Permit CITY OF TIGARD ELECTRICAL PERMIT
° \ S PERMIT #: ELC2008 -00615
L.. COMMUNITY D_VELOPMENT DATE ISSUED: 11/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BD -00200
SITE ADDRESS: 08005 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: COMMERCIAL VEHICLE GROUP
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: 5 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:
KLOKKE CORPORATION OES LLC
BY DEERING MANAGEMENT GROUP IN 5285 NE ELAM YOUNG PKWY # A600
4800 SW MACADAM AVE STE 120 HILLSBORO, OR 97124
PORTLAND, OR 97201
Phone: Contact #: PKl 503 - 693 -6000
FAX 503 - 693 -8660
FEES
Description Date Amount Reg #: ELE 34 -572C
[ELPRMT] ELC Permit 11/3/2008 $80.10 LIC 159395
[TAX] 12% State Surchar 11/3/2008 $9.61 SUP 4122S
Total $89.71 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 enter. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You m obtain .pies of these rules or direct questions to OUNC.St 93.246.6.99 or 1.800.332.2344.
Issued By: Permittee Signature �'� . � '? •
.i► / �.
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.
Electrical Permit Application FOR OFFICE USE ONLY
Receiv
IN City of Tigard i ® DateB �U� 'n Permit No.:CJ . i
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598 ® Date/By: Other Permit:
TIGARD inspection Line: 503.639 r , % , DateReady /By: 3 ® SeePage2for
Internet: www.tigard or.gov Q`l \' ` Notified/Method: Supplemental Information
, , , • ' "TYPE` O ' -WOI :° n , ' il . iA�`, - _ . , '; :- ` . ° , PLAN REVIEW, ..::`" '" , „
❑ New construction [/ Addition/alteration /r �`�`;•D Ple ase check all that apply (submit 2 sets of plans w /items checked below):
p„ciev_ ❑ Service or feede r 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current CI Marinas and boatyards.
, ;; ;. - ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
'3 .CATEGORY _OF CON ON less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
El 1- and 2- family dwelling Commercial /in❑ Accessory building amps for all other installations. buildings.
❑ Multi- family g Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
°i,- 'JOB; SITE 'INFOR MATIOV"AND;,LOCATION "' _:-- _ FK , El Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: f/dj, 6 Job site address: gaa S sW �/ l xHP or more. occupancy.
/7L� "k� /��°� ❑ Si x or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: r , ❑ Health -care facilities
El voltage for more than
Q, ✓ ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: C U 6 d GA/4 '2,905 ❑ Service or feeder 600 amps or more.
� .,,' °.�. _• v 4 : ; ' , ;:' FEE�SCHEDUIk " .:"-t ^m ,''..Y7, � t
Cross street/directions to job site: 6/1 k: / C C• k C Description I Qty I Fee. 1 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
75.00 2
DESCRIPTION OF° W ORK - (with above sq. ft.)
/� L energy, multi - family
/1 �, r1 ( ) 4 4 j 13revr c IN e Y G �, /5 r 4 T' residential (with above sq. ft.) 75.00 2
n r Services or feeders installation, alteration, and/or relocation
�
/ Ai eG� 3 ® `4_ eivt-''�4 "s Ct , To f ak' 200 amps or less 80.30 2
. o1.^ j ' ❑ EROPERTY OWNER`,'A ,'''',.A , ,' ,. 7 . , TE NAN_T „e - i 201 amps to 400 amps 106.85 2
Name: O .. . - Ot r ‘ 1 1 401 amps to 600 amps 160.60 2
C Y ' v- 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
K :❑'° AP_PLICANT = above service or feeder fee,
❑ CONTACTtPERSON; : 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee
first branch circuit / 46.85 ' is- 2
Address: Each add'] branch circuit ,S 6.65 al, 2_ 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
;1., ;' ,'''`.'. }CONTRACTOR :'T ' g *. Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: 30s.:5 L i G energy panel, alteration, or
extension. Describe: Page 2 2
Address:
s',2,2ns Vg- Eli ye)4ny A,A A�
City/State /ZIP: M//s40/0 1 '--?>/Z t i _ Each additional inspection over allowable in any of the above
p G Per inspection 62.50
Phone: (1 65, 6 o O/ Fax: (5 i)3 ) >5 y 3 O '(2 Investigation per hour (1 hr min) 62.50
CCB Lic.: /.s 3�� Electrical Lic.: �s! S'�3 Su p ry Industrial plant per hour 73.75
lll.��5 .i S.. �h=� , /� . , , -
Suprv. Electrician signature, required al
Print name:�GA �t - -/��/ Date: jJ 3 Q 8 ^ ,EI;ECTRI PERMIT'
Plan review (25% of Subtot � -
/ / State surcharge (12% of permit fee): 1 C r -
Authorized signature: TOTAL PERMIT FEE: �
This permit application expires if a permit is not obtaii ed within 1
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(I I /05 /COM/WEB permit
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK`ONLY "
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
❑ Burglar Alarm
n Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
Ft Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \ Building 'Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD.
BUILDING DIVISION PERMIT #: ELC2008 -0t 615
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/2009
Phone: (503) 639- 4171 ll?
• Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7 :00A1 PAGE: 50
SITE ADDRESS: 08005 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMERCIAL VEHICLE GROUP
DESCRIPTION: TI
OWNER: KLOKKE CORPORATION, PHONE #:
CONTRACTOR: OES LLC PHONE #: 503 -693 -50(10
Inspection Request Scheduled For: Date: 11/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 077905-01 503 - 693.6000 N
Corrections /Comments /Instructions:
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V
PAS9 ❑ PARTIAL APPROVAL f I CANCEL ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v ` " Date: 1' 1 1 -1A Phone #: (503) 718- IVA