Permit ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00137
DEVELOPMENT SERVICES DATE ISSUED: 4/18/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BC 00200
SITE ADDRESS: 08205 SW HUNZIKER ST D
ZONING: I -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: (8) branch circuits to convert existing warehouse space to indoor kart racing facility.
Job No. C512 -58
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: 7 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:
US NATURAL RESOURCES INC ABC ELECTRIC CORPORATION
c/o KNEZ REALTY GROUP LLC 135 NE 9TH
ATTN: JOHN S KNEZ SR PORTLAND, OR 97232
TIGARD, OR 97223
Phone: Phone: 233 - 7551
Reg #: LIC 288
SUP 12415
FEES ELE 26 -2C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 3/19/03 $93.40
[TAX] 8% State Tax 3/19/03 $7.48 Rough -in
Elect'I Final
Total $100.88
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 th days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth ' AR 952 -0 1 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -8 - 332 -2344. �f '
Issed By: �. � . 6�WVQ � Permit 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: ✓ �f �"" DATE: .1/4 3
LICENSE NO: /At/76-- •
Call 639 -4175 by 7:00pm for an inspection the next business day
•
r
Electrical Permit Application - ' ' . -- .... 1 r.�.
......1 nm R f
- D e ceive4 /7,43 Permitno . fe-e,a '/3
� �� 1 _
..:•,:�.1. City of T Project/0pp'. no Expire dale:
Ciry of Tigard Address: 13125 SW Hall Blvd, Tigard, OR .223 4 . 'In( 1, issued: By: Receipt no.
Lui Phone: (503) 639 -4171 MAX 1
Fax: (503) 598 -1960 Case file no.: Payment type: /�/� /
(ii l T Vr 1 I17/�v~- QC/V!
Land use approval: r ty,.t.L's� !PKIC INEERING ,� —
Tl'PL._OF P
EINIIT
0 1 & 2 family dwelling or accessory ►,• Commercial/industri al 0 Multi - family O Tenant improvement
O New construction O Addition/alteration/replacement 0 Other: ❑ Partial
- .. J t . . .. - - __ r _. „x
_� w , 4 - f , > _ •_ :.,,. .::, . , O_ BS1TiC.It1iFURR1 .,' .. .. :,.: _.. rs: . _ . ,
Job address: 4 I _ Bldg. no.: Suite no.. Tax map/tax lot/account no.:
__
Lot: :lock: Subdivision:
Project name: AOffiginfi Description and location of work on premises:
Estimated date of comp tion/inspeeuon: t LL
x . .., � Y _CONTR C1OIt ; APPLICAT ION N • i ; . T ' , ,.. . ._ .
" FEE- SCIIEU I ' i
..� p« Max
Job no: - Descri. Qty- en. Total no. lssp
• Business name: 6 ( - - 1 Nenresidendal - einrlc ormulti-Nosily per
Address: ' A ` °d s at dt+ eltinc unit. lncloda attached garage_
State: ZIP: ��' Service lactuded: I
City' n3� ... 1000 aq. fl or less 4
Phone p1 �,��7 Fzxo?�3 16 E - " , each additions! 500 sq. ft or portion thereof
CCB,.nt -\ � i i Elec. bus- lic, no: Limited rncrgy,residential 2
IBUZ U-0' ic. f no.: Limited cnc : , non- residential 2
� �� / Each manufactured home or modular dwelling
Da . Service and/or feeder 2
t*'a •f ugEn wing c , :Ician (- •aired) Services or feeders- installation,
Li no: /ale //S
Sup deer name n / �( � -., alteration or relocation:
za_ `. C , ' a 4' - -1 v-, . -^ 't,• ?....ss 200 amps or less i 2
201 amps to 400 amps 2
Name (print): 401 amps to 600 amps 2
Mailing address: 601 imps to 1000 amps _ 2
State: - -.. ' 'ZIP: Over 1000 amps or volts 2
City: I
Phone: Fax E-mail: ' ReconnectoNy
Temporary services or feeders •
Owner installation: The installation is being made- on' propeny I own 4umAation,aitcration orreloation:
which is not intended for sale, lease., rent, or exchange according to
200 a,,,p, or less 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2
Owners signature: Date: 401 to 600 amps 2
♦ NGLNLt.R , -. t { S Branch circuits • new, alteration,
+fi r1 F L'tv .._.:_ � .. � ;7'. s v. 1 . .
- _.... or extension per panel:
Nance' A. Fee for brinch circuits with purchase of % H / � `
Address: service or feeder fee, each branch circus 7 1
S tate: ZIP: B. Fee for branch circuits without purchase r • ' �� J �` 2
City: service or feeder fee, first branch circuit. 7` j l
Phone: Fax! E-mail: Each additional branch circuit:
1 4 1 . {, P , PL iN
ebeck adl,that ; 111111)_ . _ M (Service or feeder not Included):
Fes.sh p•:ap or imgation shale - 2
O Service over 225 amps eommctcial 0 Health -wee facility Bch sign or outline lighting 2
0 Service over . 320 a mps - rating of 14.2 0 Hazardous tocauon Signal cacti or n lim energy Panel
forruly dwellings 0 Building over 10,000 square feet (our or g . 2
O System ova 600 volts nominal more residential units in one structure alteration.. orcxtenston -
0 Building over three atone 0 Feeders. 400 amps or more 'Description:
O Occupant load over 99 persons ❑ Manufactured structures or R V part Each additional Inspection over the allowabk in any of the above:
f 1 f 1
O Egress/lighting 0 Other. Pennapcc -,
Submit acts of plans with any of the above. investigation fee
The ��
e above are not applicable to temporary construction service. Other
P 9
ermit fee $
' N« all r..nuacvonl accept credit rte, phase call jurisdiction for more lnfonruoou Notice: This permit application Pe review (at %) $ .7-- �YS
O visa O MasterCard expires it a permit is not obtained —
I J within 180 days after it has been • State surcharge (8%) .... $
Cred t care aumher . , ' ttapws TO
.-- accepted as complete. TAL T Gr.: �.'_ b p
� � i
Nome
of cardholder as shows on credo card S ._. .. _ _ ••. --
- - Cardholder signature Amount J •..•, 446 O
4615 06,00teCM1
pi r ,.) ( f i .
4.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 -�
INSPECTION DIVISION ' Business Line: (503) 639 -4171 MST
BUP
Received Date Requested S AM PM BUP
Location : • 40 ' Suite MEC
Contact Person Ph ( ) c=2.3 3 — ?SSI PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 3 /37
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING 1' _ `e'
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL.;
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL "
Service
Rough -In •
UG /Slab
Low Voltage
Fire Alarm
Or Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
— •A PART FAIL
SITE Please call for reinspection RE- ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date d Inspector � Ext
Other:
Final DO NOT REMOVE this inspection record on9 the j site.
PASS PART FAIL