Permit CITY OF TIGARD ELECTRICAL PERMIT
lt . � 1 � DEVELOPMENT SERVICE PERMIT #: ELC2005 -00357
t il DATE ISSUED: 5/26/2005
5-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
SITE ADDRESS: 08300 SW HUNZIKER RD Z ARCEL: 2S101 BC 02201
ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (1) circuit for A/C, (1) for fan. Job # 83- 06233. •
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: 1 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:
WESTERN PARTITION CHRISTENSON VELAGIO, INC.
8300 SW HUNZIKER 1631 NW THURMAN ST. STE 200
TIGARD, OR 97223 PORTLAND, OR 97209
Phone: 503 - 620 -1600 Phone: 503 - 419 -3600
FEES Reg #: LIC 64137
Description Date Amount ELE 26 -1174C
SUP 1994S
[ELPRMT] ELC Permit 5/26/2005 $53.50
[TAX] 8% State Surcharge 5/26/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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: ,1) ?t( Permittee Signature: s
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.
MAY -25 -05 WED 08:52 AM CHRISTENSON ELECTRIC FAX NO. 5034193695 P. 01/02
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City f Tigard mtULIIVE i1/ Received J
131 5W Hall Blvd„ Tigard, OR 97223 Darc/B : 1/�1 � r /;
Plan Review
Phone: 503,639.4171 Fax: 503.598.19�60 2005 !'* { p Other PerPermit: Inspection Line: 503.639,4175 z )1,' ') Date p.eady/By: KM >a sea Pare i for
Internet: w*W.cj.tigprd.or.us Notified/Method; Supplemental informgUon
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`'fl New construction 42 Addition/altera /eplacement Please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
_? - ;.:y' 'k` ;: ,�� �:ri: N. Jp •,F . r . ; , g'I• sN•,,`,, - , of l• and 2- family dwellings 4 or more new residential
0 1- and 2- family dwelling xs Commercial/industrial ❑ Accessory building °System over 600 volts nominal units in one structure
❑Building over three stories [Feeders, 400 amps or more
[) Multi family 0 Master builder 0 Other: ['Occupant load over 99 persons []Manufactured structures or
IIIIMEEM 777 ner'. .IQ . in` 1 t : 1;1¢ ,fi ^ ` k ❑ Egress/lighting plan RV park
Job no.: 83 -06233 Job site address8300 SW HUNZIKER RD i-1 alth•care facility ❑Other _-
Submit 2 sets of plans with any of the above
City/State/ZIP: TIGARD, OR 97 223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name:WESTERN PARTITIONS, INC. 1 ' . ,l.r.r " p '
ttascetpdan Qty- Fee. T°ul I Cross street/directions to job site: New residential single- or multi - family dwelling unit.
QUESTIONS ?CONTACT MATT WALTHER (503)936 -2141 Indudes attached garage. --
I,000,sq. tt - or less 145.15 4
Subdivision: Lot no.: Ea, add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: t Limited energy, residential 75.00 _! 2
.� Lim energy, non- residential 75.00 2
IEVE f �: tA't s `.� 'r'urg 1J7 ) t ,..- _.., -�.��,
�,d' f: "r„�.?�.kt, .� Vii) Each manufactured or modular
1 (1) NEW CIRCUIT 20A FOR A/C UNIT IN DATA ROOM, (1) EXTEND: D dwelling, service and/or feeder , 90.90 2 M
Services or feeders installation, alteration, and/or relocation
q+ C !j I � R f CC r UI � T FOR PADDLE FAN IN OFFICE UPSTAIRS. 200 am 2
ps or less - 80.3o -
; i ' ei ;-4i;, . d se,?• it'll f: M ty • e _ � kt ' �� �'Lt : , �' �','s A A. amps to 400 amps 106.85 2
401 amps to 600 amps 160,60 2
Name: 601 amps to 1,000 amps / 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 W
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or ez tetrsion, per panel _
• • t o dam . ,.-,1"'tI` ; • . s' r,‘ 'rl . , •te 5 ,� , •e xo> -fi A. Fee for branch circuits with
service or feeder fee, each
Business name: branch oirc iii 6 -65 2
B. Fee for branch circuits
Contact name; without service or feeder fcc, 1
46.85 46.85 2
Address: - each branch circuit —
Each WI branch circuit I 6.65 6.65 Z
Ciry/StatclZlP: Miscellaneous (service or feeder not Included) ,
Phone: ( ) Fax: ; ( ) Pump or irrigation circle 53.40 7
. Sign or outline lighting 53.40 . 2
E -mail: Signal circuit(s) or limited•
RW a rii 3 a ' energy panel, alteration, or 75.0C
extension- Describe: Page 2 2
Business name: CHRISTENSON VELAGIO, INC. -
Address: 1631 NW THURMAN ST 2ND FL Each additional inspection over allowable in any of the above
Per inspection 62,50
Ciry /State/Z/P: PORTLAND, OR 97209 -2558 Investigation per hour (I hr min) 62.50
Phone: ( 503) 419- 3300 Fax:( 503 33_33 Industrial plant per hour 73.75
5 03 419- ` ' ' - `' ' �=' GF4ilCari:; a?TT` ".s�'
CCB Lic.: 64137 Electrical Lic.: - 1174 5 Suprv. Lic .. Subtotal 53. 50
, i af r
Suprv. Electrician signature, required: /. Plan review (25% of permit fce) 1
State surcharge (8% of permit fee) 4. 28
Print name: ROBERT AXT 1.,DaLe: 5/25/05 ,
TOTAL PERM l~ IT F 57.78 /1
Authorized signature: This permit application expires if permit Is not obtained within 180
- - days after it has been accept as c *VISA **
Print name: Date: • Fee me hodorogy Set by Tri- County Building Industry Service Board
- "' Number of inspecnons per pernut allowed.
1 \Build,na\Permas3CLC- PcrmtApp doe 12/03 4.4o -45 rrt10 /0l/COM/WEa
CITY OF TIGARD •
J BUILDING DIVISION PERMIT #: ELC2005 00357
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2005
Phone: (503) 639 -4171 ' 1 4 Jrn iii 1
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/2/2005 TIME: 7:12AM PAGE: 8
SITE ADDRESS: 08300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITION
DESCRIPTION: (1) circuit for NC, (1) for fan. Job # 83- 06233.
OWNER: WESTERN PARTITION, PHONE #: 503-620-1600
I ' CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503. 419 - 3600
Inspection Request Scheduled For: Date: 5/2/2005 Pour Time:
p q
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 008224 -02 503 - 9362141 N
Corre /Comments /Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED.
Inspector: Date: 4 3 - Phone #: (503) 718 -