Permit CITY OF TIGARD ELECTRICAL PERMIT
III ' COMMUNITY DEVELOPMENT Permit#: ELC2014-00733
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2015
Parcel: 1 S135BD0O2OO
Jurisdiction: Tigard
Site address: 9785 SW SHADY LN
Project: Shady Lane Drive-Through Subdivision: ASHBROOK FARM Lot: 5
Project Description: (2)200 amp services and(1)400 amp service for interior power of a retail shell.
Contractor: CASCADE ELECTRICAL LLC Owner: NORED, STANLEY D&AUDENE C
PO BOX 160 511 NE 21ST PL
BRUSH PRAIRIE,WA 98606 CANBY, OR 97013
PHONE: 360-518-0905 PHONE:
FAX: 360-666-0135
FEES
Quantity Description Date Amount
2 ea Services or Feeders-200 01/15/2015 $201.40
Specifics: amps or less
1 ea Services or Feeders-201 to 01/15/2015 $133.56
Type of Use: COM 400 amps
Class of Work: ALT 13 crt Branch Circuits w/Purchase 01/15/2015 $96.46
Service or Feeder
Type of Const: 1 ea 12%State Surcharge- 01/15/2015 $51.77
Occupancy Grp: Electrical
1 ea Plan Review Electricial 01/15/2015 $107.86
Total $591.05
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 . •-• e 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. A NTION: Or- •n I-, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule are t rth i
952-00 -0010 through OAR 9A �. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 00.332.2344.
Iss ed By: / �=�!' Perm ittee Signature: 47-73(--/
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' 4 s r v f Date: //47/4)-
LICENSE NO. 2717 c�
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.
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard ; ' W�r 'ennit No.: !!4 —
/• 13125 SW Hall Blvd.,Tigard,OR 97223 `� lan Review r f
'' B Phone: 503.718.2439 Fax: 503.598.196 F1C��J� i t Date/B : �, Other Permit:
IluARI)
Inspection Line: 503.639.4175 �Y Date Ready :.: kris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:(/I' /t ,/ -7: —.(6 Supplemental Information •
TYPE OF WORK ‘`'r ct. 9 `I�ti 4 PLAN REVIEW
•®New construction ❑Addition/alteration/replacement .air
Please check all that apply(submit j sets of plans w/items checked below):
V��V ®Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: TQ U� i< Rh where the available fault current 0 Marinas and boatyards.
GORY OF CONSTIth exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","l-2","l-3",
1
Job no.: Job site address:9785 SW Shady Lane 00HP or more. occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Shady Lane Retail Site ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:SW Shady Lane and SW Greenburg Rd Description 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.: Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
New electrical service,site work,and misc.interior power for new retail shell residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER ❑ TENANT 200 amps or less 2 100.70 201.40 2
201 amps to 400 amps 1 133.56 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
relocation
Phone:( ) Fax:( ) 200 amps or less 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,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,alteration,or extension,per panel
❑ APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 13 7 42 96.46 2
Business name: jam,„,...._ each branch circuit
gJ B.Fee for branch circuits without
Contact name: service or feeder fee,first 56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:( ) Fax::( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:Cascade Electrical LLC Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:PO box 160 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Brush Prairie,WA 98606 Investigation(1 hr min) 66.25/hr
Phone:(360)687-1668 Fax:(360)666-0135 Industrial plant(1 hr min) 78.18/hr .
Inspections for which no fee is 90.00/hr
CCB Lie.: 158047 Electrical Lic.: 37-1027C Suprv.Lie.: 4730S specifically listed(''A hr min)
— ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 431.42
Print name: Dan Lindberg Date:
Plan review(25%of permit fee): 107.86
State surcharge(12%of permit fee): 51.77
Authorized signature: TOTAL PERMIT FEE: 591.05
Print name: Rand Rotschy Date: This permit application expires if a permit is not obtained within 180
Y days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building'Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-46t5T(I1/05/COM/WEB
RECEIVED
292014
Portland General Electric C
'UJILDING DIVISION
E
12/22/14 /PG/
CONTACT: Rand Rotchy-Cascade Electrical
PHONE: (360)687-1668
CUSTOMER NAME: Starbucks-MAJ Development
ADDRESS: 9785 SW Shady Ln., Tigard, OR
SDPM/ENGR: Lorraine Katz WR: M1432051
PHONE: (503)672-5484
3-PHASE SECONDARY LINE-LINE FAULT CURRENT (RMS)
TRANSFORMER DATA PAD MOUNT? YES
XFMR Impedance(%): 3.82 % 3-PH SUBMERS YES
TRANSFORMER SIZE: 500 KVA XFMR? NO
Secondary VOLTAGE (L to L): 208 v WYE OH BANK? NO
VAULT--> VAULT ( or Pole --> Pole) SECONDARY
Secondary Wire LENGTH: 0 Feet WIRE SIZE_
Number of SECONDARY RUNS: 1 Run(s)of:
Secondary WIRE Resistance R: 0.0180 Ohms/1000'
Secondary WIRE Reactance X: 0.0258 Ohms/1000'
VAULT ( or Pole) --> PANEL SECONDARY (or Svc Drop)
Service Wire LENGTH: 60 Feet WIRE SIZE
Number of Service RUNS: 2 Run(s)of: 350 QX UG M
Service WIRE Resistance R: 0.0600 Ohms/1000'
Service WIRE Reactance X: 0.0330 Ohms/1000'
MAXIMUM FAULT CURRENT*: 22,406 Amps
*Maximum fault current based upon transformers/conductors sized for 100% of electrical panel rating.
Based on a panel size of: 400 Amps
To Print This Page:"Ctrl M"and choose"Print 3-Phase Data
a?'
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
9785 SW SHADY LN, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00733
Jeff Grove
Violation Summary:
Inspector Contractor