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Permit CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00395 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2005 Phone: (503) 639- 4171 °� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21 /2005 TIME: 7:11AM PAGE: 98 SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HUTTIG BLDG PRODUCTS DESCRIPTION: Move battery chargers. Job # W13104. OWNER: PALMER G LEWIS COMPANY, PHONE #: CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503 - 419-3600 Inspection Request Scheduled For: Date: 6/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 009742 -01 503-419-3607 N Corrections/Comments/Instructions: l • • ..4%!■SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ■ r � 1 Inspector: i'�. � Date: G 2 / `-i� -Shone #: (503) 718- CITY OF TIGARD GARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00395 1.1 DEVELOPMENT a.,iga Tigard, 97223 503 - 639 -4171 DATE ISSUED: 6/8/2005 Hall PARCEL: 2S101 BC -02501 SITE ADDRESS: 08100 SW HUNZIKER RD ZONING: I -L SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Move battery chargers. Job # W13104. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 6 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PALMER G LEWIS COMPANY CHRISTENSON VELAGIO, INC. PO BOX 1041 1631 NW THURMAN ST. STE 200 CHESTERFIELD, MO 63006 PORTLAND, OR 97209 Phone: Phone: 503 - 419 -3600 FEES Reg #: LIC 64137 ELE 26 -1174C Description Date Amount SUP 19945 [ELPRMT] ELC Permit 6/8/2005 $120.20 [TAX] 8% State Surcharge 6/8/2005 $9.62 REQUIRED ITEMS AND REPORTS Total $129.82 • 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: Permittee Signature: 5 _L , c)c 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. ELECN: DATE: LICENSE NO: Cali 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. JUN -08 -05 WED 02:03 PM CHRISTENSON ELECTRIC FAX NO 5034193695 P. 01 Electrical Permit Application 1 �,z., t 6 ° *,,.* t�h'f f1R. F14 F;`1 st c)�11 ti 1 1� trV .,,. . x . y+ �, : '.� , • pity Tigard ! - "a 0 u D ie 6 - I 0 c ') Permit Nn. :L Jab O0 y, - 13125 S Hall Blvd., Tigard, O'' ` Plan Review Other Perini` Phone: 503.639,4171 Fax: 503.598.1960 Date/By Inspection Line' 503.639.4175 1 I O 8 2 Q5 -x '�' Date Ready/By J� la See Page 2 for w Internet= ww.ci.tigard.or.us 3 Notified/Methad; + / � r Supplemental Information ;:iY' t *'t=. c. a i, ''' ,•. ;_ "1;4."Tliftligli:,:'?s' • :. • . . •' ,. ;PLAN REVIEW _. 0 New construction. itiogkaltiatl Please check all that apply: B tl�. V �' 4. �., a .. []service over 225 amps, comet (]Hazardous location ❑ Demolition i i er: ❑Service over 320 amps - rating EiBuildng over 10,000 sq ft , ' +> '.7 ft ;;g. .` `'• 'P4" AR diAtS'ritli(0'01 ' of 1- and 2- fanuly dwellings 4 or more new residential ❑ 1- and 2- family dwelling )(Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi family El Master builder ❑Other: ❑Building over three stories ©feeders, 400 amps or more _ []Occupant load over 99 persons ❑Manufactured structures or , ',''y f . 1 r ' ' ' " :.';/! .. I ?` . j. ;'r I 47 ,. . : _ 1 •4a . r ;�I ., 181 rY� - •. , /_ ..+ ` ❑E ess/lighting plan Res park Job no.:W13104 Job site address: 8100 SW HI NZIKER ❑Health -care facility [Other: Submit 2 sets of plans with any of the above City/State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service Suite/bldg. /apt. no.: Project namel3UTTI4lG '`',-` ' ' ; se>E >y. Description `• j Qty. 1 Fee. 1 Tetal 1 " Cross street/directions to job site :QUESTI0N57BOB AXT (503) 419 -3607 New residential single- or multi - family dwelling unit. includes attached gamic. 1,000 sq. tt. or less 145,15 L Subdivision: J Lot no.: Ea. add'I 500 sq. R. or portion 33.40 Tax map/parcel no.: Limited energy, residential 75.00 2 "e _; v, i-�� �. ,,i Limited energy, non residential 75.00 2 REEritiMi kiitk::.� rat:: t li�ii4 + �'•1J!l 1 :L ' rlC� : Each manufactured or tnadular MOVE BATTERY CHARGERS dwetlin:, service and/or feeder 90.90 2 Services ar feeders Installation, alteration, and/or relocatio 200 amps or Ir. s 1 80.30 80, 30 2 fS7n V [a5'1arP'ti �Pj ",i to 'y's 715 r~ t'r,Y!~ '1`.5 r ' ) - , . :i 201 arms to 400 amps !06,85 2 ::: -n.� � ti ea �:,� •�.- •';.: -.- aol amps to60oamps 160.60 2 Name: 11UTTI G \ J ri dl J-i 601 amps to LOGO amps r 240.60 2 Address: 8100 SW HUNZIYER ST Over 1,000 amps or volts 454.65 2 _ Reconnect only I 66.85 I 2 City/State/ZIP: TIGARD OR 97223 Temporary services or feeders installation, alteration, and/or �3 ) /./ / / J Fax: ( ) relocation 00 aft l Phone: (S 6 „z o V G 200 amps or less 66.85 1 Owner installation: This installation is bcing made on property that l own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447,449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: - Date: , Branch circuits - new, alteration, or extension, per panel r '47.171 .- 1.71' -: " s . r 1 ? " " y:, ``'� �g,'f A. Fee for branch circuits with - ' service or feeder fee, each 6 6.63 39. 90 2 Business name: branch circuit B. Fce for branch circuits Contact name: without scavice or feeder fee, Address: each branch circuit 46,85 2 Each add'1 branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not Included) � Phone: ( ) Fax: : ) Pump or irrigation circle 53.40 _ 2 Sign or outline lighting 53 40 2 _ E -mail: ,,�, tti �Idp� Signal circuit(s) or limited - i l.'f•:el tiger Lt.� '` 0 `''.dif.ti'4 =: -r, .,:- ?t.:;.i . :i . :;: : 17 ., 1:: energy panel, alteration, or 75.00 extension. Describe: Page 2 2 Business name: CHRISTENSON VELAGIO, INC. _ • Address: 1631 NW THURMAN ST 2ND FL Each additional inspection over allowable In any of the above Per inspection 62.50 City/State/21P! PORTLAND, OR 9 7209 -2558 Investigation per hour (1 hr min) 62.50 - Industrial lant . hour 73.75 Phone: ( 503) 419- 3300 Fax: ( 503) 419- 3333 .,K;' p ' ,' ' ' • • CA'i;,7PEl T'f "•1EI 1F,5•' . . ' . CCB Lic.: 64137 Electrical Lie.: ,_ 117 1 Suprv. L J .. Subtotal 120.20 Res P Suprv. Electrician signature, required: e r - Plan review (25% of permit fee) ....p State surcharge (8% of permit fee) 9.62 Print name: ROBERT AXT Datc: 6/8/05 TOTAL PERMIT PEE 129.82 Authorized signature: This permit application expires if a permit Is oot obtained within ieo days after it has been accepted as complete ***VI *' Print name: ---- Date: • Fee methodology set byTri -County Building Industry Service Boo", SA Number of itupections per permit allowed L\Builduue ttro.L LC.PmntAppdor 12/07 440.461Sr(10r07/COWWEB