Permit CITY- OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00787
i ONIMUNITY DEVELOPMENT DATE ISSUED: 11/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S101DB-00100
SITE ADDRESS: 07320 SW HUNZIKER RD 106 ZONING: C -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: WOODEN SHOE DELI
Project Description: TI
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: 29 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 A C + E ELECTRIC CO
21360 NE AMBERWOOD DR. 3535 DEL WEBB AVE NE #100
HILLSBORO, OR 97124 SALEM, OR 97303
Phone: 503 - 645 -8531 Contact #: PRI 503 - 363 -2301
FAX 503 - 363 -2302
FEES
Description Date Amount Reg #: ELE 24 -IC
[ELPRMT] ELC Permit 11/21/200' $239.70 LIC 591
[TAX] 8% State Surcharge 11/21/200' $19.18 SUP 4702S
Total $258.88 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: /
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.
lit: 'Leal Permit I i �II FOR OFFICE USE ONLY
'1r ' 't NU 2 1 '/1]1 Received /
City'af- Tigarc Date/By: ` 2 Permit No.iELC 3)Qp7_ Dv 7 g 7
13125 SW Hall Blvd., Tigard, OR 97 Y Ur � ((� (� Plan Review 7
Phone: 503.639.4171 Fax: 503 . " S �p Date/By: t g Other Permi (�(�� .00 4R.9 4R.9 Inspection Line: 503.639.4175 11 �� ®`� + `�'�� I ra` Date Ready /By: Juris H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
., . ,,a, ,.. ". ,ir::,#TYPE -OE WQRK r ..:,;- 17 * P[AN" REVIEW`.H<;,,
❑ New construction Addition /alteration /replacement Please check all that apply:
['Service over 225 amps, comm' Hazardous location
El Demolition ❑Other:
,.. ., „, g
,i. ,;,, , ,,., ..�� -gym'
['Service over 320 amps rating Buildn over 10,000 sq. ft.,
; t�r ; ;•, : . , b - � •�e•r, ;OF;SGONSTRU . „ ,i - A6 of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling g Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
111 Multi - family ❑Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more
: Multi-family
.. . :, .. Ma st F. ,,....•, ., :. e , cupan 99 persons red structures or
�� JO Srr ViNFORMATI AND .LU AT «, I ONi jj! O load ['Manufactured tu
c t
�. ., ..., .•s.:- � ,.... .., _ C ...... � , . ;' . >a� gress /lightin plan park
❑Health -care facility ❑Other:
Job no.: Job site address: - 73,„0 Sup 0 ". f_ - SV , Submit 2 sets of plans with any of the above.
City /State /ZIP: ` �c 0. OK 91 aa3 The above are not applicable to temporary construction service.
,
Suite /bldg. /apt. no.: O Project `� ,' . . ,, „ FEE *'SGHCDULE , ''`':; :„ ^ * ,
(p oject name: NCVJ TL W, \ \\O'?
Description Qty. Fee. Total
Cross street/directions to job site: S Lk) aid A J New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
4-7 DESCRIP..T1ON' "O Oj
.. „ .., a� �.....��:,,,,.., ,:, „ ,�� -., ...fe::,, y. .�.. ,;1,,.i, -. -... I Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
g ' ' 7; , ,,, ' 201 amps 106.85 2
®:SPA PE s to 400 am 85
;.s''� C) ,R1 Y OW NE . _ %„ ��,�`..: =� � � TEI �`ANT ' :� v
u 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
r ':' '` : „ ' " ' . i :' "p ?" ”
' ❑ 'AP PLICANT :: » ' ' "" . , ,''> coNTACT' PER
f .., z ,.. :. - � , -, �,. ... �" emu. ,.,. _ ��t � A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, \ 46.85 a %S 2
Address: first branch circuit
Each add'l branch circuit /4 6.65 19a,IIs 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax: ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
' = ""r` '` '" - �x ;; ; ' " energy •. �, -. ...:�':; r :„„ _° , " GONTRAGTOR•:: ... . --'` gY P anel alteration, or
extension. Describe: Page 2 2
Business name: A C4 L L- cAlr, C
Address: S 5 T € t b��� t/� Je_ Each additional inspection over allowable in any of the above
` J \ lrC Per inspection 62.50
City /State /ZIP: CJ._►^` Q- 91-30 ( Investigation per hour (1 hr min) 62.50
Phone: (,3) 3 u,'3 _ Fax: ( ) Industrial plant per hour 73.75
q%' : :..' EL C RICAIL,PEwR1VI,I1T- ;•FEES. *„ M7 i.' .
CCB Lie.: S i \ Electrical Lie.: a.4 —\ C_ Suprv. Lic.: (riel. S Subtotal . 3Cj s2-
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of pennit fee) 1 ci . t
Print name: (264\ �. Date:
TOTAL PERMIT FEE asI) . SS%
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Trt- County Building Industry Service Board
** Number of inspections per permit allowed.
1:\ Building \Permits\ELC- PermitApp doc 12/03 440- 4615T( I 0 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00787
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639-4171 Atilt lij'\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/5/2008 TIME: 7:01AM PAGE: 40
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: TI
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531
CONTRACTOR: A C E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 5/5/2008 Pour Time:
Code # Inspection Description Confir # Contact # -I■sage
199 Electrical final 069332-01 503-209-8555
Corrections/Comments/Instructions:
•13 Pkovtico.C ALL kti MLD Ga:EV33 Fitsk-&
tAl• \rEQ, 6 iiktk3, it 3%1(00
Pa-C"itZrt's CCAti4Z(L. 611 kt/ Ito .'3(k)
f--
Potoez-A0ARZ vioL4:f16os To 6g.
%tistpl.s>ci4.0 _
1 El PARTIAL APPROVAL 11 CANCEL fl NO ACCESS
FAIL fl CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
Inspector: M6g Date: Phone #: (503) 718- *A
. . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00787
13125 SW Hall Blvd., Tigard, DR 97223 DATE ISSUED: 11121/2007
Phone: (503) 639-4171 47#1,
i
Inspection Requests (24 Hrs.): (503) 639-4175 I
INSPECTION WORKSHEET FOR DATE: 50/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: TI
OWNER: ROBINSON DEVELOPMENT, PHONE #: 603-645-8531
CONTRACTOR: A C E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 5/?J2008 Pour Time:
Code # Inspection Description Confirm #, Contact # Message
199 Electrical final 069258-01 503-559-9855
Corrections/Comments/Instructions:
ID
Pfkot.) 0:4 IvNvs, 041E cZiNIZ t_■"AzoAqi /1(1
Y1/4 Mr ci T Foci-. (67,31A vipq RR('L fact_ 220
P kIk
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P(ko\ni-E AL cragatb )itvacylls3 p L tt2i4
_Nict
EI PASS fl PARTIAL APPROVAL I I CANCEL El NO ACCESS
FAIL p CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
•
Inspector: Gr . 66 L Date: &I 0 Phone #: (503) 718- 141/1,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI.C2007-00787
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DEL/
DESCRIPTION: TI
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531
CONTRACTOR: A C E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 4/29/2008 Pour Time:
Code # Inspection Description Confirm* Contact # Message
130 Coiling cover 06899&01 503-659-9865 y
Corrections/Comments/Instructions:
fr\
4 (:) (0141131. - t1)4Sfigt tAb AtOtRA0
1...ebtA - \16L—I06 -1 0 V:Al CiLl S 6 0 I
\hikes,- ibiqk • .c1
.1)
M PASS n PARTIAL APPROVAL El CANCEL Ei NO ACCESS
I FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Cr. W1/4)1 Date: 4i 1 Phone #: (503) 718- 1)146
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00787
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/20)7
Phone: (503) 639-4171 . /A N 4 Pillt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: TI
OWNER: ROBINSON DEVELOPMENT, PHONE #: 603-646-8531
CONTRACTOR: A C E ELECTRIC CO PHONE #: 503-363-2301
. Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code #' Inspection Description Co. •rm Contact # ssage
126 Wall cover 66460-01 503-668-9855
Corrections/Comments/Instructions:
(
6U 7,11 cms cEi u-itikS:) 601)
1=EIV
AS 1 PARTIAL APPROVAL CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: G 6( LE Date: Phone #: (503) 718-1)41410
CITY OF TIGARD
alk .,
BUILDING DIVISION PERMIT #: ELC2007- 007€37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639 -4171 t,timi i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/7/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 07320 SW HUNZIKER RD 106 - CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: TI
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531
CONTRACTOR: A C + E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 3/7/008 Pour Time:
Code # Inspection Description' Confirm # Contact # Message
125 Wall ( over 066279-01 503-5599855 Y
Corrections /Comments /Instructions:
tJct //9 If
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
A IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z' 0 Phone #: (503) 718-
____t4&/4j_______
l•• • I' • , ^
CITY OF TIGARD
BUILDING DIVISION ,
PERMIT #: FLC2007-00787
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175 A- ''.......
INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DEU
DESCRIPTION: TI
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-646-853
CONTRACTOR: A C + E ELECTRIC CO PHONE #: . 503-363-230i
Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
Code # Inspection Description ( - - Colifirm-4 Contact # Message
105 Underground/slab cover \----- 06016:3-01 503-559-9865 N
...
Corrections/Comments/Instructions:
-------- PASS 0 PARTIAL APPROVAL El CANCEL 0 NO.ACCESS
I FAIL fl CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: G. 11 \ i i r ts LC Date: tit 2-6(01 Phone #: (503) 718- wo