Permit 1 1 1 q CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00387
COMMUNITY DEVELOPMENT DATE ISSUED: 7/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00104
SITE ADDRESS: 07300 SW HUNZIKER RD 103 ZONING: C -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HONEYWELL
Project Description: TI. Installing (14) branch circuits.
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: 13 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
[ELPRT] ELC Permit 7/7/2008 $133.30 LIC 591
M
[TAX] 12% State Surchar 7/7/2008 $16.00 SUP 4702S
Total $149.30 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 B � / � � Permittee Signature: 7T__.--Z/ 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 FOR OFFICE USE ONLY
t `` City of Tigard c `� Date /B :
Plan Review $ ', �' �' g Permit No.: .
v 13125 SW Hall Blvd., Tigard, OR 97
Phone: 503.639.4171 Fax: 503.51 c o, Date /By: Other Permit:
Ins Line: 503.639.4175 t1 r 0 u Date Ready/By Inr° ® See P age 2 for
TIGARD 6 Notified/method: ., l l f orma
Internet: www.ttgard- or.gov /� Supplemental Information
0-
"4. .. .. ... ,. � , . -<. ,.. , : - PAN I2EYIEW': •�
`z.• � ��> . , . QF WORK . � fir.
, _ .
: f2 't•+�n,w�, U. .. .'3 .,. , .., .,., xi \ i. tea, ,..',` .v. 4r,,,. >�,,. '�. (...,:. ��-�p�1"_�k� -: ... .. � jR \: �� .,
L
heratit>"� 12cmet ®w E Please check all that apply (submit 2 sets of plans w /items
❑ New construction ® Addition /a checked below):
ID Service or feeder 400 amps or more ❑ Building over three stories.
��`� Demolition ❑ Other:9 \'` where the available fault current ❑ Marinas and boatyards.
; `,` ' ; °'' "' °" t-V 'l exceeds 10,000 amps at 150 volts or ❑ Floating buildings
;" °�,> > � °',. y. CA7?EGORY Ok' 'a�.%� " -:; , .' � -
.';:il•,,;.�. ,: a• ;�b - = > ., ,=mow •.�. .�.�o., �_ ,:•,;.�.... „4,,F, ... - y,
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- 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
„ .,- JU ; >, .• ❑ Emergency system. larger separately derived system.
' °°'" t , ; . B SITE`S INFORIVIATION `AND> LOC = :. :/ -- :
�'s- .' ; , . ... ,„ , „„ ,, .. - _.._, „. „„ ° 4.,,,we, - ; .., _, .. r , ID Addition of new motor load of ❑ .: . .. l Z „ .. _
Job no.: Job site address: 7300 Hunziker Rd 100HPormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, Or El Health -care facilities. El Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Honeywell TI ❑ Service or feeder 600 amps or more.
Cross street/ it F ' ':, ;• ,: Wil$0 1):4,,E .,, `' E ;,,° ,
e ^,I is t�
street/directions to job site: Description I Qty. I Fee. I 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'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
:'nsc . y w 1
, . , . : 'a , < ,,.,.,,, :•,, , . �, „,,AY: WORK ,1,I..' H ; ' (it t above s ft
Tl. remodel Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
•y,...:�: ;..fir: s. =;>
- ° ❑ :PRUPERTY, UWNER s - <: ` :TEN 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
g A. Fee for branch circuits with
.<,•-.,,�.. ❑-=.AB1'LICANT.' �S ,:i ' 4. -•R° :0*MT'�ikei ON ;•�,k-k above service or feeder fee, 2
�: i, z'.. �.;,,,,o, .. �._. , �< ,.,,,,,,.,, •, .,t,„ ..,,t, �er:a,.,,. , 6.65
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 46.85 46.85 2
Contact name: first branch circuit
Address: Each add'l branch circuit 13 6.65 86.45 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
- dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
`•-t < % '' Fig, ; <. `"m° t"' ",i Sign or outline lighting 53.40 2
_ x. - _ •.� -:_, � -. -: �CU)\rTRAC'TQR��u., ., . ,.,,...:��'' ".` •._ . -. _ g g g _
Business Signal circuit(s) or limited -
usiness name: AC &E Electric
energy panel, alteration, or
Address: 3535 Del Webb extension. Describe: Page 2 2
City /State /ZIP: Salem, OR 97301 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 363 -2301 Fax: (503) 363 -2302 Investigation per hour (1 hr min) 62.50
CCB Lie.: 591 Electrical Lie.: 24 -1C Suprv. Lie.: 4702S Industrial plant per hour 73.75
;-R,.. RKLCCT [GAIT PERiVIIT;E'EES < - -1 ''.'1.!
Suprv. Electrician signature, required: Subtotal: 133.30
Print name: Dan Allen Date: July 2, 2008 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 16.00
Authorized signature: TOTAL PERMIT FEE: 149.30
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 \Permus \ELC- PermitApp doc 05/23/06 440- 4615T(I 1 /05 /COM/WEB
711 CITY OF TIGARD
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Electrical Signature Form
F'EC EVED
IMPORTANT PERMIT NOTICE
JUL 0 9 2008
AC & E ELECTRIC CO CITY OF TIGARD
3535 DEL WEBB #100
SALEM, OR 97303 BUILDING DIVISION
Permit #: ELC2008 -00387
Date Issued: 7/7/2008
Parcel: 2S101 DB -00104
Site Address: 07300 SW HUNZIKER RD 103
Subdivision:
Lot:
Jurisdiction: TIG
Zoning: C -P
Project Name: HONEYWELL
Description: TI. Installing (14) branch circuits.
Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical
permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.718.2433.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
ROBINSON DEVELOPMENT AC & E ELECTRIC CO
PO BOX 91305 3535 DEL WEBB #100
PORTLAND, OR 97291 SALEM, OR 97303
Phone #: Phone #: 503 - 363 -2301
Reg #: ELE 24 -1 C
LIC 591
SUP 4702S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
A4) 1 7/70 2 S
Signature of Supervising Electrician ame (grin ed) SUP LIC #
1 . .
CITY OF TIGARD
.. ,
BUILDING DIVISION
A,
PERMIT #: ELC2008-00387
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2008
Phone: (503) 639-4171 -selyiVi A 11-
Inspection Requests (24 Hrs.): (503) 639=4175 A14 11..
INSPECTION WORKSHEET FOR DATE: 7/25/2008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 07300 SW HUNZIKER RD 103 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HONEYWELL
DESCRIPTION: TI. Installing (14) branch circuits.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC & E ELECTRIC CO PHONE # 503-363-2301
Inspection Request Scheduled For: Date: 7/25/2008 Pour Time:
Code # I nspection Description Confirm # Contact # Message
'199 Electrical final 073214-01 503-559-9855 , V
Corrections/Comments/Instructions:
N
N \ N 'N /------
D i ,
_,--
711 PASS H PARTIAL APPROVAL El CANCEL fl NO ACCESS
l I FAIL n CALL FOR INSPECTION E 1 ADDITIONAL FEES ASSESSED
Inspector: C7 I NRSGi....e' Date: 1 .1C; Ot Phone #: (503) 718- 1,44c,
. ,
. .
CITY OF r ,
��mo m n-*w TIGARD
.
BUILDING DIVISION • ' PERMIT #: EL{�2QO��DO387 iAt i 13125SVVHaUB�d.. Tigard, OR07223 ^ DATE ISSUED: 7/7Y2008
Phone: (503) 639-4171 �
NtiviClii-
Inspection Requests (24 Hrs.): (503) 630-4175 - - ._..484.- 11.
INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:02A1v1 PAGE: 4
SITE ADDRESS: 07300 SWHUNZ|NERR[)103 CLASS OF WORK:
GUBD\V\S0N: L{T#: TYPE OF USE:
PROJECT NAME: HONEYWELL .
DESCRIPTION: TI. Installing (14) branch circuits,
OWNER: R()ENMSONDEVEL0PIVIENT. PHONE #:
CONTRACTOR: AC & E ELECTRIC CO PHONE #: 603-363-2301
Inspection Request Scheduled For: Date: 7y23/2008 Pour Time:
Code # Inspection Description Goat # Contact # Message
130 Ceiling cover / 603-563-9855 N
-
Corrections/Comments/Instructions:
.
-~--
111 H � RART|ALAPPROVAL �ANCEL -- CR NO ACCESS
I - ~—
/ FAIL L ' / CALL FOR|NSPECT|ON | |ADO|T|ONALFEEG
G---, ���� ^ ~� �� �� ��
Inspector: u ~««��o �-8�� Date: v^ °~�,' ^�� Phone #: (503) 718' 1A
CITY OF TIGARD
, .
BUILDING DIVISION PERMIT #: ELC2008-00387
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/201)8
Phone: (503) 639-4171
- Inspection Requests (24 Hrs.): (503) 639=4175 Ar -IL
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 07300 SW HUNZIKER RD 103 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HONEYWELL
DESCRIPTION: TI. Installing (14) branch circuits.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC & E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
126 Wall cover 072502-01 503-559-9855
Corrections/Comments/Instructions:
IZ PASS 0 PARTIAL APPROVAL CANCEL fl NO ACCESS
I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cr • I\ Date: 11 6 Phone #: (503) 718- Alt
CITY ������U���&���� ^ _.
TIGARD
BUILDING \
UUU8 �oUN��� DIVISION DIVISION PERM[T#: ..A
13125 SW Hall Blvd., ` ' ^ Tlgord.ORQ7223 DATE ISSUED: 7/7/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 a��W� ^���
INSPECTION WORKSHEET FOR DATE: 7V10/2000 TIME: 7:00Aivi PAGE: 35
SITE ADDRESS: 07300 SW HUNZIKER RD 103 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HONEYWELL
DESCRIPTION: T|. Installing (14) branch circuits.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC& EELECTRIC CO PHONE #: 603-363-2301
Inspection Request Scheduled For: Date: 7/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
106 Underground/slab cover 072411-01 503-569-9056 N
Corrections/Comments/Instructions:
.
XPASS .
PARTIAL APPROVAL D CANCEL 7 NO ACCESS
FAIL ri CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: C� N016 / ~� Date: 1~10`GA Phone #: (5O3)718'2^q(