Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 00096
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 101
Project: Illo Chiropractic Subdivision: VARNS ACRES Lot: 3
Project Description: (6) branch circuits for expansion of existing tenant suite 101 to encompass both suites 101 and 100.
Contractor: A C & E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
•
3535 DEL WEBB AVE NE #100 HUNZIKER LLC
SALEM, OR 97303 9430 NW KAISER RD
PORTLAND, OR 97231 .
PHONE: 503 - 363 -2301 PHONE:
FAX: 503 - 363 -2302
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo /Purchase 02/12/2013 $93.28
Specifics: Service or Feeder
• • 1 ea 12% State Surcharge - 02/12/2013 $11.19
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $104.47
Required Items and Reports (Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 thro R 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5033. 32.1967or 1.800.332.234
Issued By: 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' , 5460 ' - r 4 cJ` Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
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.
02/11/2013 08:07 5034850586 AC &E ELECTRIC PAGE 02/02
Electrical Perm A IiCatio CEIVE FOR OFFICE USE ONLY
City of Tigard p aw �t11 a- Permitxa.: El.L'�p13 -4=459
li n 13125 SW Hall Blvd., Tigard, OR 9722_ Plan Review
0 • Phone: 503.7182439 Fax: 503.598.19 lEB'..11 2013 DatcB : Other Permit: # _000
Inspection Line: 503.639.4175 /tote Ready/By. : !0 See Page 2 for
`:^ a" Internet: www.tigard or,gov CITY OF Notified/Method: Supplemental information
ems . �,�t, g 5. ,,.. fi r.. �. M( :' i ,i:'.'� �
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��a.,. �. h ` �.� ;:_�_ ', '' � rrES: � ,r.w(1 :. ' �....� � "� �` � .. .. �rYlf,`'..4. ..: .. '� �..,- . �' , •� :_ checked 1 .
" . p t k ` raw check all tint apply (submit a sets of plans w/ltema below):
❑ New construction ®Addition /alteration /replacement CI Service or feeder 400 amps or more ['Building over three stories,
❑ Demolition ❑ Other: where the available f mlt eturent ❑Marinas and boatyards.
a� ?! ,o,r, �•" =' +- exceeds 10,000 amps rat 150 volts or ❑ Floatin buildin
,;� :;,, `�,•..� . ,, - , •``',�' '; - �`"'i' "�� ':: t• less to ground, or exceeds 14,000 1:1 Commercial-use ngricuhtaal
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building maim for all other Installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ['Fire pump. ❑ installation of 75 KVA or
_ ,,.p xx O;, r � t ❑Emcrgeney system. Larger separately derived system.
1.0 l� Addition of new motor load of O "A
100tiP eft more. occupancy.
Job no.: Job site address: 7340 SW Hulariker ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard OR ❑Health -care feeilitles. 0 Supply voltage for more than
O Hazardous locations, 600 volts nominal,
Suite/bldg. /apt no.: 101 Froie name: ILLO TI O Scrvice or feeder 600 amps or more,
w;' ', I t' ''3 IMri ', . 'WI,: : ` -, ' -,4.
Cross street/directions to job site: ra.cr otv. lute. Totit
New residential single- or mold - family dwelling unit.
Includes attached garage.
Subdivision:
I Lot no.: 1.000 sq. R or less 168.54 4
Ea midi 500 sq, fl_ or portion 33.92 t
el no.: L imited energy, residential 750
Tax map /pare erfp', , p 2
r yi F o 'a ti;;::2' with Above • . tl.
_ ` + , • - '''' ' `"` Limited eneryry, m -family 75.00 2
T1 Remodel residential (with above sq. R.)
•-- Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
. ,,, r,h .‘,"% Vii~` ',vow, :: 201 amps to 400 amps 133.56 2
a'r 1A"PR r, ��y3 f# : • :�, ''^ �! s_ ;
401 amps m 600 amps 200.34 2
Name. 601 amps to 1.000 amps 301.04 2
Address: Over 1.000 amps or volts 552.26 2
Temporary services nr feeders installation, alteration, and/o
City/State /ZIP: relocation _ -
I 200 amps or Ins 59.36 l ( ) Phone: ( ) Fax:
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits —new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with 37
_ '•;_ above service or feeder fee, 5 7 42 10 2
r r` ` =
�.. �Il>�.PIt��CQ1�a� +,�• ��� each b ranch circuit
t: �,�' :: T� � :'ms's "':�'.�•'�, �..
13, Fcc for branch circuits without
Business name: service or feeder fee, first 1 56.18 56.18 2
branch circuit
Contact name: Each add'/ bi nch circuit 7.42 r 2
Address: Mlscellaneons service or feeder not include
Each manufactured or modular 1111 67,84 2
City/State/ZIP: dwellin:, service and/or feeder
Reconnect only 67.84 2
Phone: ( ) 1 F ( ) Pump or irrigation circle 67.84 2
E-mail: Sian or outline lighting 67.84 2
; • ''M :.o.. .o' ". 'V.!` v im::. - _., •r,; •.., , .' : r , r Signal circuit(s) or limited -enemy
... . : •: ,.r mow
Panel, alteration, or extension. ? 2
Business name: AC &E Electric Each additional ins • clion over allowable in an of the above
Y Address: 3535 Del Webb AVE Additional inspection (1 hr min) 66.25/ hr
investigation (1 hr min) 66,25/ hr
City/State/ZIP: Salem OR industrial plant (1 hr min) 78.18 / hr
Phone: (503) 363-2301 Fax: (50 ) 363 -2302 Inspections for which no fee is 90.00 / hr
• cificall listed 'h hr min
Su rv, Lie.: 53875 ,.. 44Z'.' : •' . E 1 N ■ w , •.., ; 5 , ..: -./..'
it CCB Lie.: 591 Electrical Lic.: 2,� C p
_ - Subtotal: 93.28
Suprv. Electrician signature, required: _ _ Plan review (25% of permit fee):
tir
S tate surcharge (12% of permit fee): 11.19
Print name: Carl Duncan Date: 2/11/13 •
TOTAL PERMIT PEE: 104.47
Authorized signature: This permit applicnt on expires if is permit is not obtained within 180
clays after it has been accepted as complete. tW1 /�/
Print name: Date: • Number of inspcetions nllnwcd per permit.
ism, zlbaagwr,e,ie,\Et.c- rem+nnpp.daa 07/01/10 44o-4615'r(t1/05/COM/wfie
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7340 SW HUNZIKER RD 101, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
02/25/2013
ELC2013-00096
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7340 SW HUNZIKER RD 101, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
02/25/2013
ELC2013-00096
PASS - No C of O
Violation Summary:
Inspector Contractor