Permit ELECTRICAL PERMIT
F. TIGARD
A � i� DEVELOPMENT PERMIT #: ELC2006 -00015
� CITY.k( SERVICES DATE ISSUED: 1/10/2006
1 3125 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: TIG
Project Description: (2) circuits for cadet heaters in upstairs office, (1) for entrance light. Job #W16699.
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: 10 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:
HI-10 + B ASSOCIATES, LLC CHRISTENSON VELAGIO, INC.
BY H + A CONSTRUCTION CO 1631 NW THURMAN ST. STE 200
PO BOX 23755 PORTLAND, OR 97209
TIGARD, OR 97281
Phone: Contact #: PRI 503 - 419 - 3600
FAX 503 - 419 -3636
FEES
Description Date Amount Reg #: LIC 64137
[ELPRMT] ELC Permit 1/10/2006 $60.15 ELE 26-1174C
[TAX] 8% State Surcharge 1/10/2006 $4.81 SUP 19945
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. . �� p
� Issued By: rC_ Permittee Signature: �J%L.,C, c5,� \
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.
,.JAN -10 -2006 TUE 08:56 AM CHRISTENSON VELAGIO FAX NO 95034193695 P. 01
Electrical Permit A 4 l t.)ll (:)I,,,,,, I,sv: ()NI.Y
Received a® ",, , v
City of Tigard / Pe No
Datdv : J b
13125 SW Hall Blvd., Tigard, OR 97223'p pp ��@@ 1
Ph 503. 639,4171 Pax: 503.598.194C1i1`6 t' liNi'i • I i` Date/B t
'2 . Date Ready/BY ® See Page 2 for
Internet: Ins ection Line: 503.639,4175 .a�� -- NM Supplemental tnformatign
P ® n ,edlMath Internet: www.ct.tigard.ar.us TIGARD ,_�,� - ;.. .
IV OF TIG , ,..,,. , . N .4 t , .tKY' !7w.ii " l� yt,. tl'� "�- ' ��i���'k, �'� t wl"�1 �2'�i eC�
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;_�,; 1'. ; 1. ,'yg �'- e : t a r p '5 '+� ...1 .1 .. S+.bl2,.. 4!nu rL" r r I S axC, .:�:�•t ;�i. n ti. nIF:. B' 'w : uFr. ",R'2'. ' i .
:not l: {:'ll ^ ; ,.; : , ,i� � '�a � 9 , s •t , t a k,., �k! 1 1`�t31:'. t... , ... , ..,,.- .t..rN �.,� ... �. ,, ....
.'.: ii„ t%, Z' t^ iti�.` 1�1' �d'': �.. �; t' I � \'.finh � ^1 �lrY .,.. „ , ... s�n,;:..1�.:!F.��. ,w'f�h!' I::���
'
❑New construction ►� Addition /alteration /replacement Please check all that apply:
°Service over 225 ❑ Demolition E] Other: °Service ovcr 320 amps rating ❑ B
c g uildng over 10,000 sq- ft.,
a, .. , . , ,,;,,: 1 , , t �; , i ra ? : :': i' n e 1 4 or more new residential
.. - . . 4' " . � ''' u \ of 1- and 2-family dwellings ;l'i: ,' m ;.. ; " *� h `, i tit 7y; 411: rA+^, °.'�'Qi " 'au k� - P[ , . V;
�, , ;r �,�„ r ,I ..t." 1 " i j • �.� +.,, ����. +�L ,'�A�. T ' a��`, tl y,
°.1^: " ?�;il.t�i�,a; i. t; �t; �� 't' ^' %•, A!; r . t � • ....,� C:. i "'"' - units in one structure
over 600 volts nominal
I:1 1 and 2-family dwelling C ommercial /industrial I=1 Accessory building ° Building over three stories ❑Feeders, 400 amps or more
❑ ily Master builder (=Manufactured structures or
Multi�fAtt+ U Other: ❑Occupant load over 99 persons �.. . r R
,�... . e ..:1• r '• I`: Cy,"�.r z ;0 RA : � • ^ { q 'tII ❑G RV plan V park
4, ik4 "?..;441, 'Ali ? f, 0 p G A I �''1..1� u i'. i , a' .0ro :`iii: F, 1
^ ;'; 1.;,„:. 1I;. 4ia 1, l(; ,,;a,,l,. " t. 1,. - ❑Other•
• � j]I'Iealth -care facility '
Job no.: Job site address: g;3 Si) Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
Cit /Start /ZTP: R � - I -3 q , F � , iii N;r ,,
�" � ` A+ �h'"''� +�� . . + � ^
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'. �1�i 1��;�i , •
.�i� " .i'a , .y.,:,.. ..'•i' ..
Suite/bldg. /apt, no.: Project name: VV Dctglption I Qty. Fee. J Tntai
t t a 5t 3 �T3 o r New residential single- or multi-fatally dwelling unit.
Cross street /directions to job site; i
4 It . A Includes attached garage. _
1,000 sq. ft. or less 145,15 4
Lot no.: Ea. add'i 500 sq. ft, or portion 33.40 _ 1
Subdivision: Limited energy, residential 75.00 2
Tax map/parcel no.: enemy, non-residential 75.00 2
, .
�. ;; .;, `q t ";r ; ;'∎,., ,jt i :':�• . Each manufactured or modul
,�4� ' f�' rr rl i -,; . � ' �� �.�L)1?s; WU�C;';i�a':;,. ,.r� � -_ ar
:; ;; ::: , ■_ ..:.'; . ;,•: 0'• :;: - Fn3GR 1Vi , [ dwelling, service and /or feeder 90.90 2
tk A. du. , I a. .,t.f % I a S LL Services or feeders installation, alteration, and /or relocation
C M- ■ A O 200 amps or less 80.30 2
V ' 'y1 , V u 20l amps to less amps 106,85 2
,,, _ ., . ':."!•° l, c., :.:0;:..; ;; ;J.;..1�'V ; .1fE1; 40.11 ,.tg; ` -,;,:;:,,, ",, 06.85 2
1 .; ;` Q1rE .., rIWN . T{.. ....:: : ..... ,_,,_ . v. �� amps 00 amps
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts _ 454.65 2
Address: _ _ - - Reconnect only • 66.851 2
City /3tate/ZIP: Temporary services or feeders installation, alteration. and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 f
Owiier 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 OILS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2
Owner signature:
Date: ) circuits - new, alteration, or extension, per panel
r��tl s: • A. Fee for branch circuits with ii11`i' r:l';G':`,�+'I,c % "?aS `�'T: !'i;'ti�'.7 �k tkJ• 4;(" Q 'N:1r`r?- ";�Wi.Y; - i ": a each
,: .,„ z 1hf';t,�i�'Yis1Ci#rl'T%c.; ...:a .... r = service or feeder fee, 6.65 2
b
Business name: ranch circuit
_ B. Fee for branch circuits
Contact name: without service or feeder fcc, t 46.85 Y 25" 2
each branch circuit
Address: Each ndd'I branch circuit 2- 6.65 l 3 5t 2
City /State /ZIP:
Miscellaneous (service or feeder not it eluded)
Pump or irrigation circle 2
� 53.40
Phone: ( ) Fax: ) _ _ Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited- 75.00
w,, ,,.;- „:r sa y ,,.., r . "r energy pan alteration. or
,r: ;�- :S 4'b'e . rt'. J'y, ".,1'. ,,k, :1J:gifn 7�•� 4 �..'.1:;.Se� 2
�, 2'. n {` �!/�`y�, pAFR, �: G j 1:,,,. ±:'i�, W . t:x; extension. Describe: Page 2
1 '.. �1''�y", ..�� �F',�i;YTi- tM�1+1V�,.i 1''"l� "*i °,li..". � 'i�: A. i•."Y k.n:l•YV' � 'f�'.. 4 :1� M.
Business name: CHRISTENSON VELAGIO, INC. . _ - -
1631 NW THURMAN ST 2ND FL Each additional inspection over allowable In any of the above -
Address: - _ -- Per inspection 62.50
City /State /ZIP: PORTLAND, OR 97209 - Investigation per hour (ihrmin) 62.50
Phone: (503) 419 -3300 L (5 03 419 lndu, trial plant per hour 73.75
) 4 � 33 ,:A ' .'3'. 'x Ems T MJ.''FEES ''i+a:R;' "I tv.yj,.;
CCB Lie.: 64137 Electrical Lic.: - 174C Suprv. Lie 1994S Subtotal (IA, tr'
Plan review (25% of permit fee)
Suprv. Electrician signature, required: -
State surcharge (8% of permit tee) It'
Print name: ROBERT AXT - Date' l I � 6 TOTAL PERMIT FEE (:4. q i
Authorized signature: 1 This permit application expires If a permit Is not obtained within 180
clays after It has been accepted as complete
Print name: w I Date; w Fee methodology set by Tri- County Building Industry Service 130
Number of inspections per permit allowed.
l: \Building \Formic: \ULC- PermitApp. 12/03 44O.4615TOn /o2/COMIWEH
CITY OF TIGA D, ,
BUILDING DIVISI N ' PERMIT #: ELC2006.00015 4
13125 SW Hall Blvd., Tigar OR 97223 DATE ISSUED: 1110/2006
Phone: (503) 639-4171 ..
39 -4171 u�W ¢ ' �I
Inspection Requests (24 Hrs.): (503) 639 -4175 I `'I I..
INSPECTION WORKSHEET FOR DATE: 7#1012006 TIME: 7:05AM PAGE: 13
SITE ADDRESS: 06330 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: .
PROJECT NAME: WESTERN PARTITIONS INC
DESCRIPTION: (1) branch circuit for entrance light. Job #W16699.
OWNER: HHO + B ASSOCIATES, LLC, PHONE #:
CONTRACTOR: CHRISTENSON VELAGIO, INC PHONE #: 503- 419'3600
Inspection Request Scheduled For: Date: 7/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032865 -01 503- 936-2141 N
Corrections/Comments/Instructions:
S PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: qN 1\168 v( Date: i 1 liSi€4 Phone #: (503) 718- 2-41-14t)