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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00475 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2010 'TIGARD Parcel: 2S102CB01802 Jurisdiction: Tigard Site address: 13407 SW PACIFIC HWY Project: AutoZone Subdivision: Lot: 0 Project Description: Electrical for new auto store. AIC= 30,564 AMPS. (1) service, (49) branch circuits, (4) sign lightings & (2) low voltages for HVAC & irrigation control. Contractor: ADVANCED ELECTRIC INC Owner: BAR -AM, LLC 21811 NE 58TH ST BY GODFATHER'S PIZZA VANCOUVER, WA 98682 1416 THIRD AVE SEATTLE WA, 98 PHONE: 360 - 254 -6864 PHONE. FAX: 360- 254 -2854 FEES Quantity Description Date Amount 1 ea Services or Feeders - 401 to 11/17/2010 $200.34 Specifics: 600 amps 49 crt Branch Circuits w /Purchase 11/17/2010 $363.58 Type of Use: COM Service or Feeder Class of Work: NEW 4 ea Sign or Outline Lighting 11/17/2010 $271.36 Type of Const: 2 ea Signal circuit or Limited 11/17/2010 $150.00 Occupancy Grp: Energy Panel p y 1 ea 12% State Surcharge - 11/17/2010 $118.23 Electrical 1 ea Plan Review Electricial 11/17/2010 $246.32 Total $1,349.83 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. ATTE N: Oreg n law re uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0 0 thro gh OAR 95200 90. Y may oobttaina copy of the rules or direct questions to OUNC by calli20D3. Z'1987 or 1.800.332.2344. Issued : PermitteeSi ��1�f / �' e 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: a g '- 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. N0V 15 - 2010(MON) 14:00 Advanced Electric (FAX)360 2542854 P.002/002 11/15/2010 12:45 5035981960 CITY OF TIGARD PAGE 02/02 Eltti'i1ca1 Fermat A►ppIcataan r.1r , rt, rl('l r'til', t,� t.r • City of Tigard � t „.1 RReeo .� to f Pec704/3,-4C) o.: d04/3,J y ' or ' Plan Rt a �Q Q N. � mitre . 4P , so Other Penal l�e�D�4 ��tDl6 • (t c . n r. t, S [ eke li' . • ... 16'1 - ace Nom 2 Par "���+ � �ci „�•• •.nr •,.i .: / Supplemental IOformxtion y .. „ , -., .. .:,, '''', ,,::. ': " -: :.' .. ri • W � 4' .`ii +• .p : : '-i : `t ' ,7 ' . j' .� : i R EE1 $a , ' r : '..,,, •;. TYP '4. . -.. ice 1. " ',!E G ..._ . ►:i Nesv construction Additit7t>/81t atio c �� ;�� ent PI,. Chcckell (gtbmit aiatiofplansw /ltemechecked below); IEI El D0tti0iition _ '', _..,.. .. ,.. ti , g dings. service or tt'odar 400 amps or mote © Bu vex ❑ Other: where the hvanable �ntt :me m ❑ MAMAS Q • " GTEC . �i!T3RU1~�CQ, .. ascends 1Q 0017 amps at 130 volts or ❑ Float ild • ,1;: � -' ,. ' ' " ' less to Rroctnd, or caeccdt 14.000 Ea Commoreiaiwte agricultural b 1 and 2- family dwelling ® Commercial /industrial ❑ A`; t rY building ampsfora // whet installations. boitdiags, ❑ Multi- family © Master builder . 0 Other: 6 ❑ F'.repump. ❑ Inetallalion ors KVA or ? Emergency 'Me m. larger separately dedued amnia '' ;; -:. ' ''JOS. S tr ro ; 110 .:;,.', . r,`.WCATfIt7$'' 'W : '? p A ddition anew motor load of ❑ «. "E •y_2 ". "13 lob no.: 3756 .lob site addres *' SW Pacific Highwa (Si v' '�` t0oH1 or more. QL° psn`y. CISie or more reektential unite. O RecrentIonal vehicle perks. City /5tatcJZ1P: Tigartllt7R19 7223 ..1N OHfAlth. -0ra niellitim 0 vultaRc far mn>r than �j ❑Iraaardnux locations. Supply twrniltnl. Suite/bldg./apt. no -_ N/A Proj cct name AutoZone Store #31S6 _El Suite or Hinder G00 amps or more. _ Chas street/directions t0 job site: West of SW Pacific Highway I' P.,..:_ ,SCI DUi.E. : '±' J g y piton I Qtr - l Pee i r s fir South of SW Park Street. East and North of SW Watkins Avenue identlocl single- )r¢d garage- rt►atu- fondly d►vellie Irwin Subdivision: Lot no.; 01802 1.000 sq, R. or les P 168.34 _ 168.54 4 Tax map/patrel no.: R99407 Ea, iter: ner y, R m • 33.91 07.12 t t.. new, mutti.amily ■ 67.84 2 installation of lighting and electrical Equlpement for new AutoZonc Store . deeds/ with above s.. R. - - Services or feeders lnstallatlon,altcratten, and/or relocation 200 amps or lent 100.70 , 2 ' Q PROPERTY OWNER, i.' a; ' [ .,'I'4T611,N'L , 201 amps 10400 amp' 133.56 2 Name: 401 amps to 600 amps _ 1 200.34 20034 2 601 atnps to 1,000 strips 301.04 2 ' Address: Over 1.000 amps or valte 552.26 2 Temporary services or feeders Instaltatlon, alteration. and/or City/StatclZlp: - relocation _ Phone: ( ) Fax ( ) 200 amps or less 59.36 _ l Owner installation: This installation is being made on property that 1 own which is not 201 ramps m 406 amps _ 125.Ofl 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Onmcr st atrrre_ Date; Brandi elrr u is • new, altcration or extension, per pane $Tt A Fix far branch circuits with ®` APPi.ICAN [ %' �]' CONTACT PEIt501y , above service or feeder fez, 49 7,42 363.58 a -- , each branch circuit _ _ Business name: AutoZone B. Fee for branch circuits wIthour - $twits or feeder fee, Grit 56.18 2 • Contact name: Mitch Etramlitt branch circuit ' glich add branch circuit I 7.42j [ 2 Address: 123 South Front Street Mlacellananus ,ovate or feeder not leeward) City/StAtCJGIY: Memphis, TN. 38103 - Each manufoettrred or modular 67.84 _i dwelling; service and/or feeder Phone: (901) 495 -8714 Fax:: (901) 495 -$991. Reconnect only 67.84 Pump or irrigation circle 67.84 . 2 E- mail: rniteh.branolitt@autornne.com - - 271.36 - - �. _ Ct)NTiKAC1 = Sign Or Outlin lighting 4 67,84 2 ' - - Signal ettcuit(s) or limited-ene gl FSA� O BUSiAWS name panel, alteration, ar tension. 2. Pag l � ra . 2 �� �lhN C ��+ Each sdditional_laspectlon over allowable in any of the above Addrea9: ,44 N L.,_..5.-14- Additional inspection (1 hr min) 6635/ hr fnveitigatioa (I he min) 66 - 25/ hr City/StattJZ1P: NI o. / y tz,g lnduturial plena (1 hr min) 78.18/ Phone: ( d sZ ] {� $ („/ Fox; ) ,p [{» ! [zf p t jai C/, }emirs) 90.00 / h r CCB L ie.; 1 l 7rQ 2- Electrical Lic.: 7 ; 5 �' -4 i : 73 9 �LEC1Ra ,.l . t z''11 1 . ... Su rv_ Eiettloaan signature, f - - p P & cry re9tllrea � ' ,fir �. .se _ J! -, -A r v •1• 7 Print name: ,�,r Date! AS / 1 . jo , Authorized signature I g s► ' - _ • 4J) 34(q. � ,i . is . t r a V • .. Al a Th13 permit application expires If a permit is not obeli: .4 velthtn IRO Print name: Mitch Btamliti lute 01 - 10 days skier k hue been accepted as comptete. " Number al inspections allowed per permit. t, chuitdincsrmailmet- C•rormitntfi,dnc to/als09 440.'1 51(11I051C0AVw6B Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY:, Fee for all residential systems combined $67.84 Check Type of Work Involved: ❑ Audio and Stereo Systems" ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System "" ❑ Vacuum Systems" ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $67.84 system. (SEE OAR 918 - 309 -0000) Check Type of Work Involved: • ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ® HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control" ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting" ❑ Protective Signaling ❑ Other Total number of commercial systems: 2 "No licenses are required: Licenses are required for all other installations I: \Bui ]ding \Permits\ELC - PermitApp.doc 10 /01/09