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Permit CITY co TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00349 COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 BC -02201 SITE ADDRESS: 08300 SW HUNZIKER RD ZONING: I -P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: WPI Project Description: Installing (1) branch circuit and (1) low voltage data system. 8/22/08 ADDED (10) branch circuits for kitchen and conference room. _ 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: 1 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' BRNCH CIRC: n 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: MICHAEL & PAMELA ROACH CHRISTENSON ELECTRIC, INC. 956 WEST POINT RD 111 SW COLUMBIA STREET # 480 LAKE OSWEGO, OR 97034 PORTLAND, OR 97201 Phone: Contact #: PRI 503 -419 -3300 FAX 503 -419 -3728 FEES Description Date Amount Reg #: ELE 26 -34C [ELPRMT] ELC Permit 6/18/2008 $121.85 LIP 458 [TAX] 12% State Surchar 6/18/2008 $14.62 SUP 1994S [ ELPRMT] ELC Permit 8/22/2008 $66.50 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $210.95 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: � Permittee Signature: // k 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. IIIR WED 08:22 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01 - LI i ectr. ieal 1 rt. Application FOR (,hltt'h 1 'S 1. (N(,� .ti � A „ w _ City of Tigard �V Da : Te fr 0 0 • t nmt Na.: •• : I 1 - - 13125 SW Hall Blvd., Tigard, OR `*!'r 1 n Plan Review Phone: 503.639.4171 pax: 503.5 t. 960 �o % Date/By: Other Permit: Inspection Line: 503.639 \\ ` t\ \ a - - Date Readyt9y: Juds:' 0 See rage Z for i 1 t A It 11 Internet: www tigard or goV .3 ` V N �� Notified8daihod: Supplemen infortnrtlon � I 1 New Consconstruction n Additionlalteratto , 1 I' : r ,lj , , I i >' ` l +,,H!'r ' il t,+ PW. l i r , , : f I I', I ,!JI� „ ii r , CI en Please check all that apply (submit 2 sets of puns ' /items checked below) U � '' : t ent 0 Service or feeder 400 amps or more El Building over three sWrieg- . ❑ OemohtiOn El Other: where the available fault current ❑ Marines and boatyards. • „ 1 and ? , • . dwelling pT , ,. Commercial/industrial .. ' � OR . , A - r ', I ”, exceeds ousnd, or exceeds e s 1 volts or 0 Commercial-use louting agricultural buildings. lot; m ground, or exceeds 14,nvo ❑ y g [I Accessory building amps for all other installations. buildings, 0 Multi-family ❑ Master builder ❑ Other: q Fin pump © lnstallution of 75 KVA or > mergency sy9tam larger er arately derival system. ; I , ' :JOH RAT ' ]l.! . M.t A,"t'ION /1.ND %jL CA,' O 1 rP I ` ' i ,'; ' I i O Addition of new motor load of ❑ "A” "E' •'1 -2" '•1 -3" Job no.: q q l -1 Job site address; t3 s W - � f p ve 100HP or more, occupancy. 4,4 !} _ ❑ Silt or more residential units. C Recreational vehicle parks. City /State /ZIP: b,1 L t Y � bv c� 9,...a_, �/ o Hazy ❑ Hwith -care fudl,tius- CI Supply voltntte for more than i J } r -I -" j Suite/bldg. /apt. no.: rdous locations. 6UU volts nominal. [� Service 1 Project name: co or feeder 600 amps or more. 1;■ � 'I� :i I, FE SCHEDULE f:', -,:'' , (;,. Cross street/directions to job site: Q c�vh n C 4 aA J a Hon tv F at. Intel VI' lS-1 ft.• New residential single- or multi- family dwelling unit. 150 3 _ 3 - Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or 1e55 - 145.15 4 -- _ pa. add'! 500 sq, It or portion 33.40 1 Tax map /parcel no.: - itcd energy, residential ' y r l'i'p $CR1FT1O1�li:.OF,'VVOR► i.i ' ' I (with Limited 7 .00 2 ,.!' 5 r Limited energy, multi- family 75,00 2 A! 4 / .1 l . ' 6 (' d1 U ,, . P 1) �1 fit:})' residential (with above sq. tt) _ . Services or feeders Installation, alteration, and /or relocation � 200 amps or less 80.30 2 l] QIxt1PEI�TX QbVNlilt,..`,I; .1, + p` [ �EN'Ni id ;!,,, ., 201 amps to 440 amps - 106,85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts I 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) I 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 + ;, �, .AP'4x 'x Il " I jj ?- **. '40i'[ PIrRSUN r , i 1 , , ; above service or feeder fee, 6.65 2 i each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, l 46.85 1 � � 2 first branch circuit Address: Each add'l branch circuit 6.65 2 - Miscellaneous (service or feeder not included)_ City/State /ZiP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder _ Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: � �r y Pump or irrigation circle 53.40 2 U . T I : .' S or oudints lighting _ 53,40 2 Business n _,.. Signal circuit(s) ame: Christenson Electric, Inc• energy alteration, tion, panel, alter lion, yr Address: 111 SW Columbia, Suite 480 ext l� Page 2 5 2 City /State/ZIP: Portland, OR 97201 Each additional inspection over allo in any of the above _Per inspection 62.50 Phone: (503) 419-3300 x3328 Fax: (503) 419 -3728 Investigation per hour (1 hr min) 62.50 CCB Lic.: 458 Electrical Lic.: 26 -34C uprv. Lie.: j,. 45 Industrial plant per hoar 73.75 'i + uEl CTR CAL- iPERMIT.rF ; I ! ' I r, Suprv. Electrician signature, required: Up B q I Subtotal: 1 f ,j Print name: Robert Axt Date: ( I d g Plan review (25% of fee) State surch pe rmit fcc): t, Authorized signature; TOTAL PERMIT FEE: T3 6 . 4'7 Thee permit application expires If a permit is not obtained within 180 Print name: . Date: d after it hat been accepted as complete. I • Number of inspections allowed per permit. t\Buildine\Prnnit5l -C•rermitApp,doc 05!20/06 440-t6t5T(1II051COMIWEa / ( m CITY OF TIGARD „ • BUILDING DIVISION PERMIT #: ELC2008-00349 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1 annoa Phone: (503) 639-4171 n 41 011114 1 \ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/10/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 08300 SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITIONS DESCRIPTION: Installing (1) branch circuit and (I) low voltage data system. 8122/08 ADDED (10) branch circuits for kitchen and conference room. OWNER: ROACH, MICHAEL & PAMELA PHONE #: CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300 Inspection Request Scheduled For: Date: 9/10/2008 Pour Time: Code # Inspection Description ',Confirm # Contact # Message 125 Wall cover 075327-01 503-936.2141 Corrections/Comments/Instructions: • • )PASS r7 PARTIAL APPROVAL [1] CANCEL El NO ACCESS AIL 7 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: a ti 018 Phone #: (503) 718- 1,114) CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00349 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/2008 Phone: (503) 639-4171 *sill I it Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/2/2008 7:00AM 36 SITE ADDRESS: 08300 SW HUNZIKER RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTERN PARTITIONS DESCRIPTION: Installing (1) branch circuit and (1) low voltage data system. 8/22/08 ADDED (10) branch circuits for kitchen and conference room. OWNER: ROACH, MICHAEL & PAMELA PHONE #: CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300 Inspection Request Scheduled For: Date: 10/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 076185.01 503-936-2141 Corrections/Comments/Instructions: t Li 04 °t \ C [7k:ASS pi PARTIAL APPROVAL CANCEL pi NO ACCESS • I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G" NQ8 Lt Date: loitia Phone #: (503) 718- 2- • ` / � CITY OF ��n m n n�'m w m���mn�uu�' .' ,. . BUILDING DIVISION PERMIT | ~~~~^~~~~^^~~~ -^~^~~^~~"° � ELC2008'00349 | 13125 Tigard, OR DATE ISSUED: tJ1B/2UO0 . Blvd., ' ■ � Phone: (503) 639-4171 , Inspection Requests (24 Hrs.): (503 639-4175 .� ^J INSPECTION WORKSHEET FOR DATE: TIME: � PAGE: 10/13/2008 7:00AM � 4. SITE ADDRESS CLA�OF�OR� � 08300 EWMUNAKERRD SUBDIVISION: LOT #: TYPE OF USE: / ' PROJECT NAME: ~ — ^ � ���; TERN PARTITIONS DESCRIPTION: Installing (1) branch circuit and (1) low voltage data system. 8/22y08 A)DED (10) branch circuits Eor Wtchonandconfmxmnnmn�mm� OWNER: PHONE #: CONTRACTOR � R0ACH. MICHAEL PAMELA � CONTRACTOR: PHONE #: � ( |MR1 S��ENSQNElE[TR|��.|N(�. S03-419-3300 Inspection Request Scheduled For' Date: Pour Time: � � 1013/2008 � Code # Inspection Description Confirm # Contact # Message 199 Electrical final 076030'01 503-938-2141 N Corrections/Comments/Instructions: . . . • | I PARTIAL APPROVAL El CANCEL ri NO ACCESS n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED . � � � /�� - . Inspector: 4 `� -� - Date: x � ' ~~ w Phmna #� /6O3\ 718'