Permit CITY OF TIGARD ELECTRICAL PERMIT
e COMMUNITY DEVELOPMENT Permit #: ELC2013 00425
Date Issued: 07/24/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: SEG1330
Jurisdiction:
Site address: SW NO ADDRESS
Project: Walmart Subdivision: Lot:
Project Description: (1) 200 amp service and (3) branch circuits for new service at SW corner of 72nd Ave. and Hunziker 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 0 952- 1 -009 . 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: �TC- Permittee Signature: �" 14 / ,G./e_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:
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.
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Jul. 19. 2013 2:57PM No. 0942 P. 1
li
Electrical Permit A E ED c ol; r,l t l( 1. t. 51. u.l.l
City of Tigard Received . � Permit 13125 SW Hall Blvd., Tigard, OR 2 2 2013 Date/B ' -3 1 . 3 � / / _400 y
" e - a Phone: 503.718.2439 Fax: 503.598.1960 p °112u k - 00 4 /A
t t r , , ,. t , Inspection Line: 503.639.4175 CITY OF TI GARD hate ReadyBY: IS See Page 2 for
Internet www,tigard- or.gov V t 1 v � Notified/Method; Supplemental rnfoyui don
TYPL I l DIVISION
® New construction ❑ Addition /alteration/replacement Please cheek all that apply (submit j sets of plans wraema chocked below):
[ Demolition ❑ Service or feeder 400 amps or more CI Building over throe sto es.
❑ Other; elute the available fault canons ❑ Merthas and boatyards.
-
CATEGORY OF CONSTRUCTION : exceeds 10,000 amps at 150 volts or D Floating buildings.
other 12 1- and 2- family dwelling ® Commcrcial/industrial ID Accessary building amps for all leas to ground or auxxds 14,000 ❑ Commercial-use agricultural
other installations. buildings.
❑ Multi -family ❑ Master builder ❑ Other ['Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND I:OCATIO]Y. D Emergency - huger separately derived system.
. ❑ Addition of new motor load of
Job no.: 65469 Job site address: 72 °d Q Hunziker St. C �O units. ❑ Recrcanonal vehicle parks.
City /State/ZIP: Tigard, OR D Hwhh-care facilities. D Supply voltage for more than
['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Tigard Walmart ❑ Service or fccda 600 amps or mom.
:... .
Cross street/directions to job site: ' :;
naeriodon 1 Qtr. I Fan. I rent I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. R. or less _ 168.54 4
Ea. add'1 S00 sq. ft or portion 33.92 1
Tax map /parcel no.: ,...$' .G /3 3,
Lined mien' residential 75.00 2
• . DFSCRWEION OF WORle' ' . • . . . .. (with above ackfi)
' Limited traffic signal energy, multi
gn �T S f 2/✓��.. resid ential (with above sq. tt) 75.00 2
Install service for new tra
Renewable Eoerg ' ❑ See Pag 2
Services or feeders installation. alteration, and/or relocation
2 00 amps or less 1 100.70 100.70 2
❑ PROPERTY OWNS.. (. ' . • Q' zT?avArrr • :.. , ,
Name: 201 amps to 400 amps 133.56 2
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 552.26 2
Temporary services or feeders Installation, alteration, and/or
Phonc: ( ) Fax: ( ) relocation
200 amps or l® 5936 1
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
40I 599 125.08 2
amps amps 168.54 2
Owner signature: _ Date: Branch circuits— new, alteration or extenalon, per panel
CONTACT PERSON'
® APPLICANT , A Fee fir branch circuits with
. • 1 ' L] . above service or theder the, 3 2226
Business name: E C Company eadh branch circuit 7.42 2
B. Fee for branch circuits without
Contact name: Sharma Fullbrlght service or fcedcr fee, first
branch circuit 2
Address; P O Box 925 Each add'I branch circuit I I 7 -42 1 2
City /State/ZIP: Albany, OR 97331 Miscellaneous (service or feeder not included)
Each manufacttred or modular 67.84 2
Phone: (541) 926 Fax:: (541) 926 dweriut: service and/or fader
Reconnect only 67.84 2
E - mail: shannaf@e- o - Pump or irrigation circle 67.84 2
CONTRACTOR - Sign or outline lighting 67.84 2
Business name: E C Company Signal cireuti(s) or limited-energy See
. . . _, attention, or extension. Page 2 2
Address; P 0 Box 925 Each additional inspection over allowable in any of the above
City /State/ZIP: Albany. OR 97321 Additional inspection (1 hr min) 66.25 / hr
— - — lavratigatirm (I hr mitt) 6625/ hr
Phone: (541)926.4266 Fax:-040 926-0165 Industrial plant (1hr min) 78.18/1Q
Electrical Lie. 22 -15e I Su . L' 257s Inspections r for which no fee is
CCB Lie.: 49737 El
. , spcciGcal)y listed OS hr min) 90.00 / hr
r ELECTRICAL PERMI "tFEES •
Suprv. Electrician signature, required:
Subtotal: 122.96
Print name: William R. Coburn Date: 1 . 19 , I 70 Plan review (25 %of permit the): :
State surcharge (12% of permit fee): 14.76
Authorized signature: TOTAL PERMIT FEE; 137.72
Print name: Date: days permit application wires if a permit is not obtained within 180 •
days after it has ban 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 2:47:47
PM
ELC2013-00425
Jeff Grove
Violation Summary:
Inspector Contractor