Permit 1 1111 V CITY OF TIGARD ELECTRICAL PERMIT
g - C OMMUNITY DEVELOPMENT P ermit #: ELC2013 00177
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 12/05/2013
Parcel: 1 S136CD04200
Jurisdiction:
Site address: 7700 SW DARTMOUTH ST
Project: Tigard Retail Center, Retail #1 Subdivision: PALMER ACRES Lot: 1 -3, PLL
Project Description: Electrical for new 12,000 square foot retail shell.
Contractor: E C COMPANY Owner: PACIFIC REALTY ASSOCIATES
PO BOX 10286 ATTN: N PIVEN
PORTLAND, OR 97296 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE. 503 - 224 -3511
PHONE: 503 - 624 -6300
FAX. 503 - 295 -3012
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 05/28/2013 $100 70
Specifics: amps or less
1 ea Services or Feeders - Over 05/28/2013 $552.26
Type of Use: COM 1000 amps or volts
Class of Work: NEW 15 crt Branch Circuits w /Purchase 05/28/2013 $111 30
Service or Feeder
Type of Const: 1 ea Plan Review Electricial 05/28/2013 $191 07
Occupancy Grp: 1 ea 12% State Surcharge - 05/28/2013 $91 71
Electrical
Total $1,047 04
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 ATT ON' Orego aw requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -001- 10 through OAR 952 -0i 1 -0 • I oo ay obtain a copy of the rules or direct questions to OUNC by calling 50 ` '87 or 1 800 332 2344
Issued y : A. -/- % LI .V / I Permittee Signatu l X.:"7 'r c
i
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' �� ` r 69r ec–e Date: i-.2-Agr —
LICENSE NO. 3g6) S
Call 503.639.4175 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.
12/05/2013 11:57 5032410807 EC PAGE 01
2 1 05, - 2133,:s 1 .: _5 50 CITY OF TI1a'ARD GAGE 01!02
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REcEivE. r/ 11 Ill I `i t t ,
City of Tigard
Raear �*
MAR 2 4 2013 o„r eaa / ,
Electrical Permit A Pcmra vm' aeSO /5 —ee/Z7 l
!71 '2aSttr Hall P1•:d regard, OR 97223 .
Phone M I 7111 24 10 fate 9113 9AN 1980 1 /� f x _ -
or
Other Permit n� /a
gi
Inspection Lilo P) .r19 41 3 �I� t IU� Dita Rea, i. / I laic 1 01 a Pau 2 for
i.e.. tvwv tigard hr pry VAS f t- cd:Mcthod l I suppler icatal Information
New conIt^uett n'1 Addition /alteration, replace"ment i eleerc chuck sit that apply (rvhmn 2 Sol} o dons a/ketra checked below):
® Service or (eodtr 41M amrc '* mnry Butldma oar three marks.
Demolition that, u Iterc m e fiwitnhlu ;irGlI current 0 Mnrimc anti •ncurvrrAr.
•r,eonit. 111 Amp at 1 ?0 volt tr ❑ t%rri,inp hull,ilnc}
1- and 7 ,- +nerd! tl�vplHn ►�� r Imr I gram) or caccnd' 14 ono CI commercial-MK agncukura:
0 y F cm,mercir!! Indtestttial ❑ Accessory bonding in for all o ber tnptallaenna hilldino
Multi -famil Masher betides Other, O Ftrt loan!' O Imnhith n of 71 k V N nr
D Erte•gcirc; r,.:kr i L r¢cr 'crowd!, :l_rivei . -ter
044.41;inn, t nee r In.tri CO "A ' ". " 'I.1'
loot it' or there, occupancy
Itch nn : I loh site address: 7700 SW Dartmouth St.
❑ art or mote rev dcmlai ow Itemantion. 1 .cF,e1e rn 4r.
CIty�Stneo.2lP. Tipord, OR 97223 ^ ...... O Hceiet -4 re 1'8411111m O3uppt' * IIiiir 'ormorefilm
� —. - ❑ 4eulydctn toctilro 11 ,,,..9, ne ,,,..9, ,,,,r0.1 Suitenl1as 'not. '7o, I Prof re: r . y �, IS/Service m ihader 0»o mmrs r r rnnn
emir xtrect';11 °c:txtns to lob site' St Dartmouth & 5W 72nd Ave - ' , ._L 1_. __L T71 •
- _" --" " - " New reeldentIR! single. or muki.11tmlly throning molt,
—
_ Ineltadan attached Eris. . -- - 4.
Suhdivision' 1 Lot no !,0011 so 9, or less 161154 '
Tax alt / - 00101. 01400 __ _" _- FA add'i9Wau It or r , ortee )1.92
1 1,11 mars tesrdcIrat `9.»C
Alvin') above s q. R.1 - -_
1 imirerl cnOr multi - »!ally 1.4 !1l)
tmrtr
Cuetlon of an apprn*3mate 12.000 SF Chrtpe et fl�
reel Building (Retail I) reaidmtial (w ith abovo set ______ - -__
— ' "— " - ' - -- ' " Servic® feedera Inatnlletlon alecrafioa relocation
Maio! amts or Icse l i n0 70 • ' '+
2 , 11 nrrpa 10 407 o', 1" 1 6 - .._ 1 A 1
*l WalaN4N Starve. line. (Steyr rr 1) ±e r �N ?1 emus to fi lytaiopl � gun -3a - - { _
01 amp, to I.11O0 amps 311. 1 2
.4ddr a 2001 SE 1Pfh Sr. Cvor 1,0(10 amps or uru —._- - 1 5`x.161 7
7 ortir- service's or feeders , . n. atreranon, ono/or
City/Sett: 7 7-TP• Bentonville, AR 79116 reloeItIo ---
__
1
Phnra. (479)2 ".3 - 4567 _ - - - -- r". ( - -- - 2)(1 �s or Ica, _— " � .`9 3b {
' 2�1 wipe - -.-- - Q raps ✓ I ? <,tA r - r.. _. f-
O wner tnatgllatlen: This •net211mInn to Icing made on !roper!/ rh'lt I own %Hell its not -- 0C<
i.1 amps 1 1 599 n ape 1054 2
intended for talc, least, MI. or 1sxchenpo, according to OBS 44', 440. 670, and 701 — -- 1 -- - -
Brands c1reailts - nit elteratlbn�or extension. per pagtl
' Owner si ant : Data: _ A fee for 'taticli circt.it;r KW` -- 'I,
nbe.e ter ic- er fcrda r, i f
J 7 42 1 111 r � i. each t,ryt »ah :,n:uiL --- �
Du•inees name' DCfl+1, lac. B Fec f r hra »ch arcm,t• of m r , -
tervlcc Or feeder rat, Isr$I Sr ' R
Contact name Lerlc 1,Imsort Cole -�� I brooch circuit
4cldnttv. PacH4 --- Suite z00 .�. - I 1 Ewa adc''lbrand, circuit 1 42 I .
--__ Mumma/mot (tarNee or feeder net ineloded) _
■ •F -- Fick manuraeirr or modulo y
Ctt /ZIP: Tacoma. OVA 911402 I dre1111c xcrviccan or feeds i ,,,,,,g 1 ----
•-. --. ... ........ .. .,------- ,._,., wen "
P'trnr (211)627-14.167 Fax: ' { I Reconnect orb. ! ro ail I -- 2
-- - -- - - - - -- Pump nr irri ,g circle <57,8a ' 2
$•mail: 1,41 , e Rtl axon 471 h _.- ,,.._,. _,..a..... ..i. - .. — �l. -.
- Sr or cmt'irtC fi hl n 6? - '
Signgl Girt vitf of or I -(n Rk. I
I,al1c 1. , e i . w__I ___. e a . . -_ I `
- • -
�3 - -• - - -E n11 aiike ycct n over E
1 ..� - - - -- _ _Each e�dldonrtl inaia _atlalaAhit) an�ef thAovC
Addre
sa: .D.C.‘ 1, - -- Addittonol fog:metier 11 )r avo u0,2,5, hr L -.
..^ � !meet trots '1 ht min` •ifl, - 1 . hr '
l ity /Starr /? Ip r . .gyp CC. t
-- I � � ` W indu'lrial plant ( l hr min) MO ' , 3 8 '
Rhone ( ) ` fsx I t� c "1
c,-.8 s• &fl sflx it n0' . ____ . 1 _ -s .. `LL — - l� 90,00; hr ' I
1i<` 1��. `� S• c'$ al ii cd !/a ht i» -
1' 1 mrical LIC >tt!r [ "�52/ _ t
g.
Sum f l :ctrichn I rl0(I rg r,tgrnrcd' ^ , 2 ___ - _•
-- .. - ----- _ ,ti / i • .. S I i' Nan re vi ew (2a
�!- 1• :o M • tiler 4 —
S'r jilt name _ 1 . Y4 - I Dstc: 1.e� -_-„, : / 2) r State sun:hinge (17^/e of r vtnh Ice). , "�-/
Authrcind aivan
-- I----- TO1 AL PP.Rft11T FEt i L c 4 .0.0 q
Thit perm sppliortion rapirm H s permit la tan, rwd within lfel
Prfhf manic - ...- ....,. „— Dale ---- San+ oiler It has bete accepted as tomplctr.
_ - -- _- - -- - �� — --- -- - __ t,tnberrffnoyuctlaaeI1n . orlva tannh
1d no PrrmI' H ■ ^rnr 4pr �'C •,� Cl P a4U -4t( 1 CG�I V.'411
•
Electrical Permit Application CEMV — Folr Icl,- usl-oNl.v
City of Tigard MAR 2 0 2013 Dat /Bea m . Permit No . £� COID 3
� —e' ( .
• 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review ,/ .i
0 Phone hone 503.718.2439 Fax: 503.598.1960 A Date Ready /By. Date /B . 7 • _ Other Permit. i ounAVj6g
Inspection Line 503.639.4175 CITY OF 1 T IGA' • Page 2 for
fr6A1. { '/ Z7 Jerts 65 See Pa g
Internet www tigard or.gov BUILDING MIS 4, ' •t otified /Method 7 3 Supplemental Information
TYPE OF WORK 6/401 - Al — '` PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /Items checked below):
® New construction ❑ Addition /alteration /replacement
0 Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings
less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", ' l -3 ",
Job no.: Job site address: 7700 SW Dartmouth St. IOOHP or more occupancy
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 n ❑ Health -care facilities. ❑ Supply voltage for more than
-ii' Kt✓ 4, C t 44. ❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: Project name: �ile R—f—r / ! ® Service or feeder 600 amps or more
FEE SCHEDULE 1
Cross street/directions to job site: SW Dartmouth & SW 72nd Ave Desenplion I Qty. I Fee. 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
Ea add'I 500 sq ft or portion 33.92 1
Tax map /parcel no.: 04200, 00101, 01400 Limited energy, residential
DESCRIPTION OF WORK (with above sq ft) 75.00 2
Limited energy, multi- family 75 00 2
Construction of an approximate 12,000 SF Outparcel Building (Retail 1) residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less I 100.70 /4t90•1b 12
® PROPERTY OWNER � ❑ TENANT 201 amps to 400 amps 133 56 2
401 amps to 600 amps 200.34 2
Name: Walmart Stores, Inc. (Steve Dyer) -
601 amps to 1,000 amps 301.04 2
Address: 2001 SE 10th St. Over 1,000 amps or volts I 552.26 !S01,2i 2
-
City/State /ZIP: Bentonville, AR 72716 Temporary services or feeders-MI ton, alteration, and /or
relocation
Phone: (479)273 - 4567 Fax: ( ) 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
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. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT � ❑ CONTACT PERSON above service or feeder fee, ,� 7.42 /1/, 3p
each branch circuit 2
Business name: BCRA, Inc. B Fee for branch circuits without
service or feeder fee, first
Contact name: Lorie Limson Cole branch circuit 56.18 2
Each add'I branch circuit 7 42 2
Address: 2106 Pacific Ave, Suite 300 Miscellaneous (service or feeder not included)
City/State /ZIP: Tacoma, WA 98402 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: (253) 627 - 4367 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: Icole @bcradesign.com Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name:
panel, alteration, or extension Page 2 2
Each additional inspection over allowable in any of the above
Address: Additional inspection (I hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City /State /ZIP: Industnal plant (I hr min) 78.18/ hr
4c .. Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00/ hr
specifically listed ('A hr mm)
CCB Lie.: Electrical Lie.: Suprv. Lie.: ELECTRICAL PERMIT FEES I
Subtotal ?r(/ , A6
Suprv. Electrician signature, required: Plan review (25% of permit fee) i cr f . 0 7
Print name: Date: State surcharge (12% of permit fee) q j • 7 i
TOTAL PERMIT FEE i G
Authorized signature: !
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
P rint name: Date: Number of inspections allowed per permit. mldmg \Permits \ELC- PennnApp doc 07/01 /10 440- 4615T(I I /05 /COM /WEB
Electrical Permit Application - City of Tigard '�
Page 2 Supplemental Information
LIMITED ENERGY PERMIT FEES:
r RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
r, Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
I COMMERCIAL WORK, ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
T.
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems .
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling • •
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Butldmg \Permits \ELC -Perm iApp doc 07/01/10
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
7700 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2013-00177
Jeff Grove
Violation Summary:
Inspector Contractor