Permit r . q CITY OF TIGARD ELECTRICAL PERMIT
' ,2,'. COMMUNITY DEVELOPMENT • Permit# ELR2009 -00095
T,1 G A Kb: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/01/2009
Parcel: 2S 101 DB00100
. Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 100
Subdivision: Lot: 0
Project: Agribusiness
Project Description: Install limited energy voice /data.
Owner: FEES
HILLTOP BUSINESS CENTER LLC & Quantity Description Date Amount
HUNZIKER LLC, 9430 NW KAISER RD 1 ea Restricted Energy Permit 04/01/2009 $75.00
PORTLAND, OR 97231 1 ea 12% State Surcharge - 04/01/2009 $9.00
PHONE: Restricted Energy
Contractor:
AF TECHNOLOGIES
1418 HEMLOCK ST. NW
• '' OR 97304
io P.,.ONE. 503 - 932 -6657
o r 503 - 362 -2382
c, v
' 1
. ype of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
s A t i
Total $84.00
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: 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'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.
Electrical Permit Application n r w ;;::,'•-• i r: 1 1rtE w 1 ,l t 1 r { �= i. ' tFOR OFFICiE'' ONLY ' i ^
j •"' g1 tit • Received
�! "9 G I i2 Of Tigard ` l . Permit No.: �° (2 • + •
I �� I�t Date /BY t -_ ���� ,
1' 13125 Sb\ H Blvd., Tigard, OR 97223 Plan Review
s Phone. 503- 639.4171 Fax 503 598 1960 Other Permit:
Y� � - " " � Date/By.
� [
,+ ^ = G
Inspection Line. 503 639 41 75 Dale Read /B OM RI See Page 2 for
wTIGA '' +D: 1 y �'
'„?di't31`_'tx int n i l et: O'vyW.Iigard Or.gov Notified/Method Supplemental Information
I.
TYP E OF WORK ' - 'PLAN REVIEW` ..
Please check all that apply (submit 2 sets of plans whtems checked below)
❑ New construction ® Addition /alteration /replacement
❑ Service or teedei 400 amps 01 more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available Dull current ❑ Marinas 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- tied 2- lamliv dwelling ® Coin n ncrcial /industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi- litmily ❑ Master builder ❑ Other: ❑ File pump. ❑ Installation of 75 KVA or
❑ Emergency system. • larger separately derived system
JOB SITI? INFORMATION AND 'LOCATION
❑ Addition of new motor load of ❑'`A ", "G "I 2 ", "I -
lob no.: .lob site address: 7320 Hunziker Rd ooltP occupancy
❑ Six or more residential units ❑ Recreational vehicle parks.
Ltty /Stine /% 1E: Tigard ❑ Health - tale facilities. ❑ Supply voltage for more than
a, ❑ Hazardous locations. 600 volts nominal
' Su etc /bldg. /apt no.: Ste 100 Project name: ❑ Service or feeder 000 am or more
` - - FEE SCHEDU . - .
', Cross street /directions to job site: Description ' I Qty. I Fee. j Total j
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision' Lot no.: 1,000 sq. ft or less 145.15 4
1 Ea add'l 500 sq. ft. or portion 33.40 1
Fax map/parcel no.: Limited energy, residential
75.00 2
� DESCRIPTION OF WORK. , (with above sq. tt.)
Limited energy, multi- family 75 00 2
Voice and Data install residential (with above sq. ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' ❑ PROPERTY OWNER. - ., ® 'TENA , - 201 amps to 400 amps 106.85 2
Name' Agri Business 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240 60 2
Address: 7320 Hunziker Rd Over 1,000 amps or volts 454.65 2
City /Slate/ZIP: Tigard, Or 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax. ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended I'or sale. lease, rcnL or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 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 fed, 6 65 2
ZI each branch circuit
Business name B Fee for branch circuits
Contact name: m//hold service or feeder lee,
first branch circuit 46.85 2
e
Address: Each add'! branch circuit 6.65 2
1 Miscellaneous (service or feeder not included)
1 C icy /Slate /% I P: Each manufactured or modular 90.90 2
( dwelling, service and /or feeder
• l h- Phone ( ) Fax: : ( ) Reconnect only 66.85 2
I
• E -mail Pump or irrigation circle 53.40 2
CON'I RACT012 .. `_ s Sign or outline lighting 53.40 2
l Business name AF Technologies Signal circuit(s) or limited-
energy panel, alteration, or
Address: 1418 Hemlock St NW
extension. Describe' 1 Page 2 7.00 2
+ Data/Comm
City /State /ZIP: Salem, OR 97304 Each additional inspection over allowable in any of the above
Per inspection 62 50
('hone: (503) 362 -2364 Fax: (503) 362 - 2382 Investigation per hour (I hr min) 62.50
CC13 Lie.:(o7a0 Electrical Lic.: CLE 10 Suprv. Lie.: 2903LEA Industrial plant per hour 73 75
'' ,ELECTRICAL PERMIT FEES ,
Supry Electrician signature. required: Subtotal. 75.00
Print name: Carl Robins Date: 4/1/09
Plan review (25% of permit fee).
State surcharge (12% of permit fee): 9.00
Authorized signature: TOTAL PERMIT FEE: 84.00
Prl11l ITiIIt Carl Robins D a t e: 4/1/09 This permit application expires if a pen »it is not obtained within 180
+, days after it has been accepted as complete.
tl * Ntasbet of inspections allowed per permit.
'4 =' I Ki,,dingAl'ei n -het ntit App,doc 05/23/55 440- 4615T( I I /o5 /COM /WEB
g.
CITY.OF TIGARD CL 2d � ' - OOU 9f
BUItt.DING DIVISION PERMIT #:
13125 - SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 AA,
Inspection Requests (24 Hrs.): (503) 639 -4175 _G..
INSPECTION WORKSHEET FOR DATE: `i� Of �I / TIME: PAGE:
SITE ADDRESS: " 2 30 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
/ 3 S' 14--(A) 064- 64_ ow/ -0
Corrections /Comments /Instructions:
0 UAci 6fe c i 4 ) 1 - c i r -- co -o
4 o 04- (A) (Act d-o / itsp e c- >f
P`eGoce, Pecs c,Gl
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7` — /O o f Phone #: (503) 718-