Permit •
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00125
COMMUNITY DEVELOPMENT
DATE ISSUED: 2/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00100
SITE ADDRESS: 07340 SW HUNZIKER RD ZONING: C -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HILLTOP BUS CENTER
Project Description: 5 branch circuits to rooftop units.
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: 4 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:
ROBINSON DEVELOPMENT AC + E ELECTRIC CO
PO BOX 91305 3535 DEL WEBB #100
PORTLAND, OR 97291 SALEM, OR 97303
Phone: Contact #: PRI 503 - 363 - 2301
FAX 503 - 363 -2302
FEES
Description Date Amount Reg #: ELE 24 -1C
[ELPRMT] ELC Permit 2/28/2007 $73.45 LIC 591
[TAX] 8% State Surcharge 2/28/2007 $5.88 SUP 4702S
Total $79,33 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: / Permittee Signature: ,� 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.
Electrical Permit Applicati -» --'
III City of Tigard [ EB 0 07 0 , ' Permit No. 1,61D0? -Ot 1
• • 13125 SW Hall Blvd., Tigard, OR 9 722 3' Pl Revi
Phone: 503.639.4171 Fax: 503.598.) 9Cq y OF ') (a (� D Date/B : Other Permit:
'• Inspection Line: 503.639.4175 v Date Ready /By: ions. ® See Page 2 for
TIGARD Internet: www.tigard- or.gov BUILDING DhJ1SI01�1 Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/altcration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
El Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 494 Job site address: 7340 SW Hunziker Rd. IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add] 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
• Limited energy, multi- family 75.00 2
Replacing (4) roof top units residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
. 200 amps or less 80.30 2
❑ PROPERTY OWNER . 0 TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: Each add'( branch circuit 4 6.65 26.60 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting • 53.40 2
Signal circuit(s) or limited -
Business name: A C & E Electric
energy panel, alteration, or
Address: 3535 Del Webb extension. Describe: Page 2 2
City/State /ZIP: Salem OR 97301 Each additional inspection over allowable in any of the above
• Per inspection 62.50
Phone: (503) 363 -2301 Fax: (503) 363 -2302
Investigation per hour (1 hr min) 62.50
CCB Lie.: 591 Electrical Lie.: 24- I C Suprv. Lie.: 4702S Industrial plant per hour 73.75
/,��, ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 73.45
Print name: Dan Allen Date: 2/26/07 Plan review (25% of permit fee):
n State surcharge (8% of permit fee): 5.88
Authorized signature: f TOTAL PERMIT FEE: 79.33
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Number of inspections allowed per permit.
l.\ Building \Permits\ELC- PermitApp.doc 05/23/06 440-461 5T( I 1 /05 /COM /WEB
CITY OF TIGARD
• .
BUILDING DIVISION PERMIT #: ELC2007-00125
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2128/2007
Phone: (503) 639-4171 INIPPOi
Inspection Requests (24 Hrs.): (503) 639-4175 ,-41,31i
INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 07340 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CEN I ER
DESCRIPTION: 5 branch circuits to rooftop units.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC + E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 8/1512007 Pour Time:
Code # Inspection Description Confirm Contact # Message
145 A/C or heating unit circuit 054008-01 \\ 503-569-9855
Corrections/Comments/Instructions:
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7 PASS PARTIAL APPROVAL 1 CANCEL NO ACCESS
.. )K, FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
inspector: C bia Date: 4 81151 tin Phone #: (503) 718-1.49 )..1
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2007-00125
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212812007
Phone: (503) 639-4171 4 041(11 1 \
Inspection Requests (24 Hrs.): (503) 639-4175 .g
INSPECTION WORKSHEET FOR DATE: 2/25/2008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 07340 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CENTER
DESCRIPTION: ti branch circuits to rooftop units.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AC 4 E ELECTRIC CO PHONE #: 503-363-2301
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 065506,02 503-659-9855
Corrections /Comments/ Instructions:
(16(k I
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)g, fl PARTIAL APPROVAL fl CANCEL II] NO ACCESS
n FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 6 -.1 Nteb Lk. Date: 1.-A Phone #: (503) 718- Off\I