Permit C ITY OF TIOCAI4D ELECTRICAL PERMIT
PERMIT #: ELC2007 -00063
COMMUNITY DEVELOPMENT DATE ISSUED: 1/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BC -02200
SITE ADDRESS: 08330 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: WPI. (2) branch circuits for circuit in data room & exit signs.
Job # 83- 06448.
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:
HHO + B ASSOCIATES, LLC CHRISTENSON ELECTRIC, INC.
BY H + A CONSTRUCTION CO 111 SW COLUMBIA STREET # 480
PO BOX 23755 PORTLAND, OR 97201
TIGARD, OR 97281
Phone: Contact #: PRI 503 - 419 -3300
FAX 503- 419 -3695
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 1/26/2007 $53.50 LIC 458
[TAX] 8% State Surcharge 1/26/2007 $4.28
Total $57.78 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: 1 4 C Permittee Signature: .'L (".D \(J
� D
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.
%.JAN -25 -2007 THU 08:06 AM CHR'STEN,SON VELAGIO FAX NO. 95034193695 P. 01/02
154 iectr>tcal r ermli �yL mI( : n ' *:
City of Tigard } W.
. : , : :,. _ �.. , C7ntr�B f / • /'S a Pemut No ; �(3
13 t25 9W Hall Blvd., Tigard, O 97223 =' ' iL /
V. 4
Phone: 503.639.4171 Fax: 503.598.1960 Plan Rwtaw
' Ail ,VILA `""•�' I ' DstcLpY: Ocher Permit,
inspection Linc: 503.639.4175 ' N. 6) 11. pateReadYBy 1ais: H See
Internet: www,ci.tigard.or,ua .4 I %'N t"°a N' ,w: 6;4 ` ' Notified/Method:
Sdppte
l Page 2 for
mentalInfortnrUon
r;r
❑ New construction . w ,, iti9�t a3 1;efatt�tt p rt krf t Please check all that apply:
❑ Demolition ': ' iliCti:�''.Is..' v ['service over225 amps, ctlmm'1 ❑ 1•Iizardous location
ice over 3
ivt 320 -
r
2 s
Art1
rating
B
uiid
n
P ❑ over
"r.' Sc 100 o0 a
g ... .fri
of
1 -an -
g
t�
.
„ , fan'
dwellings < ! llin
a
Y 4o
more s or m
r new residential
❑ l- and 2- family dwelling tnmerc aU dustrial
t; � i itt ❑ Accessory�bujlditlg ❑Syswm over 600 volts nominal units in and structure
El Multi family q Muster builder 0 other: ['Building over three stories ❑ Feeders, 400 amps or more
Q Occu antload over 99 persons ❑ Manufactured anu
t ar
d
is e
P structures ea
I?t�zart or
.
P
E
k
h hl' plan par
.;, ess/ ' m
t;r S S
Job na'. ' 010 F Job site addresr ', 3 57 i.9 ) v 5 W • i1 .::.. „. VI . Q 0 Health -care facility ❑Other,
y ” - Zt Submit 2 sets of plans with any of the above.
Cify /Statc/ZIP: 1 ,� ,� �i . a2& � 3 The shove are not applicable to temporary construction service.
Suite/bld .��.(�� ;r;5 :?r : :'�i :£� :•:;si <-- } -c°c^'
/a G ri0„
P Project ' :��
o t,
Hume' .... >r
, :..... iii
Cross 911 ioru to job Site; (,1D 1� Pt Vl 5l M (� - 1(1 p New residential single- or multi - family dwelling unit.
`5o 7, Includes attached garage.
3 - cr S(e) _•\L 1,000 sq. R. or less _ 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75,00 2
Limited non-residential ed
energy,
n
n teat o
do
fiat 75.
00
2
>, .. .....g::: i!, : :.;;, : q ; : :a :. :; :;; ? : ::., Each manufactured or modular
- - '(�� I � �, • 5 i , dwelling, service and/or feeder 9090 2
p - j�' —. � _ Q n f 1C t/ Services or feeders Installation, alteration, and /or relocation
41k s c r1.1 _ `.ak iZ l'l0 I 5c .1:til.vtew l ir c.414 ii1 D �}� p fro 200 amp or less 80.30 2
S:Bi:
�yi�1,, 20
��r�;< s r
I� 0 40
f:It.4Y . 0 amps t
'71 :1
... 106.85 85
< ..,. P
...:....::
Name: 401 amps to 600 amps _ 160.60 2
601 amps to 1,000 amps 240,60 2
Address: Over 1,000 amps or volts 454,65 2
City/Slate/ZIP; Reconnect only 66.85 2
Temporary services or feeders Ittatailatlon, alteration', and /or
Phone: ( ) I Fax: ( ) relocation
or Owner installation: This installation is being made on property that I own which is not 201 200 amps to less 00.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. amps to 400 amps 10030 z
401 amps to 600 amps 1:13.75 2
Owner signature: Date: Bnmeh circuits - new, alteration, or cYtension, per panel
s : :: !P
< : :. : : : < . . ., : 7" +�J� ;:.. . #; ranch circuits with
:,:..: . ...............<s.. .... ,,. : : :. :. :;,. :,. : : : �.: �.,. l!1: A� :: for b
serv or feeder fee, each
Business name:
branch circuit 6.65 2
Contact name: B. Fee for branch circuits c/
without service or feeder fee, t 46 tP 85 1 ( , bJ
Address; first branch circuit 2
_ —� Each addi branch circuit / _ 6 65 T's 2
City /State/ZIP: Miscellaneous (service or feeder t included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53,40 2
Sign or outline lighting 53.40 2
E -mail: • Signal circuit(s) or limited.
: ?:
acs � :i;:
.�Q... Pam'. ado
. l♦'''> f: :•'3` ��:' s4';; d?%:':.: 'i : :'' °i, > : : :,'ii;c;a,is'�''� <� aft n
Business name: Christenson Electric, Inc extension. Describe: Page 2 2
Address: 111. SW Columbia Street, Suite 480 Each additional inspection over allow hie In any of the above
Per inspection 62.50
. City /State/ZIP: Portland, OR 97201 Investigation per hour (I hr min) 62.50
Phone: (503) 419 - 3300 Fax; (503) 419 -3695 Industrial plant per hour 73.75 --
.. {s# .;:R. lir'LEGF `. C: ' : :
I .FE
CCB Lie.: 458 Electrical Lic„ 26 -34C S rv. Lie.: 199 ` : .AL... RN[u :- € '..;
∎,, _:) Sub .. .1 0 4-71M -
. :.
Suprv. Electrician signature, required: Ge Plan review (25%ofpermit fee)
Print name: f�.d- Dale: 1 [� rj 4' State surcharge (8% of permit fee) "
rZie)kj_kltr+ l a 1 /415-
1 ! ( ,'7 • " TOTAL PERMIT FEE L _
Authorized signature: /
This permit appticutinn explrot ir a permit is nut untamed within ISO
,_ 1'1'111L name: mate: • • daye aver it has heca accepted as complete
F ee m set by in Buddies Industry Service Ao.rd
'ra Number of impactions per permit alln.wcd.
'l1 iii rat ■Pammpl ['.Petmi4tpp.dnc I:l03 440- 46 L5T(1(1 /01/COM,WGl1 111 ri ,e, (:f _`••/'1,t,u,, / •
CITY OF TIGARD
BUILDING DIVISION ( PERMIT #: ELC2007-00063 '
13125 SW Hall Blvd., Tigard, OR 97223
Atillilliil DATE ISSUED: 1/2012007
Phone: (503) 639-4171 ,„
Inspection Requests (24 Hrs.): (503) 639-4175 til■ --..
INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 0
SITE ADDRESS: 08330 SW HUI1ZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE
PROJECT NAME: WPI
DESCRIPTION: WPI. (2) branch circuit s. for circuit in data room & it signs.
Job # 83-06448.
OWNER: HHO + B ASSOCIATES, L.LC, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300
Inspection Request Scheduled For: Date: 3123/2007 Pour Time:
Code # Inspection Description Con ir - Contact # Message
199 Electrical final iir •—•14 L. ., . ; .!' N
__...
.„.....,,,,,,,„„.■■••----....-----
Corr- - 'Ions/Comments/Instructions: '"---..... :„...---
..
MD A S i 1 ■_• . VA 1 ( V.0 t
UM . 50 3 14 1 4 if I k (
-..imilw Vie
A,
•
IR PASS 0 PARTIAL APPROVAL n CANCEL r7 NO ACCESS
--;.;1 AIL • ;',:,• . : - s. ALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: C..1 • N (.2L-if Date: 1'21 0. 9 Phone #: (503) 718- viye
. ,_