Permit CITY OF TIGARD
/ g ELECTRICAL PERMIT
O PERMIT #: ELC2006 - 00571
DEVELOPMENT SERVICES DATE ISSUED: 10/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S134BC -00300
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
Project Description: 7 circuits for freezers and coolers.
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: SIGNAUPANEL:
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: 6 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:
BPP RETAIL LLC CHRISTENSON ELECTRIC, INC.
BY BURNHAM PACIFIC PROPERTIES 111 SW COLUMBIA STREET # 480
ATTN: JOHN WATERS PORTLAND, OR 97201
SAN DIEGO, CA 92101
Phone: Contact #: FAX 503 - 419 -3695
PRI 503 - 419 -3300
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 10/I0/200( $86.75 LIC 458
[TAX] 8% State Surcharge 10/I0/200( $6.94
Total $93.69 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: — 7/7 S�� Permittee Signature: C' , . 0 p .
kl
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.
OCT -10 -2006 TUE 11:47 AN CHRISTENSON VELAGIO FAX NO 95034193695 P. 01
- Electrical Permit Application 1012 01'I I(1_ USE'. ONLY
Lit y of Tigard
� Pcmtit No.:
13125 SW Hall Blvd.. Tigard, OR 97lQ21 D Pion Ran R v �,10 �Ot9 l� WJ l„,....,2257 /
evie .- A
Phone: 503.639.4171 Fax: 503.598.1960 ° a ,� • I Date/By: Other Permit;
"
tnspection Line: 503.639.4175 I ' I ' Date Rend I y/By: r @1 see Page 2 far
Internet: www.ci.tigard.or.us U1, I l7 ryry [00 t Notified/Method: Supplemental Information
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, >xvx�S:i�r r�.1Tr'J•;.1v'<:l �. h n.J: Q. " %�' <x . x��h i:s i l�+V� u' 7r: ��.ar�L> r b,i. .
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❑ New construction �05(!j , - .1 eat x -0 Please check all that ripply: y
❑ ]Jenlolition [3 Other;
❑Service over 225 amps, corm, ❑Hazardous location
a s :: ; ?' :`.3. " ;' `� �:,, f : � ❑ Service over 320 amps - rating ❑Builds over 10.000 sq. ft.
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�^��- .. .< >: x.< > s 4► x x•C:{�rl!1' 7 � , k1 � ,.a.s^ ' . <a
,. , .... ' • >.ar >� . �.:;L,< .,,�, ,., � r • ^ � �.. < ,,,: � " ' x x :'�<,: <, H ,,. f ;,�,c:;i ,<� - ' � i,,,;:., < ^ , of 1- and 2-family dwellings 4 ar more now residential
❑ I r - and 2-family dwelling 24.4 Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Building over three stories ❑Feeders, 400 amps or more
1:1 ivlulti family [II Master builder ❑ Other;
«,� . ,. , sx . k ; x <; x, ,, ^ Yxb;• . � c . ❑Occupant load over 99 persons ❑Manufactured structures or
: .. �� „. �'2s3<� „ <IS:}: 'y>K i!Si. $s K: }:3:�r�:;;>' ❑Eglvss/Ilghting plan RV park
Job x not.... ( 10 O ‘ Job site address; as y ❑Health - care facility ❑per: .
A ° 5 C' Submit 2 acts of plans with any of the above.
City /Statt:/ZIP: 7 • • t oR a� 3.a 3 The above arc not li apP cablo to temporary construction ccrvioe.
Suite/bldg./apt no.: J � �( = ' xxtr`' c 'fix # ;r r ?'l3 # rw4>i: ?,rt.e:R:;::i
Project name: r: ! x" ": i<Al ix:l;' °'. 'n:ix s ;::'v .:x£:..
a Y Q� neserrpet a I Qly. I roe. I anal I
Cross streetldircctions to job site; Ch 1 tD n / S ms ` �t, . � T / ns New residential single- or multi- family dwelling unit.
� o r s n s
ir Includes attached g ara g e.
.50 3 -a (Q 0 - iq 1,000 sq. ft, or less 145.L5 _ 4
Subdivision; Lot no.: Ea. add'I 500 sq. tt or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential 75.00 2
i. ; x. xa : z ; « 1. �, : , . ,.y, �. ..,.� ^., Limited energy, nomfe8idential 75.00 2
: <..': <VI,F. <i ,..{�JS ,< g : ; j k.� X : T :itb�'A� <S�: E < ii
..... ><:. %:r:<.I�::`r:£::£::'>` E��`il: >.3:<0.. ?`>i>;r`.' . 4 3' 't t!1rx x;e : F Sr:a'`s`.'..° ?Lli<: xi', "2i x ^�Zex:G> >fi t - 'li Each manufactured or modular -
-` � / dwelling, service and/or feeder 90.90 2
11 Ci(e ( . I+ S ' J ' �- Z s (17) lt,r5 Services or feeders Installation, alteration, and/or relocation
-
200 amps or less 80.30 2
p r`1 :; ss,' z sx k;F^ ^a;' ',.,&,,:: %x e r n e:, :', 201 am to 400 C
����ii�}�[(jj` r{p% : 3 si, 4. t „' >: <;: ia�`� • •!. � . amps am 106.85
. .. r. r.,:x.r.r:4': i:�x`.!s<! .=3� i� <��U �' 'aa. x '��. �. �� �,�r;�r x.k: Sit: r. P'
'::`iif <T:� .........'.. ,..<:r. xa.,a,.� :��� ^, ::x:� .. ::i,FSb�:b:S:e:�z��:: �.":r'!"
�. . w: �,` 5s:t�'�k:: x�: � x -
401 amps to 600 amps 160.60 2
Nurne, 601 amps to 1,000 amps _ 240.60 2
Address: Over 1.000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders Installation, alienation, and/or
Phone: ( ) i Fax: ( ) relocation -
200 amps 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 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 • 401 amps to bon amps 133.75 2
Owner signature: Date:
Branch circuits - new, alteration, or extension, per panel
�.. i N.. y .. .
.i. �� �; °�' %,�: •,:g;<:; `.;� '. 4 S< . r� ex.:,,x ,� °� "a A. fee for branch c'
,.,....,.< i K3vd'K :* a^' :.r:i.` :i �s,�` <:'ss� x �..�~F §4: 4p: • ** ;cs"la..a n h ircuits with
,.':v <i:` is >,a,: :.. �,,. ,,....S...a.,x xo:£� »rasa x"t: • ,. �.��: 1..,.�. ,,.^ W ^ b 1 ' <•S:�r�r. �<Y'r.x
service or feeder fee, each
Business name: i 6.65 2
branch circuit
B. Fee for branch circuits
Contact name:
without service or feeder fee, , - s 2
• Address: I -
first branch oircuil 46.8s Tie b
Each add'l branch circuit , .1p _ 6.65 39 - 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I FaX: Pump or irrigation circle 53,40 3
( ) Sign or outline lighting 53.40 2
E -mail:
Signal circuit(s) or limited -
>; b. .;:vx:s::s;%:<br..,174_y.�r .i :V r,:rx p ., : q :<. i „ rj ;s :s: i4 n: ; n. r x« :.:, <::s;4' energy < r .. "i'r! ,. t�r��3 f?" �:�� x x:� }� � x ; ; . r :'�,< .xb �.K xy � �.)' n panel, alteration, <A: r : xe . r ^`;9�, . a .#�1'.��:,�:�::1' « r , 3°S'ax " ��i�g:, :!:: &:#:x; : ; f y'>;�s;�f.. '� P � Or
extension. Descrihc: Page 2 2
Business name: Christenson Electric, Inc.
Address: 111 SW Columbia Street, Suite 480 1 Each additional inspection over allowable hi 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 I F (503) 419-3695 industrial plant per hour 73.75
Ceti I,ic„ 458 Electrical Lic.: 26 - i 3 S ` <> IZ11 : >Qi 1,;s:<:, :5- ,..:.,.: <.: <.:M:<;:. ::<
fV. L it;.: 199 Subtotal 0 t0 .15
Suprv. Electrician signature, required: 6?0•644/ /' P lan review (25% of permit tee)
Print name; P YL� i - Date; 1 0 O O •
State surcharge (8% of p ermit Fee)
TOTAL. PERMIT FEE 9 3 ` In 9
Authorized signature: TOIa permit application esplrci a permit n ot ohtan
days a lter It has be en Ir accepted i u o compleiud within 1110 te
Print name: Date: * Fla: methodology set by Tri•C:nunty truildina Indwav ti,rv,cc Bourn
'N• Number of inspections put punnil ullawud.
: tl sFulda+gw10nILOKI.r.- pem,iAl+p lee 12/03 410- •t,I%T(1N01/COM/W6B