Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00625
COMMUNITY DEVELOPMENT
DATE ISSUED: 11/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CD-00500
SITE ADDRESS: 08050 SW PFAFFLE ST 110 ZONING: C - P
SUBDIVISION: PACIFIC CROSSROADS CORP LOT : JURISDICTION: TIG
PROJECT: ACCOUNTAX
Project Description: TI.
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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 17 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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 only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ACCOUNTAX MILESTONE ELECTRIC
10300 SW GREENBURG RD 1800 NW 169TH PL. SUITE B700
SUITE375 BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: 503 - 619 -1040 Contact #: PRI 503 - 645 -5323
FAX 503 - 690 -4843
FEES
Description Date Amount Reg #: ELE 34 -618C
[ELPRMT] ELC Permit 11/5/2008 $193.35 LIC 153480
[TAX] 12% State Surchar 11/5/2008 $23.20 SUP 45745
Total $216.55 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 throu• • •AR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
4 NM
Issued By: - Permittee Signature:
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.
Nov. 5, 2008 3:07PM Milestone Electric No. 3270 P. 2/3
• "Electrical Permit Art licatio x MK xxi t)H H l I I ' > '+. 1
F A x ,_ Ica
City of Tigard 13125 SW Hall Blvd., Tigard, OR 9 ..e ; .. , •
Review
Phone: 503.639.4171 Fax 503.598.1960 (9-00 , ✓y �, Other Permit , 9 , acf3 r.�:
Dana �"
I 1 „ 1 1 . , Inspection Line: 503.639.4175 Ready/By 'o B1 See for
a
Internet: www.tigard.or.gov n `��; T Supplemental Information
TYPE OF WORK ' O 1• s�Q PLAN REVIEW
New construction ❑ Addition /alteration/ ep la mil C) 1'�' �� please all t a (submit a sets of plena write= clicked Wow): El Demolition (a Other
1 3 V , AN A ❑Service or &oder 400 amps or more CI Building over three aeries.
1 wham the available limit °went ❑ Marinas and boatyards,
• CATEGORY OF CONSTRUCFIO ' ` � C1 cicada 10,000 amps at 150 volts or 0 Floating buildings.
�p, lest to sro= or exceeds 14400 Commercial -we aerl°ultural
Q 1- and 2- family dwelling It(Commercial/industrial i � building cops for ell other installations. buildings.
O Multi - family ❑ Master builder 0 Other. Prise pimp D lostailation of 75 KVA or
JOB SITE INFORMATION AND LOCATION • ❑Emery �= separately derived
" (] Addition of new motor load of 0 °A °,13 l
". °l - 2°, "1.3 ",
Job no.: g G 01 Job site addre � :0 ss� 10011P or ewe. occupancy. ❑ Stir or men residential milts. D Remeatim®l vehicle pads,
City/StBte/ZIP: �rQ / 0X 9 '► 3 ❑Reeleb -oere lha nos. D Supply voltage for more than
J CI Hazardous locations. CI valta =mini
Suite/bldgdapt no.: // o Project name: C ou ,i/Q X. in service or feeder 600 amps or mom.
FEE SCHEDULE
Cross street/directions to job site: Dereelptpt I Qej Fats k Wei I •
• New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no 1,000 sq. ft. or less 145.15 ' 4
Tax map /parcel no.; Ea. add'! 500 sq. f. or portion , 33,40 1
Leluted energy, residential 75.00 2
• DESCRIPTION OF WORK ' • ' . 1whhshoves/I.II
Limited ited energy, multi - family 75.00 2
./1/e.uJ 7`'�//el �Z>/ /i',7 e ✓ e/tZ 42411- residential (with above so. ft.)
Services or feeders laeeailation and/or relocation
• 200 amps or lass _ j ' 80.30 10,30 2
• . ' ❑ PROPERTY, OWNER' • ' • I ❑ TENANT' 201 amps to 400 amps ' 106.85 2
• tame: 401 maps to 600 amps 160.60 2
• 601 amps to 1,000 amps 240.60. 2
Address: Over 1.000 amps or volts ' 454.65 2
City /State/22: Temporary services or feeders installation, alteration, and%r
relocation _
Phone: ( ) Fax: ( ) ' 200 amps or less 66.85 1
. Owner Installat ion: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 , • 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 Imps _ , 133.75 2
Owner signature • Date: Branch circuits — sew, alteration, or extension, panel
A. Fee /Or branch circuits with
❑ APPLICANT • ' I 0 CONTACT PERSON each bov service
circuit feeder ( 6.65 113,c41 2
Business name: B. Fec far branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'l branch circuit 6.65 _____,_[ 2
Miscellaneous (service or feeder not included)
City / State /ZIP: Each maaufacerred or modular `
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 ' 2
E - mail: . Pump or irrigation circle 53.40 • 2
CONTRACTOR Sign or outline lighting 53.40 2
•
Business name: r Signal t (s) of limited.
f h 1/es e° flee 7 / C energy pana altmatloa ca
Address: /too A/c) /6 9± PA. e ? p v • extension. Describe: Page 2 2
City/State/ZTP: &a / ., ,/ -6A 0 R g7 CO‘ Each additional inspection over allowable in aaiotthe above
1 Per inspection 62.50 _
Phone: (C J) b`z s ` '�+ Fax: �)) 690 ^ 9 CC/ 3 Investigation per hour p br mla) 62.50
CCB Lie.: 5.3 gp Electrical Lie. t3 l.( (_f Suprv. Lie.: 21/35 _ sl plant per hour - 73.75 t
ELECTRICAL PERMIT FEES _
aprv. Electrician signature, required: �/edl ��y ?e Yl•c.c�y... Subtotal: ft? ? , 3 C'
e
Plan review (2596 of permit fee):
print name: Wi (> 42 e i4 2 vi Date; i ...5_0g S age (1296of
Authorized s1:41... permit fE ? .. 0
TOTAL PERMIT FEB: .24 (e.
s This permit application expires tf a permute nor atd 180
.. . w w " Print J p, .
ti ff � r D al? q / Date: 1/$ _ days athrlt hes bed. p
accepted as complete.
j' • Number of impeotioaa allowed per permit
CITY OF ��mu m ��m— mn��m������
��K ����U�U�U��� PERMIT ~° DIVISION #: ELC2008'00675
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1/5/2Um
Phone: (503) 639-4171 A,
Inspection Requests (24Hm.): (503) 639-4175 "41m1,, 41„
INSPECTION WORKSHEET FOR DATE: 1/9/2009 TIME: 7:01AkA PAGE: 12
SITE ADDRESS: � CLASS UB05@ SmVPfAFFLESJ110
SUBDIVISION: LOT #: TYPE � P�C|HC(�ROS��0AQS(� � �
PROJECT NAME: ACCOUNTAX
DESCRIPTION: � Tl.
OWNER: ACCOUNTAX, PHONE #: 603_619'1040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503.645_9329
Inspection Request Scheduled For: Date: 1/W2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 079552-04 503-201-5718 N
Corrections/Comments/Instructions:
\
\ --\,. .
N--. \ ZI \
U \
V�
ON:PAS - � � P�RT|AL APPR[x/AL �-1 CANCEL NO ACCESS
�� ��
' '^|L n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Cr NO6 (...*- Date: 1 ^C ^ Phone #: (503) 718- 7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 "(»'
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/5/2009
Phone: (503) 639 -4171
A (f �.�;r0
Inspection Requests (24 Hrs.): (503) 639 -4175 „ �'I I ..
INSPECTION WORKSHEET FOR DATE: 1/8/2009 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 08050 SW PFAFFLE ST 1' l0 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Ti
OWNER: ACCOUNTAX, PHONE #: 507.619.104t)
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 5p3- 645-5323
Inspection Request Scheduled For: Date: 1/8/2009 Pour Time:
Code # Inspec 'e - : es ' •tion Confirm # Contact # Message
199 , lectricaf . 079509 -01 503.910 -0250 N
Corrections /Comments /Instructions:
C.5c eV-4 i‘ `r
14e S ARTIAL APPROVAL ❑ CANCEL El NO ACCESS
IA
FAIL f] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / _se —af Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI..C2008.00626
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I I /5/2f�0t
Phone: (503) 639 -4171 ! p 'I'
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ': '_ ■
INSPECTION WORKSHEET FOR . DATE: 12/19/2008 TIME: 7 : 00At PAGE: 20
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: Ti
OWNER: ACCOUNTAX, PHONE #: 603. 619.1040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-646-5323
Inspection Request Scheduled For: Date: 12/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Coiling cover 079146-05 503-201-5718 N
Corrections /Comments/ Instructions:
•
0 Q Oyvi o ve / q 4 N i - k - t 0 v 4 - 0 •c-
S v s 6 3 1 c 1 e d - C l ; 11
I
QV /2 - 20 - 06
PASS ❑ PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS
HAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //- / Phone #: (503) 718-
CITY OF TIGARD
BUILDINd DIVISION
PERMIT #: EI.C2008-00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2008
Phone: (503) 639-4171 •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/1912008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACGOUNTAX
DESCRIPTION:
OWNER: ACCOUNTAX, PHONE #: 503-619-1040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 50'3-645-5323
Inspection Request Scheduled For: Date: 12/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 FJectrical rough 079161-01 503 Y
Corrections/Comments/Instructions:
Ctict 0 afpr. ith c/
•
4- et3
Ti PARTIAL APPROVAL CANCEL NO ACCESS
FAIL CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: Date: // /9 Phone #: (503) 718-
. , .
CITY OF TIGARD _
,. BUILDING DIVISION PERMIT #: ELC2008- 00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/20011
Phone: (503) 639 -4171 1 ° �a
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' F:_..
INSPECTION WORKSHEET FOR DATE: 1112612008 TIME: 7 :00AM PAGE: 16
•
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: T(
OWNER: ACCOUNTAX, PHONE #: 503-- 6191040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503. 545-5323
Inspection Request Scheduled For: Date: 11/26/20013 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
125. Wall rover 0785 -01 503-910-0250 Y ✓
SIaN 10( 57-14
Corrections /Comments/ Instructions:
•
SS 0 PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 12 /1/ Date: l f — 261 - P Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6000
Phone: (503) 639-4171 1 4700 1 1 Ak
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/2512008 TIME: 7 PAGE: 10
SITE ADDRESS: 00050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACP.OUNTAX
DESCRIPTION:
OWNER: ACCOUNTAX, PHONE #: 503-619-1040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 5B-645-5323
Inspection Request Scheduled For: Date: 11125/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 078499-01 503-910-0250 Y
Corrections/Comments/Instructions:
• •
'n G
(/ oall[a ts e ‘, 14
• • 140
el _c44
•
0 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
PAIL 111 CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED
. 000
Inspector: Date: it — 2 C Phone #: (503) 718-
, 1,0
CITY OF TIGARD 2.
BUILDING DIVISION PERMIT #: Ei_C2008-00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 J2oo 3
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,_..
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: . 01)05() SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIF=IC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: TI
OWNER: ACCOUNTAX, PHONE #: 603- 619 -1040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503.645.5323
Inspection Request Scheduled For: Date: 11/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical senvice 078386 -01 503.9100250 N
Corrections /Comments / Instructions:
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /.r 2 / � Phone #: (503) 718-
CITY OF TIGARD`
BUILDING DIVISION PERMIT #: FL C2008-006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /512008 '
Phone: (503) 639 -4171 t Inspection Requests (24 Hrs.): (503) 639 -4175 J.—
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 08050 SW PFAFFLE ST 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: ACCOUNTAX
DESCRIPTION: -rl.
OWNER: ACCOUNTAX, TAX, PHONE #: 503 - 619..1040
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 - 5323
Inspection Request Scheduled For: Date: /1/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 077978-01 603.910 -0250 N
Corrections /Comments /Instructions: \ f /
► PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr • N 66 LIE Date: q--12,- Phone #: (503) 718- 1�4J0