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Permit
C ITY OF TIGARD ELECTRICAL PERMIT s °B ' PERMIT #: ELC2005 -00244 1 j, el .. DEVELOPMENT SERVICES DATE ISSUED: 4/7/2005 '-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101BC -02200 SITE ADDRESS: 9.8330 HUNZIKER RD ZONING: I -P SUBDIVISION: 8300 LOT : JURISDICTION: TIG Project Description: (2) electrical circuits for welder receptacles. Job # 83- 06121. 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: 1 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: WESTERN PARTITION CHRISTENSON VELAGIO, INC. 8300 SW HUNZIKER 1631 NW THURMAN ST. STE 200 TIGARD, OR 97223 PORTLAND, OR 97209 Phone: 503 - 620 -1600 . Phone: 503 - 419 -3600 FEES Reg #: LIC 64137 ELE 26 -1174C Description Date Amount SUP 1994S [ELPRMT] ELC Permit 4/7/2005 $53.50 [TAX] 8% State Surcharge 4/7/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 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: 6 _ Permittee Signature: _ i c ` `� 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. r- APR -07 -05 THU 10:42 AM CHRISTENSON ELECTRIC FAX NO. 5034193695 P. 01 L' aa.yaa MULL .a L i , I.Z.V. V4.Y+. Ci -9f� •igard RECE V - `� n ay: y ''7 �5'� rerni1wo.;�� V 13125 SW' Hall Blvd., Tigard, OR 97223 Plan Review Phone, 503.639.4171 Fax: 503,5981960 ''' �; •• ' Datr/ey; Other Permit: inspection Line: 503.639.4175 APR 0 .. -•.�� = I Dste Ready/By; leis. 65 Sec Page 2 for Internet: www,Ct,tigsrd.or -us N6.6 00 ^ SupplementalInforrmation '.r: 0 t : y x` it i s 1 !.` °.: , 'W": ± l „ i , y '4.i 4. • -; ;; . Vi ; .: ; n. ' . 5'' ;. ZIP AN •!R'• IWI • ❑ • N ew co X ti t i r ep l acement Please c heck all thu apply: ['Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition ❑ Other: ❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., :^li ''; .. 7∎! r ' (, ry� ! . "- 7 " of I • and 2- family dwellings 4 or more new residential ill = -�`�• �,j ' , ��b•+J ; ■.q,'� } b'f.F.,... , . ^'� '`�� i 'T Ks -' f' -.7. ! .'' " ' +: �,� yr :: 1- and 2- family dwelling XIII Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure °Building over three stories ❑Feeders, 400 amps or more 0 Multi- family [I Master builder ,�' ,� 0 Other; ❑o ccupant l o v e r 99 persons °Manufactured structures or .P t ;e/7�(f tj'q _ - � r9V/SV St�R" , ' g • .:2 �'fi':.1P g . ❑Egress/lighting plan RW park Job no. :83 - 06121 I rob site address: 8330 SW HIlNZIKER RD ©Health•care facility 00ther. Submit 2 sets of plans with any of the above. City/State/ZIP: TIGARD, OR 9 7 223 The above are not applicable to temporary construction service. s .S I:Y,r.'t'r g' C�I�Itl Suite/bldg, /apt. no8330BLDG I Project name: WESTERN PARTITIONS , . Description qty. F. Taw •" Cross street/directions to job Site: New residential single or multi family dwelling un it. QUESTIONS? CONTACT MATT WALTHER (503) 936 -2141 Include attached garage. _ I ,000 so. tt. or less 145.15 4 Subdivision: Lot no.: En. add'l 500 sq. It. or portion 33.40 - 1 Limited energy, residential 75.00 2 Tax ' map/parcel yt 2t.L3.`'•�r.c nno.: 3c}p F ,�u 7 Limited energy, non-residential 75.00 2 . ?fi t 1.trl iYr 1 ,. , „ n't+ Iw-�'.�.„�." r t I gI `;d,� 2#!';)` t'SRtti► fir" �,�� "� .i 1 : ∎; Each manufactured or modular r• `� dwelling, service and/or feeder 90.90 2 ELECTRICAL, CIRCUITS FOR WELDER RECEPTACLES . _ Services or feeders installadon, alteration, and/or relocation 200 amps or less 80,30 2 V 1 A .R 1`!M', 7 T i Y Y'.� ,t - 4g 'r" 75tH= ,17r t ' 201 amps to 400 amps 106,85 2 ,..2.. -. tl fir, : ,,i.,.. ,lt_ ,i li i?i i f : S•o ` tlart/E +u. .i ,:. . Y_•.;'' rnt tl.'_'4 401 amps to 600 amps 160,60 2 Name: WESTERN PARTITIONS 601 amps to 1,000 amps / 240,60 - 2 Address: 8300 SW HUN7.IKRR RD Over 1 ,000 amps Or volts 454.65 2 - - Reconnect only 66.85 2 City/State/ZIP: TIGARD, OR 97223 Temporary services or feeders installation, alteration, and/or -- relocation Phone: ( ) , I Fax: ( ) 200 autos 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 10030 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: . _ Data: _ Branch circuits— new, alteration, or extension, per panel 4y' r 7, ,,�: t"� C F rfal.. A. Pee for branch circuits watt - , >i :.il �o� � �' • �! IN ,. +' � �'�.!�•... � .. _, a;, . � �y.: +�. ,T .r. ] 3 .>, � ,pa 'I : service or feeder fee, each business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, , 46.85 46. 85 2 each branch circuit Address: Each add'I branch circuit 1 _6,65 6 F., 5 2 City/State/ZIP: Miscellaneous (service or feeder not included) _ Pump or irrigation circle 53.40 2 Phone: ( ) 1 Fax: : ( ) Sign or outline lighting 53 40 2 E -mail: Signal circuit(s) or limited- 7 5.00 e y r •j' >,. _`.1! w� , 5 t Y ye '" 6i c a energy panel, alteration, or a E 2 ..':1 . � 4� .�Sa''�i'. „ : ,, r . .. -! : i •'. ., r ._�, a 5.1�. %:.dy r�.a.•`'• if 2 ' extens Describe: 8 ",,o Business name: CHRISTENSON VELAGIO, INC. - _ Each additional inspection over allowable in any of the above _ Address: 1631 NW THURMAN ST 2ND FL .009,4 Pcr inspection 62.5 City/State/ZIP; PORTLAND, OR 97209 --2558 Inves per hour (I lir min) 62.50 - 3300 Industrial plant per hour 73,75 Phone: ( 503) 419 l Fax: (503) 419 3333 ,! .; .'` .. . ,:a _xl E&C7ridg1 ttikar fE ` f,': . X CCB tic.: 64137 1 Elect l. ic�6 -117 C Su prv' 1994S V 1 Subtotal 53.50 Suprv. Electrician signature, required Plan review (25°x6 of permit fee) ■ State surcharge (8% of permit fcc) 4. 9 R Print name: ROBERT AXT Doc; 4/7/05 -- TOTAL PERMIT FEE 57. Authorized signature: This permit apptiead w(t oo expires it a permit It not obtained ;hi” 190 days after it has been accepted as eomprcie * ** TG A *; Print name: Date: • Fee methodology set by Tri Building industry Service Bqh •• Number of inspections per permit allowed, Lutead, Pot, i, Et-C- PermitApp doc 17/0) 440.1615T11WOWCOWWaB CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC200S -00244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2005 Phone: (503) 639 -4171 /he/ Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7 :12AM PAGE: 21 {_.me SITE ADDRESS: —09-3-38-SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITION DESCRIPTION: (2) electrical circuits for welder receptacles. Job # 83- 06121. OWNER: WESTERN PARTITION, PHONE #: 603- 620 -1600 CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503- 419 -3600 Inspection Request Scheduled For: Date: 5!25/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 199 Electrical final 007710 -01 503 - 936 -2141 N Corrections /Comments /Instructions: c )4 7 • • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: j 1�� /n,� Dated '` Phone #: (503) 718 -