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Permit ` CITY OF TI GARD ELECTRICAL PERMIT _ RESTRICTED ENERGY �1l'I` DEVELOPMENT SERVICES PERMIT #: ELR2004 -00215 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/19/2004 Soo PARCEL: 2S101 BC -02200 SITE ADDRESS: OSW HUNZIKER RD SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG Project Description: Low voltage paging system. Job # 83- 05647. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: HHO + B ASSOCIATES, LLC CHRISTENSON TECHNOLOGY SERVICES BY H + A CONSTRUCTION CO 1631 NW THURMAN ST. 2ND. FL. PO BOX 23755 PORTLAND, OR 97209 TIGARD, OR 97281 Phone: Phone: 503 419 - 3600 Reg #: LIC 64137 ELE 26 -1174C SUP 1994S FEES Required Inspections Description Date Amount [ELPRMT] ELR Permit 7/19/2004 $75.00 [TAX] 8% State Surchart 7/19/2004 $6.00 Total $81.00 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. Issued by l/ � ��l a / 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day Yi , v -2004 THU 02:03 PM CHRISTENSON CORPORATION FAX NO, 503 419 3636 P. 01 Electrical Permit_App c arton ce;vad "7 al lectri r �p ccitvc 1 9-0`/ I P Elect. INo cal . :GL/— d D Planning Approval Sign City of Tigard Rc ' � 0 0 � Date/By - - Permit No.: 13125 SW Nall Blvd. • 1- ® Plan Review Other Tigard, Oregon 97223 '\• \GP` Date/By Permit No.: Phone: 503- 639 -4171 Fax: 503 - 5981960 \ , ` Post- Review Land Use U Internet: www.ci.tigard.or.us e \\`�+`� 1,.' II I � Contact Case No.: Vku. r Contact J a -: El See Page 2 for 24 - hour Inspection Request; 6503 639 - 4175 '. Name/Method: , � Supplemental Information. .� 7�,..n� •„":'.,wY(y�N�� A A�1'L. r "I !�' , ,i � a '..�,'. a . "' y Rr'�'r' ',' n r' =. yn' .r r' T JW'.' � ;'7 y ' . .r � n� • r ,I.. ,.,✓ xe - i�}�, i" .'S' f r 1 't y F1 'S 4� rfi • i e ,t � >� �n1 iiii i5 Y,'4r•'•�,,�� f ;� , �, I W4:6' ? a �t'ilan, _{` 1}'@ ) t' i R A i rn S'`r'l'} y • , s i.�rarx.4i,r'{. 5.:: >�•L,��t4i. .,, ;� ! - .S�.v�.! j :i�!c �..) TY--,. t�,) �.. �AwM�I ..+.Lwa53.•..��a�J.a'�iiAr �.', Aw .AM:fA,?..�.FS}r�7.nf'�+�Y"J.� :.L�J �� :.SAL °.EY1.�,.7,.b �T- L!3G�.�ii�i�D�{:TS !xi27r,4Vp V 'J'ti • New construction • Demolition • Service over 225 amps- • health -care facility t�ddition /aeraonre.acemenl 0- ter: commercial ❑ Hazardous er 10 un � . �.. _ ❑ Service over 320 amps-rating of Building over 10,000 square feet, • ltti/ l Oh - � �• -• '�'� ' A :ry". I & 2 family dwellings four or more residential units in In 1 & 2 -Famil dwellin1. IC I 1 Commercial/Industrial 0 System over 600 volts nominal one structure rlit ACCCSSO Bu11dIn: � ❑ Building over three stones 0 Feeders, 400 amps or more 0 Occupant load over 99 persons' ❑Manufactured structures or RV park Egress/lighting Other. I� Master Builder �• Other: © plan 0 lf; ' ,:,', " a1 } ,"• „” W ` ' ;1 . -Y " ' '. ( 4,, , I Submit sets of plans with any of the above. S�iS_t.,.,i1!��r 4w}ly� i.."�' ,wl ...:' ..i ', _�.. '!"•'d. .; :. .� `+�,ti . . _r .t4 �.ta:.A. cis y>b�•l� P Job site ad The above are not a • • likable to tern orar cvnetruction service. dress: ' . ; : .r• �,,;E:•,w.: x; ., ; ,, r .,,, 4 A T: ' {�. L Ir1 f'r. 4'M �. �., a . .�+, -,.. r: ;; � �. �,'''.; d'1����.: >:�.. :.... � «�- s�:�r�a;�'�' Suite #: Bid .lA�t. #: Number of ins • ectiotts r er • ermit allowed Pro ect Name: . .- , �z r,1 A Descrl'tloa Qty fee (es.) Total �� • Cross street/D ections to job site: New reside :Mai-single or multi - family per J dweWng unit. Includes attached garage. QU 1= ST1�i1S,- CONTp•�`f I"I f% t r Gt)A LT H izg Service included: 1000 s•• ft• or less 145.15 (5O 3) 93G_21‘-it Each additional 500 s.. R. or • .rtion thereof' =I 33.40 El Subdivision: i Lot #: Limited energide ntial 75.00 Limited cner:, non residential Eli Mi 75.00 Ell El Tax ma • / • arcel #: Each manufactured borne or modular dwelling li ":!ty, rj;: ; , :Y.G, �.: v. ;; ,wiY, ii'.�.,,,., ,. � �:, . ',� � i � ¢ ,1� : �i', !7 i : v :1. service azi i/or feeder 9090 MI .' ..� ;F .1!:...� : .'� , • A . : . , ?:,, „ a.!YV J ;r1' 'Aurie:.,:. ..t'' se . Services or feeders - installation, .- I _ r d ►/ alteration or relocation: ' 200 am.s or less 80.30 II 201 am • to 400 am .4 106.85 El 401 am• • 600 am- • 160.60 d .Vi'Z � . ,. L ) ., y . . _ . .,,�.;;rz , :-� ;�r, -, 1000 am- 240.60 in :h .�';' ,.r "i - . .., . �' .a s" �t .:r s •r +r�'L'•:�' �,. , , 601 am- to ]O Name: Reconnect 1000 am. s or volts - 454.65 Reconnect on • 66.85 ii Address: Temporary services or feeders - installation, - alteration, or relocation: Ci /State/Zi s : 200 am • • or less 64.85 II Phone: Fart: 201 am. to 400 ant 100.30 d . ; ,k• 1:. . is + .: :'}`. .','"- :� Ji'',:'. • r n,U r ;b • ` .•F ;•;' 4,� ., "•:a 401 to 600 amps. 133.75 .,,,r ' .4,., i .a � 'l• - .. : %".. ,.,- t tl °` • • ^� � �-•�r ' - B ranc h circuits -n alteration, on, or Name: extension per panel: Address: - A. Fee for branch circuits with purchase of 6.65 service or fecder fee each branch circuit s B. Fee for imutch circuits without purchase of Phone: Fax: service or feeder fee first branch circuit 46.85 ri Each additional branch circuit 6.65 El E-mail: Misc,(Service or feeder not included): II C w . w s $ 1.':''•',..A, ' . ,.;',;i.. 1 r •'ty !, ' far r . Ai (,•-• Each -um • or irri: anon circle 53,40 ,,, ,t •'..... .. . `11 1 . .:c .7... ...... . .... . s,p r • Eachsi:, or outline li tie . ____ . 53.40 A Job No: _ s ig nal circuits) or a limited energy papal, Ill $ • . sine :CHRISTENSON TECHNOLOGY SERVICES I ration or axtenion I've 2 Ir 00 ■ Address: 1631 NW THURMAN ST 2ND FL - cription: / I h • . id . Cit /State/Zia: • I , ' ' • • 1 • Each additional Inspection over the allowable In an of the above: • Per inspectionyer hour (min, 1 hour) 62.50 . Phone:(503)419 -3600 Fax :(503) 419 -3636 lnvesti:: ion fee: CCB Lic. #: 64137 Lic. #: 26 -1174C Other: Supervising electrici • + / / Subtotal $ Qs Si: ature re s uired: 1.,. ! � ' Plan Review Permit Fee) $ Print Name:Ro : ERT:.:A - , 111EICIMINIIIM State Surcharge (8% of Permit Fee) $ , ° • TOTAL PERMIT FEE $ '' Ilall Authorized • Notice: This permit application expires tf a permit is not *bta within Signature: Date: 180 days after it has been accepted as complete. -- 7g-V (S p yi. ii *Fee methodology set. by Tri -County Building Industry Service Hc/ar (Please print name) i :\Dsts\Permit Forsns\E3cPecmitApp,doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection .ile: (503) 639 -4175 INSPECTION DIVISION Business Line: - (503) 639 -4171 MST BUP Received Date Requested 5 —" ' AM PM BUP Location 3:30 . Suite q MEC Contact Person I L? Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC g Access: Ft ELR (A Y I5 Drain Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling o 1 I 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 -4: PASS PART FAIL MECHANICAL • Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm ASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA � p Approach /Sidewalk Date CF ✓ pG � Inspector L �J y Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL