Permit f ' ELECTRICAL PERMIT
lo . ,.„ rQ
g :,:... t' j PERMIT #: ELC2007 -00764
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 BC 02200
SITE ADDRESS: 08330 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TI G •
PROJECT: WESTERN PARTITIONS
Project Description: Install overhead projector in conference room, (1) branch circuit and low voltage for A/V. Job No. 83 -06658
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'L BRNCH CIRC: 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 -3695
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 11/13/200' $121.85 LIC 458
[TAX] 8% State Surcharge 1 1/13/200' $9.75 SUP 1994S
Total $131.60 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 rule. -re se . +h in • A. 952- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.:699 or 1.800.3's
Issued :y: 0 ` / 0 ., J ,47/ Permittee Signatu , ,, e— garX ra..._
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: fe e,l` 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.
NOV -13 -2007, TUE O,i is r ' I TRW"' C, INC FAX NO. 95034193695 P. 01
City of Tur Received t 9/
pla
13125 SW Halt Blvd., Tirgard, OR 97223 n R
Y; /[ 0 07 '✓ /" Permit N o.: 1�C� 7--ef) tY
,0l� 3 2007 4,,,,,, plan Ravicw
Phone: 503.639.4171 `Pax: 503.598.196
Yi9,�V � t) 001 1�1'�� I '� l7ud Iiy: Other Pcmnst;
inspection Line: 503.639.4175 $ 'I � Date ltaady /t3y, foci El See Page 2 for
Internet; www•ci.tigard.or.us c!1 I A t 11' ', -r' 4 Natifird Supplrrnental in
❑ Newt onStrUction r- '7 1 • . +ition/al wra o ' • e! • - Plessc check all that apply: •
[l Demolition ❑ Other
❑Service over 225 amps, comm '1 DHazardous location
❑Service over 320 amps - rating 013uildng over 10,000 sq. ft.,
rA1Ec;o w 01F'. 010,' 1:0. .00 of I - and 2- fatnily dwellings 4 or more new residential
❑ I- and 2- family dwelling ►J CommerciaVindustrial ❑ Accessory building r Elsystem over 600 volts nominal units in one strOctun
[.,., Other: Building over three stories ❑Feeders, 400 amps ar more
0 Multi - family ❑ Master builder
['Occupant load vet persons 14fanufao red structures or
1 QQ' E E 1`t 'PLOfe1 A1siD' P0f Tlg [}Egress/lighting plan 9 P in RV park .
e
Jobno.:� - Oil$ [ Job site }undress: ,?,CC 51..t) t- \u112 , , 1S(' . ❑ Health -cure facility
Other:
Submit 2 cats of plans with any of the above,
City /State/ZIP: 7 i Cr Cr 6 i . q ol 7 } ca 3 The above are not applicable to temporary construction xervloe,
Suite/bldg. /apt. no : ) 1 Project name: W p ?rVau>a
nwcrllMan Qty. Fee. TWA
Cross street/directions to job site: , e,s G`(L 1 r,..461,4-1- Ljc l +he( New residential single- or multi - family dwelling unit.
Includes attached garage. .
f5C)c j.. (17 , 1 1 ' ' 1,000 sq. 0. or less 445.13 i
Subdivision: . Lot no,: 'Ea. add'l 500 sq. ft. or portion 33.40 I '
Limited energy, residential 75.00 2
Tax map /parcel no,;
-
Limited energy, non - residential 79.00 2
110 ii6.41E 7 ` 1(6 ..'!.4.0. (6jki Each manufactured or modu
�, I-11 r 1,-) dwelling, service andlor feeder 90.90 2
� ( �. Seruiees or feeders installation, alteration, and /or relocation
, rd(a IN\ 200 amps or less 80.30 2
" -'"� 201 amps o 400 amps , 2
M1 I #�[4p1?.Rt4 4I :,1 TltVailti t ni 1D689
p . _
lA (� 401 amps to 600 amps 160.60 2
Name: 1�`� L �) + 601 amps to 1,000 amps 240,60 2
Address: 956 wesi_ 7Dl'1:t_- _Over Over 1.000 amps or volts 454.65 2
Reconnect only 66.85 2
. City/State/Zll. C Ls -
'�- (� V � ET, 91 C3 ,J Temporary services or feeders Installation, alteration, and/or
Phone: ( 3) / 0 Fax: ( ) relocation
`�' �� Q� ___ 200 amps or less 64,89 1
Owner installation: This installation is being made on property that i that which is not 201 amps to 400 amps '100.30 2
intended for side, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date B ranch circuits - new, alteration, or extent
�+.� • �. ti n, u tension, per panel
J k.d APPLICM!R 4T ,.... - _.. ''' CO'4TAC' w11 t Ei..''''' A Fee for branch circuits with
^w service or feeder fee, each 6,65 2
Flusiness name: branch circuit
Contact name' B, Fee for branch circuit;
without service Or feeder fee. 4[ 5.5
Address: first branch circuit 46.85 2
. Each add'I branch circuit 6.65 2
City /State/ZIP: Mlaccliontous (service or feeder not included) _
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( Sign or outline lighting 53.40 2
E- m ail :
Signal circuits) or limited -
001V/0407.410II energy Panel, alteration, or
extension. ID scrib : 1 Page 7 75 op 2
Business name: Christenson Electric, Inc. IAA i D I U,GQ(�
' F
• — —
Address: 111 SW Columbia Street, Suite 480 Each additional Inspection over allowable in any of the above
Per inspection 62.50
CiLy /StateiZIP: Portland, OR 97201 Investigation per hour (I hr Irvin) 62.50
Phone: (503) 419 - 3300 Fax: (503) 419 Industrial .lint per hour 73,75
ELF,C.PR1cM., Pf.'FtNiLT FEJ ,9,"
CCIi Lic.: 458 Electrical Lic.: 26 -34C S rv. Lie.: 199.S Subtotal 12.1 .
Suprv. Electrician signature, required: , O < Plan review (25% of permit fee)
Print name: ') 1..L A Date: I - I 5-(:)
Stale surcharge (8 % of permit fee) •'-) '�
l7 ' i TOTAL PERMIT FEE j '7,1 •
Authorized signature: This permit application expires Wu permit Is not obtained within INa
' days Oiler It has been accepted os complete
Print nacre; . hate: a rue methodology sat by Tn County ltus(ding industry Service Board
— rr , • of nspoctions per permit allowed.
ut u &- 6 Lt,�
nHUIIdln6�Yermira�ELC- i'em+dAyp.das 12103 � dAa• /OZ /COhUW � a �� � c 4 � 1 �
CITY OF ��un m �.�u mm����um��
BUILDING DIVISION PERMIT #: ELC2007-00764
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 630'4175 ,414~
INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AhA PAGE: 14
SITE ADDRESS: 00330 SyVMUNZ|KER&D CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: ixsts overhead projector in conference room, (1) branch circuit and |omvmkmge for NV. Job No.
83-O665
OWNER: ROACH, MICHAEL. & PAMELA PHONE #: 503'620`1600
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 603'419-3300
Inspection Request Scheduled For: Date: 11/20$2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E]oct/iog|fina/ 080016'U1 503-936-2141 N
Corrections/Comments/Instructions:
N \C\
\
\
PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
| FAIL F CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: � m]U LE [)ate: t (tJfl Phone #: (503) 718- It
,'