Permit CITY OF I GikR D ELECTRI L PERMIT
,
IIIII COMMUNITY DEVELOPMENT PERMIT : ELC2007-00638
DATE ISSUED: 9/13/2007
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: WESTERN PARTITIONS
Project Description: (2) branch circuits for a/c unit in server roo I. 10/01/2007 Add (2) additional circuits for a total of (4) in data
. 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:
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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC IN PLANT:
601 - 1000 amp: - EVIEW 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 9/13/2007 $53.50 LIP 199
[TAX] 8% State Surcharge 9/13/2007 $4.28 SUP 1994S
[ELPRMT] ELC Permit 10/1/2007 $13.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $72.14
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. p ,
Issued By: (Z��;y " ' � Permittee Signature:
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.
' ? -13 -2007 THU 07:29 AM CHRISTENSON ELECTRIC, INC FAX NO, 95034193695 P. 01
7rical rerra11t ii.ezi (:dllun / �
City of Tigard Received 07
Date/By, �� � �� Permit Na e � ? ' � flJ�d
1.3125 SW Mall Blvd., Tigard b5 . f - � � t Plan R iew
Phone: 503.639,4171 Fax 5 G 't- ` t� ~e r `��'� '4 w: ` I Pla Re other Permit.
Inspection Line: 503.639.4175 r. .- - .,._, '. _. I.. Deus Ready/ t I'4 see rage 2 ror
Interact: www.oi,tigard,or.us Notified/Method: // IC; Supplemental Information
:k
�t 6
' .: .;, � . ; f: t .. .. i:ii >:i :; ?i!:; i iy> rsi:: ii >i +i'iit: ii3i " :
... +.:. . ..:.. ...:. ..: .::. .:::: ... ...::,:.... ,. .. .iii .. ......... •% ' .. 4 N 'yr •. .... ................
0 New construction ti ,.Additi l i t� l l Please check all that apply:
1:1 Demalitton I t r: u i r ❑Service over 225 amps, corm)] ❑Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10.000 sq. fl.,
p : ; i ; ; rz .. �', - . .:r, ,.. 'w: i 7.. 3:::[ : ;::i:3'::s:;t:3a e;i'r: ,.. ::,;: ::: �:;:::;:
., s s dwellings 4 o more new residential
ntial
•, : u�a" a :t. �t of l -and 2 d Ilia r n r td
Y 8
a
❑ 1- and 2-family dwelling Gt Commerciallindustrial ❑Accessory building
['System over 600 volts nominal o n
units in structure
['Building over three stones ['Feeders. 400 amps or more
❑ Multi fasriily ID Master builder ❑ Outer:
['Occupant load over 99 persons ❑Manufactured structures or
Ft�if�i` R
V park
a. "fl '�' IE�I�„<< 1�`'! � ? > €�r!?'r'�r3:r.`: E cas/li htin plan
P
I ❑I-Itlttlth -ogre facility or'
Job no,:�3 0101p (5 1 lob site address: g 3� % �V�7 I 1r Submit 2 sets of plans with any of the above, - - -
C ity /Slate /ZIP: IT' yl R C k 1 - " me above aro not applicable to temporary construction =vice. • .Fl�illfFii'i�!i> �: >'1: >: !: >ii:SEi >s> `! #' f
�:F
Suitc/bldgfapt. no.: Project name: 0 P:' ? :::: .............
�� Z Description ;;;: :::.......... ...... ...
U Qty. Foe. total
-
Cross street/directions to job site: &ueSk`ol mt, , f\A „ f u)4 Q s , New residential slnelc or multi - family dwelling unit.
' �x Includes attached garage.
50 3 - ' (p -- ak� { � 1,000 sq. ft. or less 1 I 145.15 ___L4
Subdivision: Lot no Ea. add 500 sq. ft. or portion 33.40 1
- . Limited energy. residential 75.00 ' 2
Tax map /parcel no.: energy, Limited r Wort - residential 75.00 2
All ?'
��i ':�Xt>~P,•'1?!<13rN > Each manufactured or modular
X61 -4 11_ ire :
�lr�l�.. F
1 Y C Ltyl 11- (IA 1/1A- dwelling, service and/or feeder 90.90
Services or feeders Installation, alteration, and /or relocation 2
200 amps or less 60.30 2
„,:,;;:.,::...:.;.:, :.:...:...........::`"', 106.85 2
; �,;:; 201 amps to 400 atttp4
.. .:.1,tti � Ir"!is�Il�i�i> ^ir >'i;'s(ils;3i :.: : :. > :::❑.......
'i1`.' :a. :::::Jai: ? : i i '::.
401 annul 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 feeder» Installation, alteration', and /or
Phone: ( ) Fax: ( ) _ relacutlon
200 amps or less 66.85 1
-
Owner installation: This installation is being made on property that G own which is not 201 an 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, nr extension, per panel ,
i i-.:0. (!A is h` lk'fIsz<> !:r3' " z ?i
A lee for branch circuits with
::::::::...::::.:::::::..::, :::... :::::::.:: :. :. . . ..: ...:...r. « ,::::::.:, ..: ,..:;:..,.: ...:::,::::.:,.:. service or feeder fee. each 6.65 2
Business name: branch circuit
13. Fee for branch circuits
Contact name: without service or feeder foe, 1 46.85 44;5
2
first branch circuit
Address:
Each add'I branch circuit 1 6.65 (p,112s 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53140 2
Phone: ( ) [Fax: : ( ) Sign or outline lighting 53'.40 2
E-mail: Signal circuit(s) or limited -
�r��e�� /,; energy, pantl , alteration ,
or
:ii ........
• Tibe: P
extenson. Des
Page
Business name: Christenson Electric, Inc
Address: i l l SW Columbia Street,. Suite 480 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 hour 73.75
. ICAL:> P. 010 i E ' *;' 1 ys:? ;::::;::: i :: :; : ;:.
CCB Lie.: 458 Electrical Lie. 26 34C S rv. Lic.: 199 Subtotal . , ,T Q
• Suprv, Electrician signature, required: 61 A - 4011 Plan review (25% of permit fee)_ �7
� State surcharge (8% of permit fee) a d
Print name: P i #. , Date: C 3 D
TOTAL PERMIT NUR 7 5 l
Authorized signature: This permit applitatlun u Ira permit is net obtained within ago
• days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tn- County Building Industry Service Board
•r Number of inspections per peanut allowed.
1•■I'tuiidmgwpumet, \EL.C- PennnAnp doe I2/03 440 - 4b I5Tt10 /02/cOM /WEIK
•
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2007- 00638
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: wian007
Phone: (503) 639-4171 4
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7 PAGE: 37
SITE ADDRESS: 08300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: (2) branch circuits for a/c unit in server room. 10/01/2007 Add (2) additional circuits for a total of (4)
in data room.
OWNER: ROACH, MICHAEL A AND PAMELA S. PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-33(30
Inspection Request Scheduled For: Date: 1002007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 056777-01 503-936
Corrections/Comments/Instructions:
PASS PARTIAL APPROVAL n CANCEL EI NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G- I, 0 6 Date: 1 Phone #: (503) 718- 1)411,