Permit CITY OF TIGARD o. ELECTRICAL PERMIT
1111 • COMMUNITY DEVELOPMENT Permit#: ELC2013-00015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD, STE#201
Project: Steele&Nannini Subdivision: VARNS ACRES Lot: 3
Project Description: (2)branch circuits for TI 1/24/13 REPRINTED Correct suite address
Contractor: A C& E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
3535 DEL WEBB AVE NE#100 HUNZIKER LLC
SALEM,OR 97303 9430 NW KAISER RD
PORTLAND,OR 97231
PHONE: 503-363-2301 PHONE:
FAX: 503-363-2302
FEES
Quantity Description Date Amount
1 crt Branch Circuits w/Purchase 01/09/2013 $7.42
Specifics: Service or Feeder
1 crt Branch Circuits wo/Purchase 01/09/2013 $56.18
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 01/09/2013 $7.63
Electrical
Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports(Conditions)
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 OAR 5 -001-0090. You�maaynobbtt�ain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: d'J .L-1 Permittee Signature: O� AWL/64770,d_
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept Ina 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.
CITY OF TIGARD ELECTRICAL PERMIT
q
COMMUNITY DEVELOPMENT Permit #: ELC2013 -00015
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 200
Project: Steele & Nannini Subdivision: VARNS ACRES Lot: 3
Project Description: (2) branch circuits for TI
Contractor: A C & E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
3535 DEL WEBB AVE NE #100 HUNZIKER LLC
SALEM, OR 97303 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 363 -2301 PHONE.
FAX: 503 - 363 -2302
FEES
Quantity Description Date Amount
1 crt Branch Circuits w /Purchase 01/09/2013 $7.42
Specifics: Service or Feeder
1 crt Branch Circuits wo /Purchase 01/09/2013 $56.18
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 01/09/2013 $7 63
Electrical
Type of Const:
Occupancy Grp:
Total $71 23
Required Items and Reports (Conditions)
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 OAR 952- 01 -009 You may obtain / a copy of the rules or direct questions to OUNC by calling 503 232 1987 or1 332 2344
Issued By: 952-
c 2 �/ Permittee Signature: D �"' r1 r' _4-'C T1 v
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
01/09/2013 11:25 5034850586 ]� AC &E ELECTRIC PAGE 02/02
Electrical Permit Application RECEIVED FOR OFFiCE, USE ONLY
City of Tigard Received Datc/Hy: i r '1' �I 3 ma
Permit p/ - b .0Dt
^ 13125 SW Hall Blvd., Tigard, OR 97223 ! n N 0 9 2013 Plan Review Other Permit:
i 0 '• Phone: 503,718,2439 Fax: 503,598.1960 Date/Bv:
f I C. A R D Inspection Line: 503.639.4175 C ITY OF TIGARD Dote Rndy/By: AHaa m See Pace 2 far
Internet: www.tiitard -or.gov y CITY � n wlslO N l�ethod: f (f Supplemental information
1 :S -4� ; .f . ` .. ^� 4 • _ W g of , #! W V . �f ':" • `:` 7, ,' rt :., F o, • p4`I' : *',` '' s ,. �, '
:y�C, �::.ie �Si• .�.�,�,.�� a �*- '�r. ". _, -.. ., ... : � "�+^'. ;<','�-�`. .
. +a` a,;�;. � '.-�..e, p ' �n.,y+ .��- ;,'�`•�` '
0 New construction 0 Addition /alteration /replacement Please check all that apply (submit 2 acts of plans w /items checked below):
0 Service or feeder 400 amps or more 0 Building over throe stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
..6 - '., y c m seeds 10,000 amps at 150 volts or Q Flouting buildings,
"' less to grormd, or exceeds 14,000 D Commcroial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations, buildings.
0 Multi- family ❑ Master builder ❑ Other: ❑fire tromp- 0 installation of75 KVA er
s - ' r f + ; , �O Srt }•1 : _ O >+mcrgena5 system. cad 0 lnrgcr separately derived system.
'''r W 4 ROR - tl `A.l13- Ilk -- 014, 7 '" L.f -.'t
., -. �- .,.a. ,� Sr -•nr �:.• - C; ° Ai •rte- CI Addition of now motor I of "A", B`, "1 -2 ". "1 - ",
t 00HP or more. omnpancy.
Job no.: Job site address: 734() Qttn7.iker ['Six or more residential units. 0 Recreational vehicle parks.
City / State/ZIP: Tigard OR ❑ Health -cm facilities. ❑ Supply voltage for morc than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 200 , Project name: Steele & Nannini ❑ Service or fader 600 amps or more.
Cross street/directions to job site: tptien I Qtr. j pea i
De.er Total
New residential single- or multi- family dwelling unit.
includes attached garage.
Subdivision: I Lot no.: 1,000 sq. f, or less 168,54 4
Ea. edd'i 500 sq. ft. or portion 33,92 l
Tax map /parcel no.: Limited energy, residential
�rxr: -,� q ' S rbl ) :` .:4'W- 48'4,1 41?:, (with above R,) 75.00 2
A•Y1r -,fIC " " * y`�''� =w +l ::�� 1•
Limited energy, multi-family
T1 Remodel residential (with above sq. ft) 75.00 2
Services or feeders instalation and/or relocation
200 amps or less - 100.70 2
i ROa ",(S.k li" ""`,, i ` r a �'
,, fi aa` ;' 201 amps to 400 amps 133,56 2
- 401 amps to 600 amps 200.34 2
Name: _ 601 amps to 1.000 amps 301.04 2
Address: Over 1,000 amps or volts , 552.26 2
Temporary services or feeders Installation, alt and/or
City /State/ZIP: relocation -
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps
125.0R 2
— Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new alteration or extension. er anal
Owner signature: Date: A. Fee for branch circuits with
'oi" " * ° ' _ ' ' +OTILSO +•ate' ' - : about service or fader foe, 1 7.42 7.42 2
w ,3 ';AII �' /. 'Xf G�zr. J h mach branch circuit
Business name: B Pee for branch circuits without
service or feeder tee, first 1 56.18 56,18 S
branch circuit
Contact name:
Each eel branch circuit 7.42
Address: Nliscellaneoas (service or feeder not included)
Each manufactured or modular 67,84
City / State/ZIP: dwcllin: service and/or fbcdcr
Reconnect only 67,84
Phone: ( ) Fax :: ( )
Pump or irrigation circle 67.84
E -mail: Si or outline li ghting 67 .
X 47 : y"r- ' .;,-F „ ' =#.7C N'! 'CT + 0`' ''• .'',:_. ''41,171.x,' :) ,79,4 Si circuit(s) or limited-energy
•anal, alteration, or extension. Pale 2
Business name: Carl Duncan Each additional ins�cetion over allowable in any of the abov
Address: 3535 Del Webb Ave Additional inspection (1 hr min) 66,251 hr
Investigation (1 hr min) 66.25/ hr
City /State/ZIP: Salem OR Industrial plant (1 hr min) 78,18/ hr
Phone: ) 503 -363 -2301 ax: ) - inspection for which no fix is 90.00/ hr
( I \ Toll listed % hr mm
CCB Lic.: 591 Electrical Lic. :/ Suprv. Lie.: 5387S S. ' ,;. 7. . V6R14r0 ' '
Subtotal: 63.60
Suprv. Electrician signature, required: , 4 ,YAA _ Plan review (25°% of permit fee):
Print name: Carl Duncan W Date: 01/09/13 State surcharge (12 of permit fee): 7,63
TOTAL PERMIT FEE: 71.23
Authorized signature: 'ibis permit application expires if is permk is not obtained within 180
days after it has been accepted as complete.
Print name: J Date: • Nnmher of inspections allowed per permit
I IDuldilgt\ rmitb\LILC- PoraItApp.doc 07 /01 /10 440- 4G15TOI/OSICOM/WEB