Loading...
Permit ELECTRICAL PERMIT CITY OF TIGARD ': PERMIT #: ELC2006 -00505 DEVELOPMENT SERVICES DATE ISSUED: 9/8/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101BD-00105 SITE ADDRESS: 12805 SW 77TH PL ZONING: I -L SUBDIVISION: LOT : JURISDICTION: TIG Project Description: (1) 200 amp service, (7) branch circuits. Job # 996747461. 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: 7 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+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: B R + G CO LLC CHRISTENSON ELECTRIC, INC. PO BOX 23009 111 SW COLUMBIA STREET # 480 TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Contact #: FAX 503 - 419 - 3695 PRI 503 - 419 -3300 FEES Description Date Amount Reg #: ELE 26 -34C [ELPRMT] ELC Permit 9/8/2006 $126.85 LIC 458 [TAX] 8% State Surcharge 9/8/2006 $10.15 Total $137.00 REQUIRED ITEMS AND REPORTS 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: _ c_Q JL, 9 y n 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'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. sEP -07 -2006 THU 08:40 AM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01/01 .6 ava: VI. mesa a. ..... ALSLG. a s a, "WED_ /1 ,.y� n E, ; Rec eived /1 ' ' Permit Na„ (":2()1) C /t!© City of Tigard DjiZ: a l ' �� f ' 13 L25 SW Hall Blvd., Tigard, OR 97223 S E P f 9 7 2 0 06 Pita Review Other Permit: Phone: 503,639.4171 Fax: 503.598.1960 ,rn, 1 ^ 'ai I , pate/Hy: � � li lung: QI See Page 2 for Inspection Line: 503,639.4175 Date ReadytSy' �/ Supplemental [nfarmatl0n Internet: www,ci.tigard.or.us CITY OF TIGA "" Notified/Method; ((! I :UI D GDV. ON •.., . �. �. . ; ° l i ,; ' r, �: 1 , , .. . 1. M , a � ' , .; il : .� i .1 S , , d . .•! t .a ir S • "'e . ... N ' �' r�r�r3a�a t. �:: T'+ " lt ;ls �•�,� (a .. __.. ...�I ..1,;;.':,....;. �... „ Please check all that apply: ❑ New construction i r4 Addition/alteration/replacement C]Service ever 22S amps, cornm'I ❑Hazardous location • D Demolition ❑ Other: ' - [Service over 320 amps - rating ❑auildng over 10,000 sq, ft.. p � r F9 "�pr� " ... " <s + -g `+r " '' i l: n ' i of 1 - and 2- family dwellings 4 or more new residential •7r�%�T',X;�ii,'�� , ,:J4*r}ti�»r' °RS�97;C, !M`+!fi•... �,•¢ti.5.'l. .� tl $r'. .. wi:.r: •; v , ;.4r:.c []System over 600 volts nominal units in one structure ❑ 1 - and Z family dwelling El Commercial/industrial ❑Accessory building 1]Building over three stories ❑Feeders, 400 amps or more ❑ Multi - family ❑ Master builder 0 Other: ❑ Occupant load aver 99 persons ❑Ma 3 ktued structures or Jr ,y l l• t_'alrz� r A{Vre'hRT-r. , -, w ,., tA' r� Qg�ass/lighting p "1' . � ' .': k flu , . ` H �irw Ar l dl?i�e to Xti i; A ,. �,? :=�Cki E °Heat h- ty 0Other: • t care facili Job no,:99g7 J . , Job site address: / 2 i e S i 7 7 ni 7 /A G a Submit 2 sets of plans with any of the above. City /StatcJ211P; T Ii �C." I' lid P ... 2. 3 The above are not applicable to temporary construction service. / 141'= • t :i'i � `; 1 ,;1,••i �, AF, ,1 ' ; ..: Suite/bldg. /apt. no.: Project name: / y ,,..& ,; ;r ,r_.4 7', 1,r r ,:s o Qh• gn- Toni Cross street/directions to job site; t4ew residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Subdivision: Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75,00 2 yr t�� ' ,_ ,y.ter, w�i�+ � tCi'.t'� "'@� u fat lured or modular ' t s -,; L•. j C A ; . " 1,11'' . 1 bb A e yu >m i _0. , -17.1. !�Z , .. t' 1 i Each than 90.40 2 ur ;, F I dwelling, service and/or feeder $ervices or (ceders installation, alteration, and/or reiocatlo 200 amps or less /' 80.30 r). 3 J 2 g w,�J:t ; 4 'S �^ ,_"^'n�py$; • ka 20! amps to 400 amp 106.85 2 �'a' �'I,67.,ol.; a v� 4 4(( , , I ItA:1 P, .. t.)7 4� ', I:c i A, V$ ∎, ,7 7r.•t"4'i4:' i'Y ;.���g�tpl it 6 S 160.60 2 . :ht Sir, a •,, vAl �i - IIY} i s }J,. R t i e.: 'X;:, k. f Y ...tt.•_.'.Lti.•mig;'.:rs! O�. .. 401 amps t o 600 am p f..�,raii'.i1i�_ :l_-: i I • �"n'.. ,. _ 1•x.1{ �Ji. 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts I 454.65 2 Address: ! -7 r F G Reconnect onl J 66.85 2 City /State/ZIP: .� id ti v: ar' -7 c. a q Temporary services or feeders installation. alteration, and/or relocation Phone: (' ;)3) :.. - 4 y+" o 4*T ;' 9 Fax ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 , untended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701- 461 amps to 600 amps 133.75 _ 2 Owner signature: ,Date' _ Br anch circuits - new, alteration, or extension, per panel r^ `1'7 `i5' L141 • •t!n '4 "Sl F - Oi - 4 }�g . :'IV .. : 1 : : A, Fee for branch circuits with c y a -r' Gt " ^N:� • , ; t �[ S• l:e; Y� s l i s TyrlL 1. , t : -, F � ) . •: t :'!.' ,ii,a. .: s -. ,s!' .._4�; :..• d ,i s feedcr eacb 5.65 �// ''2 : ..9 a'�r�_ - r a'. .�. � - . ,eZ �.. ..1 :. . " r: trViCe 4T � � 7 �7 S branch Circuit BLLSiness name: B. Fee for branch circuits Contact name: without service or feeder fec, 46.85 2 each branch crcuit Address: Each add'l branch circuit 6.65 2 • Miscellaneous (service ar feeder not Included) City/State/ZIP: • Pump or irrigation circle 53.40 2 Phone: ( ) Fax: ( ) Sign or outline lighting 53.40 2 Signal cirtuit(s) or limited- 7 S , 00 is T tv �a1' rt ^4,.' . ;� 4 � 7, . _w: . t: . , c Vi ,,{it,F B energy panel, alteration, or t `fa i !'i7i f:G� � �G3:; �. i;a �?J . - !r : ! h: extension- Describe: Page 2 2 Business name: CHRISTENSON TECHNOLOGY SERVICES, INC. - E ach additional Inspection aver oilowableln any of the above Address: 1631 NW TRURMAN 'ST 2ND FL Per inspection 62.50 • City/State/Z1P: PORTLAND, OR 97209 -2558 Investigation per hour (1 lu min) 62.50 73. 75 Industrial plant per hour , ( ( 503 419 -3636 �,:,�, '�r,._. , Phone 503 419 -3600 Fax: ) .� - ":fts_'�r�;ygir'�'�'a r :f�• �',': ,t, ;, ,:, ,;: °.,,., �„ . r.; w , S ubtotal /• Z f 5 CCB Lic.; 6413 7 Electrical Lic.: 2 b -117 4C ' ' , / , plan review (25% of permit foe) 5uprv. Electrician signature, r � � / State surcharge (8% of permit fee) /e) 11111M4 - print name: ROBERT A.XT T OTAL PERMIT p>✓E f � E2 Authottzed signature: This permit application ezpires ii a permit 1■ mot obtained within 180 days aller It has been accepted as complete Print name: pate: • Fee methodology set by In-County Building tndu$iry Service Board d " Number of inspections per permit allowed. �1 �/ u0.461$T(t oiovcoM/wEe / islHuildio ,lAetmiptPLC.PertttitAppx �d 17/0; CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005~00505 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2006 Phone: (503) 639 -4171 A . ,NO NiA Inspection Requests (24 Hrs.): (503) 639 -4175 .. I INSPECTION WORKSHEET FOR DATE: 3/9/2007 TIME: 7:01AM PAGE: 48 SITE ADDRESS: 12805 SW 77TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TEREX UTILITIES WEST DESCRIPTION: (1) 200 amp service, (7) branch circuits. Joky # 996747461. OWNER: BR •r^ G CO LLC, PHONE #: CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503- 419 -3300 Inspection Request Scheduled For: Date: 3/9/2007 Pour Time: Code # Inspection Description "'on irm # Contact # Message 199 Electrical final 044581 -01 503 - 781 -4542 Y Corrections /Comments/ Instructions: (c rpF PvIt2I KW-) 9V1M? „ .-)(' uv. . 17., PASS 1 PARTIAL APPROVAL CANCEL 1 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: v NS Date: J O 7 Phone #: (503) 718- uF Yb CITY OF TIGARD r o e BUILDING DIVISION PERMIT #: ELC20()6- 0M05 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2006 Phone: (503) 639 -4171 *mi , :�,:. � f' Inspection Requests (24 Hrs.): (503) 639 -4175 - ! '�- _,' INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7 : 02AM PAGE: 57 SITE ADDRESS: • 2805 SW 77TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TEREX UTILITIES WEST DESCRIPTION: ( 200 amp service, (7) branch circuits. Job # 996747461. OWNER: B R ¢ G CO LLC, PHONE #: CONTRACTOR: CHRISTENSON ELECTRIC, INC. fm2 PHONE #: 503-419-3300 Inspection Request Scheduled For: Date: 2/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 044054 -01 503- 781 -4542 Y Corrections /Comments /Instructions: - ,..:Rk * , - --ile..sL t • AK t \\10 pN G (At- C, PASS ❑ PARTIAL APPROVAL '\CANCEL ❑ NO ACCESS n FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N a6 LE Date: 2' Phone #: (503) 718 - -2 -‘44 1 0 , --- CITY OF TIGARD . PERMIT #: BUILDING DIVISION D ATE ISSUED: 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 al li i 1 \ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: A, K PAGE: SITE ADDRESS: 19_51)05- S 1.13 r% ( i Pl. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: p i ,/� OWNER: AY AU+D P / PHONE #: - (� 3 � - , c/ Z f CONTRACTOR: {2 k) 1; , n5 jedtr(° - vi,I +LS PHONE #: 5c3- Zzz_5c83 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: J t.— -, ( — p w N7 , Tkir \?& : -( 1= PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR REINSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C.r.- { vO Date: 8- ` 3. 19 Phone #: (503) 718 - Milk. i :\Building\IVR 'JVR- InspWorksheet- BlankForm.doc 03/02/2005