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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2013 -00426 Date Issued: 07/24/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 7/24/2 8 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 Pacific Hwy 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 OA 52- 001 -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: /� G ll — Permittee Signature: ,4 `� ' /" L✓ /6% 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 603.639.4176 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 3:07PM No. 0943 P. 1 Electrical Permit A licatio ECFIVE' M1{ MI- WE I. St. O\1.1 City of Tigard JUL 2 2 2013 ...`: 'en' N°: . ,�3 -O ' 2 — 13125 SW Hall Blvd., Tigard, OR 97223 = Phone: 503.7182439 Fax: 503.598.1 ; Inspection Line: 503.639.4175 Date Mar P � it �`/ - % /4? — 000/ ; 1 1 c.. :\ P-. l) Ins p O rT II � GARD r /BY: lurk: ® See Page 2 for terne Int www.tigerd-ur.gov BUILDING DIVISION N°6fed/Method; no SupplementelLdormation TYPE OF WORK ]PLAN :; EVIEW ® Ncw construction ❑ Addition /alterationkeplacemeot Please check all that apply (submit $ seta of plans w/items chocked below); © Demolition ❑ Service ar feeder 400 amps or more ❑ Building over three stones ❑ O ther: what the available feu t current ❑ Mminas and boatyards. • CATEGORY. OF. CONSTRUCTION. • exceeds 10,000 =Ps at 150 volts or ❑ Floating buildings. . less to ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps el ons. ❑ Commercial-use din s agricultural 8 soups far all other installations. buildings. i ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 150 KVA or . JOB STYE IIVFORMA[ION'AND LOCATION ❑ Emergency "A derived system. ❑ Addition of sew moron load of ❑ A ", E , "1 -2', "1 -3 ", Job no.: 65469 Job site address: OR 99W @ Dartmouth ]soap or mete. oocupsr+cY- ❑ Six or more residential units. ❑ Recreational vehicle pada- City /State/ZIP: Tigard, OR ❑ Health-care facilities. ❑ Supply voltage for more than • ❑ Haaardous locations. 600 volts nominal. • • SuitelbldgJapt no.: Project name: Tigard Walmart ❑ Service or fog 600 amps or mare. :FEE 561114141LI :'. ?:, • . Cross street/directions to job site: tk ae A pt l oa - f Ot,T Bee. I Tata] l ' New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq. ft. or less 168.54 4 • Ea add'1500 sq. ft. or portion 33.92 1 Tax map/parcel no.: S' r -. 'fit Limited energy, residential 75.00 2 • . . DESCRIPTION OF WORK (with above sq. R) Limited energy, multi - family 75.00 2 Install service for new traffic signal 9-' £&) C E2 residential (with above sq. ft.) Renewable Energy ❑ See Page 2 . Services or feeders installation, alteration, and/or relocation D rRoF . OWNER . 1 p 200 amps or less 1 100.70 100.70 2 " t • 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 I.000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) — 200 amps or less u 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 + 2 intended for sale, 'cast, rcnt, or exchange, according to ORS 447, 449, 670, and 701. amps w 599 amps 168.54 2 401 Owner signature: Date Branch circuits— new, alteration. or extension, per pan el El APPLICANT • • i • • D CONTACT PERSON' : . • - A. Fee for branch circuits with • above service or feeder fee, 3 7,42 22.26 2 Business name: E C Company each branch circuit B. Fee for brancb circuits without Contact name: Shanna Fullbright service or feeder foe, fist 56.18 2 branch circuit Address: P 0 Box 925 Bach add'I branch circuit 7.42 2 City /State/ZIP: Albany, OR 97321 Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 Phone: (541) 926 - 4266 Fax: : (541) 926 - 0165 dwelling_, service and/or feeder . Reconnect only 67.84 2 ; E - mail: shannat@e- c- co.com P ummp or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: E C Company Signal circuit(s) or limited- energy See panel, alteration, or extension_ _ Page 2 2 Address: P O Box 925 Each additional iwpection over allowable in any of the above City/State/ZIP: Albany, OR 97321 Additional inspection (1 hr mug) 6625 623 / hr Investigation (1 hr min) 6625/ hr Phone: (541) 926 -4266 I Fax: ( 541) 926 -0165 Industrial plant (1 hr min) 78.18/ hr CCB Lit.. 49737 I Inspections for which no fee is 90 00/ hr Electrical Lic.: 22 -15c I Suprv. Lic. 7s s�ccifically listed (i6 hr min) i Suprv. Electrician signature, required: • a te" PAC Subtotal; Print name: William P. Coburn Date: 1 l ct . 1 3 - Plan review (25% of permit fee): State surcharge (12% of permit fee): ' Authorized signature: TOTAL PERMIT FEE: 137.72 (: Print name: Date: This application s o It accepted not o obtained mplete. within 180 : 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 2:49:05 PM ELC2013-00426 Jeff Grove Violation Summary: Inspector Contractor