Permit �l ,1 •,, CITY OF TIGAR® ELECTRICAL PERMIT
PERMIT #: ELC2007 -00646
7 . 7 COMMUNITY DEVELOPMENT DATE ISSUED: 9/14/2007
'TIGARD', 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 CB -00100
SITE ADDRESS: 08100 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HUTTIG BUILDING PRODUCTS
Project Description: Install (2) new branch circuits. Job No. W36424
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:
PALMER G LEWIS COMPANY CHRISTENSON ELECTRIC, INC.
PO BOX 1041 111 SW COLUMBIA STREET # 480
CHESTERFIELD, MO 63006 PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 419 -3300
FAX 503 - 419 -3695
FEES
Description Date Amount Reg #: ELE 26 -34C
'TAXI 8% State Surcharge 9/14/2007 $4.28 LIC 458
'ELPRMTI ELC Permit 9/14/2007 $53.50 SUP 19945
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 • , / MMIZO, Permittee Signature: ( fiffif
C�- �7(JYl
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 -14 -2007 FRI 10:28 AM CHRISTENSON ELECTRIC, FAX NO, 95034193695 P. 01/02
Electrical Permit Ai • 11 t4`� i + I�" 1.01: caul,. l: t (.), .
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City of Tigard n stely:
' J / 4 PermitNn.: _ _ 4 Y
13 125 SW Hall Blvd., Tigard, OR 97223 Plan Review other Permit:
Phone: 503.639.4171 Fax: 503.598. ! 960 S li ` ° °l l ll Date ReodyBy, t B Soo Pogo 2 far
I Line: 503.639.4175 •.yeti► - Supplemental information
. Notified/Method; Supple I1 f ranxtlun
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Internet: www.ci.tfigntd.ar•us , r
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❑New construction R. • •� , • ' • l
[]Servic over 22 amps, COMM Oomm ❑Httrardous location
El Demolition ❑ Othec:
❑Sc[vice over 320 amps rating Huildng Over 10,000 sq.
,:.. :......:.,..; -:: : :; ..:.::.:....:..::: <.... ....::::..,,....:..:.., .I dwellings 4 or more new residential
: :: :. ,:..::. •., :A:; i i 2; :: 3F. 's' of 1 -and 2 -fame Y
... :.:: .:: .::•. :..:�::. ands in one aria uro
; ....:,::s; ;:::.�: ....,.:.::.::.;,.:... ;. El System over volts no minal
[] I and 2 family dwelling ►5 Commercial/industrial ❑Accessary building ❑ Building over three stories ❑ Feeders, 400 amps or more
p Multi - family ❑ Master builder D Other: ['Occupant load over 99 persons ❑ Manufactured structure: or
RV park
t'n Ian
eas/li It i
:••••• :. i : gr g P
.. . pouter:
L l{eahh -care facility -
Job no.: �� all Job site address:g IDQ 5\) t ll {hZl �t'Y Submit 2 sets of plans with any 'Attie above.
City/State/ZIP: -1-Z !!��
� no above are not applicable to temporary construction service.
.,;
Suite/bldg. /apt no.: Project name: I gut , t t t ` . Deetelsom Qty. Yee. Tend
L�Ca� l New residential single- or multi- family dwelling unit.
Cross streeddueetions to job site: 1 MI . Includes attached SnlaEe.
5 03 n ^ 1,000 sq. IL or Icsa _ 145.15 _ 4
Ea. rider! 500 sq. It or portion 33.40 1
Subdivision: Lot no.: Limited energy, residential _ 75.00 2
Tax map/parcel no.: Limited energy, non•rnsideptial 75.00 _ 2
,,
{, modular
,... Bach manufactured
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rrno d
,1F1 :>`..'�.:•::.::..:.. ..:::...:::<•:::,: 90.90 2
_ :•s ::.,:., >:\ . >:... ,:. dwelling. service and/or feeder
` t �✓v t \ (JCL,' � _ Services or feeders installation, alteration, and/or relocation
` 200 amps or less 80.30 2
201 amps 1 400 amps
106,85 2
,
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D
2
�':� :�' ,:. >; -401 amps tet 600 amps 160.60 ............
Nan e: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.85 2
City /Statef`/IP: Temporary services or feeders Installation, alteration', and /or
relocation -
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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: Branch circuits - new, attention, or a tension, per panel
: ..:;:;;,...::,: : ; :....:;. ::.: ::::::...:.:':;:.::.:::,: ,. ;:;......- '"' or branch circuits with
s:f(
A- Fee f
... ceder
fee
a h
.... iceorf
6.65 2
branch circuit -
Business name: _ B, F for branch circuits //
Contact name: & r 1"�n n Qom, without service or feeder fee, 1 46 . 85 L'l0 8S 2
_ �-Q first branch circuit
Address: J - _ Each add'I branch circuit r ( 6.65 6 2
Miscellaneous (service or feeder not included)
City/State/ZIP: P ump or i circle 53140 2
Phone: (G6 ) .:J I - J 5 31n 1 Fax: : ( ) Sign or outline lighting 53,40 _ 2
,
Signal circuit(s) or limited-
F - eate[SY Pctnol, alteration, or
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13usincss namc: Christenson Electric, Inc
Each additional Inspection over allowable In any of the Above
Address: 111 SW Columbia Street, Suite 480 Per inspection 62.50
Investigation per hour (I to min) 62.50
City/State/ZIP: Portland, OR 97201
Industrial plant per hour 73.75
0 Fax: ( 419 - 3645 :; : g r ::.:P. 1 <.E LEccRiClid:ii !.ERi t,11Ti ? # :iU : : : :• ;:W
Phone: (503) 419330 .
CCB Lic.: 458
Electrical Lie.: 26 S j rv. Lie.: 199' subtotal ,'3 , So _
t' P lan review ( 251 o f permit fee)
. Suprv. Electrician signature, required: ( A J
�( 'i` State surcharge OM of permit fee) L t , g -
Print lions: / d .. Date: l l y U I TOTAL PERMIT FEE 5 1 , 7 g
Authorized .signature: This permit application expires If a permit is not ohteined within 11W
days after it has boon accepted no complete
1 Date: • Fee methodology set by Yn C :nuney Building Industry Bervicc Board
Print name: ** Number oI•mspection r permit allowed.
440 -dnI ST(10/0NC: I ,/'1 / I1y /
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00646
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: L1/I4 /200/
Phone: (503) 639- 4171I�
Inspection Requests (24 Hrs.): (503) 639 - 4175'' IL.,
INSPECTION WORKSHEET FOR DATE: 9/2612007 TIME: 7:01AM PAGE:
SITE ADDRESS: 018100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HUTT1G BUILDING PRODUCTS
DESCRIPTION: Install (2) new branch circuits. Job No. W36424
OWNER: PALMER (3 LEWIS COMPANY, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503A19.3300
Inspection Request Scheduled For: Date: 9120/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0.563911 -01 5O3 539 - 1536 - Y
Corrections /Comments /Instructions:
I pr y
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PASS 1 1 PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G t\kig L Date: 1 26( Phone #: (503) 718 - 144