Permit l4} ,
CITY OF TIGARD ELECTRICAL PERMIT
". PERMIT #: ELC2007 -00134
COMMUNITY DEVELOPMENT DATE ISSUED: 3/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 200 ZONING: C -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: ANGELVISION
Project Description: T.I. (42) 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: 41 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
PO BOX 91305 3535 DEL WEBB AVE NE #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 3/5/2007 $319.50 LIC 591
[TAX] 8% State Surcharge 3/5/2007 $25.56 SUP 5021S
Total $345.06 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: /3
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.
El ectrical Permit Applica! on= , ° r -' y ' FOR OFFICE U SE >ONLY . 1- 7i
Date /B — I
City of Tigard 13125 SW Hall Blvd., Tigard, OR 972 Permit No.: e 1 , ,74/ 23. 3 , y
Pr' r, : -1 2UU7 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960'- 0 c Date B Other Permit:
' 1 G ARD Inspection Line: 503.639 Date Ready /By: orris a See Page 2 for
Internet: www.tigard - or.gov t i k (. , t. taf Notified /Method: Supplemental Information
.- W TYPE t T T i i try t r. ELAN =.REVIEW
❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. .
WV ; > ' ''' . t.9.d. � ' a A v ` exceeds 10,000 amps at 150 volts or Floating buildings.
i.x r CATEGORY OF CONS ', , i 0 Z ,, i . , p El g
' .:4,%,L 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 of75 KVA or
.- - - - � Emergency system. larger separately derived system.
rt , J OB TE4 FORMATION „ AN D'LOCATION r .... .. .. ❑ A d di t i on o new motor load of ❑
Job no.: Job site address: 7320 Hunziker Rd I OOHP or more. occupancy.
❑ 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. r L /0 Project name Ale v/ S / 0Ii) ❑ Service or feeder 600 amps or more.
_ FEE SCHEDULE
Cross street/dlreetiotls to job Site: Description I Q. I ... Fee. i Total I *
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
' DES(RIPTION4F WORK;'' , � . -., `� (with above sq. ft.) 2
Commercial TI work Limited energy, multi- family
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.'i ® TENAT 201 amps to 400 amps 106.85 2
' � z4P OWNERS � �� �- [ j�,, �
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
2 .
APPLAN
ICT
...rt.�.� ❑ to - NTACT 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'l branch circuit 41 6.65 1 272.65 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
a „_ -.5. ' : , i ' 4, w , „1 !, ,. ,,,ft'illi&4iNill Sign or outline lighting 53.40 2
Business name: A C & E Electric Signal circuit(s) or limited -
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 Lic.: 24-1C Suprv. Lie.: 4702S Industrial plant per hour 73.75
/ / /� w - ELE,CT'RICAL °PERMTT":FE . , w %
Suprv. Electrician signature, required: Q / J�/ /� Subtotal: 319.50
Print name: Dan Allen �/� lh Date: 3/1/07 _ Plan review (25 % of permit fee):
State surcharge (8% of permit fee): 5t
Authorized signature: TOTAL PERMIT FEE: 345.06
This permit application expires if a permit is not obtained within 180
Print name: Date: 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( /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639 -4171 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 07320 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANGELVISION
DESCRIPTION: T.I. (42) branch circuits. •-
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: A C + E ELECTRIC CO PHONE #: 503 303 - 2301
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046872-01 503 - 569-9855 N
Corrections /Comments/ Instructions:
Qa,rr Q Po, tg_, 6 c b 01-S f YL-.
W `Pt■Ni px. 'Mt.
•
PAS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:: ` Date: 4-3-0r) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639 -4171 '11 tin�1 0
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �.,
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 55
SITE ADDRESS: 07320 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANGELVISION
DESCRIPTION: T.I. 02) branch circuits. •
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: A C + E ELECTRIC CO • PHONE #: 503 - 353 -2301
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Co m Contact # Message
130 Ceiling cover 045636.01 503-559-9866 N
Corrections /Comments /Instructions:
1 61 CO Hifi/Oar WV+ 'QQ i clE11-3
64)
-3,9[09
\ PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `�'u" � - � Date: 31-5 Or Phone #: (503) 718- ti
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639-4171
.. i l
Inspection Requests (24 Hrs.): (503) 639-4175 , t it
INSPECTION WORKSHEET FOR DATE: 3/1912007 TIME: 7:00AM PAGE: 51
•
SITE ADDRESS: 07320 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANGELVISION
DESCRIPTION: Ti. (42) branch circuits.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: A C + E ELECTRIC CO ..... PHONE #: 503-3632301
Inspection Request Scheduled For: Date: 3/19/2007 Pour Time:
Code # Inspection Description •fifiiii # Contact # Message
125 Wall cover 045003 503 Y
Corrections/Comments/Instructions:
V\M % 016 Pi:ik --- ::-C-I114 -1 C 5 1c.) sp
A 0 S +•11/4)y ck.z.) Kt_ 5 V KI-\--
VbLINt 'S‘.1
-- CQt 14 .- - N A■Avt\)
•
y l . PASS PARTIAL APPROVAL pi CANCEL 7 NO ACCESS
FAIL I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: -- L INbes Lt" Date: Micf(09 Phone #: (503) 7181-44)