Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00043
1i1 DEVELOPMENT SERVICES DATE ISSUED: 1/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DD -00400
SITE ADDRESS: 13727 SW PACIFIC HWY 100 ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (1) 200 amp feeder, (1) branch circuit for microwave.
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 HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 1 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:
WILSON'S TIGARD RETAIL CENTER IN GARNER ELECTRIC
BY BOMCC ESCROW ADMINISTRATION 2920 SW 247TH AVE #A
TX1 -2495 HILLSBORO, OR 97123
DALLAS, TX 75201
Phone: Contact #: PRI 503- 591 -1320
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: LIC 121159
[ELPRMT] ELC Permit 1/23/2006 $86.95 SUP 3707S
[TAX] 8% State Surcharge 1/23/2006 $6.96 ELE 34 -305C
Total $93.91 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: Permittee Signature: A
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.
FROM :GARNER ELECTRIC FAX NO. :5036427925 Jan. 23 2006 09:15AM P1
Electrical Permi EWE P
: 1,OROF�kICE TS
City of Tigard Received `
13125 SW Hall Blvd., Tigard, OR, 97223 Da y: t 06 .� j Pci�tNo. L •
Phone: 503.639.4171 Fax; 503.598. JAN IV 2 3 , � Plan Review �� ��
Inspection Line: 503.439.4175
' " r " Daten3 Otter Permit.
Internet. www CITY OF TI • - "' DewRsadyfay: i wig- •
Notified/ Ma Led: y 0 set Page E for
� ,Fr 1n Yl. i !'rS� /tbrl S, 1 t �.. V n1 T i . ° 1 � * �
Supplemental lntormatioa
. t iSL�wijY 1 L'i ;L1 d1',a��t� l� )Irt ( 1 Y , "fti f l 1'lii �r�'r�y71U �11�1'iTl'Sb1 }E I:6 " c r. I .;f'�
❑ New T construction I.LuI�„,.1;,,,.,.L.,g' I'1�,�:,_k ii : t:4r+_crxl:,grub{ i idl i k ' ll', I t �J�ilx.I1 nt:L!ia:121Gb,�S�El: t;hPl�,1 �a:, k�ll ul;'Z rf ' rr � 4 �d i :i' .' '�' Y'y " ' ' ' • Addition/alteration/replacement Please check all that l • . I05ervico over 22 y:
❑ Demolition 0 Other:
} 3 amps, comm'I ❑Hazardous ►ocacion
�!r y l aciP11 l I •{ 1 r 'J S t7- 1 • Ji):Nr "-r .n 917 V, ;,�, , n'�• , fi'r ' I; µl' w r ,,,.,
/ 1 I e CP:gigrfilli { Ifl11 1 YieBa�c -, • � ikll l•.'a h7 :71 -..) 6 1 : :1 < . d 1 L. I Mra�!': 1 � rC �}I 1, �4y1 1 40 , 4) h1' I2 i'C: • � of I" and over 421713 a m ellm fi rating ❑ or
l deg over 10,000 Sq. ft.,
- ...1 1- and 2 - family dwelling is omnierciai industrial Accessory g 2•fha0ilyolts nominal 4 it more new resident
❑ Aceesso building ['System over 600 volts norrunal units is One structure
❑:Multirfamily ❑ Master builder 0 Other: ❑Building over three stories ['Feeders, 400 or more
1! sills' s�°�.��h' il�<r<4i�.i; "',;1ry °h t s .-- w.�'Vlr. ' r' ;:I . ers 1
`lflP�l«�Sfi.LMlf<I1;�.'1 +1 k��1, 1`. I�; ii, fij�[, tih��7E1('. illl�ll• ��17+{ 11� :1ti'r�f'tl�il'�'ri'riM1 +p}�)I{ a`''j11,ii 1 6" } 'J' �ri,l S {:i` 'el ❑Occpgntlea dover99 persons [' Manufactured structures or
r r• I , ..;...rt: 1 f = ..,: ,7.. Y:rL'11}l . ;fYr,, „l fm!11.+..,��ts: !'f4-'�,rtil.,�; {fig mpgmsii tin P .: •RV:patic _ ..
- Job no:: _ gh �: Ism
Job site address L ]Health -care [liccitity [J)ilier:
�� S J r G< ll L C� Submit eats of Rattan with an
City /State/ZIP: ' i l '` - .. The above p Y of rite above, ....... - _..._
are not app or construction se
S uite/ bldg. /a t .
no: ' 1 - t1r i1 �, , ;2 . . • ,a rla lioabloto yr tertrP �Y service.
P V ProjeL'tn&nae: ... J'” i i 1 y 1 , ':i 'IG�,t' k��,b• ,r :r�: ^...n
Cross street/directions t0]OE�Btte: Deaciptlen Qty.• See Totes '•
New residential single- or mtild= family dwelling unit.
• • Includes attached garage.
1,000 sq. $ or lees _ 145.15 4
Subdivision:
— I Lot no.: Ea. add'l 500 sq. R'ar portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
�1•cilsl.q(:hQ }fiE4 :a'q�., r1i'v,: rrn'ra',a ;n; n,c as's :9n,: •, l,r, ,
Lim ited 2
R'1f ;l; ��I L di}J11P:.d :ll.:iii taj�:+, �t ° . Yi �j YI it l ,�?r,� I; l� f rte 111�OM 1, r1�1'1 f111�i1` 4� �� }!�i lvi) t111tei,� �,�i t 5 i , (I ° '' � tij , energy, ed or non 75 .00
L.h _..iScLx 1 S, Nt _1,,:.�1inl.ndl, '.! r. o. ,,ln,d- .'.:�i { I n 1,1 �.11r 3i. ..,!ulS�:: t. i�lYfi Each manufacntred or modular
,..„4„,,. ..:' 0 ice 2
and/or feeder 90.90 • .
- 7 �. Vti'll C{� Sdwelling, aerv orvleea te alteration, and/or relocation
• � }n�r +t'it lit of l 1 r,, tw'y{ ; . 4 ' 1 x p r r7 ' 200 amps or fees j 80.30 g� . 2 '
` ri :` , .SIGr 1 1 a„ ni , i ilri . � l ° tm. g '• f g : ii' l i i l � ! a l i t{ �1;' �i'i `�+Jliili i ll u�l) 171: .11 '5 . 2 ff {. 11jlil�'l*i'ii'u s i i c�r� II;40'`i}3Fi 1 4
i;1 201 ""P t° 400 amps 106.35 2 �
n, �1. r r�.�ll r .r._ I f l,1., „ amps to 600 amps 1 60.60
Name: ■ 2
�m_ ii . - 601 ampa to 1,000 amps 240.60 2 .
Address: I Over 1 000
l � amps or volts .454.65 ,2
City/State /ZIP: Reco nnect only 66.85 2
^� Tenapojary services or feeders lnstali alteratla an d/or
Phone: ( .) `�L. d ,2,_ _ Pax: ( ) relocation w
Owner Installation: This installation in • eing.made on property that I own is not 200 arrrps or Uses 66.85 1
Installation:
201 amps to 400 amps 100.30' ' 2
intended for sale, lease, rent; orexchange, according to ORS 447; 449, 670, and 701. 401 tongs to 600 -
Owner re Date amps 133.75 2
ACr signature: Ow P ". '' ! n j ` : t r" v al v ,, + r ¢• : + Branch circuits - new, alteratton, or extensintl, per panel '
a i igii, f ,': , iil.!:1 s ;;nl}U{ i ±iQw,�I t$,1 '4 lu}P ?�Ilii l l� ll!ti ?^ , `,1. : %I " l�llll :- T A.Feeforbrandhcircuits with
Bilsiness name: service or feeder fee, each
branch circuit l 6.65 L.:(0 2
Contact name: B. Fee for branch circ
without service or feeder fee,
Address: each branch circuit 46.85 2
•
Each add'1'branch circuit 6.65 2'
City /Statc/ZII': Miscellaneous (servicenr feeder not included) •
Pho ( ) Pax :.: ( ) Pump or irrigation circle 53:40 2
B - tttail: Sign or outline lighting 53.40 2 '
Signal eircuit(s) or limited -
l l�t;v{ � Iltti �il ),�ISI' � , ! 1'7'115 I , ('+ � i + � '`' � 11 `2 ! �"A J J f J : 1 I
,l iernlx,.01; ' t d i i 1 �,Irr (r 1 t r'r lS llli rJi c�'E.t 1 � 1 r tir�l 1 FA J i': ' r t Z i 1 . i 'jell SAK gY part 1, alteration, or •
a. Sl.._l;(W'�:vl.d lit I t 1,,:, 251! II, S., y, 11. IS. xiliS�lt'{, 1. auf' r_ �4tS" i" :�+1,1.��r1�Ft1WAI(�llll,illll. CnIR' e
3 usiness name: f c' 1 v 7 extension. Describe: Page 2 2
L— ELtr �. ( C. _
k.ddrethr. -:,::" c ' -L• (iii .ca -- 1 -i'l A .ie Each additional inspection over silowr<ble In any of the above
_ Per inspection 62.50
:ity /StntGZIP:
'{. ( S 1 i-'
' > C: . CJ 1 ei 7 1 .2...3 Investgaticm per hour 0 lir min) 62.50
'hone: (�V.1) L -A ¥ ` (S ? F. <) ) (,� l.. _ _7e'`l .c. , In dustri p latrt batr 3
'iii' � 7 p � ' . J' . ! � al .r, lt�., .er
, ,a�._ i c �i --r: �v �"e �i 7.75 .- T 9.S•
;CB Lic.: i-2.1r'41149'i: `2:1ra..,��{i.�16,7 taLo �xl1 {;n'yf,11111j;'u, '"k?' t
_ - 1 [ I ' Electrical Lic. ..3 S , ic.. -T) / . - c ' , a L. .
r.� Subtotal ��.�
:urry. Electrician aignature, required: dir4r%Adilt/tV Plan review (25% of permit fee)
rinI name; : '? _ L State surcharge 8% of e
,__1\.3 - _Tl,�i Date: H2 3 -.L) (. z _ g ( permit rt lit fee) . C
uthotized signature: TOTAL PERMIT FrE 0 3 : 9 I
This permit appllcatton expires if a permit Is not obtained within ISO '
days ancr it hos been 'accepted as
nut name: Ante:
Fee methodology set y Tri Coun4i Building Indusay Board
• •• Number of inspections par permit allowed.
•
uildinglperrna.7}BLC.Pen pe.doc i vo3 • ,un.eRI CT/ I Mrsirn rwre
t
CITY OF TIGARD
BUILDING DIVISION -_ PERMIT #: ELC7006 0f)0'13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/"1.3/20W
Phone: (503) 639 -41714 �tt"ff�j+
Inspection Requests (24 Hrs.): (503) 639 -4175 ___ IL
INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7 :01ANi PAGE: 58
SITE ADDRESS: 13727 SW PACIFIC I - 100 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DR. FEELCOODS PUI3
DESCRIPTION: (1) 200 amp 9eoder, (1) br ch circuit for microwave.
OWNER: WILSON'S TIGARD RETAIL ENTER IN, PHONE #:
CONTRACTOR: GARNER ELECTRIC PHONE #: 503.591 -1320
Inspection Request Scheduled For: D te: 1/30/2006 Pour Time:
Code # Ins. - 'on Description Con 'rm # Contact # Message
199 Electrical final 0269 01 503- E648.4552 N
Corrections /Comments /Instructions:
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `TN t b LA Date: t/ 501 0 b Phone #: (503) 718- -"tb •
CITY OF TIGARD .
BUILDING DIVISION ► . - PERMIT #: ELC2006.Ci0113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/200(i
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 1/26/2006 • TIME: 7 :0AM PAGE: 45
SITE ADDRESS: 1372? SW PACIFIC HWY 100 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DR. FEELGOODS PUB
DESCRIPTION: (1) 200 amp feeder, (1) branch circuit for microwave.
OWNER: WILSON'S TIGARD RETAIL CENTER IN, PHONE #:
CONTRACTOR: GARNER ELECTRIC PHONE #: 503 -591 -1320
Inspection Request Scheduled For: Date: 1/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0 02576.1 503-618 -4552 N
Corrections /Comments /Instructions:
it.% N V ?;:r 0(1 N 44E. S A I'`i1,
F \\ cAN q't& F - i - f kw
1 t) 1 \kla iNW■Y o rnv ST N1-6‘.
The electrical Installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar clays per OAR 918 -271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FA FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 �' Date: , 24 k Phone #: (503) 718- Zb