Permit )E ,r„ G,�,�,r,, - 3 /y / ': //c y (J G,'rc i,
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00124
O' ' « COMMUNITY DEVELOPMENT DATE ISSUED: 3/4/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 BC -02200
SITE ADDRESS: 08330 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: WESTERN PARTITIONS
Project Description: Installing (12) branch circuits for lighting retrofits and upgrades. 3/04/08 added (2) branch circuits.
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: 1s W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 13 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 97035 PORTLAND, OR 97201
Phone: 503 - 620 -1600 Contact #: PRI 503 - 419 -3300
FAX 503 - 419 -3728
FEES
Description Date Amount Reg #: ELE 26 -34C
IELPRMT] ELC Permit 3/4/2008 $120.00 LIC 458
[TAX] 12% State Surchar 3/4/2008 $14.40 SUP 1994S
IELPRMT] ELC Permit 3/4/2008 $13.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $149.30
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: .`.., ` �` �;� Perm Signature: � 1 ,lv'7`
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.
411/11111 MAR-03-2008 MON 01:48 PM CHRISTENSON ELECTRIC, INC FAX Na 95034193695 E 01/03
Electrical Permit A i 1 lication Fit)Ft 01 r
.sE oNi.1
•. . : .
\ 1144 City of Tigard fk-cENED Received
DaterB : c...)e or"' -- Permit No,; a lc acvi--.... 00 Ix
_. ,•; 5- - 13125 SW Hall Blvd., Tigard, R 7223 Plan Review
" II Phone; 503.639.4171 Fax; 503.598.MR 31n08 ,
.... Lu Datc/B : Other Permit; j -7, () t / >
141) Inspection Line; 503.639.4175 Dote ReadyReady/By. Juris: El See Pagel for
TiltiA
Internet: wvvw,tigard-orgov MID Notified/Method; Supplemental Information
. '- !i 'i4':i , ' , ':■';.: ' '':.;; : : . `'■:.: , 1:''''!: , '';■.'::;i1■ 1 '.':■i' : ."i:T4ir ' V r : i. •? , .. , ';:. ' ! . 'ti , . !':: ' . ° ' . :' ., !';';',: 'i ' '!;r: .:''':;c;.:;i:!"..i,Yi:,::1::.'.';.:k141 , :;.;•
[J New construction ril Additio itIlwl PT acemcnt Please check all that apply (submit 2 MS of plans wiitems checked below);
El Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault oummt El Marinas and bOatYards.
exceeds 10 000 amps at ISO volts or El Floating buildings
s.
i,;:, ::, PATAVP0 l ess to ground, or ;„„ds 14,000 0 Co crc ial
0 1 - and 2-family dwelling Mtomrnercialandustrial 1:1 Accessory building amps for all other installations. buildings.
El Multi-family D Master builder 0 Other: 0 Fire pomp. 0 Installation of 75 KVA or
El Emergency system. larger separately derived system.
40* ''''': ID Addition of new motor load of in ..A". "I3". "1-2", "1-3",
occupancy.
Si#S jazii.ka_r_t_. 100HP or more.
0 Six or more residential units. 17/Recreational vehicle parks.
City/State/ZIP: 7'40 4 , '2,R— — T. 3 ID 0 Health facilitics.
Hazardous locations. 0 St.r.ply voltage for
600 volts nominal, more than
Suite/bldg/apt, j ./apt. no.: (1 Project name: .,),,,,) p . _0 Service or feeder 600 amps or mom..
' ritElSelltt .iiii'lPiK'l
Cross street/directions to job site:D A 0 sh..W., AA.Aill'IlAti:411( Description — I Qty. I Fe. j TOW 1 .
... °W. — New residential singia- or multi-family dwelling unit-
5 0 (e -A ti4 L Includes attached garage,
-
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. addl 500 sq. ft. or portion ..., 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
. .''i'::,'.' , ,',' . .1::...: , :'.: .:, ' .. :. : :!•:::.'!:''';! . s.Rirtl(*.O !;:; , : 4;,'. , !, , ::, (with above so_ ft) • _ ..
" r
, Limited energy, multi-family
75.00 2
I
• ti' I 01 4q(k.. tl 00 itagire,r1Prfl e-0:?.ilevity_im. residential (with above ^ . II.
i • ^ r I , services or ferdera Installation niteration.and/Or relocation
1 __1, ■ 4 1 # .i_ 0 A d A I g' L- • li rT-s ( 200 amps or less 80.30 _ 2
. .
:::.,"•.';,:,,,,;,:::,!;. ,, M...;ilicirEAT .:.:, t ':,.::, ,:,:!:' 201 a to 400 amps - 106.85 2
_ — .
Name: fr)%Cirtixel 7.- -',,tie1 4, Actri, 401 amps to 600 amps
601 amps to 1,000 amps ... 160.60
240.60 2
2
Address: ' Over 1,000 amps or volts 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 I
100.30 2 100
400 to amps ,
Owner installation: This installation is being made on property that I own which is not 201 amps
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 brunch circuits with
. ..
,!::' ;.:4 o'.:(:.:91...cl';:!, above service or feed f". 6,65 2
each branch circuit
Business name: f B. Pee for branch circuits
It without service or feeder fee, i
46.85 1 4.0 . 2
City/State/ZIP:
Contact name: / /) .6\j‘4 first branch circuit
Address: i Each tajd'l branch circuit t 1 6.65_ 7 / .2
- Mitieelinneoliti (service or feeder not Included)
), , i
, 7 n — Each manufactured or modular -
• dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Ott f : I .„ , , r, ,, . Reconnect only 66.85 2
. - .
E-mail: Ii/ob .. Pump or irrigation circle 53.40 2
.
p',..- ::: ;:12,1::' ,• ':,,, i ' :.'!.! Sign or outline lighting 53A0 2
Signal circuit(s) or
Business name: name: Christen: , 1 Electric, Inc. energy panel, alteration, or
Describe: Page 2 2
Address: 111 SW Columbia, Suite . : i extension,
... —
City/State/ZIP: Portland, OR 97201 Each additional inspection over allowable In any of the above
' Per inspection 62.50
Phone: (503) 419-3300 x3328 Fax; (503) 419-3778 —
Investigation per hour (t hr min) 62.50 ,
CCB Lic.: 458 Electrical Lic.: 26-34C 0 I 1994S Industrial plant per hour 73.75
•
, i;;:',::.;!•A,r acraticALp.pEriiiiutyftri,s%::!•!:: iq.'ii
, Mr '
Suprv, Electrician signature, required: _....) , Subtotal: _ tab A
Print name: Robert Axt Date; 3 3
fr" Plan review (25% of permit fee): -
(
State surcharge (12% of permit fee): I 1 ±t L i 0
Authorized signature: - TOTAL PERMIT FEE: / 3 L(, L ID
■
This permit application expires If a permit Is not obtained within 1.110 _
Print name: Date: days After It has been accepted as complete.
. • Number of inspections allowed per permit.
1:1BuildingNcrrnitskELC-FcrtnitApp.doe 05/21/06 440-4615T(1 uosicomiwgu ,.._.,...--
CA(u6A--
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CITY OF
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BUILDING DUNG DUVUSUON PERMIT #: ELC2008-00124
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 514/2008
Phone: (503) 639-4171
Inspection Requo�e(24Hm.):(503)G3Q'4175 °J *�J
INSPECTION WORKSHEET FOR DATE: E02008 TIME: 7:00Ak4 PAGE: 12
SITE ADDRESS: 00330 SWHUNZ|KE.R CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: Installing (12) branch circuits for lighting tetrofits arid upgrades. 3VU4/O8 added (2) branch circuits.
OWNER: ROACH, MICHAEL & PAMELA PHONE #: 503-6201600
CONTRACTOR: CHR|STENSON ELECTRIC, INC. PHONE #: 503-419-3300
Inspection Request Scheduled For: Date: 9/8/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final
(om2o5-al 503'936'2141 N
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Corrections/Comments/Instructions:
NN N N �~
PARTIAL CANCEL �� N{�ACCESS
' �� ��
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
�J�� � /�"�
Inspector: �r ` N � �� Date: ^��" �� Phone #: (603) 718- 1 4
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