Loading...
Permit i . �< ' "'' CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT '! '_' r.' COMMUNITY DEVELOPMENT Permit #: ELR2009-00107 Date Issued: 04/13/2009 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 BCO2201 Jurisdiction: Tigard Site address: 8300 SW HUNZIKER RD Subdivision: Lot: 0 Project: WPI Project Description: Install limited energy for voice /data. Owner: FEES Description Date Amount HUNZIKER ONE LLC 956 WEST POINT RD Restricted Energy Permit 04/13/2009 $75.00 LAKE OSWEGO, OR 97034 12% State Surcharge - Restricted Energy 04/13/2009 $9.00 PHONE: Contractor: CHRISTENSON ELECTRIC INC 111 SW COLUMBIA ST, STE 480 PORTLAND, OR 97201 PHONE: 503 - 419 -3300 FAX: Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: Boiler Controls: CCTV: Clock Systems: Data & Telecommunications: Y Fire Alarm: HVAC: Instrumentation: Total $84.00 Intercom /Paging: Landscape /Irrigation: Required Items and Reports (Conditions) Landscape Lighting: Medical: Nurse Calls: Protective Signal: Security Alarm: Other: Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through R 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344. r Issued By: t\ &_.2.1 fl.. Permittee Signature: p 1 t. C oo£ -tVN -- 1 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. ``.. APR -08 -2009 WED 08:12 AM CHRISTENSON ELECTRIC, INC FAX NO 95034193695 P. 01 naectrlcai relrmit Application lication p rot [ >I rr( t? usE. ONLY City of Tigard Relxived °te/n : ' © ( ,. *. Permh No.: . E 2 ..ln. ^ Si r . 13125 SW Hall Blvd,, Tigard, OR 972.4: : I Ian Review .�° Phone: 503 - 639-4171 Fax: 503.598.1 -a 66 ate/Ay, Other Permit; TIGAItI) Inspection Line: 503.639.4175 Date Ready/By: Iari — "T- p l a Sea Pa Internet; wwW,tigard -0r.gvv APR ' O 2009 Notified/Method: d: � IIe2for : ,,,y i s > ';e,' ,)k:,^ a ° �t' r "r;t fr�`St; ":i� ";.�,A�' "i "i:g rr ..,F, : r .,l : � n: y . .� a�. o Supplemental Information - .. ,, :: :•SP, !' : M . ', 1 • V j \ I ,,i4 }. . I :�: /. n /.IM ^ ?n0 n tl '1 . ,. . , , r ;;,;;'. ,1,d,a1 -'Fry ,,,��.�! „�r 1'1'O� � t irk .��' y ',�` j 1, � � `� u ^ t . a :, ' . , , I I � �I 't , p y r ��,;, „ .. r • r 1 {�.�- Q� ��..l.,t, e f J., _h r, �"C:.r,(Vri , ,r, � ,! ' 1 IY „4������'i�YS�• � i� �i>,�: � .,° rv � { '��y '�'I � .;r p ������' 1i�,T ro: huuud !b7.,ii law construction F. Addition/alter Master builder ❑ Other: ,�g Please check all that apply (submit 2 sets annuls 1.v/items checked below); ���' t � IS�Q� ❑ Service er feeder 400 at ❑ O ther: a stories. : 5 t�rl; l{, � ,1 y•�S;MiiS"it�:�i''d''i7tiri , r: tfu��i+ +i, , �,.,� _,.1 y ,., ,.�r.�r,��m.�.r.., . �.. .� , .�ih.lr „ Demolition Ilion amps or more El over !l ure stori where the available fault current []Marinas and boatyards. ',rk!' 14 ;���I tl'' 1 'tt ^.1 A , I4ti ]t” ra:db ' Yr ,l' ,a J ' 3 'u #'I Ti ;! 1;-I�' r, s. Q 1- and 2-family dwelling mefcial /indust>7 �� ❑ '' ! 1, ° ?I � n 4 ! +}. I,j�J h`!y r j ;;1 ('' exceeds I ground, amps at I or exceeds 14,000 volts 4,00ar ❑ Floating 0 Commercial-me ia- buildings. loss 10 g e al Accessory building ground, d, other Ost 10 ©Cmmeial -use agricultural ❑ Multi - family [II er: rep °� rtnstullraans. ,,,�,., . ,�, { -,,, El fire Instnlla amps for all c ,1 f 1 : y 5i, / l, 'h� Ir1Yl�I',� i ;c '',iI 6t I ,y� \'.i I I i,1Pd , �margency 6ys 1a..n, {,d ti 1i t• aQ it f , p lY„ f , r , I, < < ! Ft , eparatelyDeri vedsyste , ,Ii,n.(� r 9�4, U "� ❑AEdditianofnewmotarlvndof l Surs Job no.f o Job siteaddress:l ra , i .- ; I ar or more. occupancy, El Six or mare resci-0ential units, El Recreational vehicle parka. City /State /ZIP: r : , 0 . ` (37, , ''7 ❑ Health -care facilities. 0 Supply voltage for more than ID Hazardous locations. Goo volts non Suite/bldg. /apt- no,: I Project name: 1 p El Service or feeder 600 amps or more. �- ��{-tt ,,,. . / }� � /r7� ry y� � �I } Z irtt , a r) A i V �rU ;.' v . ' i Cross street/directions to job site: Ll L y. 1 52 ' . N 3 !34, ,D L,� ."'l p ' t , 1{'"' .” .h,t, ,` . \a��t !' °1 � j:Cj:]r1.' F� t I I� 1 J, llfll A l yj i 1 kkkk//����LL1I (^f\J�1, 9ll Lit" I " Dccrfptl6n Qt Fm T °til New residential single- or multi family dwelling unit. Includes attached garage. Subdivision: Lot no,: 1,000 s . R, or less 145.15 q • Tax map/parcel no.: -- Ea, add 500 sq. ft. or portion 33.40 1 { ' I , "'Ii ' r ,1' , - , Limited energy, residential " d Y : .g;t,,,. ..1, . ,, .!, inD0'0P''i'pI'Y k fei*i i ,7., ! i r i t J all o'�G k , I , r, I r, i9 , {, i N 75 _ :; 1 i t , a ,. (with above sq. ft.) 2 •■ 01 �� +rl `+� Limited energy, multi- family 75.00 2 \ i • 1 • / res (w above sq. ft) a> ' I lc. • . t Service or eed s Installation, alteration, and/or I r � 1i}, s f er n sit n nd/or reloc ation a' -.lrr - +8 : J i t I 2 00 amps ar le 80. 2 �Ir113' \ �,� � 30 rr• ' ��,,r.�,,lr j� �k `` i �,,� r pp ��77 ,nl� r 1,d s9 ii l 11' , - F#;:; :'I 1,.i f,i11•.'.h f ' �1 �'',i•hrsh :i2il �I} 41 , '11k'!t,5` It lYl� l �Il: N 4 201 amps to 400 — GPs - 106.85 2 Name: 401 amps to 600 amps _ 160.60 2 Address: 601 amps to 1,000 amps - 240,60 2 Over 1,000 amps or volts 454.65 2 ' " /State/ZIP: Temporary services Or feeders Installation, alteration, and/or relocation r etune: ( ) Fax; ( ) 200 amps or less 66,85 1 - Owner installation: This installation is being made on property that I own which is not 201 snips to 400 amps 1 00.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133,75 2 Owner signature: - Date: 13ranclr =insults- new- al Or exten per Panel '�¢ 'a,', y ,,, ru ";:� J,r •us l ,,,, A. Fee far i ilh - - t�C�'h ' i'�� �I-'J1 ���, ,y j' : ,; ::., �..�, branch CiYGU is '� ., w�a ,illil�� ?? 1':�;{! *' ttii I�`'i�y. i ' i' ,.i : 1 . i..a ' 9'v "np , ,� �:...�� �I'+��rl?'' .4.4.4.4... _' ,` . n',+n,.,F.,,.,.';,' f;a.;,i',d,•�;;.n:rr�iiar¢„ .:;�� :.l �ci �� .���. `Ir's.l�;�f;',?.�Yu: above service or feeder fee Business name: each branch circuit 6 65 2 B. Fee for branch circuits Contact name: without service or feeder fee, 46,85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 City/State/ZIP: ' _Miscellaneous (service or feeder not included) Each manufactured or modular I dwellin , service and /or feeder 90'90 2 Phone: ( ) Fax:: ( ) - Reconnect only 66.85 2 E-mail: - - V - _ ,� I I 1 ' ' `' t' „ i , f ! '� 'r i � r p i l' '! I't , �^�- ----,- Pump or irrigation circle 53.40 2 I , , .. 't',.c,I$VT'ltC;'PQIt I `, I r P' � r 1i ti r''',! 7 r _Sign or outline lighting 53.40 Business name: Christenson Electric, Inc. Signal circuit(s) or limited energy panel, alteration, or , Address: Ill SW Columbia, Suite 4S0 extension. Describe: Page 2 2 City/State/ZIP: Portland, OR 97201 / J,1Gl • 96 Each additional Inspection over allowable in any of the above Phone: 503 419 -3300: ': ' "I g �s� ;� Per inspection . I 62.50 ( ) - t-{ Fax: (503) J' ��7 t J is Investigation per hoar 0 hr min) 62.50 CCB Lie.: 458 Electrical Lie,: 26 -34C Suprv. Lie.: 1994S ' .\' Industrial plant per hour _ 73.75 Suprv. Electrician signature, required; / ' 0 lf: 'I /id 6 i;lELJ�i �'f ' P M�M.ITII FEESi riellOI SI I ji :'i _ Subtotal: 7 6 / (,0 Print name: Robert Axt Date /r Plan r eview (25 ° /a of permit fcep i _ • N „ ( State surcharge (12% of permit fee): Ionized signature: TOTAL PERMIT FEE; Print name: Date: This permit application expires If a permit Is not obtained within to day! after It has been accepted as complete. lPem }ItStEt.C.PmnitApp.AOe 0511]106 • Number of inspectio allowed per permit. I:\ Bailding 44a4615T(I 1105 /COMI W ka APR - 08 -2009 WED 08 :13 AM CHRISTENSON ELECTRIC, INC FAX NO 95034193695 P. 02 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ,EEiSIDE$TIAL' Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Burglar Alarm [] Garage Door Opener" ❑ Heating, Ventilation and Air Conditioning System` ❑ Vacuum Systems'"' ❑ Other. �CAIVI�ILIZCIAT;:W4I'U�ILY � „„ Fee for each commercial i $75.00 system . '(SEE OAR 918 - 309 - 0,000) - Check Type of Work Involved: Audio and. Stereo System.; ' 0 Boiler Controls ' Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation ❑ }-NAC ❑ Instrumentation • ❑� • Intercom and Paging Systems ❑ Landscape Irrigation Control` ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting ❑ Protective Signaling ❑ Other Total number of commercial systems: No licenses are required. Licenses are required for all other installations 1'•QnildinglPcrtnil : lPLGFeimirnpp dnc D3/ /p6