Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT # : E101-C/6/22°0°088- 00566
COMMUNITY DEVELOPMENT DATE ISSUED:
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 ` (
PARCEL: 25101 DB -00103
SITE ADDRESS: 07360 SW HUNZIKER RD 102 ZONING: C -P
SUBDIVISION: HILLTOP BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: RGIS LLC
Project Description: TI - (3) 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: 2 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 10/6/2008 $60.15 LIC 591
[TAX] 12% State Surchar 10/6/2008 $7.22 SUP 5387S
Total $67.37 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 • - ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 :01-0010 thr• • h 0 - 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
� Issue: By: / / - / Permittee Signature: \s
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:
NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �C�2/�i ____ DATE: /° 104r
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 A l><ca • CENE FOR OFFICE USE ONLY
Cl of Tigard - • Received � / r
`•� g g .1 •
- Date/By: `t7 a,/ p Permit No.: €�
II
•
a a 13125 SW Hall Blvd., Tigard, OR 97223 R C l . � Plan Freview
Phone: 503 Fax: 503.598.196 rf {{ ..��jj P � V Date/1'? : Other Permit:
TI G A R D Inspection Line: 503.639 ® �lt Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard or.gov ` ` Notified/Method: Su mental Information
� � 001111311
. _ .� . �k �'� , a , 3'Y:'A1RE :.
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<...:r_,,., „_.,. 'T „ > <'^... `�1..,, -�=� . ,,....,,, , , d,•v�i� ` -. ....,. xc, .. ,.. ,. £ < ... � 41€� �hi
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❑ 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.
>. "" ,-'s - °'F'" ` irk^ =;� ' exceeds 10 000 amps at 150 volts or Floating buildings.
' `.. ; ;' ' ,CA EG{IRl','4..,,,,,,:,...,.,-,-, ° O),';= iD1Y T'Iti.? ; , , ,: , -' .. p ❑ g g
.,_,. _, � $ y,�„a, <`vlk,� �.. -�, 1 L%,l "!� d�° ar .::r' �s. ':
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
, ;fs ; �, a > , , , ❑ Emergency system. larger separately derived system.
Jo13= " i v>„,,„, ',„„„,a„,„,,..4„,,,,,,._,,,4 Vll .I OCAT < ` = r
.'ri�w ' a :•:.,:,,... -,. ;.�� •s„ „ . - ,.'��''. ° =4',w st:�._� ❑ Addition of new motor load of ❑ .. .. >, .. ..
Job no.: Job site address: 7360 Hunziker 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 102 Project name: ka rs. ❑ Service or feeder 600 amps or more.
,�„ �),i yx 7x1,.: �.4:jA;; . ;s."�'£s
6 s G '�gtEE``T SC , �
�4:'�x: �. .. �':'.` - %... :, ,.:>,�..,..P,.x.�. -,. � LVI:v -'; =' .4: F4: "sL';4:
Cross 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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
_ , residential
�; �:' ' , •. - yr,,..; s Limited energy, 75.00 2
fi; .,, ; y .;a >:;. 'DE itr ,`I" F Wo s s, ` -: =! a .or o= (with above • ft.
minor 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
'(:.'RQ1'E1tT`iC `UWNE12 =, . <<< ❑ TEICAT':`x 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 I
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
A. Fee for branch circuits with
"`` P: ;;a)> -" a se rv i ce or f ee d er f ee,
x
❑ w�❑'co. A=cr" "'- ��iisiii� � • - w._,., ,� � � � k' - 6.65 2
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'] branch circuit 2 6.65 13.30 i 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
K , ; ? z;: T : , „WIC pF ,'; � :°
. , - - .. � �C-ONTTtAG'T?QR�s``'' .� �'.i` `;-'_�> 5', Si or ou tline li 53 2
'_r?' ... ,. ,,^, , .� �A."b.i- :,r.,- s. .,..:' --.... _`. ._.; }: Sa;:`�:�?'Y`�<i�rr. ,.,'r.'( ,3 � t &�a3`z.- �•ai' A :. , .r., -
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.: 591 110,0 Electrical Lie.: 24 -IC .- Suprv. Lic.: 5387S I l it Industrial plant per hour 73.75 •
10 1 ,< .. _ - ...Ex:. OTWA „:",< x .,,._.,...., Xn
��� :�.::��:�'� I . i` �l?)v �TtlVl �; k'E'ES�MY;;� �?�r:,:u�',:�;�'�.:
Suprv. Electrician signature, required: 6 Subtotal: 60.15
Print name: Carl Duncan Date: 10/03/2008
Plan review (25% of permit fee):
State surcharge (12% of permit fee): 7.22
Authorized signature: TOTAL PERMIT FEE: 67.37 .
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(11 /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 07360 SW HUNZIKFR RD 102 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: RGIS LW
DESCRIPTION: TI - (3) branch circuits.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: A C & E ELECTRIC CO PHONE #: E 363,230i
Inspection Request Scheduled For: Date: 10/31/20013 Pour Time:
„-----------.
Code # Inspection Description \ \ Con(' im.# Contact # Message
\
199 Electrical final \ \/77492-02 5n209-1223 N
e n.ecfiornents/Instructions: \
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IN)
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( -EL& Loot
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lit PASS I I PARTIAL APPROVAL pi CANCEL 0 NO ACCESS
. I I CALL FOR INSPECTION r] ADDITIONAL FEES ASSESSED
Inspector: U N46 L-EE • Date: 1° /1/ 4 t3 1 1) Phone #: (503) 718- VILA)
_ .
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2001100566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2008
Phone: (503) 639-4171
7
Inspection Requests (24 Hrs.): (503) 639-4175 1
INSPECTION WORKSHEET FOR DATE: 10/30/2008 TIME: 7 :00Am PAGE: 6
SITE ADDRESS: 07360 SW HUNZIKER RD 102 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: RGIS LLC
DESCRIPTION: T I - (3) branch circuits.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: A C & E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 10/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
4P9, - 4 0 503 N
T9 Correc ions/Com
c e1
c6 ' .0i1cAk R-31-0a07cL wokl.L. 86
,._
E. PARTIAL APPROVAL fl CANCEL n NO ACCESS
......
FAIL , CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G (1\) 61S --t Date: 1 • Phone #: (503) 718- Vii_.
CITY ��'���F0
��om n OF u ~ `
BUILDING DIVISION PERMIT #:
| 13125SVV Hall Blvd, Tigard, ORQ7228 . DATE ISSUED: 1[KGOWQ
�
Phone: (503) 639-4171 '
Inspection Requests �4Hmj:(S03)83A~4175 ~J�m�� e�-...
INSPECTION DATE: TIME: ' 10/30/2008 �OON ll � 7:00AkA PAGE: � T
SITE ADDRESS CLASS U7��O��MU��KER�[}iUZ WORK:
SUBDIVISION: LOT TYPE � M|LL]T)P�W��NFSSCENTER �
PROJECT NAME: � RG|SLLC
DESCRIPTION: � TI'(3) branch circuits.
OWNER: � � �
PHONE #:
ROBINSON DEVELOPMENT,
CONTRACTOR: 8C P HONE# #: 60'363-2301
Inspection Request Scheduled For: [)ate: 10K30y2008 Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
130 Ceiling cover 077407-01 503-559-9866 N
`
Corrections/Comments/Instructions: `.__ ,, -'
.
El PARTIAL APPROVAL El CANCEL . NO ACCESS
n FAIL I I CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
_ m]��
Inspector: �� .^ �*���V�� / +'�' Date: ICI 6 Phone #: /603> 718'
, .
.
CITY OF
�wo n m ��n TIGARD . `- ~ � `
BUILDING ��U��U��U��0� PERMIT | ~~~°"~~~~""~~° ~~^~"~°^~~"� � ELC2O0[�GO566
| 13125SVV Hall Bkd, Tigard, ORQ7223 . DATE ISSUED: 10K612008
Phone: (5O3)G39'4171 '
Inspection Raque�n(24Hrn.):(503)630-4175 .J e���
INSPECTION WORKSHEET FOR DATE: � TIME: PAGE:
K4 � 1O/16/2OO8 � ��O1A 17
SITE ADDRESS: CLASSOFVVORK�
� 07360 WORK:
SUBDIVISION: LOT #: TYPE � HILLTOP BUSINESS CENTER
� �
PROJECT NAME:
� RG|SLLC
DESCRIPTION:
TI - (3) circuits.
.
OWNER: ROBINSON PHONE #:
CONTRACTOR: PHONE
� A(�&��E|lEC7R|[�C0 � 503,363_2301
.
Inspection Request Scheduled For: Date: � Pour Time:
10/16/2008 '
Code # Inspection Description Confirm # Contact # Message
|
125 Wall cover 01 503-559-9855 N '
Corrections/Comments/Instructions: |
•
.
� .
�
�0 PASS E PARTIAL APPROVAL 0 CANCEL | I NO ACCESS
F' IL I I CALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED .
.
` ~ ~' . i
|nopoctoInspector: �� ��_- ^ ��`�� r��� �[��^ Date: J�
Phone #: (503) 718- i^���
" �
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-- __ ,. ` ` ' -J
CITY OF TIGARD ,
BUILDING DIVIgION
PERMIT #:
ELC2008-00566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1002008
Phone: (503) 639-4171 a
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10115/2008 7:00AM 6
SITE ADDRESS: CLASS OF WORK:
07360 SW HUNZIKER RD 102
SUBDIVISION: LOT #: TYPE OF USE:
HILLTOP BUSINESS CENTER
PROJECT NAME:
RGIS LLC
• DESCRIPTION:
11 • (3) branch circuits.
OWNER: PHONE #:
ROBINSON DEVELOPMENT,
CONTRACTOR: AC8.E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: Pour Time:
10115/2008
Code # Inspection Description Co. Contact # Message
125 Wall cover 07 53-01 :03•559-9855
Corrections /Comments/ Instructions:
I
s PR-0 ■sjOg iDLA111 )A - tictiC M c.
tUDSRA. 'AEA.) 0-1 C - Roka f\k cE
'16 Yoe PLATE
E -P1/4 LL ( t 60
ri PASS n PARTIAL APPROVAL CANCEL [ I NO ACCESS
FAIL XCALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
st)
Inspector: Date: It I5jt Phone #: (503) 718- 2 *Po