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Permit C IT •a OF TIGARD ELECTRICAL PERMIT q PERMIT #: ELC2008 00160 COMMUNITY DEVELOPMENT DATE ISSUED: 7/30/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 136C D -00500 SITE ADDRESS: 08020 SW PFAFFLE ST ZONING: C -P SUBDIVISION: PACIFIC CROSSROADS CORP LOT : JURISDICTION: TIG PROJECT: PACIFIC CROSSROADS CORP.CENTER Project Description: Building A. New building shell. 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: 2 W /SERVICE OR FEEDER: 5 PER INSPECTION: 201 - 400 amp: 1 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: X CLASS AREA/SPEC OCC: Owner: Contractor: CEDAR HILLS DEVELOPMENT HILLSBORO ELECTRIC 915 NW TORRYVIEW LANE 21185 NW EVERGREEN PKWY #110 PORTLAND, OR 97229 HILLSBORO, OR 97124 Phone: 503 - 299 -3100 Contact #: PRl 503- 439 -9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -499C [ELPRMT] ELC Permit 7/30/2008 $300.70 LIC 134481 [ELPLCK] ELC Pln Rev 7/30/2008 $75.18 SUP 49415 [TAX] 12% State Surchar 7/30/2008 $36.08 REQUIRED ITEMS AND REPORTS Total $411.96 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 -001 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: j am, ' ( 1 , Permittee Signature: , i •' 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. ROo2d cct a . �rA-c /2� IT . trice. Permit Application FOR OFFICE USE O:NL1 of Ti an d Receives �.; 13125 SW Hall lvd., Tigard, OR • 97223 o DRat:1;e: i /T�� I : ' : , Plan Review 3598. o i • : . f(/J ,-.. 0 - 1 Inspection Line: 503.639.4175 a1G ., J. : : DateRv: ` ` Date Ready /By: Juris: 0 See Page 2 for Internet: www.ci.tigard.or.us ^ Notified/Method: Supplemental Information L 0 0� TY i [✓] OR { - - ...... ,:. .�, .... PLAN REVIEW. :•.,:: ;.: <::: `_ =:� " 'New construction ❑ Additio Demolition . n a{ttt¢ti`�Ilh!' . Please check all that apply: ❑ ❑ Otl�t �v J�� ` :.,,:... [gervice over 225 amps, comm'I ❑Hazardous location `` � ❑Service over 320 amps - rating ['Bulldog over 10,000 sq. ft., " CATECO CtNSTRUCTION- ' . of I- a nd 2-family dwellings 4 or more new residential ❑ 1 and 2 family dwelling [Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ['Building over three stories ❑Feeders, 400 amps or more El Multi family 0 Master builder 0 Other: Ma fac structures or .: JOB SITE IN.FORMATION LO CATION ; . persons RV park Job no.: 593D I Job site address: ccu ntload over 99 :...,..,.� ... :- . -:. ; :.:.:. . ....:::;:.. _: ::- :.: ❑Eb�ess/lighting plan P b7� Cu) f (1,t. ❑Health -care facility ❑Ot • City/State her: r � i tf� The Submit 2 arts of plans are not applicable with aoy e to te m the above. 2lP: on-z7. The above construction service. Suit Idg apt. no.. I Project name: � kr 1 � �� SCHEDULE �/ C�11 / //1 Description FEE SC Qty I Fee. I Total I • Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Ea. add'I 500 sq. ft. or portion 33.40 1 I Lot no.: - Limited energy, residential 75.00 2 Tax map/parcel .no.: (with above sq. ft.) i'.!'""'''2'' .:< -, : , .::: .,:a; • . t . -: - Limited energy, multi- family - D •..::_,. ESCRIPTION WORK:.; ' " >s .. - .. residential (with above s . fl.) '} A 0 2 V AJIJ 1�I ; 1 . SI/'t �J l / l Services or feeders installation, alteration, and/or relocation LL k. � L-h \ 1 _ ` . 201 amps to 400 amps amps or less _ 2 106.85 :. _ ..r :PR ;:;:❑ OPERTY OWNER' a - •r: ;; _:_, .,, : a '- TENANT.:r!':`: •;'Ni``!= 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: Temporary services or feeders installation, alteration, and/or relocation City/ State/ZIP: 200 amps or less 66.85 1 Phone: ( ) I Fax: ( ) 201 amps to 400 amps 100.30 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with Owner signature: • Date: above service or feeder fee, 5 3 :: ;.: . , .,: . _:.. ,... ; . �,,,; circuit 6.65 . .... r.......':.❑::APPI:ICANT: ,° : : :gi:;: J` :.6..6:: ® . CONTACT PE each ranch c �- �• N ° � _ B Fee for branch circuits Business name: without service or feeder fee, 46.85 2 first branch circuit Contact name: Each add't branch circuit 6.65 _ 2 Address: Miscellaneous (service or feeder not included) • : Each manufactured or modular 90.90 2 City /State/ZIP: • dwelling, service and/or feeder I Reconnect only 66.85 2 Phone: ( ) Fax :: ( ) Pump or irrigation circle 53.40 2 E - mail: Sign or outline lighting 53.40 2 . .�;.- • . ::::.: :�:- :[:::. - CONTRACTOR::,;?_ �<<' � ;;`! , � >;•i['-'.� c ° '��`:f• : . ., Signal circuit (s) or limited- ., ,;; energy panel, alteration, or Business name: Hillsboro Electric L.L.C. extension. Describe: Page 2 2 Address: 21185 NW Evergreen PKWY Ste #110 Each additional inspection over allowable in any of the above City/State/ZIP: Hillsboro, OR . 97124 Per inspectio 62.50 Investigation per hour (I hr min) 62.50 Phone: (5 0 3) 439-9666 I Fax: (5 0 3 Industrial plant per hour 73.75 CCB Lic.:13 4 4 81 I Electrical Lic.:3 4 Suprv. Lic.: 4941S ELECTRICAL PERMIT FEES Subtotal: 300. `7l 0 Suprv. Electrician signature, required: ite 8 Plan review (25% of permit fee): 15.1 R Sta te surcharge (12% of permit fee): 3 (g . O a Print name: Joey Vi tacco Date: liki — - TOTAL PERMIT FEE: L# I 1.. q 6 Authorized signature: • . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. i:\ BaiidingWcimits\ELC- PermiiApp.dac 12/0? 440-4615T(10/02/COM/WEB INSPECT' ,..'S SIGNATURES ARE NOT Inspections Required for: E...:2008 -00160 REQUIRED aVGREEN INSPECTION CARD. I ✓ Code I Inspection Description I PASS Date I By I I ✓ Code I Inspection Description I PASS Date I By I BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading X 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing X 125 Wall cover 210 Foundation walls X 130 Ceiling cover 215 Footing dram 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors X 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation • 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 - Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in - - 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 final Plumbing rough -in Alarm 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection (: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07 — CITY ��U ���������8&���� ��n� nn��w��nm�� EBUU DIVISION PERMIT #: B'C2O08-00180 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/200t3 Phone: (503) 639-4171 Inspection Requests (24Hm.):(5U3)G39'4175 INSPECTION WORKSHEET FOR DATE: 7J19/2009 TIME: 7:O1AM PAGE: 14 SITE ADDRESS: 08020 5*ypFAFFLEST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building A. New buHdirig shell. OWNER: CEDAR HILLS DEVEL0PMENT. PHONE #: 603 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439'9666 Inspection Request Scheduled For: Date: 2/19y2009 Pour Time: Code # |nSpecion[]eaori[tion Confirm # Contact # Message 199 Electrical final 080641'01 503-3076365 N Corrections/Comments/Instructions: N Q . � ~ 111 in �� PARTIAL �� CANCEL �� NO ACCESS _ __ __ __ ri FAIL E] CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: c-- r�- C}a1e: 9ACI. ~�� Phone #: (503) 718- - CITY OF TIGARD BUILbING DIVISION PERMIT #: E1.C2008-00160 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30,2008 Phone: (503) 639-4171 *I Inspection Requests (24 Hrs.): (503) 639-4175 M INSPECTION WORKSHEET FOR DATE: 7/6/2009 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 08020 ',SN PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building A. New building shell. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: /303-.299-3100 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439•9666 Inspection Request Scheduled For: Date: 202009 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 080377-01 971-219-0096 Corrections/Comments/Instructions: ,r4 PASS PARTIAL APPROVAL 11] CANCEL Ij NO ACCESS FAIL LI CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: e, Li? Date: V ‘6 Phone #: (503) 718- CITY OF TIGARD 1JILbING DIVISION PERMIT #: E.L.C700€3.Of160 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2002 Phone: (503) 639 -4171 'em'u' '� Inspection Requests (24 Hrs.): (503) 639 -4175 '`'!L INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7 :00A,M PAGE: 5 SITE ADDRESS: 08020 SW PFAFFIE ST CLASS OF WORK: SUBDIVISION: pACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC: CROSSROADS CORP.CENTER DESCRIPTION: (wilding A. New building shell. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 -299 -3100 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503- 439 -9666 Inspection Request Scheduled For: Date: 2/5/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electric:al service 080333-01 503 - 439.9666 N Corrections /Comments /Instructions: /PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G ---- e Nc L Date: Phone #: (503) 718- VILA) CITY OF TIGARD QUILbING DIVISION PERMIT #: ELC2008- 001m0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2008 Phone: (503) 639 -4171 ! i ray ,I#. Inspection Requests (24 Hrs.): (503) 639 -4175 s'. `') �.. INSPECTION WORKSHEET FOR DATE: 9/12J2008 TIME: 7:00AM PAGE: 11 SITE ADDRESS: 08020 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building A. New building shell. OWNER: CEDAR HILLS OEVEL.OPIvMENT, PHONE #: 503-299-3100 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503.439 -0666 Inspection Request Scheduled For: Date: 9/1212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 106 LJncfhrground /slab cover 075425 -01 1 503.4339666 N Corrections /Comments /Instructions: ❑ PASS a PARTIAL APPROVA ❑ CANCEL ❑ NO ACCESS n FAIL ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �� N Q1G Date: 9 ) p Phone #: (503) 718- 2q 1'D , - . • - - • - - • . 1 - •-', - - ., . • CITY OF TIGARD ( on.: ...,„., ,...1 i 1 . . • - C.) i ( r lc (Agit% BUILDING DIVISION PERMIT #: ;1J..` i 131 Blvd., Tigard, OR 97223 DATE ISSUED: iiil13 :ti Phone: (503)'63 ,,,,,„,,,, ' ,-;-.41L 1 , -- Inspection Requests (24 Hrs.): (503) 639-4175 , ,1 .,., INSPECTION WORKSHEET FOR DATE: 211 - 412 , 30: - .1. TIME: .• 311:1111 PAGE: SITE ADDRESS: N;.2() ...1 2f,F19..E. ST CLASS OF WORK: SUBDIVISION: pACM:ic; C:F(0 c:ORP LOT #: TYPE OF USE: PROJECT NAME: PAC.1 (.7 l'.;:h 0 ::-0.1 0 4,.::: ,Gef R R XX:: WT.'S - DESCRIPTION: - ! ) : :ii OWNER: CEDAR III ii ..,... t)f:' PHONE #: d-299.:lioe CONTRACTOR: i II i J.':..0 t .1...ECTR!C PHONE #: CM-43'a '3E.:6fi • Inspection Request Scheduled For: Date: 21;1.0:, Pour Time: .z. -..i . Code # Inspection Description Confirm # Contact # , Message I.1 .z, . • •! :Al ie...t.r:c fto....? 080641-0 1 - 9.D...:;n? .fi":.C6s.1 fil '' ..41 l • . .. Corrections/Commentg/Instructioh8: -. ... ,._ ' __ z - , -.,-. 4 - y _ - - . . ,. .. • "li - I ''..- . • s+ . , • • • • , • 4 . . . - ' P . 1 • • - . • . — - .. . ,, :IT,: - • ' ' Ii • • — P1 - 1 1 3 . 7.1 , . ' - • ' — • • . '• . L - -. ' i • ' . •• ' -; — ' , , .- •' ..t• . , • ,-; i , • — . - — — - --- - • . • • . ' " ' — " 4 r . . . • t : ' . -.4", ) =1 g PASS7 1- PARTIAL APPROVAL. 0 CANCEL 111 NO ACCES , - • , FAIL Ei EI ADDITIONAL FEES ASSESSED " • .'„;:q'r ,: 1 4; ' ''' - ' ..:" - f ,' '- •.'r .(,- '. , ` ,I. .'l ,a• _....... 4 t) . -l%pector:._ ' C . Ni oa Le Date: 2-'1 q • 9 Phone #: (503) 718- 3- _ , ;1- . .,_ _ _....... , , ; _,_. __ ski ,' - I'V•I'_^ , - , - - • , . .. ' v _ LJ Vacuum Systems' ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are req for all other installations I:\ Building \Prnnits\ELC- PenoitAPP.doc 03/23/06