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Permit
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT :.r, ,,,, COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00121 T` ,G, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/10/2007 PARCEL: 2S 102AD -03450 SITE ADDRESS: 08777 SW BURNHAM ST ZONING: CBD SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: CITY OF TIGARD Project Description: (Water building renovation) Limited energy for telecommunication cabling system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: CITY OF TIGARD CHRISTENSON ELECTRIC, INC. 13125 SW HALL BLVD 111 SW COLUMBIA STREET # 480 TIGARD, OR 97223 PORTLAND, OR 97201 Phone: 503- 639 -4171 Contact #: PRI 503- 419 -3300 FAX 503- 419 -3695 FEES Reg #: ELE 26 -34C LIC 458 Description Date Amount SUP 1994S [ELPRMT] ELR Permit 5/10/2007 $75.00 [TAX] 8% State Surcha 5/10/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. �� Issued By: d , / , � ' / Permittee Signature: O j r c on t OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. MAY -10 -2007 THU 10:03 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 03 L1ectrical Permit Applicanon 1 ON (r • • ( , 11, ` Received City of Tigard T I" ' _ ' ' ` .i S/10/ - DwiB O S� Perit n.: 2w - 0012/ n o , Sw llalnlvd., Tigard. OR 97223 y " -• . _ n o Rovtow Phone: 503.639.4171 Fax: 503.598.1960 - . 'a:r. ' t •,;� =1' I Date/By: Other Permit: U p20D 0'30 inspection Line: 503.639,4175 ,,,P. ',Q,:„ Date Ready/By; Jinni ld Seo Page 2 fur S /v Internet: www.ci.pgard.or.us oh t e o . nformatlun ' N 'fed/M t d Supplemental I W ' p } t p m r ❑ New construction Addkob/hll atiout,(re e `I Please check all that apply: g �9�) X1`1 s� ['Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition ❑ -,. .y k-"" Service over 310 amps ratio Buildn over 10,000 s k : C 400.$; ` ,O f t p..OQ " ° : f ` ` ,,,,,, , d :!1 of 1- and 2- family dwellings 4 or more new residential ❑ 1 - and 2- family dwelling 01 , Commercial/industrial ['Accessory building ❑System over 600 volts nominal units in one structure CI Multi family El Master builder Other: ❑Building over three atones ❑ Feodcrs, 400 amp:t or more ['Occupant load over 99 persons ❑ Manufactured structures or ::k<^:' : : ' :• :iii: RV . �1N�;E�It!)C`tk'1'lE E eas/I plan park ?C n tin an .:::;,%: >:::;> S>:: l�:'>:> i,;„ s <ii1E�R•C�1' .� l(.. �!�i;Ey � ci'3 � ri ;k; ^� ?� i'`::a;::; Job no.: - q�q� j Job Site address: '6 S U) $ V r nt � � � ❑He 2•c s facility ❑ ab o ve. ll�/)� 5+ Submit 2 sets of plans with any of the above. Cit State/ZIP: — c i e9R GI' -1 1.13 The above are not applicable to temporary construction service. 1 I ?�'P� .. X41 ga.�:�;; �� r ss: i�r Suitt:/bldg, /apt. no.: Project name: L.tii,� - 6( B �g /z r)�`C1L�I15 . oer�yntm tiny Fee. Total ' ` : f Cross street/directions to job site: New residential single- or multi-family dwelling unit. Include attached garaee. 1.000 sq. 11. or less 145.15 _ 4 Subdivision: I Lot no.: Ea. add'l 500 sq. tt, or portion 33.40 1 — Tax map /parcel no.: 7 5.00 2 . Limited energy, residential 75 00 2 N;:OFiW " .::::: Limited energy, non-residential 1 7S.CO .... ...... :: :: . .....:: . . . .. :.: .. .. < .g,. .:: ... ; . >::;.:,e...:.:, Each manufacture or modular dw elling, s ervice and/or feeder 9090 . 2 P fDV is,..- -I- ins I L fvf: P S M e . 10.6 y 7 I / F ��1 _ D / rP h° /h (Q y rn mud I , Services or feeders luetullntlutt, Alteration, and /or relocation r 1� _ ��} 1 1 1 /'7 �1 , .rrr r , ,,! , '.1..,^ .�.: b, 1,; ,1 . 1.!.. :.:r ^:i'r 1 06.85 2 > 200 amps or less 2 : : q ;• 201 amp t o 400 amps 'I'l�f .i�R .i >`< : ..:::�.� :':,',.<•:::� :.::::.. ..::.:.:: sr : r ;:«.r;;;;:; ; ;, :, , .. ..:: :. .: :.: .:. :::: ...:.. 401 amps to 600 amp, 160,60 2 Nance: 601 amps to 1,000 amps 240.60 2 Address: Over 1.000 amps or volt, 454.65 2 Reconnect only 66.85 ( 2 City/ State/ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.85 l Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 1 100.30 i 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2 ()wrier signature: Date: • branch circuits - new, altenition, or extension, per panel ;::mot; � . a : A Fee for branch circuits with serv or f eeder fee. each 6,65 2 Business name: branch circuit B, Fee for branch circuits Contact name: without service or feeder fee, 46,85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not Included) Pump or irrigafien circle 53,40 2 Phone; ( ) I Fax: : ( ) Sign or outline lighting 53140 2 E-mail: Signal circuit(,) or limited- � ��, , ;r . energ p ane dratiA .,.:r7/'; , ' - extension: Desc Page 2 2 Business name: Christenson Electric, Inc - Address: 111 SW Columbia Street, Suite 480 Each additional inspection over Allowable in any or the above Per inspection 62.50 City / Suite/ZIP: Portland, OR 97201 Investigation per hour (1 hr min) 62.50 Phone: (503) 4193300 I Fax: (503) 419 Industrial plant per hour 73.75 ,.;<:` `} If.f.10Xl(tgc ;!<'1r. FI`'BEESS+:;: ::. .. ... CCB Lic.: 458 Electrical Lic.: 26-34C S I rv. Lic.: 199, Subtotal -7? Oc Suprv, Electrician signature, required p Plan review (25% of permit fee) Print name: � tate aurchargc (Rein of permit fee) ( , 0 p � ��`� Date: - — ' © - Cr) �� TOTAL PERMTT FEE $( , QQ Authorized sigllaturc: This permit application esplres if a permit le n ot obtained within Ill days alter it has been accepted as eamp1rta Print tuune; 1 Date: • Fee methodnlnzy set by Tn- (:aunty Building (ndusay Service Board 1 . Number or inspections per permit allowed. ■Wuids4 ,rarnia.1Et.C- PonatiApr.alx 17/03 440 4aIFM0/Dvc:0M/VF.B i CITY OF TIGARD , _ BUILDING DIVISION PERMIT #: ELR2007 Q1112'I AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1012007 Phone: (503) 639 -4171 "11(11' , Inspection Requests (24 Hrs.): (503) 639 -4175 s L E.. INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 16 SITE ADDRESS: 08777 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: (Water building renovation) Limited energy for telecommunication cabling 6ystern. OWNER: CITY OF TIGARD, PHONE #: 503-639 -4171 CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: . 503 -411 -3300 Inspection Request Scheduled For: Date: 6/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical Final 050678 -01 503 -684 -0443 Y Corrections /Comments /Instructions: MkA5t I Gds 2 a PASS PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ne6 -+ Date: b' it • 0 1 Phone #: (503) 718- ____ • • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -OO121 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2007 Phone: (503) 639- 4171 ?� = Inspection Requests (24 Hrs.): (503) 639 -4175 �' ^'ll� . INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 81 SITE ADDRESS: 08777 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD DESCRIPTION: (Water building renovation) Limited energy for telecommunication cabling ;y-tem. OWNER: CITY OF TIGARD, PHONE #: 503-639 -4171 CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300 Inspection Request Scheduled For: Date: 6/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 050011 -01 503- 806 -9389 N Corrections/Comments/Instructions: Q - 'Tiq oA w 126 _ aN APASS l PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C ' 106 (iDate: 61 1 Phone #: (503) 718-Ti '