circuits for new coffee bar residential (with above sel. ft.) _
Services or feeders installation, alteration, and /or relocation
200 amps or Icty 1 80.30 80.30 2
--
0' PROPERTY OWNER 1 TENANT 201 amps to 400 amps _
106.85 2
401 amps to 600 amps 160.60 2
Name: M.cDonaltls _601 amps to 1,000 amps 240.60 2
Address: 12388 SW Scholls Ferry Rd. Over 1,000 amps or volts 454,65 2 ,
Temporary services or feeders installation, alteration, and /or
City /State/7_1P: Tigard, OR. 97223 relocation
Phone: (503)590-6497 . i Fax; 200 amps or less 66.85 �
( ) 201 amps t0 400 amps 100.30 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - ncw, alteration, or extensln , per panel
Owner signature: �Date: - A. Fee for branch circuits with
• ❑ APPLICANT J ❑ CONTACT PERSON above service or feeder fee, 7 _ 6,65 46.55 2
each branch circuit
Business name; TES Commercial - Formely NewTech Electric B. Fee for branch circuits
without service or feeder fee. 46.85 2
Contact name: Doug Cole first branch circuit
an Ave. Each add'I branch circuit 6.65 2
Address: i 3970 SE 72 Miscellaneous (service or feeder not included)
City/State /ZIP: Portland, OR. 97223 Each manufactured or modular 90.90 2
dwellin_, service and /or feeder
" 1 >
Phone: (503) 648 -1900 I Fax: : (503) 670 - 9571 Reconnect only - 66.85 L 2
E-mail: _ Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuits) or limited
Business name: I1;S Commercial - Formed NewTech Electric energy panel, alteration, or
_. extension. Describe: Page 2 2
Address: 13970 SE 72" Ave. ,
City/State/ZIP: Portland, OR. 97223 Each additional inspection over allowable in any of the above
Pcr inspection 62.50
Phone: (503) 648 -1900 I Fax: (503) 670 -9571 investigation per hour (I hr min) 62.50
Electrical Lic.: Suprv. Lie.: �/7,g4.5 industrial plant per hour 73.75
GCB LTC.: ��1(oe� Zlo�y�� C. ELECTRICAL PERMIT FEES •
Suprv. Electrician signature, required: Subtotal: 126.85
Plan review (25% o f pemit fcc):
� pate: 9/70 S tate surcharge (12% of permit fee : 15.22
Print name: =,1 ' ,,� �� _,ii g p )
Authorized signature: TOTAI. PERMIT FEE: i 142.07
This permit aaplicnfiDn expires it a permit is Oct obtained within 180
Print name: Date: days after it tins been accepted as complete.
• Number of inspections allowed per permit.
1: 11Lildm5 \lermits \ELC- PermitAPO.rtoe 05/271x', 44n- 4615T(IIIn; /COMM613
(/e4 r
1
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ez.Gkog_e06a0 REQUIRED ON GREEN INSPECTION CARD.
Code I Inspection Description PASS Date By ✓ Code I Inspection Description I PASS Date B
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing x 125 Wall cover
210 Foundation walls ?[ 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors >e 199 Electrical final .
• 240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
. 260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
• 810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 , Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
_ 999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing _ 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer .
498 Grading final 595 Misc. inspection:
_ 499 Final inspection 599 Final inspection
I: \Building \ Forms \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELG2008 00570
13125 SW Hall Blvd., Tigard, OR 97223 d DATE ISSUED: 9/9/2008
Phone: (503) 639 -4171 pj�
Inspection Requests (24 Hrs.): (503) 639 -4175 ;.1.1!.
INSPECTION WORKSHEET FOR DATE: 912:U2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: CLASS OF WORK:
12389 SW SCHOLLS FERRY RD
SUBDIVISION: PP1993 LOT #: 001 TYPE OF USE:
PROJECT NAME: MCDONALDS
DESCRIPTION: Electrical ceivice and circuits for new beverage center.
OWNER: MCDONALD'S CORPORATION, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503648/900
Inspection Request Scheduled For: Date: 9/22/ 20U8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 07575601 503 - 969.9846 Y
Corrections /Comments /Instructions: EAT. M
IA
r\
c
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I 1 v 66 Date: 1 to Phone #: (503) 718- viLlt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00520
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 919/2008
Phone: (503) 639 -4171 f 1 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/19/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 12388 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: PP1993 i7 LOT #: 001 TYPE OF USE:
PROJECT NAME: MCDONALDS
DESCRIPTION: Electrical service and circuits for new beverage center.
OWNER: MCDONALD'S CORPORATION, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 5036481900
Inspection Request Scheduled For: Date: 9/19/2008 Pour Time:
Code # Inspection Description e . • Contact # Message
199 Electrical final 075648.01 503. 969 -9846 Y
Corrections /Comments /Instructions: NA( (
q69 9'1
4 oN • �tZ:k.iAN To
% L) i /4 s ue. w e)2-(4_ O`er l
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918 -271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 6E3 LE" Date: clipcii I Phone #: (503) 718- !-m,
_ _