Permit I '
ELECTRICAL PERMIT
CITY OF TIGARD
y ., PERMIT #: ELC2006 -00159
DEVELOPMENT SERVICES DATE ISSUED: 2/27 /2006
°7I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 200 ZONING: C - G
SUBDIVISION: HOFFARBER TRACTS NO.1 LOT : 002 JURISDICTION: TIG •
Project Description: (2) branch circuits for (6) outside wall pack lights.
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: 1 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:
TIGARD PROPERTIES INC CHRISTENSON VELAGIO, INC.
2106 SE OCHOCO ST 1631 NW THURMAN ST. STE 200
MILWAUKIE, OR 97222 PORTLAND, OR 97209
Phone: Contact #: PRI 503 -419 -3600
FAX 503 - 419 -3636
FEES
Description Date Amount Reg #: LIC 64137
[ELPRMT] ELC Permit 2/27/2006 $53.50 ELE 26-1174C
[TAX] 8% State Surcharge 2/27/2006 $4.28 SUP 19945
Total $57.78 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.
Issued By: Permittee Signature: ..e,
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.
FEB -24 -2006 FRI 02:19 PM CHRISTENSON VELAGIO FAX NO. 95034193695 P. 01/02
•
■a -.? i I OIt 1►I IFI(•I•: t�si: ONLY Electrical Pe�>�it• • i�. J IVED
City of Tigard Received , --
Date/9 : "0 0
13125 SW Hall Blvd., Tigard, OR 97223 EB 24 2006 Plaa Rev w Other
Phone: 503.639.4171 Fax: 503.598.196 ' " • r''` I ' pates
Inspection Line: 503.639.4175 - , .y J. "'''I a� Date Ready/By: rage 2 for
Internet: www.ci.tigard.or.us CITY OF T1. 6 ' . W Notified/Method: Supplemental information
T � ;�,'4, a ti / . 3 '`�'`;..1a11'#.�y its F, 5t3 ,. '• -r. t , t �? , t ' / '� ' 1 ,1, 70,;4r .', - T.'.:,
'?�'x :� t a - � ,. � ...,:.: t r w, ✓'.d!r. 1er4ar',y. �
0 New construction Addition /alteration/replacement Please check all that apply:
OService over 225 amps, camel ❑Hazardous location
El Demolition ❑ Other ❑Service over 320 amps - racing ❑13uildng over 10,000 sq. ft.,
.
-s. e, , �. �* �.,e:i + �.y x Ii s 4 it more new resident
h:. •4' • „h'Aw - 4: +i. c1.... , :t ,!. ' of 1- and 2- fermly dwellings
11System over 600 volts nominal units in one structure
O 1 - and 2 family dwelling Commercial /industrial ❑ Accessory build;nn a
iBuilding over three stories ❑ Feeders, 400 mp s or more
❑Mniti family 0 Master builder [] Othe - (]Occupant load over 99 persons ❑Manufactured structures or
M.i r y , ,� rr:;M + - RV park
' ` 04.0 :0• .Vii 0•', 11w r 41Athi iffe ': ' i4 ❑Egress/lighting plan
`"" t '' ❑Health -care facility ['Other:
Job no.a C71 I Job site addre 4: 'I 9 c�l ) 14 le, __•cc� � Submit 2 sets orphan with any of the above.
/ State/ZIP '- The above are not applicable to temporary construction service.
Ciry (1 7 • ` �I �R° ��
11 '' =6`la fi; "7 ar/��'h � � 1 .. .,I; tL'�''�C•„yi��,?* ��..t��,:
' r•; � ���.. b', 4, s+ �:.: �►; w�' �',`_ ��il�tTi .._$�.IQ1�_b'i:e1�'<: �`l,�•`....M•
Suite/bldg. /apt no.: Project name �i'j I !—S » pemn � cm . � R. I Tm.1 I ..
Cross street/directions site: kj,.) 88� F PO./ �_ New residential single or multi - family dwelling unit.
,nciudes attached garage.
t U1c 1 .. Q (' \ � gyp . 3C ll - i - ,—,
1 on 1,000 sq- ft. or less 145.15 4
Subdivision: - L _S L of no.: U Ea add'( 500 sq. ft. or portion 33.40 l
I -"- / • ` • Limited energy, residential 75.00 2
Tax map /parcel no.. ... Limited energy, non - residential 75.00 2
._.....'-'r. ;: - ' ::., f1 ES 1ON .� y N ;t�::' . 1 :i � �'
'� ~ < "''r;.i. :'.: ?y`T'`"s�� • = F:`,l) •. F��YO[tJt': � �_�;�.tir.,;'; ale ' =.,•., Each tnanufacturcdormodular LL., --Tactii f'F� #Cj, \ co � 1 1 el I ; ! :e: 2
` u... O installation, alteration, and/or relocation
200 amps or less 80.30 2
,,, _ •,. , t: • 20L amps to 400 amps 106.85 2
.. };: '- r�= `�"Q "R1�Qp iC1?�!1!1Pi,1i tS. • r'- �'. 3,r. i i, ���• „'. °,, .'e; s. • 401 amps to 600 amps 160.60 2 •
Name: 0 i A. • , 601 amps to 1,000 amps 240.60 2
Address: :7` tr , Over 1,000 amps or volts 454.65 2
.” -" �-�" — S �� • g Reconnec[ only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is bring made on property that I own which is not 201 amps to 400 amps I 1 00.30 2
intended for sale, lease, rcpt, or exchange, according to.ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.7 2
Owner signature: Date: _ Branch circuits_- new, alteration. or extension, per panel
t : w , �: ,u �;•=:; :1�; ; ;y ' ' r'i' `J °::?:i' A. Pee for branch circuits with
hi::. s ..-:? [•:� <'�;:APi ;< �alc�).�.. G_: # ',, �, • . , �h. ` •,.. service or feeder fee, each 6.65 2
Business name: brunch circuit R'
_ B. Pee for branch circuits U
Contact name: without service or feeder fee. i.f r E(► 2
each branch circuit (Air
��it�
Address: _ Each add'l branch circuit / 6.65 6,4 2
City/State/ZIP: Miscellaneous (service or reader not Included) _
Pump or irrigation circle 7 I 53.40 _ 12
Phone: ( ) ,Fax: ( ) G Sign or outline lighting 53.40 • 2
- E -mail: Signal circuit(s) or limited- 75.00
y �; s + r s!i'� u ►'' f " '`^ "S energy panel, alteration, or
;�siz`rK'; D;_..3 >��'?s X01! 1' �iPC'O>: ..srhi%.:,�';. <w �r"#: ;, r e 2 2
extension. Describe: Page
Business name: CHRISTENSON VELAGIO, INC. .
Address; 1631 NW THURMAN ST 2ND FL Each additional inspection over allowable In any of the above
Per inspection 62.50 ,
City/State/ZIP: PORTLAND, OR 97209 - 2558 1 Investigation per hour (1 hr nun) 62.50
Phone. 0 419 - 3300 I Pax: (503 ) 419 -3333 Industrial plant per hour 73.75
• CCB Lie.: 64137 I Electrical Lie.: - 174C 1 Suprv. l.ie/ 1994S 5-Y5?) Subtotal .(
Suprv. Electrician signature, required: J4q •I Plan review (25% ofpe mil fee) y0
Print name: ROBERT AXT ( Date :, A Z/ " 1 X �, Slate surcharge (8% of permit fee) j� V.4
l! TOTAL PERMIT FEE ♦ ea O
Authorized signature: This permit application expires it a permit is not o , , hied within 100
days after it ass been accepted as complete
Print name: I Date: • Fcc methodology set by Tri-County Building Industry Service Board
•• Number of inspections per pemtit allowe>L ��
. eulldingp ' PemdtApp.dae 17/03 44tH615T(Iao2/COM/WEB .3 7
r CITY OF TIGARD
BUILDING DIVISION � PERMIT #: Zeie6" /� 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -' I �
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 ! 9 ! - �� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Schedule. or: Date: Pour Time:
) Inspection Des ripti.•n Confirm # Contact # Message
/ `lq b„,
C 404 Cc)
.• rrections/Co ' ments /Instructions:
d- (1)
p ly
CC
ti
►! PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
(� Inspector: l NeLE Date: 3 ,/D Phone #: (503) 718 -2-4u •
CITY OF TIGARD &Lc
• BUILDING DIVISION PERMIT #: 2O6 66 ! 5-7 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 &mo , i v i lx
Inspection Requests (24 Hrs.): (503) 639 -4175 1L_
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / / 7 6 zoc, CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -7 -06, Pour Time:
Code # Inspection Description Confirm # Contact # Message
19 2aO -Lit/7
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ,CALL FOR INSPECTION ❑ DDITIONAL FEES ASSESSED
Inspector: 0 (�E Date: 3 1 0 O Phone #: (503) 718- 1.44
1