Permit CITY OF TIGARD ELECTRICAL PERMIT
1 1 11- e • COMMUNITY DEVELOPMENT Permit: ELC2013 -00423
Date Issued: 07/24/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: SEG849
Jurisdiction:
Site address: SW NO ADDRESS
Project: Walmart Subdivision: Lot:
Project Description: (1) 200 amp service and (3) branch circuits for new service at S side of street at Walmart access and Dartmouth
St.
Contractor: E C COMPANY Owner:
PO BOX 10286
PORTLAND, OR 97296
PHONE: 503 - 224 -3511 PHONE:
FAX: 503 - 295 -3012
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/24/2013 $100.70
Specifics: amps or less
3 crt Branch Circuits w /Purchase 07/24/2013 $22.26
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/24/2013 $14.76
Electrical
Type of Const:
Occupancy Grp:
Total $137.72
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 2 -0 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: DiCi ° 4/t .9-77,0"li
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:
LICENSE NO.
Call 503.639.4176 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.
Jul. 19. 2013 2:36PM CEtVED No. 0940 P. 1
Electrical Permit Aoplic 101:1,11.1( 1. til: 0r1
222013
City of Tigard JUL enw 7 P -- ev 1a 3
.4 13125 SW Hal) Blvd,. Tilted. o TI GARD
= Phone: 503.718.2439 Fax: 50 N .: ° iii= : 'mil' 42 _O
1 -, ;J �h,., Inspection Line: 503.639.41 ILD1I VGDIVISI0P1 DateReady /By: R SoePage2
1ntomet www.tlgetd-0Lgov NotifiecVMethod: Supplemental Information
TYPE OF 'WORK . R>zv
e Ncw construction ❑ Addition /aheration/replacement Please check all that ten' ( any Z sas of plans whams checked below):
1:3 service or 1beder 400 amps or more ❑ Budding ova three stories,
❑ Demolition ❑ Other:
where the available fault ctarcm ❑ Marinas and boatyards. •
CATEGORY OF CON&RUCTION armada 10,000 amps at 150 volts or ❑ Floating buildings.
. • less to ground, or exceeds 14,00D CommerCiai.ttSe
El 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building
❑ b,il c
❑ Multi-family ❑ Master builder ❑ Other. ❑ Fire pump. O Installation of 150 KVA or
JOB SiTE INFORMATION AND LOCATION . separately delved system.
❑ Addition of new max load of ❑ "A ", "E", "1 -2 ", "1 .3",
Job no.: 65469 I Job site address: Walmart Access ® Dartmouth St 100HP or store. occupancy.
❑ six or taro tesideoaai Waits. ❑ Itecrestinaal vehicle parks.
City /State/ZIP: Tigard, OR ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.; I Project name: Tigard Walmart ❑Sevice orfeedor600 amps ormore.
;.•• :.7, :• ,, ".' FEE. SCHEDO:.'• ... .. . -;
Cross street/directions to job site: useriottoa I qtr. 1 Na. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 168.54 4
Tax map /parcel no.: S e �8' v - Ea add'l 500 sq. ft or portion 33.92 1
l mated energy, resrdmtaJ 75.00 2
DESCAIPIION OF WORK
• .("'ah above s4. R)
Install service for new traffic signal o SO ca-b O
E F Limited energy, (with multi- family 75.00 2
f r residential (with above sq. R)
Renewable Enemy _, See Page 2 -
Services or feeders installation, alteration, and/or relocation
0 :PROPERTY OWNER . . I 0 TENANT • 200 amps or lass 1 100.70 100.70 2
201 amps to 400 amps 133.56 2
Name:
401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
city/state/ZIP: Over 1,000 amps or volts 55226 2
Temporary services or ibeders lnstalladon, alteration, and/or
Phone: ( ) [Fax: ( ) relocation 1
200 amps or less 59.36 1
Owner Installation: This installation is being made on property that I own which is not 201 amts to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and '701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits- new, alterad or extension, per:tanel
® A P P L I C A N T 1 . . d CONTACT : PERSON . ' . . A d circuits with
above service or f ceder flee, 3 22.26
Business name: E C Company each branch circuit 7.42 2
B, Fee for branch circuits withord
Contact name: Shanna Fullbright service or feeder fee. first
branch circuit 56.1 2
Address: P 0 Box 925 Each add'l branch circuit 7.42 2
City/State/ZIP: Albany, OR 97321 Miscellaneous (service or feeder not included)
Each manufactured or modeler 67.84 2
Phone: (541) 926 -4266 I Fax: : (541) 926.0165 dwenin_ service and/or feeder
Reconnect only 67.84 2
E -mail: shannaf@e-e- co.com Pump or irrigation circle 67.84 2
CONTRACTOR "
Sign or outline lighting 67.84 2
Business name: E C Company Signal circui(s) or limitcd-energy See
panel, altcrdion,,or mansion. Page 2 2
Address: P 0 Box 925 Each additional inspection over allowable in an of the above
City / State/ZIP: Albany, OR 97321
Additional m oil (1 hr mm) 6625/ hr
Investigation (1 hr aria) 6625/ hr
Phone: (541) 926 -4266 I Fax: (54.1) 926 -0165 ladustrial plant (1 hr a®) 78.1 hr
inspections for which no fee is
CCB Lie.: 49737 I Electrical Lie.: -15c I Supry Lie.: 7 specifically listed (Y, hr min) 90. hr
Suprv. Electrician signature, required: a 'EIS CTRICl1I.'PERN>�E : :FIi)E ' >r : :;'`
Subtotal: 122.96
Pri name: William R Coburn D2_._te:C51.19. 1 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 14.76 '
Authorized signature: TOTAL PERMIT FEE: 137,72
This permit ippliattion expires ifs permits not obtained within 180 .
Print name: ()ate: days after it has been accepted as complete.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
SW NO ADDRESS, TIGARD, OR
Commercial - Electrical
199 Electrical final
PASS - No C of O
August 14, 2014 at 2:49:56
PM
ELC2013-00423
Jeff Grove
Violation Summary:
Inspector Contractor