Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00275
COMMUNITY DEVELOPMENT DATE ISSUED: 5/14/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110AC -01100
SITE ADDRESS: 11300 SW BULL MOUNTAIN RD ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: STARPLEX
Project Description: Installing (1) branch circuit.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 0 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: 0 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
KENNETH & LYNNE FINCH CHRISTENSON ELECTRIC, INC.
2966 NW TELSHIRE 111 SW COLUMBIA STREET # 480
BEAVERTON, OR 97006 PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 419 -3300
FAX 503- 419 -3728
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 5/14/2008 $46.85 LIC 458
[TAX] 12% State Surchar 5/14/2008 $5.62 SUP 1994S
Total $52.47 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?-1:074"....) - ermittee Signature: /� % /\ -J
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.
S
. MAY - 13 -2008 TUE 10:00 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01/02
. .
._Ar rermIr Application ;.
City of Tigard Received
* 13125 SW Hall Blvd., . 97223' : i em,tNo.: � � s � 1 .t Y Tigard OR / U� %�� Other Phone: 503.639,4171 Fax: 503.59816'0 Date /9y: _ 'f 7
•
I . l', i n 14 a., Inspection Line: 503.639.4175 Dole Ready/9y: t,1,;,- ��C � S
Internet: www.dgard- or,gov S See Page 2 for
1\4\ NotirctuMrthod;
H me
�,1 (� ((1 � p �� f ��t Supple ntal information
,_ : T1i5 . , - � ' ' ,) I'i h i ! t ' 1" VFf WY[0 -rt f4 II , ' �� ,,\ � \. � , , t iN, ;; , I DLY , .' ;, :,��r 4+�7{' i :**.t. 41:: 1 1' . ;., .
❑ New construction Addition /alteraenhreplekli �a , Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition Other: r 1 IILDI U L'•t'' � g� Q whom Service or available 400atttp El Building and oatyar toriea.
where the available fault current ❑ Ma and boatyards,
'' '; .' „ ,' WCATE 1*OFCONS7!}*CTIQI►(I ',I; ^.,,. i 10 ,. ereeeds10,000ampsatISOvolts 0 rinoongb ngs.
amps of orexeaeds ons. ❑Comm useagritultutnl
❑ 1 and 2 family dwelling ortunercial /Industrial 0 Accessory building
r Amps ford oUtennstailahons. buildings,
❑ Multi-family Fire pump. CI of 75 KVA or
Y Master builder ❑ Other: ❑
-- rte
'6 �IQIi "'SIi'' FQ VIATI[]It "OC T (1'l►i' ' I ,, DEutetgencysystem. lar ers orate/
, L A: � a ; ,, : 8 m e riv ,
(� Ad ditio n of n e w m otor load of ❑ "p" ,.E "I.2 " "I -3 " cd system.
Job no.: 3l Otq%6- Job site address: 11300 si,..1 out` M � r7 A ixorm o more occupancy.
�-�( 11:1 Six or mre residential units, 0 Recreational vehicle parks.
City/State /ZiP: '�" f ra i Cam- 0. -'T r _ ID fncilities 1:1 supply voltage for more than
t t [ hazardous locations,
q Soo volts nominal.
Suite/bldg. /Apt. no.: Project name X ❑ 5erncc or feeder 600 amps or ma re,
Cross street/directions to job site: r��; , • , r L. ' I ' : 'i'; iSc 1,1 E ,! :T;. i i , , :
a L Rued iron r t Fre
New residential single- or multi - family dwelling unit.
7»i.- tea- 7 Includes attached garage.
Subdivision: 1,000 sq. '
Lot no.: q. (t• or less 145.1 y 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.0 1
Limited energy, residential
Cit[F71 N QF ORK'Ij, <<, ` ` 2
A. W I i 75.00
Limited energy, multi - family
r�`2 � 1.)fJ, pp ( a4 75.00 2
��-- ( ('U `r' r residential Wilk above 2 )
• �i r ag./A 200 l mps or less alteration, r rule adon
❑ PROPERTY!, Q, t
nsta lation a c
;� 2
W1 i h • .t . {AriT a / .. 201 am to 400 am • 106.85 2
Name: r 401 amps to 600 amps 160.60 2
Address; ►sir 1 r' 601 amps to 1,000 amps 240.60 • 2
v.� t
1�i1 ' �, ej1/" Over 1,000 amps or volts ' 454,65 • 2
City /State /ZIP: \ e 1( 17'‘' v i� Temporary services or feeders Installation, alteration, and/or
relocation • Phone: ( ) Fax: ( ) S j - 200 amps or lest �',;t�"'
–
Owner installation: This installation is being made on property t at 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 599 amps 13175 2
Owner signature: Date: Branch circuits - new, alteration, or extension, ■ er oriel
't..r " ,'.i'^,M::, A. Fee for branch circuits with '
Business n "A ''' - . •( V' 1' '.,a',° .: , r ,: , '❑ 'I11'''. ".. i ` IR+ t11'1;!'r above service rc feeder fee, ` • each branch circuit I NIE
name: B. Fee for branch circuits yr
Contact name: withou service or feeder fee, u 2
first branch circuit 46.85 i� _ ;
Addr ess: Each add'1 branch circuit 1 6.65 2
City/State /ZIP: ,. Miscellaneous (service or feeder not included)
Each manufactured or modular '
dwelIin se 90 2
• Phone: ( ) F ax: ; ( ) R._ rvice and /or feeder
Reconnect only 66.85 2
E-mail:
Pump or irrigation circle 53.40 2
" , t:. i CON 'ItA'CTOR ' ` ' `' 'y.. '. ,\ : .__.�.�.i' Sign or outline lighting 53.40
2
Business name: Christenson Electric, Inc. Signal circuit(s) or limited-
energy panel, alteration, or
Address: Ill SW Columbia, Suite 480 extension. Describe: Pa 2 2
— OR 97201 -
City/State/ZIP: Portland '
+ Eac additional Inspection over allowable in anyof the above
Phone: (503) 419 3300 x3328 Pax: (503) 419 - 3728 Per inspection 62.50
Investigation per hour (I hr min) 62.50
CCB Lie.: 458 _ Electrical Lic.: 26 -34C Suprv. Lie.: 19945 Industrial plant per hour 7175
Suprv. Electrician signature, required: ; `ELE R CALr. [ »p1,RNCC'g"'�F Es' Ir''':':': ;;i`., ;,1i
Subtotal: �C r
Print name: Robert Axt Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee) �.....-- _ 44
Authorized signature: r --- s----
w / --TOTAL PERMIT FEE: y7
Print name: ilir i7/ g Thi nit application expires If a permit Is not obtain within� i
days after It h' a heen accepted as complete.
1 . 1 ouildina�Pmnits� (_(;_pr,T,Ilt.4pp.doc • 05/23!06 ' Number of inspections al wed per permit.
44041615T( I I /OS /CO.tf) , `r
' L �� *)
..• ......- .._..- - .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00275
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '5/14/2008
Phone: (503) 639 -4171 u 1 01 "� I 1 \
Inspection Requests (24 Hrs.): (503) 639 -4175 l • '_ I..
INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 11300 SAN BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STARPLEX
DESCRIPTION: Installing (1) branch circuit.
OWNER: FINCH, KENNETH & LYNNE PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070045-01 503. 720 -6287 \ Y
Corrections /Comments /Instructions:
1 ; OR 1—A6-C!
BI N >I )LAc MINt(L UL ELS 1 07 S' 3
5 7\1
PA�SS� n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: " L - 0 Phone #: (503) 718- 146