Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: ELC2006 -00526
DATE ISSUED: 9/20/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AC - 01900
SITE ADDRESS: 12615 SW 72ND AVE ZONING: C -
SUBDIVISION: LOWE'S HIW, INC LOT: JURISDICTION: TIG
Project Description: Lowes Tigard #1108. Interior Remodel. On site contact Devin Lebarre 503 - 708 - 0807. Job # 10304.
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:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
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: 50 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:
LOWES BERG ELECTRIC CORP
12615 SW 72ND AVE 6026 NE 112TH AVE
TIGARD, OR 97223 PORTLAND, OR 97220
Phone: Contact #: PRI 503 - 255 - 1818
FAX 503 - 255 -1919
FEES
Description Date Amount Reg #: ELE 37 -682C
[ELPRMT] ELC Permit 9/20/2006 $412.80 LIC 110521
[TAX] 8% State Surcharge 9/20/2006 $33.02 SUP 4631S
Total $445.82 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 rules are set
forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: 77 7j Permittee Signature: S p. ,
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: 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.
SEP€,19 -2006 17:02 Fr om: To:5035981960 P.2
• Ele Permit Application FOR OFFIC:F: USE ONLY
City of Tigard
9 7 ' �. .
` ° R 7 �.. � a i Permit No / 7
13125 SW I l a n Blvd., Tigard, OR - /� °'�
�� elan tter;o
Phone; 503.639.4171 Fax: 503.598.1960 '"*- - 0 ' Other Permit.
Inspection Line: 503 639.4175 rtao 1„.... -. t-1 �' _ � I� �� Date Ready/13y: rune /
;3 ; RI See Page 2 for
Interact: www.ci.ligard.or,us SEP f Notified/Metbod: M Supplemental Information
TYPE OF WO]Rk ti` '':,< : ' .:. `•i...: • ;;; PI N`.REVIEW' ;`.::'.:
El New construction ' .7 P ieftsc c heck all that
Add9t�o�!` ioNrc�lacc' tffcnt apply:
Demolition 0 Ot t ❑Service over 225 amps, comm'I ❑Hazardous location
CATEGORY OF .CONSTRUCTION `; ". ❑Sc ice over 320 amps - ruling ❑ Huildng over 10,.000 sq. ft.,
• • •` of 1- and 2- family dwellings 4 or mare new residential
❑ 1- and 2- family dwelling lig. Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Q Multi - family ❑Master builder Other: ❑Building over three stories ❑Feeders, 400 amps or inure
JOB', SITE IIVFORMATION AND LOCATION DOccupant load over 99 persons ❑Manufactured structures or
A ❑F.'gress/lighting plan RV park
IA 12.101 -. 12 /we ❑ Health -care facility ❑Other:
Job no.; lob site address: . Submit' sets of plans with any of the above.
Cily/Statc /ZIP: `fl n {G OR 9-12.2- 3 e� The above are not applicable to temporary construction service. •
- Suitclbidgiapt no.; �"' - 1 Project name: Low T� l i FEE *' SCIIED LIt..:.: ` _ ''••3r:: ; • w' •
nncripdan I tin, 144 • I Total I
Cross street/diret;tiOns to job site: New residential single- or multi-family dwelling unit,
Includes attached garage.
1,000 sq. ft. or less L45.15 4
Subdivision; J Lot no.: Ea, add'I 500 sq. ft. or purtiun 33.40 _ 1
Limited energy, residential 75.00 2
*Tax mop/parcel no.: Limited energy, nun - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service und/or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps er less I 80.30 804' D 2
• ❑ PROPERTY OWNER • ••1' c _ 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Rectmnect only 66.85 2
City/State/ZIP; Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax; ( ) relocation
200 amps or less (685 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 '
intended for salt, Icasc, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new. alteration, or extension, per panel
,IKAPPLICANT 1 ❑ CONTACT PERSON A. Fee for brunch circuits with
� service or feeder fee, each �.
Business name: .1 l k � rU branch circuit 5O 6.65 3325p2
Contact name: ss \ D v \
B. without o ar service circuits
e s
T+ �y" ,�, wirhnut service or feeder fee,
first branch cirwit 46.$5 2
Address: t k IF 2 lave._
• \ .s Each udd'l brunch circuit 6.65 2
City /Statc/ZIP: i�11 ) / a k 02.. Cr,2'Zf_.) _ 4, - a - Miscellaneous (service or feeder not included)
Phone: ( ) N ( ) 0)-0'7 „? rump or irrigation circle 53.40 2
•
/ Sign or outline lighting 53.40 2
E -mail: Signal circuits) or Iimited-
CONTRACTOR. . . - .. energy panel, alteration, or
extension. Describe: Page 2 2
Business name: l�(�
Address l U, I �T141� �p , Each additional Inspection over allowable in any of the above
\ Cit /StalclZIP: _+ V• v Per inspection 62.50
y p�� r 972 Investigation per hour (I in- min) 62.50
r Industrial plant per hour 73.75
Phone: (a) 2_6-i$'18" Fax: ( '19 II
7 '; .' F:[;P:C'i;RICAL PERMIT FFir.S «::'(. ' : .
CCB Lic.: U0521 Electrical Lie.:31- 2 Suprv. Lie.: 4/63(S Subtotal yl
Suprv. Electrician signature, required- Plan review (25% of permit fee)
Print name, t ...w iZ 7 . , I Date. _� Q 6 State surcharge (8 %of permit fa) 330
TOTAL PERMiT FEE 1/1/5 r ,
Authorized signature: This permit appliestinn expires if a permit is not obtained within 180
days later if has been accepted ix pimpkte
Print name: 1 Date; • Fee methodology set by Tri- County Building Industry Service Board
• • • Number of inspections per permit allowed.
is 1D uildingTerminAEI .t:- PanuiApp.doc 12/OU 44n -Isis IIYO2/comnyI-H
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00526
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2012006
Phone: (503) 639- 4171t�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!+� I
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 83
SITE ADDRESS: 12615 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOWE'S I INC LOT #: TYPE OF USE:
PROJECT NAME: LOWES
DESCRIPTION: Lowes Tigard #1108_ Interior Remodel. On site contact Devin Lebarre 503- 708 -0807. Job # 10304.
OWNER: LOWES, PHONE #:
CONTRACTOR: BERG ELECTRIC CORP PHONE #: 503.255 -1818
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description ^ in irm-# Contact # Message
199 Electrical final 038376-0/ 503 -708 -0807 N
Corrections /Comments / Instructions:
()-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1v Date: 1el I "v Phone #: (503) 718- 1,1116
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00626
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/20/2006
Phone: (503) 639 -4171 I �
Inspection Requests (24 Hrs.): (503) 639 -4175 s ! �illl
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7 :01AM PAGE: 30
SITE ADDRESS: 12615 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOWE'S HIW, INC LOT #: TYPE OF USE:
PROJECT NAME: LOWES
DESCRIPTION: Loves Tigard #1108. Interior Remodel. On site contact Devin Lebarre 503 -7013 -0807. Job # 10304.
OWNER: LOWES, PHONE #:
CONTRACTOR: BERG ELECTRIC CORP PHONE #: 503 - 255 -18113
Inspection Request Scheduled For: Date: 1W12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 038094 -01 503- 708 -0807 N
Corrections /Comments/ Instructions:
® 5 T R p. tsibeto cerot• 61.5 stLILL Pyr v 6 co.
'1 C its o N dk■V i N .. v A P C. 10.2a <0
lac c-3t t a, , At1 %46.3
VRAN ∎Zrlf IAcc is ,s d t eLL_ •L.S ci a VV ec" -AIC.,
p /4 . y 8/E el.k.clkt, R fr\
GG'e6 . 11
❑ PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
y „ N FAIL ►,111 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N e I Date: ` Phone #: (503) 718- Z
CITY OF TIGARD -` ;:
BUILDING DIVISION PERMIT #: ELC2005r00526 ..
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/20/2006
Phone: (503) 639 -4171 40 /0I�i�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7 PAGE: 64
SITE ADDRESS: 12615 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOWES HIW, INC LOT #: TYPE OF USE:
PROJECT NAME: LOWES
DESCRIPTION: Lowes Tigard #1108. Interior Remodel. On site contact Devin Lebarre 503 -708- 0807. Job # 10304. ,
OWNER: LOWES, PHONE #:
CONTRACTOR: BERG ELECTRIC CORP ?qv L PHONE #: 503- 255.1818
. .
Inspection Request Scheduled For: Date: 10191200€. Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 037839-01 503-708-0807 N
Corrections /Comments /Instructions:
d �.. cucet3 : 1 ,. Qi t.r1 Li 41i N c�
•
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G IN 04ES L Date c Q W Phone #: (503) 718 -1