Permit .. \
)4 • CITY O F TI GA RD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00541
* ° COMMUNITY DEVELOPMENT DATE ISSUED: 8/3/2007
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00100
SITE ADDRESS: 07340 SW HUNZIKER RD 210 ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: Demo for future.
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: 11 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 8/3/2007 $120.00 LIC 591
[TAX] 8% State Surcharge 8/3/2007 $9.60 SUP 4702S
Total $129.60 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.
' .
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-Electrical Permit Application 4 , • C ''' ''''" . '' .
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City of Tigard D 0, ,, / sr 0 Permit No.: I ip . „,c 1 ,.,)
',.; , • ' " 13125 SW Hall Blvd., Tigard, OR 972244. Plan Revi _
:
s ' .
il
, . Phone: 503.639.4171 Fax: 503.598.1.!M CE. Other Permit: Date/B :
- ■
frOAtil), Inspection Line: 503.639A175 ifife N Da o t t e lf Re d a / cly/ t B h y: d, IITEM El See Page 2 for
- , - ..',.' Internet: www.tigard A lio le Me o . Supplemental Information
r 4pie ,.477,y) j ;,; ; ATF;:,-tA i i4iir7! „:4514,07-71k 4-1:-1r; ..:SrrWE:!Ara****9",;':-SS:jqr-,g..,k:!
O New construction El Addition/alli44:p7pJ1,.4.11ciekuittio Please check all that apply (submit 2 sets of plans w/items checked below):
i •=iii: iv,. . 0 Service or feeder 400 amps or more 0 Building over three stories.
El Demolition El Other: ' fj1 08/rI A , fer where the available fault current 0 Marinas and boatyards
111-7";:11VM•ir" ,41#17,;';:q:: exceeds 10,000 amps at 150 volts or 0 Floating buildings
..ii=i, .
-: = --',, " ,,J' - ,W , :,..e,-, - ,... , , „ ,,,, ,4 , ,, , ,, , ,4fli.„„ .,,',,,,tia,,r.: ,',, ,'.,,p;,
less to ground, or exceeds 14,000 0 Commercial-use agricultural
El 1- and 2-family dwelling El Commercial/industrial 0 Accessory building amps for all other installations. buildings.
O Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
.,,tvgi-= „A ,. -Mro ,,,,,- 0 Emergency system. larger separately derived system.
:"Anli 7 f 4, ,,,i,,,iiMr.!' „ ::: 0 Addition of new motor load of
Job no.: Job site address: 7340 SW Hunziker IOOHP or more.
0 Six or more residential uni occupancy.
ts. 0 Recreational vehicle parks
City/State/ZIP: Tigard, Or 97223 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 210 Project name: P L LA -1-0? 0 Service or feeder 600 amps or more
ttir
Cross street/directions to job site: Description I Qty. 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
A *( 4744d!:;";:±52I71.:;;•.g1-:r1M: (with above sq. ft.) 75.00 2
._ .
Limited energy, multi-family
TI remodel residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
': ;• 'ail '''-' -''''Oeh ' -' " Ir'''''''i - . 20 1 amps to 400 amps 106.85 2
ai=".• ....„4„,.. : J : „„W§00,:, ', ,'r,V f:',)
Name: 401 amps 10 600 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, 1 er panel
Owner signature: Date: A. Fee for branch circuits with
k , :Ar.74--iiito7c9--si4:xo4gkowiWii above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 46.85 •
Contact name: 46.85 2
first branch circuit
Address: Each addl branch circuit 11 6.65 73.15 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
111 .j. „fir r.,,,,:l4r : ' ,Alliz ;416 aitr(W*7004140,11-vilri'. t App: ,-, . si or outline lighting 53.40 2
-
Signal circuit(s) 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 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 Lic.: 591 Electrical Lic.: 24-1C 4 Suprv. Lie.: 4702S Industrial plant per hour 73.75
Suprv. Electrician signature, required: t
atv lit I1K" . ii , :',:iiiVEcMatgr*WPF: - 'intgligli;210
Subtotal:
Plan review (25% of permit fee): 120.00
,...., 1
Print name: Dan Allen Date: 7/30/07
State surcharge (8% of permit fee): 9.60
Authorized signature: TOTAL PERMIT FEE: 129.60
This permit application eit'pires 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.
1. \BuildingTermits \ELC-PermitApp.doe 05/23/06 440-46i 5T( 1/05/COM/WEB
CITY 'OF TIGARD
_. BUILDING DIVISION PERMIT #: ELC007 -00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/ 2007
Phone: (503) 639 -4171 i #d0�
Inspection Requests (24 Hrs.): (503) 639 -4175 =
• INSPECTION WORKSHEET FOR DATE: 813012007 TIME: 7:00Altl PAGE: 29
SITE ADDRESS: 07340 SW HUN71KER RD 210 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Demo for future.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC + E ELECTRIC CO PHONE #: 503-353 -2301
Inspection Request Scheduled For: i Date: 8/3W2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 054881 -01 503-559-9855 N
Corrections /Comments /Instructions:
(6/1/
'
PASS ❑ PARTIAL APPROVAL I I CANCEL I NO ACCESS
I I FAIL I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Cr— f N LJ Date: SI 36/0 Phone #: (503) 718 - ?-414L
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00:541
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2007
Phone: (503) 639-4171 .'a4Miiulj�i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 07340 SW HUNZIKER RD 210 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Demo for future.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC + E ELECTRIC CO PHONE #: 503 - 363 - 2301
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description Confirm tact # Message
130 Ceiling cover 05471401 503. 559-9855 N
Corrections /Comments /Instructions:
e
vs.C6t-•I crlb - 1 AiPdJeD
%PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION I ] ADDITIONAL FEES ASSESSED
Inspector: lT N tB L Date: Z 01 Phone #: (503) 718- 2.-Lt4J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00541
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2007
Phone: (503) 639 -4171 �mii 4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 07340 SW HUNZIKER RD 210 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Demo for future.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC + E ELECTRIC CO PHONE #: 501363 -2301
Inspection Request Scheduled For: I Date: 8/15/2007 Pour Time:
Code # Inspection Description 2ofifirm # Contact # Message
120 Electrical rough -in 054006 -01 503- 559.9855 N
12s way.. Boa
Corrections /Comments /Instructions:
•
PASS I I PARTIAL APPROVAL I CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
Inspector: C7* N t •Lt" Date: %( 16 67 Phone #: (503) 718- - 14t1L'