Permit t -:
rri C TI
OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00062
COMMUNITY DEVELOPMENT DATE ISSUED: 1/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S101BC -02201
SITE ADDRESS: 08300 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: WPI. (3) branch circuits. (2) troffers, replace & add exit signs.
Job # 83- 06448.
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:
ROACH, MICHAEL A AND PAMELA S 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 -3695
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 1/26/2007 $60.15 LIC 458
[TAX] 8% State Surcharge 1/26/2007 $4.81
Total $64.96 REQUIRED ITEMS AND REPORTS
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: �� Q
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.
L ,IAN -25 -2007 THU 08:06 AM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01/02
'neCtrical r, . tpp_licam-II.
— City of Tigard , Rec dA y: / e / 3 .. / % /) i Pemut No . (� c 7 .,19u
s1
i r �f Y �
13125 SW Hall Blvd.kfigard, OR 9722- ,0 . Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 '""r"'; ''' Y� I ' Date/ay: other Permit:
inspection Line: 503.639.4175 ^ p � I.
D s tc Ready /By; tan's: 13 see rime 2 for
Internet: www,ci,tigtrd.or,us j ht1V 2 .5 2007 - ~ _�. Notified/Method: - SupplamentaMInformillun
• ::f.c e:'
y �
t.
i;t 'V:`I
�'`f
�. I <e`i: i`> 'l' !:
+ f`> >ifi;;ff:!!i.
❑ New construction d d t al a T , c ,n Veil t Please check all that apply:
74- ti' : • a t D Service over 225 amps, comm'1 ❑hazardous location
❑ Demolition '�io en
.:... ::.... amps rating ❑a dnga „
['Service Duc 320 tali ttil vet 10,000 sq , It
?i ii : > : ::'} >i'ir' iii::i: ? %
�:::�" � 1fL* ...t". ..:�'1i�/(^ f 1 2 -fa
��1� ..�N3 ' �i> ���iiy�i #i »'�<'; >... �:.:. o and 2 dwellings 4 or more new residential
"" _ ly I m
El and 2- family dwelling 'Comtttercial/industrial ID Accessory building ❑Systern over 600 volts nominal units in one structure
❑ Building over three stories ❑!ceders, 400 amps or more
❑Multi family El Muster builder ❑Other:
❑Occupant load over 99 persons ❑ Manufwtured structures or
:5 :!
: � f , , ,. R V k
.1
..CU��'1�.... � .14I'll`$�I!X'!1; "f . Ijy> ` ,. :.: . :. : . .�II , ; ,;; � z'::`� ��'�ie� :
� ,::::::
`:' ,�.�,��,, ,,,,, ,,,,,, �t,..:: :,1� ,� <�., , � �:.; •; � , : QEgress/lighling plan t�
Jab 1 no. ''� ?j ( y g . Job site Address: Zt • it �4Q a Health -care facility El Other: ,
'--- Submit 2 sets of plans with any of the above.
- City /State/ZIP; 77 Asr oz ci l Al '. The above are not applicable to temporary constriction service.
Suite/bldg./apt. no,: Project name:
....:.:.....
Dercripilan I Qty. I Pee. I Total I
Cross slr to job site: 1 1�.lici I/l5 d lY ln DY r New residential single- or multi- family dwelling unit.
�, Includes attached garage.
50 i-/
- q No - 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft, or portion 33.40 1
Limited energy, residential , 2
Tax map /parcel no.:
:.,$ ;.. ...,. ,, ,;,,.,;,,, Limited energy. non- residontia! 75.00 2
. . .,::;.
E Niel `` , :..::•::.: > ': <I` ? ; > T` ' >
» :::: :. > : ,i:•;:- . :: > >:: �:. >. ;; :' <i�!..$ ° �' L�< 7`�`�...�......��,,1�:.: :: ;,�; •.: •:, Each manufactured or made 4r
>. ...:.. ..;,;::c:;�; >::�,:���::� :
Li , dwelling, service and/or feeder 90.90 2
LS A °2 L'e ��t -
i ` �� L - & A s � . 1 _ �° �f1st Services or feeders installation, alteration, and /or relocation
6 S ,. 1 � 0 I 3 . tfJ ( ru1.. Q . s :.... . . :, vteul.(_40. 4't . K:, o . 30 2
200 amps or less BO
: ...: 6 > ., ::..: : : ::::.......... ..... .::... .:.:.;.> .: » >;� >; .;;:e� �s ; >.. > 201 1im s t o 400 ;un s 106,85 2
P P
...... .. . ........ ...: :• , . ,�...�,.......,.:: <. �.. 401 amps to 600 mops 160.40 2
Name- 601 ampt.to 1,000 amps 240,60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /Slate/ZIP: . Temporary services or feeders installation, alteration', and /or
e : relocation
Phone:
( ) Fax: ( ) 200 amps or less 66.S5 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, alteratlun, ur erttenslon, per panel
:E;p: A. Fee a c'
'z::A:XPif it(f�i�]�I:;C:�:::: >.::<�: z::'s:• >::ss::< . . .s: = >:,�:,c Ea: , :::: :..:
e for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, ( Q6,8S [/
2
first branch circuit
Address: fi5 � 5-
Each add'1 branch circuit 6, 2
City /State/ZIP; Miscellaneous (service or feeder not included) _
Phone: ( ) Pump or irrigation circle 53,40 2
Fax: ( )
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
aio 0 r Dial ti n
energy an 1 cr
N; ;:lis4, x
sy P ,
��.� .• ��� � �� 0 -
extension, Describe: P a g e 2 2
Business name: Christenson Electric, Inc
Address: 111. SW Columbia Street, Suite 4$0 Each additional inspection over allowable In any of the above
Per inspection 62.50
. City /State/ZIP; Portland, OR 97201 Investigation per hour (I hr min) _62,50
Phone: (503) 419 -3300 Fax: (503) 419 -3695 Industrial plant per hoar 73 -75
,; C,,- 3!Ig G'I'.: X? .$; : ::. : :... .
�:�IafilrC&1Ptl .ri,�l.. l�tivl .. .. ..? . . . . . .
CCB Lie.: 458 LElectrical Lic.: 26 -34C S rv. Lic.: 199 % /31 /' Subtotal M
Suprv. Electrician signature, required: / i -� r / Plan review (25 % ofpermit file)
Print rulme: •'h CJ 1 �Y I Date, �1� 7 Suite surcharge (8 fin of permit fee)
t /
° K '7 i `.' TOTAL PERMIT FEE r- i-t - L ,
Authorized signature: This permit application explroa irn permit is net ubwIned within ISO
days oiler it has heep accepted a5 complete
Print Iliutle: Date: • * Fcc methodology sat by Tn- C'nunty Building Industry Service Flpard
**Number of inspections per permit allowed.
,. �uu Jding■PcrmusaEI- 0- Pemmi4\pp•4oc 1:/o3 0 IJI a 440- J015T(1GIO2/COM/W5 -s, f n Di + `ll _1111;411(6.
CITY OF TIGARD
BUILDING DIVISiON -,_.
PERMIT #: ELC2007-00062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2007
Phone: (503) 639 i#,Afiavoir,
Inspection Requests (24 Hrs.): (503) 639-4175 _Aly A I I
--...
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 08300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WPI
DESCRIPTION: WPI. (3) branch circuits. (2) troffers, replace & add exit signs.
Job # 83-06448.
OWNER: ROACH, MICHAEL A AND PAMELA 5, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 603-419-3300
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description C . # Contact # Message
199 Electrical final . - 045399-01 503-936-2141 N
■
Corrections/Comments/Instructions: \
i \
,e-\ , .
k
\,..
•
' )
SS PARTIAL APPROVAL El CANCEL fl NO ACCESS
FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: '..--- ' M bel -E Date: '3 2-6O Phone #: (503) 718- *PO
- -
CITY OF TIGARD
BUILDING D1VISI3N PERMIT #: ELC2007-00062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2612007
Phone: (503) 639-4171 4411 61\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 9
SITE ADDRESS: 0f3300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE
PROJECT NAME: \Ain
DESCRIPTION: WPI. (3) branch circuits„ (2) troffers, replace & add exit signs.
Job # 83-06448.
OWNER: ROACH, MICHAEL A AND PAMELA S, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300
Inspection Request Scheduled For: Date: 312312007 Pour Time:
Code # Inspection Description Confirni _Contact # Message
199 Electrical final 045325-01 503-936-2141
Corrections /Comments/ Instructions:
(NAA C' i4 R N;i4..E3
3‘
•
•
•
fl PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
•
Inspector: Cr' EJ Lt Date: 323 - 01 Phone #: (503) 718- -)A4b