Permit CITY OF TIGARD
ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -0234
11���III� DATE ISSUED: 05/07/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 261O1BC- 02201
SITE ADDRESS...:O83O0 SW HUNZIKER ST
SUBDIVISION ZONING:I —P
BLOCK............ LOT ....... „ °. °. °. JURISDICTION: TIG
Pro..j ect Description : Western Partition job #213 -1839
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS 0 0 — 200 amp • 0 PUMP /IRRIGATION - 0
EACH ADD' L 5O0SF...: 0 201 — 400 amp.......: 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY ° 0 401 — 600 amp - 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp - 1 W. /SERVICE OR FEEDER: 10 PER INSPECTION • 0
201 — 400 amp ° 0 1st W/O SRVC OR FDR.: 0 PER HOUR - 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT - 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 )=4 RES UNITS........: > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
WESTERN PARTITION type amount by date recpt
8300 SW HUNZIKER PRMT $ ' 110.00 JSD 05/07/98 98- 305559
TIGARD OR 97223 SPCT $ 5.50 JSD 05/07/98 98- 305559
Phone #:
Contractor:
CHRISTENSON ELECTRIC INC $ 115.50 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect'l Service
Phone #: 241 -4812 Wall Cover Elect'l Final.
Reg #..: 000458
This permit is issued subject to the regulations contained i the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with a roved a -s. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 ays. ' ION: Oregon law requires you to follo the rules adopted by
the Oregon Utility Notification Center. Those rule are at forth ' R 952- .1 -v through OAR 952-.1- 9 . You may obtain a copy
of these rules or direct questions to OUNC by n• ('3)
O
Permittee Signature: _ ' Issued %A
- - -- -OWNER INSTALLATION ONLY
The installation is being made on property T own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR /SThLLPTION ONLY
SIGNATURE OF SUPR. ELEC' N : ► , 4 DATE :
LICENSE NO:
V ■
++++++++++++++++++++++++++•++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for 'an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++' + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RECEIVED Electrical Permit Application Plan Che in eS
13125 SW HALL BLVD. Rec'd By _..,/
TIGARD OR 97223 [tjL\Y C) 7 1998 Date Rec'd rj V
Date to P.E.
Phone (503) 639 -4171, x304 ���r
Inspection (503) 6.3-c-14175 Permit DEVELOPMENT I T Print or Type DS
Permit JEW - i , y .
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) WESTERN PARTITION Service included: Items Cost Sum
Address 8300 SW HUNZIKER 4a. Residential - per unit
TIGARD OR 1000 sq. ft. or less $110.00 4
City /State /Zip Each additional 500 sq. ft. or
Commercial Residential ❑ portion thereof $25.00 1
Limited Energy $25.00
LARRY BEACH Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all cUrrent licenses) 4b. Services or Feeders
Electrical ContractorCHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation
111 SW COLUMBIA, SUITE 480 200 am or less 1 $60.00 60. • 2
Address 201 amps to 400 amps $80.00 2
City PORTLAND State OR Zip 97201 -5886 401 amps to 600 amps $120.00 2
Phone No. 241 -4812 601 amps to 1000 amps $180.00 2
Job No. 213 -1839 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. Exp.Date
OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of •.a�i.�,,_ - - ` � L-!t.� ` 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 873S Exp.Date see "b" above.
Phone Nc. 241 -4812
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee. 10 50.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ 110 .
5% Surcharge (.05 X total fees) $ 5 50
NOTICE Subtotal $ 115.
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 115 .50
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY '
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $ 115.50
IMSTS \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0234
WESTERN PARTITION
08300 SW HUNZIKER ST
12/08/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
•
ELCC001 Application received / / / / 05/07/98 USPS JSD 05/07/98 CTR
•
ELCC003 Permit created / / / / 05/07/98 PASS JSD 05/07/98 JSD
ELCC500 (F)Issue permit / / / / 05/07/98 Mailed to contractor PASS JSD 05/07/98 CTR
ELCC700 Ceiling Cover / / / / 07/24/98 ceiling cover one room sw corner PASS CD 07/24/98 CD
ELCC700 Ceiling Cover / / / / 08/07/98 conference room ceiling soffitts PASS CD 08/07/98 CD
ELCC700 Ceiling Cover / / / / 09/03/98 first & second floor PASS CD 09/03/98 CD
ELCC720 Wall Cover / / / / 07/08/98 wall cover upstairs & face of wall in PASS CD 07/08/98 CD
storage area
ELCC720 Wall Cover / / / / 07/30/98 first floor wall cover PASS CD 07/30/98 CD
ELCC799 Elect'l Final / / / / 09/17/98 PASS CD 09/17/98 CD
ELCC800,Case Finaled / / / / 09/17/98 PASS CD 09/18/98 J *H
•