Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00325
,�; I l DEVELOPMENT SERVICES DATE ISSUED: 5/17/2005
` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S136CD-00600
SITE ADDRESS: 08060 SW PFAFFLE ST 100 ZONING: C -P
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE LOT : JURISDICTION: TIG
Project Description: 6 branch circuits.
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: 5 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:
FINKE, ALEX TRUSTEE MILESTONE ELECTRIC
FINKE, LOTTE I TRUSTEE 2056 NW ALOCLEK # 411
PO BOX 23562 HILLSBORO, OR 97124
PORTLAND, OR 97281
Phone: Phone: 503 - 645 -5323
FEES Reg #: ELE 34 -618C
LIC 153480
Description Date Amount SUP 2113S
[ELPRMT] ELC Permit 5/17/2005 $80.10
[TAX] 8% State Surcharge 5/17/2005 $6.41 REQUIRED ITEMS AND REPORTS
Total $86.51
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- -33 344.
Issued By: Permittee Signature: 4)-1. & o71
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.
Elec Permit Application FO� R 01.1.1 L ;tiL (,N1,,.
Received ,? Electrical ` / o � Permit No. �) e , -. ),..,e• - ,_3 .b`0 Sn
City of Tigard ��Q Da " "� Permit No.:
13125 SW Hall Blvd.
fi.4 `� Plan Review other � Tigard, Oregon 97223 �� 1'�p � v DakIBy: Permit No :
Phone; 503 -639 -4171 Fax�= 595 -19 'l Post - Review Land Use
O " :4_, . il l Date/By: Case No. •
Internet: www.ci.tigard_or.us nn� .
24 -hour Inspection Request: 503 -6 7 �`=�' Conrad .c-. See Page 2 for
r G\l� � 90\ v` Name/Method: : Supplemental Information. .
•.f ; ylS71.t It x :in i;.�..�` ,O,,i `�} ,' �\ '• `�,tt. , , ��� `
J,',"�� ,�• `vr,"�'70, � 7r .r :� 1t x �.
' ri, tat � L�_; �. ` L 1 .� '��t'i� }_ :,r�''i,.r,.'�''�•c'�' ( • < �, i , r 1: 4 • <.
..;. R�L�..� �41E ^�.4 �'�'1! A. 7�.�.�� I, t, � �! �.;� :�. .*ill'h..L : :5K 1::
If New construction 11 Demolition • Service over 225 amps. ■ Nealth.care facility
�' : ddttton/alterat1on/re • lacement 1 commercial El Hazardous location
❑ Service over 320 ams -rati
vv Y (' f.�y P ; t png of ❑ Building over 10,000 uarc feet,
R g . ...t4/,. �1,1:in . : . I I� i ' t � ,•.,•1 ' r Vi) dr �;;� g f iQ
, ..�� <.,2'a. , _ :+� 1 & 2 famil dwellings four or more residential units in
1I 1 & 2 -Famil dwellin - F ommercial/Industt•ial ❑ System over 600 volts nominal one structure
�A Accesso Buildin (� Multi- Family ❑ Building over t stories ❑ Feeders, 400 amps or more
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
h■ Master Builder
[■ Other: ❑ Egress/lighting plan ❑ other:
W".1`..-5"-..1: 1(1. i TI l •''r 1� (: '+f, 1 ( i� -. , 0- Submit _ sets of la y of the �.� ._, :�) : t ! '... ' I_ �;.r��dit.i L. ■r d, plans with
eonstru
ob site address s .�.J
J The above are not bitable to rem Prion service.
WI JA. t. #: Number of Ins • > • ' as , - , ,. it allowed
o Pct ame. _ . s` . ( - ,19RMZEIIIIIIM Dmaiption Qty Fee (ea.) Total
Cross Street/Directions to job site: New �* or multi famfgr per
dwelling net. Includes attached garage.
Service bseludtd:
MAL e 99 O fi, ,/,� ``4? t000 ell. R or l ass 145.15 4
F�ch additional 5110 all R or portion thereof 33.40 l
Subdivision: Lot #: Limited , residential 75.00 2
Tax m8 • • ccl Limited energy, non residential 75,00 2
g Each manufactured borne or modular dwell
1 '''',;.. 'i=: :- of ' r( and/or feeder
�'r '' f 9090 2
'" -
� . feeders • trata0atloda, .
MI !PM . • s. a s I alteration or relocation:
200 amps or less _ _ 8030 2
201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
- :.h 1 i ..... " _ r M 601 swim m 1000 amps 240.60 2
Name: over 1000 amps or volts 454.65 2
Reconnect only 66.85 2
Address: Temporary services or faders - Ioateliatlon,
Ci /StatelZi • : alteration, or relocation:
200 amps or leas 66.85 1
Ph a ne: Fax: 201 amps to 400 amps 10030 2
' \2.1t,"1 miiiiiim 1 Branch d - new, alteradon, or
ame: 4 extension per panel:
Address: . S` ` A. Pee for branch cftcula with purchase of
service or feeder fee„ each branch chant 6.65 2
e ' H. Fee for branch circuits without purchase of /!
service or feeder fee, tat ranch circuit 46.85 4 fs 2
Phone: FFax: :
Each a el branch c rnarit s 6.65 3 •2
E-mail; Fir
Mrsc. (Service or feeder not included):
:1S
:;, 1 ,, P. Fach�uT or irrinstion c¢rk 53 40 2 11 Each 'Ism or comb lighting 53.40 2
Job No: S/( Z.- signet eireuit(a) or • limited energy panel,
t „ t alteration or extension
v Business Name: r , � Zs . d Page 2 2
Description:
Address: 1.07 N 4,/ ' / - lc ,• S `, _ «L/
r I - Dui , 9 7/ Each additional Inspection over the allowable In ap of the above:
\ Clt .State /Zl d r Per • • - •. • _ hour min. l hour 62.50
1111 � Phone: (,4 32 IfirBWR Investigation foe:
- c •17 Lic. #: 3‘11—(of ;r, ;.,;., :,'.-
other-
g /
Supervising electri i i4V,t -' ` 0 v ``
' Subtotal ���♦
si : • ature r • uired: - _' Plan Review 25% of Permit Fee
JI
Print Name; At ` a ., , State Surcharge ,(B% of Permit Fee) 5 - —
Authorized /0 —1 .- TOTAL PERMIT FEE $ R'(
® �^- --/ / This p expires K a permit is not obtained within
signature: G��.� � Date: J t0 �_ 180 1� days after It It has has been ees accepccep ted as eoutpl�e.
, A •Fee methodology set. by Tri -County Building Industry Service Board.
(Please t wi n name)
i:\Dsls\Pemrit Forms ■ElcPcrmitApp.doe 01/03
l d L S S L L U S •ON /LO: 9l •1S /80: 9l 9002 9l 9 (NOW) 1,108J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00325
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/17/2005
Phone: (503) 639 -4171 /400,041i1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/27/2005 TIME: 7 :10AM PAGE: 53
SITE ADDRESS: 08060 SW PFAFFLE ST 100 CLASS OF WORK:
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE LOT #: TYPE OF USE:
PROJECT NAME: EfvIARK
DESCRIPTION: 6 branch circuits.
OWNER: FINKE, ALEX TRUSTEE, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC 14 PHONE #: 503 - 645-5323
Inspection Request Scheduled For: Date: 5/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007900 -01 503-645-5323 N
Corrections /Comments /Instructions:
—
0 ° \ ' 0 s"3
/ • f 4 : 4(iie ,eI( �5 0,1 , it ®�'i
Li/.r(= t' 9 -5-4 zW Y
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i / c-- Date• • - / Phone #: (503) 718 - •
f GiN V of