Permit CITY OF,TlGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00210
COMMUNITYEVELOPMENT DATE ISSUED: 4/11/2008
TftI *RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 B D -00200
SITE ADDRESS: 08001 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: NETWORK OFFICES.
Project Description: TI. Installing (3) branch circuits.
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: 2 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:
KLOKKE CORPORATION BAILEY'S ELECTRIC LLC
BY DEERING MANAGEMENT GROUP IN 2160 SW LEEWOOD DR
4800 SW MACADAM AVE STE 120 ALOHA, OR 97006
PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 849 - 3134
FAX 503 - 649 -1692
FEES
Description Date Amount Reg #: ELE 34 - 689C
[ELPRMT] ELC Permit 4/11/2008 $60.15 LIC 159814
[TAX] 12% State Sul 4/11/2008 $7.22 SUP 51155
Total $67.37 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 throu•h OAR 952 - 001 -01 -- You -ma , obtain copies of these rules or direct questions to Isle x;699 or 1.800.332.2344.
/ r
Issued By: - f Permittee Signature: f�
OWNER INSTALLATION ONL
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 Application FOR OFFICE USE ONLY
City of Tigard b eeceived J Permit No .: , �/ f, 17
!� !. ° 13 125 SW Hall Blvd., Tigard, OR 97223 `� 1 ' F1U�teBy: iew `� �� ��� . a., �W X cC_ (2�O
?t! g , '� [Plan Rev
Phone: 503.639.4171 Fax: 503.598.19 t Date/By: Other Permit:
T I G A R D Inspection Line: 503.639 r` D p '� 1 7 1 '` Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard -or gov H S� , a ■otified/Method: Supplemental Information
- -al w
[11 New construction
'' TYPE OF WORK 01 t �� PLAN REVIEW ,
t t^ e i - n e5n
ddition / alteration epl o r a Please check all that apply (submit 2 sets of plans w /items checked below):
t"
❑ 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
, ❑ Emergency system. larger separately derived system.
JOB' SITE INFORMATION AND: 'LOCATION ` ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
Job no.: Job site address: S-.. S6,0 get. `4J2c r 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: ` (� C / d 7 _� ❑ Health-care facilities.
❑Ha Hazardous locations. ❑ Supply voltage for more than
za 600 volts nominal.
// �7t /] / ./� s ❑ Service or feeder 600 amps or more.
Suite /bldg. /apt. no.: Project name: V N 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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
• ' .D ESCRIPTION OF WORK ' (with above sq. ft.)
Z--(" t/ A / Limited energy, multi-family
€ e -'(� residential (with above sq. ft) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPER Ad/ace -: / - 4fr - x>77 --------
OWNER ❑ 'TENANT . ' 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
"` �� C 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,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without .service or feeder fee, i
Contact name:
first branch circuit 46.85 I- 2
Address: Each add'I,branch circuit I Z 6.65 1 3.30
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
h / Signal circuit(s) or limited -
Business name: Yo /A , f � G - energy panel, alteration, or
Address: 2--7, O SGcJ 4 e _ttJCJD (� extension. Describe: Page 2 2
City/State /ZIP: /44 Z 2,0,e___ q Q6 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( i 3) ( Lt C/ — / Cp qt)- Investigation per hour (1 hr min) 62.50
CCB Lie.: 457v f Electrical Lic.: y -60L Suprv. Lic.: _C/l_S-- Industrial plant per hour 73.75
ELECTRICAL ,PERMIT FEES
Suprv. Electrician signature, required: Subtotal: � ,
Print name: / �� Date: Plan review (25% of permit fee):
� /�� 7 State surcharge (12% of permit fee): -7 2-)-_
Authorized signature: //�
gn ature: TOTAL PERMIT FEE: ( 7 37
This permit application expires if a permit is not obtained within 180
Print name: I Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Building \Pertmts\ELC- PermitApp.doc 05/23/06 440- 4615T(I I /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
PRESIDENTIAL. WORK ONLY:
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
n Burglar Alarm
n Garage Door Opener*
O Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
n Other:
I COMMERCIAL WORK ONLY: _
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ . Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Building \PermllS\ELC - PermitApp doc 03/23/06
CITY OF ��xm n n�`m TIGARD ^ • _
BUILDING ��U��U«�U���� -
~~~~.~~~~."~~= °°"".~~"~~,~ PERMIT EL02O0�0021O
� �
13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 4111/2008
Phone: (503) 639-4171
Inspection Requests �4Hxyj:���3 639~4175 °�� e�
INSPECTION WORKSHEET FOR DATE: 4118/2008 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 08001SWMUNZINERFlP CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: NETWORK OFFICES.
DESCRIPTION: TL Installing (3) branch circuits.
OWNER: KLOKKE CORP0RAO0M, PHONE #:
CONTRACTOR: BAILEY'S ELECTRIC U-[| PHONE #: 6M-849-3134
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time:
Code # Inspection Description C, Contact # Message
120 E|ecthxalK0uu|)-in /'OGH6'@8~O1 503-849-9583 N
Corrections/Comments/Instructions:
^
I I ��
PASS . . PARTIAL ���ANCEL ANC) ACCESS
~' ' FA|L �� CALLFOR |NSPECT|ON | AOD|T|DNALFEE8ASSEGSEO
Inspector: x�~� Nte
Date. 1 � � Phone #: /603\ 718-
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2008 -00210
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2008
Phone: (503) 639 -4171 4 NPIlltlt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/22/2008 TIME: 7:00AM PAGE: L
SITE ADDRESS: 08001 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: NETWORK OFFICES,
DESCRIPTION: TI. Installing (3) branch circuits.
OWNER: KLOKKE CORPORATION, PHONE #:
CONTRACTOR: DAILEVS ELECTRIC LLC PHONE #: 603
Inspection Request Scheduled For: Date: 4122/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 0686134 -01 603-049 -9683 N
Corrections /Comments/ Instructions:
T M ° 4S j t 6° V ®A t5 6rE.0 9) liA111
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S " 041. \)1 a;610 g 3\ .23
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PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
X FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Z. bb L Date: Li\ vi-(61 Phone #: (503) 718-
_ •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200t3.00210
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2001)
Phone: (503) 639- 4171N'� ° ��yi�lt�fj�l'+
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7 :01AM PAGE: 8
SITE ADDRESS: 08001 SW HUNZIKE.R RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: NE1WORK OFFICES.
DESCRIPTION: TI. Installing (3) branch circuits.
OWNER: KLOKKE CORPORATION, PHONE #:
CONTRACTOR: BAILEY'S ELECTRIC LLC PHONE #: 503 -19 -3134
Inspection Request Scheduled For: Date: 4/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 068855 -01 503.888.0214 N
i
Corrections /Commen /Instructions:
„\\'\\
N IXPASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 ' ve Date: 4 1 2; 0 Phone #: (503) 718- Di