Permit OF TIGARD ELECTRICAL PERMIT
CITY
PERMIT
ISSUED ELC2007-00169
COMMUNITY DEVELOPMENT
DATE ISSUED: 3/19/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110AA -00600
SITE ADDRESS: 10650 SW MCDONALD ST ZONING: C -
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: 7- ELEVEN
Project Description: (10) branch circuits for remodel. Job No. 12756 •
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: 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: 9 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:
TEXLAND PROPERTIES CORP BECK ELECTRIC INC
2828 N HASKELL AVE 15600 SE FOR MOR CT #B
DALLAS, TX 75204 CLACKAMAS, OR 97015
Phone: Contact #: PRI 503 - 656 -7396
• FAX 503 - 656 -4397
FEES
Description Date Amount Reg #: ELE 3 -
[ELPRMT] ELC Permit 3/19/2007 $106.70 LIC 2629
[TAX] 8% State Surcharge 3/19/2007 $8.53 SUP 5024S
Total $115.23 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 w' : - • - - - in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
susp= •ed for more tha 180 days. ATTENTION: Oregon law requires you to follow rules adop e.C.''the Oregon Utility Notification Center.
Th. e rules are set forth in • • 95 - 001 -0010 through OAR 952 -001 -0100. You may ob .1. •' - - • _- - rules or direct questions to OUNC at
5 • c .246.6699 or 1 .800.33
Is ued By: / I it •/ Permittee % � / ; am
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:
a NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: r � - 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.
Mar 17 07 08:53a p. 3
L+lQCtC1Ca1 P@CIllllt- App1icatioi FOR OFFICE USE ONLY
Received permit No.:
City of Tigard : ; Date/By: . m 07 EhC,9061,9 00/(01
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 '` Date/B : Other Penult:
.„,
Inspection Line: 503.639.4175 ` n -- t 1 2N1 ' Dale Ready /By: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 'al Supplemental Information
_ .. i OR • ' ' .. .. .. .
ID New construction 1 dX 'PP' V►#O
:
:a . titrriateration /replacement Please check all that apply:
❑ Demolition Other: ['Service over 225 amps, comm'l ❑Hazardous location
Service over 320 m P s - rating g Buildng over 10,000 sq. t ,
'
CATE ORV 4F .C,QNSTRUCIIO1 of l- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi -famil ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
y ❑ Master builder
load over p rso
['Occupant y r 99 c ns ['Manufactured structures or
JOB •SPE INFOR+f.•TATIO$ ; AND: LOCATION i ['Egress/lighting plan RV park
•
r � c I
12 f 6 A� 5D 50 Mc. L�artal�1 ❑Health -care facility. ['Other:
Job no.: Jo site address: �� ""
�p Submit 2 sets of plans with any of the above.
City /State /ZIP: G arol. D g. 9 / 213 The above are not applicable to temporary constriction service.
.
. FEE* S, IIIJL
ThE
Suite /bldg. /apt. no.: Project name: 1-11 5 � Description • I Qty. I Fee. I Total .
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.:
energy, non-residential ener - residential 75.00 2
. ., . t
DESCRIPTION OF WORK - : = . :::.: Each manufactured or modular
^' n dwelling, service and/or feeder 90.90 2
� -- Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
. _ . .
amps o amps
• 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
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( )
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, 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
APPLICANT .-.,::•::::. :•:- ...
.. .... - a UIi;�•A
Ct' .PER3`bN!` . � Fee for r ant fee, each
service or feeder ee a ch
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit I 46.85 4,c5 2
Address:
Each add'1 branch circuit q 6.65 SCI, Fjs 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
.. O energy panel, alteration, or
extension. Describe: Page 2 2
Business name: t;.1r.... E - ts ..A.,...yA. (_. ,
I_ S E /l _ Moe._ Cr. Each additional inspection over allowable in any of the above
Address:
510 Per inspection 62.50
City/State/ZIP: �10,4 avv c.4S O - � q 1D is Investigation per hour (I hr min) 62.50
C h / Industrial plant per hour 73.75
Phone: (5b3) (056 _ 1 35I Fax: (503) (05(0-.435
: .ELECI'RICAtr :evi it..,,FEESt
CCB Lie.: e Rc o Electrical Lie.: 3 -5 C Suprv. Lie.: St S Subtotal 106 -10
Suprv. Electrician signature, required: 01_ 0 ....... & ` — Plan review (25% of permit fcc)
Print name: Grua' �S t s4-e Date: 3I it 101 State surcharge TAL PERMIT permit fee) g 5 3
l TOTAL PERMIT FEE I is 2_3
Authorized signature: -- This permit application expires If a permit is not obtained within ISO
days after It has beets accepted as complete
Print name: t _,6,r- .2$ t.JIY. s1e4 Date: 3 1 ( 1 • Fee methodology set by Tri- County Building Industry Service Board
1 1
•• Number of inspections per permit allowed.
i:1n„iidi,gtP ,, its\ELC- PernwAPP dor 12103 490- 4015T(1 0f021COMAVER
-*
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: ELC2007 -00169
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2.007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11 /2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 10650 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 7 - ELEVEN
DESCRIPTION: (10) branch circuits for remodel. Job No. 12766
OWNER: TEXLAND PROPERTIES CORP, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503- 656.7396
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description # Contact # Message
199 Electrical final 6327 -01 503-656.7396 Y
Corrections /Comments /Instructions:
1 Am
N
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- ' N V 4 Date: � � 10 Phone #: (503) 718-
i
4 .,,
CITY OF TIGARD• LC
BUILDING DIVISION PERMIT #: E2007 -00169
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2007
Phone: (503) 639 -4171 w �pl jj � l
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' - -_-.
INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 10650 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 7 - ELEVEN
DESCRIPTION: (10) branch circuits for remodel. Job No. 12756
OWNER: TEXLAND PROPERTIES CORP, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503.656 -7396
Inspection Request Scheduled For: Date: 3/27/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 045436 -01 503-656-7396 N
Corrections /Comments /Instructions:
1S0 6 1� - 0(J Si-T- - TO 546w ukg1 (
is ;1. cr��
-KoNE (v sq. • `l 3q b &►JJ I
Fin, Ri -;Os p l ep Ara
tryca 1 `lo 5� Au.....-ea , t'N 6fin t
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 XCANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: CY , l t11J Date: 1 'El . 0'1 Phone #: (503) 718 - 1-444
•