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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00669 COMMUNITY DEVELOPMENT DATE ISSUED: 9/26/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 BC -02200 SITE ADDRESS: 08330 SW HUNZIKER RD ZONING: I - SUBDIVISION: LOT : JURISDICTION: - FIG PROJECT: WESTERN PARTITIONS Project Description: Electrical TI - (4) branch circuits & limited energy for data. Job No. 83 -06633 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: 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: MICHAEL & PAMELA ROACH CHRISTENSON ELECTRIC, INC. 956 WEST POINT RD 111 SW COLUMBIA STREET # 480 LAKE OSWEGO, OR 97035 PORTLAND, OR 97201 Phone: 503 - 620 -1600 Contact #: PRI 503 - 419 -3300 FAX 503 - 419 -3695 FEES Description Date Amount Reg #: ELE 26 -34C [ELPRMT] ELC Permit 9/26/2007 $141.80 LIP 458 [TAX] 8% State Surcharge 9/26/2007 $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 suspende for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted b Re Oregon Utility Notification Center. Those r es are set fort' 0AR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain c•- es of these rules or direct questions to OUNC at 503.24 .6699 or 1 .800 4.' • Issue By: ► ' �Q/yyt) Permittee Sign. re: . -r 1,0 .. te 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. SEP -2007 WED 07:27 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01/03 k =' 'ectpcal Permit Ap IIC "' Ity of Tigard tV Dsteea 9 e a7. 4-y Permit No.: E M,,72� &‘ 9 13125 SW 1-fall Blvd., Tigard, OR 97223 2 cut', ft Plan Review Phone: 303.639,4171 Fax: 503.598.1960S EP 2 6 T ., ; " " 1y�}:` J ,i Datdi3y: Other Permit: Inspection Line: 503.639.4175 2 .,.}. 'A Date Ready/8y; 1 sc. page 2 fir Internet: www.ci,tigard.or.us I�SYOF 1 Notified/Method; �/ ( BI I Supplemental Information a. .F.. Y. '-LL. a. ti �. `b. s <: D, tl3�IIt` \ K' i`•''! i#`: z if'lik # >i.'i3�f'''.:` <' #'i <' 0 r: '. �:.:!':».is::?;: is`: Bi $; o, �:`;: ;;x; ?r,e; "i:;� �:::�: :.... . ..: :.::....: ., ,.Y • ❑ New construction KAddition/alte°tationhe lacement Please check ail that apply: ❑Service over 225 amps, comm'l ['Hazardous location ❑ l)ettnolition ❑ Other: ['Service over 320 amps - rating 0 13ui1dng over 10,000 aq. ft., rc y 7:' igi @'tt % ;:i d 2. family or o isle - a st ' l dwellings m tt now residential oft and mt d t g CI l - and 2 family dwelling NI ConunerciaVindustfial ❑ Accessory building ': f building ❑System over 600 volts nominal units in one structure Multi family ❑Master budder ❑Other. © Building over three stories ❑ Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or :r: k .::!:.:: N. �: i:', ���: r :: .�:`.�i:... .:.ys !;:;!i �:�: i::iF!.!� �' : t: s:!; s u , . ::s: :;.:. :; : 5:.:�.:'io:"'�i"r, r<.; 1 V park E ess /li tin Ian p ..IC:;1' '. 16,. 'si ' E�G•i,; Tli .: �+.': ::: » :::<u % :: : ;: : ;: ; ;:::az < i::eP ;: >.rsr;ls < . < >s; h .... - ....... p Other 0 33d uj ' -\ ZikeX RS. , ❑health -care facility Job no.: 33 0603 Job site address: S Submit 2 sots of plans with any of the above. City /State/ZIP: - ( 1 aa3 The above are not applicable to temporary construction service, � :3 �; ii't 11<.:•40,t.1L14p.1;1 .! ;::: ... Suite/bldg /apt no.: Project name: ; >:':...: > ?<:::: � .-- D.. -Apnea l Qty. I F. 1 'NMI r" Cross street/directions to job site: /� � P 1 VAS • At _VA)f .UC' l t'L� New residential siniic- or multi- family dwelling tutlt. �`<` Includes attached garage. 5--0- q 36 - i \ L 1,000 sq. it or less 145,15 4 Subdivision: Lot no.: Ea, add'l 500 sq. ft. or portion 31.40 1 T Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non-residential 75.00 2 ,. �:;:i: ;:;: >:;: >;� ; ;ifs #iy;:j:; .TIOl1'!I::: Gl1 ?:i:.:. Each o i;iM]• a . �Il�i►; iis�;: is�s; ��>!< !< 4r3:;:> � :,� >. » >' >::;!: F 1 manufactured or modular �� IM ' I..t1:�, A LQ.L Ik a \O " Swollen:, s9rvice rs ins p atio 90.90 , ` l - J 1 ' t � _- �7 Services or feeders installation, nitet`aHpn, and /or rciocution 1 s I s- 200 amps or less 80.30 .4 1I S ,tt�. t I 51 Ilea. .. l 06.85 a >:�: .nl i4::;::::::::•::::::::::!:::,::.'::::: ....,.......... 401 am P amps to 600 am s 160.60 2 IL Ntune: M t e- tt 3 9 tN 1-1.-R /GO f}C -j.- 601 amps to 1,000 amps 240.60 2 Address: t �d 00 61.0 (-�uoi 2; i k . Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/ State/ZIP: ie p 6(_ el 7 ,-a —a Temporary services or feeders Installation, alteration, and /or (�� ) / 6 A relocation Phone: 9 tp 1(4,00 Fax: ( ) 200 amps or lase 66.85 I 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: Rranch clrcults - new, alteration, or 0 tension, per panel - circuits with C B W .4 Fee f branch If 1 t `:ii2 '333 ?z: %''(i!iE � ?: : E0 far bra ...:: ...,:. ..:...... �.: . : .:, . - :... :.. service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, �J� II __ first branch circuit 46,85 T `o 2 Address: _ Each add'l branch circuit 3 6,65 [� ,q > 2 City /State/ZIP: Miscellaneous (service or feeder not included) - Pump or irrigation circle r 53140 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53 - 40 2 E-mail: signal circuit(s) or limited- ener a'o or gY P .Coal otter u n •2 ex si n D s�'rib : 75,00 '0 2 •g ✓�� ss te•CbristensunEl Inc _ Business non r, � �' Address' 11. I. SW Columbia Street, Suite 8130 Each additional inspection Over allowable 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 CCE Lie.: 459 Electrical Lie.: 26 -34C Su rv. Lic,: 199' Subtotal ( L4S is p • Suprv. Electrician signature, required: C Plan review (25% of permit fee) ( I_ a,6, �� State surcharge (8% of permit fee) (1434 7 Print na 4,. me: ,.R. �T A Date: TOTAL PERNITT FEE I V t 1 , Authorized signature: This permit eppltraliun expires if a permit is nut ohcalned.withltt 181) days after It has been accepted ea complete Print name: Date: • • Foe methodology set by Tn- county Building Indut,y service Raard •• Number of inspections per permit allowed. 1 ■ t a �1 i lliwldtn g\Pannit.iF-LC.P.rmailspp.dnc 12/03 440- 4ni57(10 /OIJCOM/WED l ^ d �' tc — {l' 3/C - , C—C\(.1)-9) • CITY OF TIGARD BUILDING DIVISION A. -.. PERMIT #: FLC2007-00669 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 926/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,_-_,N. ir J.., INSPECTION WORKSHEET FOR DATE: ' 10/26/2007 TIME: 7•00AM PAGE: 53 SITE ADDRESS: 08330 SIN HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITIONS DESCRIPTION: Electrical TI - (4) branch circuits & limited energy for data Job No. 83-06633 OWNER: • ROACH, MICHAEL & PAMELA PHONE #: 603-620-1600 CONTRACTOR: CFIRIsTENSON ELECTRIC, INC. PHONE #: 503-419-3300 Inspection Request Scheduled For: Date: •0126/2007 Pour Time: Code # Inspection Description onfirm # Contact # Message 199 Elect' ical final 0584-01 503-936-2141 N Corrections/Comments/Instructions: J (I) • .r PASS 0 PARTIAL APPROVAL El CANCEL NO ACCESS FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 3' NESle, Le7 Date: 1 2401 Phone #: (503) 718- li ....' ,." - - • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00669 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/1007 Phone: (503) 639-4171 AwRIP90 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: '1:01AM PAGE: 7 • SITE ADDRESS: 08330 SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITIONS DESCRIPTION: Electrical TI - (4) branch circuits limited energy for data. Job No. 83-06633 OWNER: ROACH, MICHAEL & PAMELA PHONE #: 503-620-1600 CONTRACTOR: alRISTENSON ELECTRIC, INC. PHONE #: 503 Inspection Request Scheduled For: Date: 10/1612007 Pour Time: Code # Inspection Description Confirm4 Contact # Message 130 Ceiling cover 057702-01 503-936-2141 N 0. Corrections/Comments/Instructions: • • - A 4 PASS fl PARTIAL APPROVAL CANCEL 7 NO ACCESS I I FAIL F CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: wooe)L. Date: 1 1 (01 Phone #: (503) 718- -1344/9 CITY OF TIGARD BUILDING DIVISION - PERMIT #: FLC2007 -006 69 13125 SW Hall Blvd., Tigard, OR 97223 °' DATE ISSUED: 9/202007• Phone: (503) 639-4171 /i'NryN�r� �� Inspection Requests (24 Hrs.): (503) 639 -4175 " ' . \ 4 INSPECTION WORKSHEET FOR DATE: 1002007 TIME: 7:04Am PAGE: `. 35 SITE ADDRESS: 08330 SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NfFSTERN PARTITIONS DESCRIPTION: Electrical TI - (4) branch circuits & limited energy for data. Job No. 83 -06633 OWNER: ROACH, MICHAEL & PAMELA PHONE #: 503. 620.1600 CONTRACTOR: CHRISTENSON ELECTRIC.;, INC. PHONE #: 503419-3300 Inspection Request Scheduled For: Date: 10/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 0x0778 -01 503-936-2141 N Corrections/Comments/Instructions: PASS PARTIAL APPROVAL n CANCEL 1 I NO ACCESS FAIL I f CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CY" N v o e L Date: 1 0 I 1 (01 Phone #: (503) 718 - _44______