Permit AR
CITY OF TIGARD ,, ' ELECTRICAL PERMIT
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" ` r . .s -,4 CITY V K PERMIT #: ELC2007 -00858
: _ 1 . ' COMMUNITY DEVELOPMENT DATE ISSUED: 12/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00101
SITE ADDRESS: 07420 SW HUNZIKER RD ZONING: C -P
SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT : JURISDICTION: TIG
PROJECT: HUNZIKER PROFESSIONAL CENTER
Project Description: Provide power for (3) rooftop units and (1) GFCI receptacle. Job No. 15 -17035
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 3 W /SERVICE OR FEEDER: 4 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
HALLBERG, RAY C BROADWAY ELECTRIC - COCHRAN INC
c/o HALLBERG, RAY C TRUST 626 SE MAIN
3270 LAKEVIEW BLVD PORTLAND, OR 97214
LAKE OSWEGO, OR 97035
Phone: Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
)ELPRMT] ELC Permit 12/20/200" $267.50 LIC 72942
[TAX] 8% State Surcharge 12/20/200" $21.40 SUP 3447S
Total $288.90 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 - th 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 o 1.800.3 .2 . • • .
Issued By: _1, /` Permittee Signatur =111Mk.:_A / ,;1gyr�A
r
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: J ' - '' lfQ�i 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 Application jit ,...,„! ,, FOR OFFICE USE ONIS
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1, i sc3!ty:5- SW Ha gBaivrdd., Tigard, OR 97223
i ,:!': A.- ' "" " , It. : , . ' / ' r? 417 Permit No
9
_ Phone: 503.639.4171 Fax: 503.598.1960
g : - ''' '' • Il '' - I' - •
1111 Other Pennit:MA
Inspection Line: 503.639.4175 Utl. 1 v • (0 , 14 - ad /By:: AWN.. I a gee Pawl fise .
TIG
Internet: www.tigard-or.gov 0 I §ii&ofetn rvifoiti-stiolv
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- 11 - 1(PE OT '4 . . KANT ktiffEW
Lil New construction 0 Addition/alterEb
trnalaING-DIVISIOTLI Pre elie All tliatt al50 (sn' fiblittl se of plan' - Wlifeln"s be' fdi.q.:
OService or feeder 400 amps or more Ell Building over three stories.
Demolition . 0 Other: where the available fault current Marinas and boatyards.
L,- ...,: . - ..- - (i,trEGO O* rONORIICTIM - - . exceeds 10,000 amps at 150 volts or I3Floating buildings.
less to ground, or exceeds 14,000 In Commercial-use agricultural •
011- and 2-family dwelling M Commercial/industrial Ej Accessory building amps for all other installations. buildings.
01 Multi-family • Master builder 0 Other: [IFire pump. ig Installation of 75 KVA or
Ell Emergency system. fargef stipararcilSy dbiliixedl SySfettl
L.:...!,-.-.;..._:, •- - .10- SITi iN teiCATRA- - - - CAddition of new motor load of
- . ,._____,_, ..._
Job no.: 15-17035 Job site address: 7420 SW Hunziker Road 100HP or more.
aSix or more residential uni occupancy. ts. Recreational vehicle parks.
City/State/ZIP: Tigard OR tilHealth-care facilities. 0 Supply voltage for more than
EllHazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: Hunziker Business Center Service or feeder 600 amps or more.
I - FtE St
Cross street/directions to job site: ,L1$4f6111(6k4)11 IL-Offj_itee- 11
L Iwo,v 'Fes-WV II ate& cif atoftiliowify dwottfitg: teak:
hie rado &Waded] gitelige:
Subdivision: Lot no.: 1 1,000 sq. ft. or less 1 145.15 I 4
- Ea. add'l 500 sq. ft. or portion 1 33.40 I 1
Tax map/parcel no.:
iltilifedl diTerty re
75.00 2
,•:- o , .,. ''., :, '''' - _ ' . tiigetitrifteig Cif' VilditIC . • ' I (with atioVif sql.til
Liffiifed efieYgy,. tifultikfatifify
Provide power to rooftop units and install GFCi service receptacle residential (with above sq_fl) 75.00 2
LSWvic,e0 et kofesliiwttifffitio_ly aftoratiowatedfof rotocatiott
200 amps or less 1 3 I 80.30 I 240.90 2
ill PitCiPtRoPY 01
_ _ ill TENANT 1 201 amps to 400 amps 1 106.85 1 2,_
Name: 1 401 amps to 600 amps I 160.60 12
601 amps to 1,000 amps 240.60 2
Address:
Over 1,000 amps or volts 1 454.65 2
City/State/ZIP: TakAititry §orsicev of reedeffiftftiliatrni* aftmigtorti aWdlor'
etkeitiO10
Phone: ( ) Fax: ( ) 1 200 amps or less I I 66.85 1 1 1
1 201 amps to 400 amps 1 1 100.30 1 1 2
Ovviter iristaffalloit:: itlii'g fristallatfott f§ htitig made od otoreify that 1 owtt wfift fa no
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 1 401 amps to 599 amps 1 I 133.75 I 1 2
I iltatmle, o = oetv artorathw ow ottfagfok . t pa'nt11
Owner signature: Date:
A. Pee folf otivoit8- Ivith'
a I A MrcAisA" , IKTu ' CONTACT PLRSOW - above service or feeder fee, 4
6.65 2 26.60
each branch circuit
Business name: R. Pee fee bitificft 6i1
without service or feeder fee,
Contact name: Chad Stoll 46.85 2
first branch circuit
Address: Each add'l branch circuit I 6.65 1 2
I Ifteeffdftetio'S Of kedif dot iffidn'de*
City/State/ZIP: Lattil aistaygdowetil cif iffizidilhir '
90.90 2
dwefff00,, 'lt3iois atidaf fiddVir
Phone: (971) 235-4310 Fax : ( ) I Reconnect only I 1 66.85 1 2
LE-mail:
1 Pump or irrigation circle l 1 53.40 1 1 2
. : . COVITI(Aeraft „ _ [Sign or outline lighting 1 53.40 1 2
gigiall oh 6ir fifflifoill
Business name: Broadway Electric
drilitgypIntil, afteiatibnl,,str
Address: 626 SE Main Street extension. Describe: Page 2 2
City/State/ZIP: Portland OR 97214 1 Egefa eddifklyd Wpm/ow ovet affikarahie iiv itasf of tfiw atawe
, [ Per inspection 1 I 62.50 1
Phone: (503) 2346564 Fax: (503) 2382098
[Investigation per hour (1 hr min) I 62.50 L_
CCB Lie.: 72942 Electrical Lie.: 37-5 6C Suprv. Lie.: 3447S I Industrial plant per hour 1 1 73.75 I l__.
1 PLRVirt
Suprv. Electrician signature - ELECTRICAL , required: ' \L K.' 1
Subtotal: 267.50
Print name: Kenneth Kato Date: 12/18/07 I Plan review (25% of permit fee): I
--- State surcharge (8% of permit fee): 21.40
Authorized signature:
TOTAL PERMIT FEE: 288.90
Print name: Date: , TM§ (*limit sisofteafif6v EffithF§ it re (Yetiiiiitik; mitt ofifififed wiiiii6IfstV
(faw liffele ii risav teiiil aYEepfAll aV entif1i**1-
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BUILDING DUVUSUON PERM|T ELC2007- 00858
1312GSVV Hall B|vd.. Tigard, OR07223 DATE ISSUED: 12/20/2[)7
Phone: (503) 639-4171
Inspection Requests (24Hm.):(G03)G3Q'4175 iv:1111T\
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INSPECTION WORKSHEET FOR DATE: 12/27y2007 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 07420SVVMUNZIKERRQ CLASS OF WORK:
SUBDIVISION: MUNZ(KFR PROFESSIONAL CENTER LOT #: TYPE OF USE:
PROJECT NAME: MUN2|MER PROFESSIONAL CENTER
DESCRIPTION: Piovide power for (3) rooftop ur,th and (1) GFCI receptacle. Job No. 15'17O56
OWNER: MALLBERG, RAY C. PHONE #:
CONTRACTOR: BROADWAY ELECTRIC-CACMRAN INC PHONE #: 503-23/1'6554
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 NC or heting unit circuit 062212-01 971'235-4310 N
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Corrections/Comments/Instructions: , ^"��
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FA PASS �� PARTIAL ��� AN{�EL | | NO ACCESS
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I | AJL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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«~4 ^��� \�� ' Date: ' °- �- 0�� ) Phone #: HSO3\ 718' 1-V��).
ILInspector:
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