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Permit
CITY OF TIGARD ELECTRICAL PERMIT P #: ELC2007 -00855 COMMUNITY DEVELOPMENT DATE I SSUED : 12/20/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 BC -02201 SITE ADDRESS: 08300 SW HUNZIKER RD ZONING: I -P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: WESTERN PARTITION Project Description: (4) branch circuits. Relocate and install power /data /phone in (50) upstairs offices. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 1 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 A AND PAMELA S CHRISTENSON ELECTRIC, INC. 956 WEST POINT RD 111 SW COLUMBIA STREET # 480 LAKE OSWEGO, OR 97034 PORTLAND, OR 97201 Phone: Contact #: PRI 503 - 419 -3300 FAX 503 - 419 -3695 FEES Description Date Amount Reg #: ELE 26 -34C [ELPRMT] ELC Permit 12/20/200' $141.80 LIC 458 [TAX] 8% State Surcharge 12/20/200' $11.34 SUP 1994S Total $153.14 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: 4 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. a ,, DEC -19 -2007 WED 10:32 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01 * — -- r.iectrR at rerun( rte ,, - d�+� /r • ' . ...., U 7 1 1 Received City of Tigard Date/13 . l- GO O Permit N •• �0,0 I l J 13125 SW Hall Blvd.. Tigard, QR 97223 r Plan Review Other Permit: 503.639,4171 Fax: 501598,1960 (k 2U ' 'y1'� { l IIatel6y: Inspection Line: 503.639.4175 DEC C , 4 17ate ReadyBy, Jim/ RI Soo Page 2 te r Internee www.ci.tig:lyd.or,us CITY OF TIOI 3D Notifted/Method: _ / Supplemental Information t 4 , a i qi .:. a °4a ; 1P`t i1'd *Adt* 0 New construction ■1 Addition /alteriition /replacement Please check all that apply: Other: ['Service over 225 amps, comm'I g1Llzdrdous location Demolition ❑ ❑ ❑Service over 320 amps - rating ❑ Buildng over 10.000 sq. Il.. I r .. 1r1k!iiiv O0 C'K?Ni I ' ' of 1 - and 2- family dwellings 4 or more new residential 0 1 and 2 family dwelling 1+. :� Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure 0 M aster builder Ot ❑Building over three stories ❑Feeders. 400 amps or more ❑ M ulti -famil Y [f occupant Toad over 99 persons ❑M anufaotu red structures or Intl; $1 G 4,0# : 1110 A LcK,'VT1 N ! _ ❑ Egressflighting plan RV park I;FJ Ci Q 3. 0 (91.._01 6 lob site address, 23 ID s sw �' 1(6- ©Health -care facility ❑Other: v 1 11Submit E sets of plans with any of the above. City /State/ZIP: jr, �/' 0 r 7 a a 3 The above are not applicable to temporary construction service Suite/bldg. /apt. no.: l ( (I \ , Project name: �U R ' i� " + 7t JL .. I : I... i Description Oq I 1 Total I Cross street/directions to job site: Cussl`i S ' it aM 1 A Ai i New residential single -or multi - family dwelling writ. Includes attached garage. .S © 3 - 9' 33,p ' 0 . (q ( 1,000 sq. ft. or less 145.15 4 5ubdi vision Lot no.: Ea. aJd'1 500 sq. R. or portion 33,40 1 Limited energy, residential 75.00 2 Tax map /parcel no,: Limited energy, non - residential 75,00 2 i4 1 t°Tlr0 l( >t .. Each manufactured or modular ■ . ) dwelling. service and/or feeder 90.90 2 '' © I - (� V/l Yls� 1 I • f' /. ICS 1 14 5 . S. 4 13. Services or feeders insfallattnri, alteration, and /or relocation iii s' P_S 200 amps or less 80.30 . 2 '' " �j EriIA N'l1:` 201 amts to ADO amps 106.85 2 C7'f'1tAP�ti SSWM3�Ilg1 ., ;... GY1 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1.000 amps or volts 454.65 2 . ' Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders inatadlation, alteration, and/or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.115 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 600 amps 133.75 2 Owner signature: Date: Brunch circuits - new. niter or extension, per panel ` ;A !titfeA T LIJ riAtti OtiVi a ', : :: A_ fee for branch circuits with .. service or feeder fee, each 6,fi5 2 Business name; ' branch circuit - 13. Pee for branch circuits Contact name: _ without service or feeder fee, 46.83 ` 2 Address _ fast branch circuit _ Each add'! brunch circuit 3 6,65 I 'q, l5" : City / State/ZIP: 11/11aceIancoua (service or feeder not included) Pump or irrigation circle _ 2 Phone: ( ) Fax: :( ) - _ Sign or outline lighting 53.40 2 E -mail: Signal circuits) or limited- C 1.i1.C'TOH energy panel, alteration, or ! Christenson Electric, Inc W. e�tcnaiQescrs c I Pase2 � 2 Business name D� l -lTr� Address: 111 SW Columbia Street, Suite 480 Ench addltlonal'inspection over allowable in any of the above 5 Per inspection 62,50 City / State/ZIP: Portland, OR 97201 Investigation per hour (1 hr min) 62,50 ' Phone: (S031'419 -3300 I Fax: (503) 419 - 3695 Industrial plant per hour 73.75 ;)E LF. I'lR1C4;V.:i'I!ERMFI' 1 ,`Vp. CCB Lic.: 458 l Electrical Lic.: 26i -34C Su Lie.: 199 Subtotal 1 , scD Suprv. Electrician signature, required: , Plan review (25% of permit fee) T f Date: • State surcharge (8% of permit fee) _l t '-j E� -- Print names r t� A ►. 1-6--`-- TOTA PI?RMIT Flit; _ - Authorized Signature: Th(s permit application expires it a permit Is no t o btained within 150 . - . days alter It had hoer accepted ee complete Print name; Date: • o _ of r1 - County Building Industry 5ervicc Board _, - *'' Number of inapecctitio a per , rmit anawod r1to \uldolakeemIto 4:LC.PermIApp,dei 12/03 i 410 - •10 1 51 0 0/PvC.oM/W'' E T ' ' CITY OF ��mw n *�n muv^mwwunn�� • BUILDING DIVISION ~~~°"~~~~""°~= ~�.°"~°,~°,~ PERMIT #: ELC2007-00855 | 13125SVV Hall Blvd.. Tigard, ORA7228 DATE ISSUED: 1212012007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: 2/15/2008 TIME: 7:[()AM PAGE: SITE ADDRESS: 083O0 SWMUNZ(NERRD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITION DESCRIPTION: (4) branch circuits. Relocate and install pnvxmr/dntu/nhonmin (50) upstairs offices. OWNER: ROACH, MICHAEL A AND PAMELA S, PHONE #: • CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-33OO Inspection Request Scheduled For: Date: 2115/2O08 Pour Time: Code # Inspection Description Contact # Message 199 []mthicdfinm| 603-936'2141 N Corrections/Comments/Instructions: Ct �� P�SS �� PARTIAL �� CANCEL �� NO ACCESS �n~ / . �� I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ����� � — � 1'1E 11 Inspector: ^ ` "���� L�� Date: �� � Phone #: (503) 718- ^ ` CITY OF TIGARD BUILDING DIVISION PERMIT #: El..C.`2007-001365 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20/2007 Phone: (503) 639-4171 AwYBONV. InSpectiOn Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 08300 SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITION DESCRIPTION: (4) branch circuits, Relocate and install power/data/phone in (50) upstairs offices. OWNER: ROACH, MICHAEL A AND PAMELA 13, PHONE #: CONTRACTOR: CHRISTENSON ELECTRIC, INC, PHONE #: an Inspection Request Scheduled For: Date: 1/1012008 Pour Time: Code # Inspection Description ( Corin#■ \ Contact # Message 125 Wall cover 062965-01 ) 503-936-2141 Corrections/Comments/Instructions: - %-C 2A Vt4:560_, 4 -4 1.Z 10 PAS \ PARTIAL APPROVAL n CANCEL NO ACCESS — FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: " o Phone #: (503) 718- TIRO