Permit CITY OF TIGARD ELECTRICAL PERMIT
1 11 1 1- C . • CO MMUNITY DEVELOPMENT Permit #: ELC2013 -00427
Date Issued: 07/24/2013
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: SEG3420
Jurisdiction:
•
Site address: SW NO ADDRESS
Project: Walmart Subdivision: Lot:
Project Description: (1) 200 amp service and (3) branch circuits for new service at NW comer of Pacific Hwy and 74th Ave.
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 1 -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: X0 Permittee Signature: (MI 41—", G 770 ,\ "
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 3:22PM No. 0944 P. 1
Electrical Permit Applic ' r(1Ii (irl I. i. I 1. ct\I 1
ifil City of Tigard CEIV Received �; f. Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223; ' �� y°
— a ' Phone: 503.718.2439 Fax: 503.598, 0 2 2 Z013 Date/By. C4her Permi ... 'CVO /y
TI G : R. D Inspection Line: 503.639.4175 Date Ready/By. hula: Z See Page 2 far
Internet wwwligard -0r.gov CITY OF TIGARD Notified/Method: 776--- Supplementallnformadon
T YPE . fitNIMING DIUISIO PLAN REV
® New construction ❑ Addition/alteration/replacement Please cheek an that apply (®omit a sets of plans whims checked below):
D Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition [] Other:
where the available fault current ❑ Marinas and boatyards.
CA TEGORY OF CONSTRUCTION oersteds 10,000 amps at 150 volts or ❑ Floating buildings.
❑ 1- and 2- family dwelling ® Commercial/industrial 0 Accessory building am to ground, or exceeds oima. ❑ t u lldiu ciat.vge agricultural
amps for all whet matsllatioos. irml�ngs.
❑ Multi- family
❑ Master builder ❑ Other: ❑Fire pump. D lastaUation of 150 RVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND .LOCATION 0 Addition of new motor load of ❑ `A ", "E ". "1.2 ", `13 ".
Job no.: 65469 Job site address: OR 99W @ 74 Ave 10°HP or more. occupancy'
❑ Six or more residential aorta. 0 Recreational vehicle parrs.
City/Slate/ZIP: Tigard, OR ❑ Health-care t5caitiea D Supply voltage for more than
❑ Hamrdoua locations. 600 volts nominal.
Suite/bldg. /apt rlo.: Project name: Tigard Walmart 0 service or feeder 600 amps or Nora
-- -- s :.;?., ;: FEE SCOXDULE,:< . : _
Cross street/directions to job site: ,tea lt:aim I Qb. I sea I Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: lot no.: 1,000 sq. ft_ or leas 168.54 4
- -- Ea. add' 500 sq. R or portion 3392 1
Tax map /parcel no.: SSG .3 4/a 8 Limited energy. residential 7s.00 2
DESCRIPTION OF WORK { wRhabovc_sg. ft.
Limited energy, multi- family
Install service for new traffic signal ( -.�
— V J eee residential (with above sue) __ _ , 75.00 2
Renewable Energy 0 See Page 2
Services or feeders installation, alteration, and/or relocation
pit 200 mops or less 1 100.70 100.70 2
❑; OFERTY OWNER '� 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 /5 Over ],000 amps or visits 55226 - 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
• • • •
200 amps or leas 1 59.36 1
Owner installation: This installation is being made on property that I own which is not 20) maps to 400 amps . 125 05 2
intended for sale. lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 599 amps 16854 2
Owner signature: Date: , Branch circuits — ucw, alteration, or extension, peel
N 'APPLICANT' . D CONT.. A Fee for branch circuits with
above service or feeder fee, 3 7. 22.26 2
Business name: E C Company earl icy circuit 7.42
B. Fee fbr branch circuits without
Contact name: Sharma Fullbright service or feeder fee, first
branch circuit 56.18 2
Address: P O Box 925 Each WI branch circuit 7.42 2
City/State/ZIP: Albany, OR 97321 Miscellaneous (service or feeder not included)
Each manutiicuaed or modular
Phone: (541) 926 -4266 Fax:: (541) 926-0165 dwelling. service and/or feeder 67.84 2
Recodmerx only 67.84 2
E -mail: shanna1te- e-co.eom P,m:p or irrigation circle 67.84 2
CONTRACTOR . . Sign or out inn lighting 67.84 2
Business name: E C Company Signal c¢tvit(s) or limited -energy Sec
panel, alteration. or extension. Page 2 2_
Address: P 0 Box 925 Each additional inspection over allowable In any_of the abov
City /Stare/ZIP: Albany, OR 97321 Additional inspection (1 hr min) 46.2x/ hr
Investigation (I hr min) 66.25/ hr
Phone; (541)'X26-4266 Fax: (541) 926-0165 Industrial plant (l hr min) 78.18/ hr
Inspections for which no the is
C p13l,ic. 49737 gn El ectrical l,ic.: 2 - 15c a Sup r ic 7 s )? l F.rrsr VIiT. FEES .,'
fed hr mm
Suprv. Electrician signature, required: Subtotal: 122.96
Print name: William R. Coburn Date: . 1,c( • Ii-6 Plan review (25% of permit f
State surcharge (12 of permit !be): 14.76 ✓
Authorized signature; TOTAL PERMIT PEE; 137.72 ✓
Print name: Date: This permit application expires If a permit is not obtained within 1811
days after It has been accepted as complete.
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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 2:44:07
PM
ELC2013-00427
Jeff Grove
Violation Summary:
Inspector Contractor