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Permit
CITY OF TIGARD ELECTRICAL PERMIT 2 v COMMUNITY PERMIT #: ELC2008 00558 DATE ISSUED: 10/1/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CD-00500 SITE ADDRESS: 08020 SW PFAFFLE ST ZONING: C - SUBDIVISION: PACIFIC CROSSROADS CORP LOT : JURISDICTION: TIG PROJECT: PACIFIC CROSSROADS CORP.CENTER Project Description: (1) service and (2) branch circuits for temporary power. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: 2 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: 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 #: PRI 503- 439 -9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -499C [ELPRMT] ELC Permit 10/1/2008 $80.15 LIC 134481 [TAX] 12% State Surchar 10/1/2008 $9.62 SUP 49415 Total $89.77 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. a Issued By: Permittee Signature. _ � ,/ , OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 10- 01 -'08 09:40 FROM- Hillsboro Electric 503- 601 -3680 T -008 P001/002 F -078 r � Electrical cat Permit A ti I „ City of Tigard RIVED It di l d, d ,,I , d•l , Received �' • Phone: 13125 5 W 503 Hel TigardFax, O5031R 5 23 (1 - 1 Date/B : .1 dW / eels • ^ ^ No.: ' -{i• 1 , j . 639.4191 : . S9$.lS60'� " ' ° �`'�'`�O i e , Inspaxion Line; 503.639A17 �ByO other Permit (1e��2'. Internet: w .w.tigard.or.gov i. ITY OF TIGA NNotiifediM Yuri,: ® Sec ental =i - o �` / Supplemental Igformatioq PLAN REVIEW avi ' Addition/alteration/replacement Pl eleeclt ell tt app1Y (submit sem of plans w /items cbcdcod below): ■ Demolition Other: Q Some° or feeder 400 amps Or mom Q Building over three Stories. w here the available fitult current 17 Murinaa and boatyards. e ' CONSTRUCTION exceeds 10.000 antes at ISO volt or Q Pl ■ Dating buildings. ■ , fess to emen or exceed914.000 ❑ Commactl.use agricultural ■ builder amps far eR other hbbt0adoses. buildings. Other: Q FU° Prune• • Q Installation of 75 KVA eu O s s d s r ❑ t Y dam larger separately derived system. Job no.: . 3 lob site address: 0 5 G) s [rase of A', °t; - ; °1J°, C Q °cctrp°°ay- i City /$tatrJZIP: 4 Sin or mote residential emit. ❑ Q Itoeneadonal whiale paeiq, e e • Q iealth-cae facilities. Q Supply voltage for more than Suite/bldg./apt no.: Project [tame: I G ❑ Hazardous am' 600 volt nominal. e ` . to l • • o Service or fader 600 amps cc more. • • Cross street/directions to job site: PEE t3CfiEAI1l<,)E • New residential single- or ntultl -fb lily dwelling nit • Includes attached garage. Subdivision: I Lot no.: 1,000 sq. R. or less Tax map/parcel no.: Ea add'I 500 sq. Q or post on 145.15 1 .1S 4 • 33.40 ltllESC'QIPTION of WOB -7-7- Limited energy, residential 75.00 2 (with above at s J L. . 4 ' 1 . Limited residential enemy, th ab o e3. a 75.00 2 (with aberw awe . Q,) 1 I - - . Services or Feeders installstlon, alteration, and/or relocato (] PROPERTY y OWNER 200 amps or less 80.30 2 �' Name: 201 amps to 400 amps 10685 2 401 mops to 600 a mps 160.60 2 Address: - 601 amps to 1,000 amps 240.60 2 "-' - Over 1,000 amps Of volts 454.65 2 City /State/ZIP: Temporary servleeee or feeders igstallado0, alteration, and/or Phone: ( ) reelodrtion • I Fax: ( ) 200 amps or less 66.85 1 Owner Installation: This installation is being made on property that 1 own which is not 2 ° 1 40 400 to raps - 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 Snaps to 599 amps 133.75 Owner signature: 1 Date: Branch dercalts sans alteratlo or extension, r panel - A. Fee for brand[ circuit wNlr •. 1_ APPLICANT :.. .:./ a CONTACT. 'SOON above servioo or Roder lure' a 2„.. 6.65 /3.30 2 Business name: each brands circuit E. Pee fbr branch circuits Contact name: without service or feeder fix, _ first branch circuit 46.85 2 Address: _ Each add'1 branch circuit 6.65 2 City /State/Z1P: Miscellaneous st rviee or fhedcr not iadaded} • Each manufactured or moddilar - - Phone: ( ) - TFax: : ( ) ~ �$ serviceand/or Iiloder 90.90 2 E -mail: - Reconnect 011 4' 66.85 2 • GY}IV I7IAC! OR . Pump or irrigation circle 53.40 2 _ _ Sign or outline 11#011ttg 53.40 2 Business name: HILT :SBORp ELECTRIC r LLB Signal circuit(s) or limited- - Address: enemy PIG* alteration, or • 2118 5 NW EVERGREEN PKWY #110 extension. Describe: Page 2 2 City/State/ZIP: HILLSBORO OR 97124 Each additional Fes tloo over apawable is any of the above Ph (5 0 3 4 3 9 - 9 ti 6 6 Fax: ( Per inspection 62.50 5 0 3 6 0 -3 • : 0 Investigation per hour (1 hr min) 62.50 CCB Lie.: 134481 Electrical Lie.: 34_499 I! Suprv. Lie.: Industrial plant per hour ' ' 4 9 41 S 73.75 1. Suprv. Electrician signature. required: a.? • • ELECTRICAL PERMTF FEES ,/ Subtotal: W , Print name: JOEY VITAC • Date: / Plan review (2590 of permit 114 ,_ �--- Authorized signature: State surcharge (12% or permit tee): , ( /^ • TOTAL PERMIT PEE: • I Print frame: Date: Ills permit applleDtion aspires Jr • h ermit t no obtain within l days r:lBaildtoglPc�sleal� GParmaApp.doo mamas • Number of after It has been accepted as complete. - ....... _ . airtime-dons allowed oar Dennis , MB - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC20013 00!S58 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/1/2008 Phone: (503) 639 -4171 1' : !ill Inspection Requests (24 Hrs.): (503) 639 -4175 �� `:_.. INSPECTION WORKSHEET FOR DATE: 10/13/7000 TIME: 7:00AM PAGE: 28 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 08020 SW PFAFFLE ST PACIFIC CROSSROADS CORP LOT #: TYPE OF USE 0 PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: (1) service and (2) branch circuits for temporary power. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 - 299 -3100 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503. 439 -9666 Inspection Request Scheduled For: Date: 10113/20013 Pour Time: • Code # Inspection Description Confirm # Contact # Message 199 Electrical final 076602 -01 97 - 219 -0077 N Corrections /Comments /Instructions: . f 0 l,,,.Q-c- p o /'e Q-w ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I b 13 -y Phone #: (503) 718- F CITY OF TIGARD BUILDING DIVISION ' • PERMIT #: f LC200r3 Ot1:,56 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2008 Phone: (503) 639 - 4171 e Inspection Requests (24 Hrs.): (503) 639 -4175 . �!�+L "'I J INSPECTION WORKSHEET FOR DATE: 10/912008 TIME: 7:01AIVI PAGE: 21 SITE ADDRESS: CLASS OF WORK: 08020 SW PFAFFLE ST SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: (1) se rvice and (2) branch circuits for temporary power. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 - 3100 CONTRACTOR: HILLSC3ORO ELECTRIC PHONE #: 503439 - 9656 Inspection Request Scheduled For: Date: 10/9/2008 Pour Time: Code # Inspection Description Confirm, Contact # Message 199 Electrical final 1 076473.01 ' 971 -219 -0077 N \ � Corrections /Comments /Instructions: _ `1 v Pcko► p (z) `Two G tLivND Rxfs Fta. 5 ' e t I N - I c-‘, - T o l L" 6L. - o2 - i % ►1--b 10 V P Q -ov,trg. ' -Z %`i; a, s i Sclecx6 5 I t Et-e , CI P Ksz� \. 0 O. s L, 10 gob" 6 PAP/ .-- , Q si r Aov IZ - D.,v -c .c) 16ZP p •,. 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