Permit CITY OF TIGARD' PERMIT
lit t,, PERMIT #: ELC2007-00859
,,,' • COMMUNITY DEVELOPMENT DATE ISSUED: 12/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 DB 00101
SITE ADDRESS: 07460 SW HUNZIKER RD ZONING: C -
SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT : JURISDICTION: TIG
PROJECT: HUNZIKER PROFESSIONAL CENTER
Project Description: Provide power for (1) rooftop unit and (1) GFCI receptacle. Job No. 15 -17035
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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
HALLBERG, RAY C BROADWAY ELECTRIC - COCHRAN INC
c/o HALLBERG, RAY C TRUST 626 SE MAIN
3270 LAKEVIEW BLVD PORTLAND, OR 97214
LAKE OSWEGO, OR 97035
Phone: Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 12/20/200' $93.60 LIC 72942
[TAX] 8% State Surcharge 12/20/200' $7.49 SUP 34475
Total $101.09 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 a set —foih in OAR 952 -001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.6 9 or 1.800.3 -.2 .4. ,
/
Issued ! � / ' 1 � / ` Permittee Signatur:� i - %,�.. Qr
f
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: �! •' _� �i r ��
� 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 ti ' - POR OFFICE USE ONLY
Ci ty of Tigard 'f s ~; I' '#.-- . . / d 7 Tr Permit No.: el-4-' $
t 13125 SW Hall Blvd., Tigard, OR 97223 " " • ,r. 7t4�
"� Phone: 503.639.4171 Fax: 503.598.1960 P3 to:4yy:: Other PermimFC oa901 d 2 5
TI Inspection Line: 503.639.4175 Litt, i u
1 .: ,' e *-:: ru. EP SeVlyage8for'
. I Internet: www.tigard - or.gov ' �' /(� p fati
TY' P (iF' wOR . 1-1 q 1 U I I Ar7 RV
EIEW
0 New construction rZ Addition/alte trill Ple e oli eclialiitliat'appl'y"(s11nerxt"& sets; oF' p ►'in,W/itesnsdtteiledil
DIVISI Service or feeder 400 amps or more Building over three stories.
_ Demolition 01 Other: where the available fault current (lMarinas and boatyards.
1 CA \TfGOAV Of CO STRIC'FIOW exceeds 10,000 amps at 150 volts or l Floating buildings.
less to ground, or exceeds 14,000 0 Commercial -use agricultural
Ell 1- and 2- family dwelling Commercial /industrial 0 Accessory building amps for all other installations. buildings.
Di Multi- family �1 Master builder . Other: IniFire pump. 0 Installation of 75 KVA or
I i DEmergency system. 1 'argefSet:41461Sr
JO;g, Sftg IN I ANi3 LOCAT10A
�; _ Addition of new motor load of
Job no.: 15 - 17035 Job site address: 7460 SW Hunziker Road 100HP or more. occupancy.
EP Six or more residential units. CRecreational vehicle parks.
City/State /ZIP: Tigard OR t Health -care facilities. 13 Supply voltage for more than
- -- ICnHazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Hunziker Business Center OService or feeder 600 am is or more.
Cross street/directions to job site: I FEE SHED[ E
J LlYel'entitionl IL(ASf.- I��:Il— Tstlit! Il
Neil - fesideliti f sfit'k= ff a tii- iittaif &dike: toa
lit ctadev attached gaYaKe:
Subdivision: Lot no.: 1,000 sq. ft. or less { 145.15 I 4
LTax map /parcel no.: Ea. add'l 500 sq. ft. or portion L 33.40 I 1
Li ittiitedi energy; fe §i'd'ehti 4
' ' II Of V?i'O C 1 75.00 2
I (Ivi't$i a&D sill
Littiited ele gy; ttiuttiLiamiiSY Provide power to rooftop units and install GFCi service receptacle residential (with above sq. ft.) 75.00 2
LSecvit'es_oi feeder%ittataila'riac attefat � sadf6t'' ectoeatkav
200 amps or less l 1 I 80.30 I 80.30 2
- "_u_;,iiii PR6PERTV (AI/NE ' ' i P`ENANT - 201 amps to 400 amps L I 106.85 I 12
Name: 401 amps to 600 amps 160.60 I 12
601 amps to 1,000 amps I 240.60 I 1
Address: Over 1,000 amps or volts I I 454.65 12
City/State /ZIP: 'll'eiiii 1Par'y 4ek5iee§ Oa: teedcfa ittatailladmv, affetalifilw 9 d/cir
reatitit
Phone: ( ) Fax: ( ) 200 amps or less I I 66.85 1 I 1
Owner histaffatiotrr Thig iiiStalTati'oti is btYtig, thad'e ott pivots( tkPa t tiViii WKOIll is• IAA 201 amps to 400 amps 100.30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. L 401 amps to 599 amps L 133.75 L 12
Owner signature: Date: L V atYel cif cati§= woo;• affisiittok We7i�faltiola,.py 'plOof
_ - - I A.. tee ka htalii ht vital tsi *it*
� I _ CONTACT- entisog above service or feeder fee, 2 6.65 13.30 2
each branch circuit
Business name: ' $• he kW &AIM dif stiN -
without service or feeder fee,
Contact name: Chad Stoll 46.85 2
first branch circuit
Address: I Each add'I branch circuit I I 6.65 2 I
1 Mise'effaYteoft Ocitvecc ov tewdee aott i veftYde*
City/State /ZIP: ' gel$ itiatinticttifedl Of trt'bittitr
dwelling. se -ice addyof fe dil7 90.90 2
Phone: (971) 235 -4310 Fax: : ( ) L Reconnect only 66.85 I 2
E-mail: Pump or irrigation circle I 53.40 2
�.�
_- C (' V1011 Sign or outline lighting L _ 53.40 I 12
Sigr all ei'fc1SifW of I'itrlifed--
Business name: Broadway Electric Oaf& ptiell,alttirati6tt;.olr
Address: 626 SE Main Street extension. Describe: Page 2 2
City/State /ZIP: Portland OR 97214 Ea& sciatica iaiWetib@ ove aftowahre fill say okfte ahiuve
Per inspection I I 62.50 I I
Phone: (503) 2346564 Fax: (503) 2382098 Investigation ( ) ■ I I I
g per hour 1 hr min 62.50
CCB Lic.: 72942 [Electrical Lic.: 37 -546C Suprv. Lic.: 3447S I Industrial plant per hour I I 73.75 L
t
\\ EP E GT>2 GAL IsLS
\
Suprv. Electrician signature, required: // �.'l� v\�-
Subtotal: 93.60
Print name: 'Kenneth Kato I Date: 12/18/07 Plan review (25% of permit fee): I
State surcharge (8% of permit fee): 7.49
Authorized signature: TOTAL PERMIT FEE: ii0
L Print name: Date: 114 l if aOp[i'esti etpiy 4 ar fief ts41fof olifaiWeill will& 18Y
days•alte kIht>; &Milteeelp1 as;eotarpie'te:.
CITY OF ��wn m n�'m TIGARD . •
BUILDING DIVISION PERMIT #: [LC2007'00859
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/202007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 - "���
INSPECTION WORKSHEET FOR DATE: 12y27/2007 TIME: 7:011A&4 PAGE: 4
SITE ADDRESS: 074G0 SWMUNZ}NERRQ CLASS OF WORK:
SUBDIVISION: HUMZ|KER PROFESSIONAL CENTER LOT #: TYPE OF USE:
PROJECT NAME: MUNZ|K|�R PROFESSIONAL CENTER
DESCRIPTION: Provide power for (1) rooftop unit and (1) GFCI receptacle. Job No. 1617036
OWNER: HALLBERG, RAY C, PHONE #:
CONTRACTOR: BROADWAY ELEC7R|C-00CMR8NINC PHONE #: 503-23465�
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 NC or heating unit circuit 062212-03 871-235-4310 N
Corrections/Comments/Instructions:
k.-1,�
.
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/
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.
� PASS � PARTIAL � CANCEL �� NO ACCESS
. . . .
I FAIL U CALL FOR INSPECTION I] ADDITIONAL FEES ASSESSED
Inspector: Date: VI-A- Phone #: (503) 718-7- •
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