Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00919
DEVELOPMENT SERVICES DATE ISSUED: 11/28/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S101 BC -02501
SITE ADDRESS: 08100 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: PVC pipe in ditch to pole base. 1 br. circuit.
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: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HUTTIG BUILDING PRODUCTS TICE ELECTRIC
8100 SW HUNZIKER ROAD PO BOX 15009
TIGARD, OR 97223 PORTLAND, OR 97293 -5009
Phone: 503 - 620 -1411 Phone: 503 - 233 -8801
FEES Reg #: LIC 166
SUP 2586S
Description Date Amount ELE 26 - 126C
[ELPRMT] ELC Permit 11/28/200: $46.85
[TAX] 8% State Surcharge 11/28/200: $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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 1-8!
Issued By: ` �� Permittee Signature: / i I ! ' ✓~--
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.
El Permit Application � rant t>trri I till oyr v t1
City of Tigard C N n Received �I � .. d � Pc tNu,; -� # o5 —to `
13125 SW Hall 131vd., Tigard, OR 9 Plan Review Other Permit
Phone: 503.639 -4171 Fax: 503.598.1960 ' iI I seeps el for
Inspection Lille: 503.639.4175 � y 1� �1 g I ` (� , 0 � a1- _ „„,s; Date 1 d/Me y: g
� Notified/Method: Supplemental Intormatloe
Internet www.ci.tigard.or.us OF1 _ ._
Tim •.* •.` JISION PLAN VIEW
Please check all that apply:
0 New construction ®A: t alteration/replacement (]Service over 225 amps, camel ['Hazardous location
Q Demolition [J Other: - ❑Service ovtr 320 amps — rating ['Bulldog over 10,000 sq, It.
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or mote now residential
❑ System over 600 volts nominal units in one structure
❑ 1- and 2- family dwelling [ Commercial/industrial ❑ Accessory building ❑suildnng over three storks ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other ❑ Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION DE plan RV park
❑Health. -care facility ❑Other.
Job no.; 8 0.0 58 4 Job site address: 81 0 0 SW H u n z i ke r St submit 2 sets of plans with any of the above. —
City/StateJZIP: Tigard OR 97223 The above are not applicable to temporary construction service.
PEE. SCLXEDULE
Suite/bldg./apt. no.: Project mule: Huttig Products —
Description � Qty - 1 Fes. 1 low J •.
Cross street/directions to job site: New residential single- or multi - family dwelling Ludt.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33,40 I
Limited energy, residential 75.00 2
Tax trap/parcel no.: , _ Limited energy, non- residential 75.00 e 2
DESCRIPTION OF WORK - Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Install PVC pipe in ditch to pole base. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
201 arnpa to 400 amps 106.85 2
0 PROPERTY OWNER ❑ TENANT 401 amps to 600 amps 160.60 2
Name: Huttig Products 601 amps to 1,000 amps 240.60 2
Address; Over 1,000 amp or volts 454.65 2
81 0 0, SW Ku n 7 i kPr Reconnect only 66.85
City /State/ZIP1'i gard OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: j 0 3 ) 620-1411 F ax: ( ) 200 amps or less 66.85 ■
Owner installation: This installation is being ode on property that I own which is not _ 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 aropa 133.75
Owner signature:, Date: Branch circuits — new, alteration, or extension, per panel
0 APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
• service or feeder fee, each 6 -65
Business name: branch circuit .
- B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46. 8 5 '
each branch circuit
Address: Each add'l branch circuit 6.65
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53,40
E -mail_ Signal circuit(s) or limited -
CONTRACTOR _ energy panel, alteration, or
extension. Describe: Page 2
Business name: Tice Electric Co, _1
Address: PO Box 15009 Each additional inspection over allowable In any of the above
Per inspection 62.50
City /State/ ZIP: Portland OR 97293- 5009 Investigation per hour (1brmin) 62.50
Phone:( 503) 233 -8801 I Fax: (503 ) 872 -8290 Industrial plant per hour 73.75 __
ELECTRICAL, PERMIT FEES*
CC73 Lic.: 166 [ Electrical Lic.; 26 -126C I Suprv. Lic.: 2586S Subtotal 46 . 8 5
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: John J . Maloney Date: 11/ 8/05 State surcharge (8% of permit fee) 3 _ 75
TOTAL PERMIT PEE 50.60
Authorized signature: . Th is perm application eaplrea it a permit Is not obtained within 181
. - • days after it has been accepted as complete
Pmt name: Date: • Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
iauUdina \Pemita\E.C- PamitAop.do0 12/03 440.4615T(10107/COM/WBB
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: ELC200 %- 00!319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2812005
Phone: (503) 639 -4171 14it
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 7:OOAM PAGE: 57
SITE ADDRESS: 00100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HUTTIG I3LDG.PRODUC S EXPANSION
DESCRIPTION: PVC pipe in ditch to pole base. 1 br. circuit.
OWNER: HUTTIG BUILDING; PRODUCTS, PHONE #: 503.620.1411
CONTRACTOR: TICE ELECTRIC PHONE #: 503 - 233 -8801
Inspection Request Scheduled For: Date: 7/11/2006 Pour Time:
- :: - # Inspection Description Confirm # Contact # Message
199 Electrical final 032898 -01 503 - 872 -8237 N
•
Corrections /Comments/ Instructions:
•./\.)
A PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C)r'" \V Dater PI W Phone #: (503) 718 -2mb.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 116:43/200.6
Phone: (503) 639 -4171 ..�''I
Inspection Requests (24 Hrs.): (503) 639 -4175 s_':! ` '' l l l :
INSPECTION WORKSHEET FOR DATE: 11/30/2005 TIME: 7:O9AM PAGE:
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HUTTIG BLDG.PRODUCTS EXPANSION
DESCRIPTION: PVC pipe in ditch to pole base. 1 br. circuit.
OWNER: HUTTIt3 BUILDING PRODUCTS, PHONE #: 503-620-1411
CONTRACTOR: TICE ELECTRIC PHONE #: 503 - 233 - 8801
Inspection Request Scheduled For: Date: 11/30/2005 Pour Time:
Code # • - • -c ion Descr • • Confirm # Contact # Message
105 Underground/s:lab cover 022669-01 503 -341 -7350 N
Correction ' • - • • • .
1l PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 47.71 Date: ll'a �' Phone #: (503) 718- 2.4111