Permit ilir 1-,'
CITY O'F TIG ® ELECTRICAL PERMIT
Iii.:.'':‘
COMMUNITY DEVELOPMENT Permit #: ELC2009 -00565
Date Issued: 10/23/2009
TIGARDI 13125'S Hall Blvd., Tigard OR 97223' 503:63 Parcel: 2S1136A00200
Jurisdiction: Tigard
• Site address: 7800 SW DURHAM RD 900
Subdivision: Lot: 0
Project: Western Roasters.
Project Description: Adding ,(2) branch circuits and altering (1) lighting circuit.
Owner: FEES _
' METZGER VENTURES, LLC Quantity Description Date Amount
PO BOX 400
SHERWOOD, OR 97140 3 crt Branch Circuits 10/23/2009 $71.02
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/23/2009 $8.52
Electrical
Contractor:
RK ELECTRIC INC
24495 NW OAK DR
HILLSBORO, OR 97124
PHONE: 503- 640 -1344
FAX: 503 - 356 -0513
•
Type of Use: COM
Class•of Work: ALT Type of Const:
Occupancy Grp:
Total $79.54
Required Itemsand'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 , iOregon 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 ;952- 001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: )1"e"-- Permittee Signature: 0/C p6 77 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. ELEC' 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 untilcompletion of the project.
Approved plans are required on the job site at the time of each. inspection.
v Jc ' i . 23 2009 9: 211:1M RK —EI •4 L (5031 358 -0513 p. 1 CEIVED
•
EIeCtriCal Per mit A plphcatlt 111 . ( T �j C ry (�(� $41' i I t '' . , 3 L ? , ' i i i 1ir i i li i M t "qti NI ` ' 4 V s , ' 0 ' Y � " t it
O C I 2 ,2,009 't ' ,)th d ',kF ii iM t, `" ;va.go l,�Y i s` ,i }41i'1 v i kgm t' i.ltbt'Pri 4
hived � � t
+a'' City of Tigard Re Detale ; f a - 3 0 PermltNa.: .
13125 SW W Hall Blv T oR 97 OF TI GARD Rao 1taw.N'
tl ,r ®, Phone. '
503 Fax 503 ,3 Deto19 Other Permit;
- tinEDING DIVISION
l l l ifil i% I ny n cti o n Lino: . 501639.4175 Data rteady/ay: n 5cc Fuse t for
Vito., Internet WwW,dgard or gov Notifi 5 wkaientil efor'rnetion
,v A. , 3:F7,' ✓R, . N ., { , ia.f."'" 'V`. ' r 4....,;.,,...„W r ,, e . a .F. 57...r .a i y , e m , rrwr
..... • ; },:/ o,J1 e i -1— : : l t ,,,. 1 ;r:ci.;L tg. i
-e next 1 a,,,,,,. 7 P6v 4al i ) ..,.2,.,' y f 7 Ci .. .'.s
rn- r...:... �.. - .. .:, \- µM1 , . n ,,, -
❑ New construction ® Addition /alteration /replacement Please cheek all, thetepply(autiititt 1late of plena ivlitemi eboolced:bcloiv):
0 Service or feeder 400 amps or more ❑ Building over three stnriea.
0Deniolition ❑ Oth.er: • where the evatlabla;feuh current ❑ Marinas and boatyards, "
r txsµrx ,r f e a aze ,, ', i,6 i 0, ?^\a {i g
e,
�1^E > ��;,) } rw' y tAe3�e,1' � l °i. - 1,` ��r� ¢ '+ c�r.raas r exceeds 1 et IiOvoltaor ❑ ^ioat buildin
m . ..,,'.,. ..:
lase to pound, or exceeds 14,009 ❑ Commotoial -us: agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amts for (+Rother installations, buildings.
❑ Multi - famil ❑ Master builder ❑ Other: 0 Fir pump; ❑ Installation of 75 KVA or
,mr
larger separately derived system.
x S 5 li — Hmergoncyaystem.
8 . , v, ; i : r
.:...:: .' .. t. ? ' a �*- .,., 1 s
-r- mtogd �,4 i?,'.N..... _ . �:.1 .'._;,. {4 rvs ".�? [1 Addition of caw motor 1024 Of p „ ..g., ' "1-3"
1 1 7 7
Job no.: 1897 Job site address: 7800 SW Durham Road, Suite 900 100FIP or more. 000upanoy,
• 0 Six or more residential units ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97214 ❑ Hteltlwa a facilities, • ❑ Supply voltage for more than
D Hazardous• Ioeanona. 600 volts nominal.
Suiteibldg./apt. no.t Project name: Western Roasters 0 Service or feeder 600 amps or more
t . ilt isr,y6 a
i ) r ntm x r : ` -.�1""t it: ':1 4 1d�1 tii(If� l
s ta na,c:Y�auu M "V "j lit; r� I y "Tarsi'
Cros street/d recons•to job site:
New residential sing le - or multi - family dwelling unit,
Includes attached garage. •
Subdivision: Lot no.' 1,000 4.11; or leas 145.15 4
Ea. add'1500 sq. ft, or portion 33,40 1
Tax map /parcel no Limited energy, residential
r :. a t> y \ .:, t .stir: 75.09 2
u r i } fie #� }iv, Or � � .�; a . e,,, ,. ¢iia - ul t{iie@ il�r ���. ,.,. (wit above eo..ft�
.........:.. }. � `u, t � • har. .. •� -.... ... �� .•• m ur"rxwrm, ervnaar :nwzr: ervu us
Adding ircuits and altering (1) lighting circuit Limited energy, multi
75.00 2
g � ) B O S g re9idelttial(w;th 11170Y0 so, ft,)
_ Services :oribeders lnataltatlon and/ar _ relocadon
200 ainps,Or loss 80:30 2
J ; a cc gi K *'9G ,klj','t a r giii t 201 limps to 400 amps 106,85' 2
Name: Western Roasters 401 amps t 600 amp 160,69 2
601 amps to 1,000 amps 240'60 2
• Address: 7800 SW Durham Road, Suite 900 Over 1,000'arnps or volts 454.65 2
City /State /ZIP: Tigard, OR 97224 Tenipbrary services or feeders installation, alteration, and /or
e(ocation
Phone: (503)639.2747 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This instaltation°is being made ott property that I own which is not ?pi amps to 400 limps ' 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps • 133.75 1 2
Branch circuits— new, alteration, or extension, per panel
Owner signature: Date; A. reefer brtutoh circuits with
A _s a x P 11 :'nsi asn'� s : mtl4 w rtw q 0 ^ ,t above -or #ceder fee
_.... .. r... a wl : rd . ,. w 6.65 2
eac branch circuit
Business name: RTC Electric, Inc. B Fee for branch circuits 5'6 ll
Contact name: each Milton wtrholtr'scrvice ar,feeder fee, 1 , �� ° $46.85 2
ftrst'branch circuit �°' �
`Each_add'i branch'circuit 2 , S13.30 2 -
Address: Miscellaneous (eervlce feeder not included) p i t le1,j
. City / State/ZIP ,Eaoh'rnenufaotured or modular 90.90 2
dwelling, service andforfeeder
Phone: (503) 640;1344 Fax (503) 356,0513 Reoonneot only 66.85 2
E-mail: , zach @rkelectrie.blz d H� ,wllµw�c.kss • er YC ?;,,Pump or irrigation circle 53.40 2
.:.,. -i`1 k n.as.., ..?i ! "' 11R r'rdi ' , alt !. 7.- r ! ...! a,u .✓x t ne• . Sign or outllliv`lrghting . 53A0 2
Business naive, RK Eltactric,:InC. SignaYoircuit(s)or,limited-
energy panel, alteration, or
Address: 24493 NW Oak Drive , extension. Deascribe: Page 2 2
City /State /ZIP: Hillsboro, OR 97124 Each additional Inspection aver allowable In any of the above
503 640.1344 Fax ::503 356.0513 I Far l 62.50
Phone:
( ) ( ) Investdgatlon per hour (l hr min) 62.50
CCB Lic:: 94275 ✓ EMEEEMINCES ' 41- dustrial plant per hour ? � ! � 73.75
aYA " � n., A�,i:.. S1'd rnyw.
a ,rn
Suprv, Electrician signature, required: s , ` �; : Subtotal:: wil:� r:}�..u�;
•.+, 5 '
Print name: Ron L. Kurtz + Date: 10/23/49 Plan review (259 afpertnit the): `� /, 0?
Stale surcharge (I2% of permit flee): „.. 5,2 , 22 - $ s2.---
Authorized signature: 4P.; '�, TOTAL PERMIT FEB: $
• This permit application explresif a permit 11 not obtained ',Atilt 130
Print name: Ron,L. Kurtz Date: 10/23/09 days after It bee been accepted as complete. L�
. . Number of inspections allowed per permit. 9,1 , J
1:16,41dingV'ermhaLC- r'ortn ltApp. doe 03R1/06 440.4615T(1 I/G5 /CODNWEB
, /619"/
~f CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit ELC2009-00565
0 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 1 0/2 312 009
Parcel: 2S113BA00200
Jurisdiction: Tigard
Site address: 7800 SW DURHAM RD 900
Subdivision: Lot: 0
Project: Western Roasters
Project Description: Adding (2) branch circuits and altering (1) lighting circuit.
Owner: FEES
METZGER VENTURES, LLC Quantity Description Date Amount
PO BOX 400
SHERWOOD, OR 97140 3 crt Branch Circuits 10/23/2009 $71.02
wo/Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/23/2009 $8.52
Electrical
Contractor:
RK ELECTRIC INC
24495 NW OAK DR
HILLSBORO, OR 97124
PHONE: 503-640-1344
FAX: 503-356-0513
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $79.54
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 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: i Permittee Signature:
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 503.639.4176 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.
Oct' 23 2009 9: 21 AM RK_E 1 e (503) 356-0513 p. 1
Electrical Permit Application OCT 2 3 201;
Rec>mvsd
City of Tigard DetoBv: Ie e7 i` Permit No,: `-Lt
• 13125 SW Hall Blvd., Tigard, OR 972Z1'f i OF T1Gr~llt_- pko R ,jaw 7 a Phone: 503.639.4171 Fax 503,3 DatclB : OtherPanut'
inspection Line. 503.639.4175 ~~,DlNG DIVISION DateReadylay: 4ae
See Pape 1 for
internty %Avwt7w,ti8ard-or-,,gyov Notifledltilethod: Supplemental loftrin*661%
D New construction Z Addition/alteration/replacsmcnt Picase check all that reply (auSmit 21 coca o2plana wlitoma chookod below):
C2 Service or ❑ feeder 400 amps or more [3 Building over three stories.
El Demolition QtjlCy; lvhete the available fault orrrent ❑ Matinee turd boatysrds.
ICES to ground, or excoods ceeds 1 14,,000 000 [3 t^ommeroial-u•uae agricultural
QCCdfi 1-and 2-family dwelling Commercial/industrial ICES tO 10,000 amp or [3 Coming buildings.
❑ y g ® ❑ Accessory building gimps for all other IntulliCons, buildlnss.
❑ multi-family ❑ -Master builder ❑ Other: ❑Firepvmp. ❑Installationof7$KVAor
.
Emergency system. larger sapmetaly derived system-
Mtfr ~Y•^
q+ _ _ ~ "`fia'.% TM~-~ _ 'r•~ °.J ❑ Addldon of now motor load of D "A...., "1-2„ ..t.3'
IT
Job no.: 1897 Job site address: 7800 SW Durham Road, Suite 900 IODHP or more, o0cupanoy,
❑ Six or more residential unite ❑ lkowational vehicle parks.
City/State/ZIP: Tigard, OR 97214 ❑ Health-care feollldel, ❑ Supply voltage for more than
❑Haurdous locations. 600 volts nontiual.
Suiteibidg,/apt. no.: Project name: Western Roasters D sertite or reader 600 amps or more.
Cross street/direcaons to job site: n w f e.: Tod.]
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft, or less 145,15 4
Tax map/parcel no.: Be. add'1500 sq. R, orportion 33.40 1
Its energy, residential 75,09 2
n e y I,t ~ ~±W.~pn ~rw• r3A. xnuv t'Y . 'dr with above a
n5'f'J1 NCA e1Mt :Y.WIIYSlIIW13'GY'3 '
Adding (2) circuits and altering (1) lighting circuit Limited energy, multi-i$mily 75.04 2 1
6 S residential tiviih above p g. fl,
Services or feeders Installation Oteratlan and/or relocation
200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
Name: Western Roasters 401 amps to 600 tuna 160,60 2
601 artips to 1.000 ems 240.60 2
Address: 7800 SW Durham Road, Suite 900 Over 1,000 amps or volts i 454.65 2
City; 5tatc/Z1P: Tigard, OR 97224 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)639.2747 Fax: ( ) 200 amps or less 66.85 t j
Owner Installation: This installation Is being made on property that I own which is not 201 Any, a to 400 amps 100.30 2 '
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 1 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration or exteasion er anel
Owner signature: Date: A. Fee for branch cirouits with
m
INkN b U^~:~..!LT41 `S"1M. All R}11 Y..'1 '1 above service or tbeder fee, 6,65 2
each branch circuit
Business name: RX Electric, Inc. B Fee for branch circuits it, 5
Contact name: Lich Milton wirhpur service tar feeder fac, 1 $45.85 2
first branch circuit
Address: Each add'I branch circuit 2 S13.30 2
Miscellaneous service or feeder not Included
City!State/ZIP: Eaoh manufootured or modular 90-90 2
dwellinia,
(503) 640,1344 Fax: :(503) ece 356.0513 Recc serviceantUorfeeder
nrteot only 66.85 i 2
E-mail: zacha_rkelectrlc.blz Pump or irrigation circle 53.40 2
Sign or outline liglrtin $3.40 2
Signal
name: RK Electric, Inc. oircuit(g) or limited-
arwrsy panel, alteration, or
Address; 24495 NW Oak Drive extension. Describe: Page 2 ~ 2
City/State,,ZIP: Hillsboro, OR 97124 Each additional Inspection over allowable In an of the above
Per inspection 62.50
Phone: (503) 640,1544 Fax: (503) 356.0513 11 Investiation per hour (1 hr min) 62.50
CCB Lic.: 94275 Electrical Lic.. 34-375C <Lr Suprv. Lic.: 4724-S Industrial plant per hour 73.75 .
Suprv. Electrician signature, required: Subtotal: AW7'T5_
Frint name: Ron L. Kunz Date: 10123/09 Plan review (25°h of permit be):
State surcharge (12% of permit fee); t t _Val
Authorized signature: TOTAL PER-MIT FEE: $
Print name: Ron L. IiUCIZ Date: 10!23/09 This permit application expires It a permit Is not obtain within 180
days aster it has been accepted as complete.
• Numbrr of inspections altmved per permit. I 'bwllalna`PSl'1r,11e'z+LGvorin!tap p. do. Osl13,^J6 4:~-46157(: L'C siCQ14M11'Sb
I