Permit . 4r CITY OF TIGARD
ELECTRICAL PERMIT
t I ��
PERMIT #: ELC2007 -00123
COMMUNITY DEVELOPMENT DATE ISSUED: 2/28/2007
•IGARID 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB - 00104
SITE ADDRESS: 07300 SW HUNZIKER RD ZONING: C -
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HILLTOP BUS CENTER
Project Description: 5 branch circuits to (4) rooftop units.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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:
ROBINSON DEVELOPMENT AC + E ELECTRIC CO
PO BOX 91305 3535 DEL WEBB #100
PORTLAND, OR 97291 SALEM, OR 97303
Phone: Contact #: PRI 503 - 363 - 2301
FAX 503 - 363 -2302
FEES
Description Date Amount Reg #: ELE 24 -1C
[ELPRMT] ELC Permit 2/28/2007 $73.45 LIC 591
[TAX] 8% State Surcharge 2/28/2007 $5.88 SUP 4702S
Total $79.33 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: . _ L Oh l Permittee Signature: aA _4 1,.....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.
Electrical Permit Application—
Foci OFFICE I Ush o:
HEr City of Tigard Date /By: D7 f Permit No 1' _ • j _- Qola 3
13125 SW Hall Blvd., Tigard, OR 97223 _ „ 7 Plat, Revi-
.: Phone: 503.639.4171 Fax: 503.598.196Q I . j 2 2001 Date/By: Other Permit:
Ft G ! A R D Inspection Line: 503.639.4175 OF , Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF wriehig.DiNG DIVISION PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction ® Addition /alteration /replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault 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
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "I - 3 ",
100HP or more. occupancy.
Job no.: 494 1 Job site address: 7300 SW Hunziker Rd.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
['Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. ) Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
' Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Replacing roof top units Limited energy, multi - family
Re 75.00 2
p g 4 (4) p residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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
intended for sale, lease, rent, 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 fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
first branch circuit
•
Address: Each add'I branch circuit 4 6.65 26.60 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal panel, or limited -
Business name: A C & E Electric
energy panel, alteration, or
Address: 3535 Del Webb / extension. Describe: Page 2 2
City/State /ZIP: Salem OR 9730 I / A //( /D" Each additional inspection over allowable in any of the above
� /1)/(/617 Per inspection 62.50
Phone: (503) 363-2301 f Fax: 503) 363 -2302 / Investigation per hour (1 hr min) 62.50
CCB Lie.: 591 / Electrical Lic.: 24 -1C Suprv. Lic.: 4702S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Oak( Subtotal: 73.45
Print name: Dan Allen Date: 2/26/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 5.88 /
Authorized signature: D ja TOTAL PERMIT FEE: 79.33
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23 /06 440- 4615T(l I /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/ 2007
Phone: (503) 639- 4171wi tll'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 7:00AM PAGE:. 44
SITE ADDRESS: 07300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CENTER
DESCRIPTION: 5 branch circuits to (4) rooftop units.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC + E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 8/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 A/C or heating unit circuit - 0"' i " -+1 503 -559 -9855 N
Corrections /Comments/ Instructions:
\ - 6 o F®a- cti21it `Th
i) 6o
5). Lo
❑ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: I Phone #: (503) 718 - P ►b
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2007-00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 20812007
Phone: (503) 639-4171 401111111
Inspection Requests (24 Hrs.): (503) 639-4175 As■
INSPECTION WORKSHEET FOR DATE: 2/25/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 07300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CENTER
DESCRIPTION: 5 branch circuits to (4) rooftop units.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC + E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 2125/2008 Pour Time:
Code # Inspection Description C # Contact # Message
199 Electrical final 06550G-01 503-6'59-9855
Corrections/Comments/Instructions:
c\ A \\\
V
&PASS El PARTIAL APPROVAL E CANCEL fl NO ACCESS
0 FAIL I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
Inspector: i\VSZ1- Date: Z 2) : 74. Phone #: (503) 7181314
, _