Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00512
A i� DEVELOPMENT SERVICES DATE ISSUED: 8/16/2004
„AA I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BC 02201
SITE ADDRESS: 08300 SW HUNZIKER ST
SUBDIVISION: ZONING. I -
BLOCK: LOT : JURISDICTION: TIG
Project Description: (4) 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: 3 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:
ROACH, MICHAEL AAND PAMELA S CHRISTENSON TECHNOLOGY SERVICES
956 WEST POINT RD 1631 NW THURMAN ST. 2ND. FL.
LAKE OSWEGO, OR 97034 PORTLAND, OR 97209
Phone: Phone: 503 - 419 - 3600
Reg #: LIC 64137
ELE 26 -1174C
FEES SUP 1994S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/16/2004 $66.80
[TAX] 8% State Surcharge 8/16/2004 $5.34 Rough -in
Elect'l Final
Total $72.14
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: Permit 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 639 -4175 by 7:00pm for an inspection the next business day
•
AUG -17 -2004 TUE 09:58 AM CHRISTENSON CORPORATION FAX NO, 503 419 3636 P. 02/04
Electrical Permit Application FAR OF'F1& F: lis *: i)NI.v
• City ` of .T•� and R eceived Permit No.: L.� GJ p1j 5 ('L
`J g Datelly _ 1 —
1312� SW Hall Blvd., Tigard, OR. 97223 Plan Review
Phone: 503.639.4I71 Fax: 503.598.1960 ''mr ?g Other Permit:
Inspection Line: 503.639 -4175 . LA- • l Date IZeady/By: iuris: 10 Sc e Page 2 for
Internet: www.ci.tigard,oi',us _. Notified/Method; Supplemental Information
t z
,., : k.N e' ':p ^� .GS' •� ;:; ; p� 11; a':2 ..:eFCK n �j pc .l i' .�' r il:,
`U' "'u i�"� ! P ∎', ViV, i . 3ii • d : .i <s . %'4? :: ; i
���� >:i, j r�,. y •• .�:��,}i, �; L"' Ni' � ' i, � „S "j �� lil�i'►1�!�<li���''` �'
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0 New construction gAddi /aiterati on/rep laeanent Please check all that apply:
❑ Demolition ❑Other: QServiec o vet 225 amps, comm'i [j Hazardous , location
❑Service over 320 amps - rating DBuiking over 10,000 sq. ft„
2pj,Ra,. o+ iTZ E 1 �' -1 -: :! 1; : :,?. µ t p 4 of 1 - and 2- family dwellings 4 or more new residential
❑ l - and 2 family dwelling InCommercial/industrial ❑ Accessory building L Systt:m over 600 volts nominal units in One structure
El Building over three stories [Weeders, 400 amps or more
❑ Multi- family [] Master builder 0 Other:
❑Occupant load over 99 persons OManufactured structures or
'., ,>ii' ' zi mp.. ,:it a'. a 1 ti6: J 1.41 u7W) t
t �� .- l , 0 .'° .e t I E G E' a s/li htin plan
t r ,. , } A � a t - r t RV park
Job na.:83 - 05653 Job site address: 8300 SW HUNZIKER RD
01 - care facility (]Other: _
Submit 2 sets of plans with any of the above.
City /State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service.
Project n
am 1ESTERN PARTITIONS INC.
'...1M..."."(. " :' i ' "'``" " as .r" ;1",1 ': ; •
Suite/bldg. /apt. no.: Daeription F••• Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
• o i, ? a - _ u _ a .. Ws r. t 503 936 - 2141 t sq_ ft, or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft- or portion 33.40 ^ El
Limited energy, residential 75.00 —
!pq;y�Taax�},�rttafp/parcetl n,,o.; TY� Limited energy, non - residential 75.00
e^."..ch,-� e.+�t�:a;5Ai r!..R. r 7i°�� s�17) ,w ,iv,N`ri. —¢ ' . r.. . �ti .( ibl R• :� �j�-1.3: a'+�y�-
'i e�' � � k �v , i t� t m>, C '+ri .i�� 1 q, �� t � Each mattufacttlr or modular
CIRCUITS AT OFFICE AREA dwelling, service and/or feeder ,90.90 • 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30
r,.:. r f s .r�xat V k2� . rttn u: t yp, qr .i : ' :t7t 4 '�; r . : »•sil rraa `ra• r .,,nvri , :t' , 201 Strips to 400 amps 106.8.5
wS ` , (r"1 4 ,4 N .,- r,;..r 'S'r-,c:L:: ` : • • MII':! •. ,,: !"kh'D1. r`tAl -a' ... ` _ X14.3 MR �. I
(...,y .:_.. .! . �. Y ... 40i amps to 600 arras 160,60
Name: 6 01 amp to 1,000 amps __ 240.60
Address: Over 1,000 amps or volts 454.65
Reconnect only ' 66,85 OM
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
L 200 amps or Tess 66.85 fl
Owner Installatlont This installation is being made on property that I own which is not _ 201 amps to 400 amps i
100.30 El
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 Q
Owner signature: Date: _ Branch circuits — new, alteration, or extension, per panel
,h, tii;'.,�,tht+"r'.,.i' :F. : "�i, �:� "or;'s °� ^. .;yl, S.. . ,., �. c,;' `.,,r; . .. r ,�; %;;ja ? J 1t d A, Fco for branchcircuitswith
?l�'G L .I. ... L,.. 4s ".t• ».. a .t,. • �� " . �. =.r...•r t, :
ti .e S. ....�5, . . ...1<..•..' .,M ,' scrvi.ceorfeederfee,each
6.65 , Ill
Business name: branch circuit
- B. Fee for branch circuits
Contact name: without service of feeder fcc • each branch eitcuit 1 46.85 / • s
Address:
Each add'1 branch circuit 1 6.65 • • '
City/State/ZIP: • Miscellaneous (service or feeder not included)
r Pump or irrigation circle 53.40 . . 2
Phone: ( ) Fax: : ( )
-
Sign or outline lighting 5340 2 I
E S ignal cireuit(s) or !incited.
,, �� (( . 5 �` , :vyy(�yr JS'F:a,�' <Nt 7 . �-, y
,„`�, , .+.;.( '•:,.�a: t'�••,.,,jy.;yk1;.r�c: ; . 'r �'1�` � : ' ( j ry , alteration, or 75 . OC
ilia riik SA� •���:� . �f g;e �X'ic,.'..k.J::�j1N1: nF' 4 � , � 6 � .'"T,b7T1! 5 y17: C:� :tiF•�L :1i�i. fikti energy panel,
extension. Describe: Page 2 2
Business name: CHRISTENSON TECHNOLOGY SERVICES, INC.
Address: 1631 NW THURMAN ST 2ND FL Each additional inspection over allowable In any of the above
- Per inspection gm 62.50
City /State/ZIP: PO1.TLAND, OR 97209-2558 Investigation per hour (1 hr min) MI 62.50
5031 419 - 3600 503 Industrial plant p er hour • III. 73.75
Phone' ( Fax ( ) -; v : r ,
419 -3636 yl, ,. ;•f 1,S'�� ��;"' ���5'`' �''"', �a`:> a�' �, ��£��
CCB Lie.: 64137 Electrical Lie.: .�, Mr ,Suprv. Lic.: 0 , Subtotal • 66 , 80
Suprv. Electrician signature, required iF�A/ r ��� Plan review (25% of permit fee) •
State surcharge (8% of permit fee) 5.
Print name: ROBERT AXT , Date: 8/16/04 TOTAL AI. PEYiMIT FEE •
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted us compietik * * *VISAi
Print name: Date: • Pee methodology set by Tri- County Building industry Service Board
•• Number of inspections per permit ellowt4-
1ABuiidiAalPerndis \PLC- PmnitApp. 12/05 640i61ST(I0/62/COM/W5B
CITY OF TIGARD 24 -Hour
• BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested f — A° AM PM BUP
Location '�76 I .eil/ln Suite MEC
Contact Person 0.300 " a1
Ph ( ) f :3�r - ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC c oe) y- O6 j 7 Z
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT ANN
Post & Beam MUM
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fi rewal l ///---
Fire Sprinkler r
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
FFii - - farm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line ,
ADA Date o /1 _.- • , I i it Ct Ext
Approach /Sidewalk ate f � Inspector
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL