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7875 SW Hunziker Street
\ + ���. �� ������ ELECTRICAL PERMIT
G PERMIT#: ELC2002-00446
DEVELOPMENT SERVICES DATE ISSUED: 915/02
13125 SVV Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101I3D-00103
SITE ADDRESS: 07875 SW HUNZ IKER ST
SUBDIVISION: ZONING: i L
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of(1)branch circuil in warehouse.
RES'DENTIAL UNIT _ _ TEMP SRVC_IFEEDERS _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:
MANE HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER ----BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp W/SERVICI~ OR FEEDER: PER INSPECTION:
201 - 400 amp: list 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 on!y�__ ___ SVC/FDR >=225 AMPS: CLASS AREA/SPEC UCC: _
Owner: Contractor:
H G M CO RANDALL HILL ELECTRIC INC
BY NORRIS BEGGS + SIMPSON 14819 SW BELL RD
ATTN: BLAKE HERING SHERWOOD, OR 97140
PORTLAND, OR 97204
Phone: Phone: 625-5606
Reg#: LIC 56501
SUP 3051S
ELE 3-257C
FEES ,__ Required Inspections
Type By Date i Amount Receipt Rough-in
PRMT CTR 9/5/02 $46.85 2720020000( Elect'I Filial
5PCT CTR 9/5/02 $3.75 2720020000(
Total $50.60
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 wi,n 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 952-001-0080. You may obtain copies of these rules or direct questions to
/. Issued By: � �
Permit Signature: qL 1 1 t! , . �.1� J c._ �.�: '�t _.
OWNER INSTALLATION ONLY
The installation is being made on property I awn which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE: _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _�__ ��___' �- –_ y -- _ DATE:
LICENSE NO: _ — --------_�_...-- ------ .
Call 639-4175 by 7:00pm for an inspection the next business day
ElectricalPermit Application
Date received: Permit no.:
City of Tigard Project/appl.no.: a date:
Cify,/fTigard Address: 13125 SW Hall Blvd,Tigard,OR 47223
Phone: (503) 639-4171 Date issued: Receipt no.:
Fax: (503) 598-1960 1 Case file no.: Payment type:
Land use approval:
t
U 1 &2 family dwelling or P•ccessory U Commercial/induslnal U Multi-family U Tenant improvement
U New construction Addition/alteration/rept rct•mcnl U Other: U Partial
"YOM11191-art)
Joh address:
&r)ZI '�, "�' Bldg, no.: Suite no.: Tax reap/tax lot account no.:
Lot: Block: Subdivision: t
Projecl name: Description and locnti)n o1"work on premises:
Estimated date of completion/ins ection: ���
Job no.
i
-- ------- 1'er Mak
Business flame: Description Qty. (ca.) 'total no.ince
Address: j el C New residential•single or mnhi-ramii�per
dwelling unit.Includes anache d garage.
City: !' 1 lei, . Slate: ZIP: I Service Included:
Phone:(p'a' eZ)j trAV V E-mail: lulu sq ft.or less ___ _
CCB no.: t)l Elec,bus,lie.no: r Hach additional SINI s ft.or portion thereof
CI Biro lie.no.: Limited energy,residential - - 2
Limited energy,non-residential 2
_ - _Z' Each manufactured home or modular dwelling
Signanrre ul st�xr i.I r clec n uirrd) —-�T- pale Service and/or feeder 2
Sup.elect.name Ipr License nu: e- Services orfeeders-InsUllallon,
PROPERTY 011NER alteration or relocation:
N2(x)amps or less 2
ame(print):_ 201 amps to less amps 2
Mailing address: 401 amps to 600 amps 2
601 amps to 1000 amps
City: SlHle: ZII': (her 10(X)amps or volts
Phone: 2
FAX: E-(nail: Rcttmnecl»nl l
Owner installation:The installation is being made on property I ()"'It Temporary wrsicesorfeeden-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
oRS 447,455,479,670,701. 200 amps or less 2
01 amps io 4(ss amnps 2
Owner's simature: Date: __ — --
401 to hes)ams 2
Branch circuits-nen,alteration,
Name: or eatenslon per panel:
Adclrcss:
- A. Fee for branch urcuns with purchase of
service or feeder fee,each branch circuit 2
IIY:�- Stale: 7.IP: B. Fee for branch circuits without purchase
Phofle: Fax: F-mail: i of service or feeder fee,fiat branch circuit 2
Fisch additional hranrh circuit
V 1171
11, Misc.(Service or feeder not Includedj:
O Service men 125 mips•conn»ereiai U Health-care facility Each pump or irrigation circle 2
U Service over 120 amps-rating of I&1 U Hazardous location Each sign or outline li hong
familydweltings U Building over MAN)square feet four or Signal circuits)or s limited torr sort.
U S stem over 6(Ns volts nominal gy p
y more alteration,orexlension• 2
U Building over three stories U Feeders,40(1 amps or more ,
U Occupant load over 99 persons U Manufactured structures or RV pmt l)r'scnp ilio_
U F rium/fi htin Inn tach pectlotral fnspesNion over the allowable In any of the above:
R g @P U Other -- I'cr inspection
Submit-___sNs of plans with any of the above. Investigation fee ._
'I he above are not applicable to temporary construction service. (lthcr
Not all jurisdictions accept credit cards,please call jurisdiction fnrmare infnrmamrxr Notice.:This permit application Permit fee........I............$ Y
U Visa U MasterCard expires if a pennit is not obtained Plan rcvicw(at , %) $ ��
Credit card osmose L_ _-l within 180 days after it has been State surcharge(8%)....$
Name of cardholder as shown nn crrd;;��;
i— esprrr` accepted as complete. TOTAL $
E
C r sipratrae Amount _
4Mn 4613(64X)/('OM I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
E yyY1 MST
INSPECTION DIVISION
Business Line: (SU3) 639-4171 tn1
c-
V BLIP
Received _ Date Requested-� —L _ - AM PM-- BLIP
Location _-7-Y7 S --Suite _._ MEC
Contact Person ' ___ Ph( ) PLM _
Contractor _! - _ —— Ph( ) Y -7 'Z 33 SWR //LL
BUILDING Tenant/ ner ._ ELC `i6 �
Footing ELC
Foundation '"— —`-----------
Ftg Drain Access:
Crawl Drain ._ � ELR
Slab Inspection Notes: — SIT
Post&Beam P
Shear Anchors -
Ext F6oath/Shear
Int ;hea:h/Shear - -
FraiAng - -_
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling
Roof
Other. ----
Final
PASS PART FAIL �_—
PLUMBING
Post&Beam
Under Slab --
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole _
Storm Drain
Shower Pan
Other: ---
Final
PASS PART FAIL ----
MECHANICAL
Post&Beam
Rough-In
Gas Line - --
Smoke Dampers
Final _^
PASS PART FAIL - --
ELECTRICAL
Service - --
Rough-In
UG/Slab -- — --
Low Voltage _
Fire Alarm - - - -- -
PART FAIL Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
$ ❑ Please call for reinspection RE:_ Unable to inspect-no access
Fire Supply Line
ADA -21
Approach/Sidewalk fDa•ttllf �T�° Inspector ftt
Other:
Final DO NOT REMOVE this I119Pectlorr record from the Jph site.
PASS PART FAIL