Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00491
DEVELOPMENT SERVICES DATE ISSUED: 8/6/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BC 02200
SITE ADDRESS: 08330 SW HUNZIKER RD
SUBDIVISION: ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: (3) branch circuits for lighting and receptacles.
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:
HHO + B ASSOCIATES, LLC CHRISTENSON TECHNOLOGY SERVICES
BY H + A CONSTRUCTION CO 1631 NW THURMAN ST. 2ND. FL.
PO BOX 23755 PORTLAND, OR 97209
TIGARD, OR 97281
Phone: Phone: 503 - 419 - 3600
Reg #: LIC 64137
ELE 26 -1174C
FEES SUP 1994S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/6/2004 $60.15
[TAX] 8% State Surcharge 8/6/2004 $4.81 Elect'I Final
Total $64.96
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: ��,,�j actee.A., 4 ' ,
Permit Signature: c7Y� a ( 'am J
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 639 -4175 by 7:00pm for an inspection the next business day
AUG -04 -2004 WED 01:16 PM CHRISTENSON CORPORATION FAX NO, 503 419 3636 P. 01
Electrical Permit A licati NED tot( OFFICE uSE ONLY
■
City of Tigard t D ates , D 0:41111 Vf %, —ot . /
13125 SW'Hall Blvd., Tigard, OR. 972 O Plan 1i.evie • Other Permit: 503.639.4171 Fax: 503.598.1960 0 & 10 4•.a „ '
U(., h"�i'�, Ei Date/8 Y:
Inspection Line: 503- 639,4175 p1 v ,_ 4. Date Ready/By: 1 J ®see Page a for
a
Internet: www.ci- tigard.or,us JOB: 83-05 • MA D ° d/M ° I _ _, a ` i
N tifle e d Supplemental 'lttfo�m on
, ,., .. `'.t } e: ', °Al „:•.. . t ; . g i . { a. i9 ' . s.. is.A .:,': 1 . :7,.::7. . *i .._
' ter..
l' ; e , a ge q g ' ,..r*, 6 ....1.\;•i, ' t l , • ' t , „ 'w is ..,40, , �d , t R h ; X: .,, ;.. + , i . '' Ft r. '' AO' , ' , ”' '
�' ���� a , Please chock all that apply: ., ,
❑ New construction XXa Add 7 ' • 1":i teration/replacement
❑ Service over 225 amps, comm'l . ❑Ha2ardous location
Q Demolition 0 Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
*'1 ''� ` ': ; r ' ' :ds',r ;',:Q ?,, "rr i ,:,; : ; 4 :; ra:, , l/i of 1- and 2- family dwellings 4 ar more new residential
"- ". ' t', A v 4 .,$. i -, d .c i
7s. Ri t. 'rl a K , , , ` tt;l' t d I} :V7 „ ?'Y�' n•r''' " „ ;;:'i , � , .J: d j,i ; d 1 1
"�' �'� ' ❑System over 600 volts nominal units in one structure
Q 1 and 2 family dwelling Commercial/industrial ❑ Accessory building
❑Building over three stories ['Feeders, 400 amts or more
❑ Multi - family ❑ Master builder ❑ Other: 99 persons [Manufactured structures or
4 r c rr'S82 ; 1 6 9 i ,1Y r i t ; 1 t f F "a ['Occupant load over erson
I r. ;' • F C �'' .'•�... 1111? at�J'I� y a�` y + ith ' t iNI”. DEgrenilighting
1W per
'
r �t . fa �� ,ie.IkdiJe X. 1 .a! i c, �,$t ' fr ❑Other:
Job no. Job site address: Diealth - care facility
$3 - 05647 8330 SW HTJNZI ER RD Submit 2,„ sets of plans with any of the above.
City /State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service
WESTERN PARTITIONS, INC. ^k e' r, 01,:, " ,�:a, i •, a `';
Suite/bldgJapt. no -: Project 9 a nal
name '' "' •,
J nucr ilea I Qt y. Pt#
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
- Includes attached garage.
QUESTIONS ?CONTACT MATT WALTHER(503) 936 - 2141 1,000 sq. tt- or less 145.15 _ 4
Subdivision: Lot no.: Ea, add't 500 sq. ft. or portion 33 1
- Limited energy, residential - 7 2
-
T no Limited energy, non - residential 75.00 2
YJ 4 1 #,,/ ? , ..t , , ' , ". ' S 1,P, ,1,4 ,,...1i� 5, !Iz .a.:1 L 1.:^.1.? , i = ? ,:,, :: , , ,,, d rh a ,, E ach ma nufactured or modular
t r J. ,u..J' .�.'m.u_. a( RU,. 'r. �'.-
' ELECTRICAL CIRCUITS FOR LIGHTING AND RECEPTACLES dwelling, service and/or feeder 90_90' 2
Services or feeders Installation, alteration, and/or r_ei,ocation
SAME PROJECT AS PERMIT (PELR200 -002 200 amps or Ices 80.30 2
..: , , , , r sJ( + + :;itEdu I w z ::=N ".:tri.';y, 3,p ;n J' ..i'v,1.,.Xd �a4C, rx'; 5, _ , ' :,l , k y ; f �: i R . 'A 201 amps to 400 amp 106 2
,�,, ,,�• �3 , .fie
„ tiJ: ,...
4 e ..___,, :..:F.1 kt,,_ � ..0. n 1 A : 21, :,:14. 7:- ..... tt., :t t hi . '� �
2/.i: . .._,_.... r w ' — . :) , ; _t iL di i • GOl amps to 600 atrtps 1 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: ( ) Pax: ( ) , 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 600 amps 133.75 2
Owner signature: Date: Branch circuits new, alteration, or extension, persanel
•:n,w, l: ,1-. I. ' ,e:: :: '' '�zr -r . r ;n, S
- ` A. Fee for branch circuits with
Y //.f� %��ie, �';'�':it • t c, : � .q.-•,' fittl , : .
,
' t t a , •. .,.. i ., ' c fee, each
.: �: ' ra'.. .:41%1.- .. .... ..... a ' scrv a or feeder 6.65 2
Business name: branch circuit ,-
B. pee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 1 46.85 40 2
Address: Bach add'1 branch circuit 2 6.65 1, 3 .'p 2
City /State/ZIP: Miscellaneous (service or fender not Included)
' ” Pump or irrigation circle 5340 2 ,
Phone: ( ) Fax: _
( ) Sign or outline lighting 53.40 2
E Signal s
, or limited-
.. ^i 4 , ,, ' iy : ..,' • . :: y z,,-t;n 2: . " ;,�1.., •,,, :'..42/. , :•' f . y.7 ,'.; • _ , ': :�.C .i energy panel, o 75.00
TT ���t � y j��� l
, 4wc1 .' { 4;'11;;x1..— P. , he:.47 . g,∎4' - i a . 4+' ; ''; '1 � ' . ' : }'�i'!• Y pane, alteration,
extension, Describe; Page 2 2
Business name: CHRISTENSON TECHNOLOGY SERVICES, INC.
Address: 1631 ' NW THURMAN ST 2ND FL Each additional inspection over allowable In any of the above
Per inspection 62.50
City/State/ZIP: PORTLAND OR 97209-2558 Investigation per hour 0 hr min) 62,50
( Industrial plant per hour 73.75
Phone 503) 419 -3600 Fax: ( 503) 419 -3636 �
- r , �N ti ,� i �. w '
, rrx" ; . r,�1;
R'i,Y'.r1lsLlul';� f� V }l iJ •v • , "� •'t "Ys.. .w.` ":: ' �
CCB Lic.: 64137 1 Electrical Lic.: 2 -1 74G uprv. Lie.: Subtotal 60.15 •
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of pertrtit fee)
Print name: ROBERT AXT Date: 8 4/04 4, 8 L ; % *,�
- - .. TOTAL PERMIT F'E]E 64.96
Authorized signature: Tilts per epplteadon expires of a permit it not obtains. n •
days attar it bas been accepted as temple TRUST, DE, I
Print name: Date: • Fee methodology set by Tri- County Building Industry S • vice ledero
• • Number of inspections per Winn allowed.
iM uiildinemrr4bt61,GPatnitApp.dec 12/09 4x0- 4615T( taovcoM/W.8
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line:, (503) 639 -4171
BUP
Received Date Requested � AM PM BUP
Location 2-, 30 it\/..4._1A/1 r Suite MEC
Contact Person Y}') a� Ph ( ) 36- a' / q l PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC w OG '01
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam ARM
Sr Anchors
Ext MEW
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm v �
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
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
Fir- alarm
411
111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
S ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line gilf1-
ADA Approach /Sidewalk Date ✓ lb Inspector ! ""YExt
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL