Permit 1'� N
CITYOFTIGARD ELECTRICAL PERMIT -
A. RESTRICTED ENERGY
PI� DEVELOPMENT H BMEN SERVICES 1639 -4171 DATE PERMIT #: ISSUED: EL 92 2 -00054
SITE ADDRESS: 08060 SW PFAFFLE ST PARCEL: 1S136CD -00600
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Low voltage for HVAC controls.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EEI SOLUTIONS ENCOMPASS ELECTRICAL TECH
5665 SW MEADOWS RD, SUITE 300 7379 SW TECH CENTER DR
LAKE OSWEGO, OR 97035 PORTLAND, OR 97223
Phone: 503 - 294 -2150 Phone: 503 - 684 -3600
Reg #: LIC 52288
ELE 34 -247C
SUP 3863S
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 3/29/02 $75.00 2720020000 Elect'I Final
5PCT CTR 3/29/02 $6.00 2720020000 Elect'I Final
Total $81.00
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by y e , �i % _ � Permittee Signature / • . 1111.44
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: /Y\ 4 DATE:
LICENSE NO: 3 Fs& 3 C c9 4e,"
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
r
03/21/2002 15:50 FAX 5035981960 CITY OF TIGARD fj001
rr
A _________
Electrical rerm�itA , on
Datcreccivcd:J 7� X Permit no. :. ' d v2 �Q •/ 5i
L l j
.il;)`:1!I • Ci of Tigard Projecuappi.w.: Expire date:
Blvd,•�'igard, n, Date issued:
i '
City ofTigard Phone: (503) 639 -4171 Address: 13125 SW Hal I L • _ ' V ""� Receipt no.:
Fax: (503) 598 -1960 t+. Case file Payment type:
Land use approval: R h '10't7
• L cl f
O 1 & 2 family dwelling r accessory - arms clai/fi n
g ry � OMulti- family 0 Tenant improvement
O New construction 0 Addition /alteration/replacement Cl Other. _ 0 Partial
• JOII SITE INFORMATION
Job address: ; Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot Block: Subdivision:
Project name: Ccruwe 007.0 I Description and location of work on premises: 1,.[A,,/ V I f �/� (
Estimated date of completion /inspection: 3 -2 , 1- ,7
CONTRACTOR APPLICATION FEE SCl
Job no: Pee . Max • ._ Description Business nallie: 111117,WRI W IME fMIfM Ne. rrex r(ngkeraarth- fseu1y per . (ea) Total no. imp
Address: In/ 'Ad , drrolrutgunit Includes attached wage.
City: Of , A State: r ZIP: 201 ' setviceineludeds .
Phone: f t Fax: 9 ?- 0735 E-mail: 1000 sa. ft, or less 4
Fa�al . R or portion thereof _ r
COB n0.• )g73 �)U Elec_ bus. lie. nv : f Limited energy, residential 2
City /metro lie. no.: � (o Limited energy. non-residential 2
/ ' / Each manufactured home ormodultrdwelling
j .0'
of supervising electrician ed Date Service and/or feeder _ 2
Sup. elect. name (print): V a 0 r0% uceese no: 2$2 K E7 services or feeders- Installation,
alteration orrelocatioar
PROPERTY OWNER 200 amps or less 2
Name (print): EC 1 f j7`trit5 w 201 amps 400 amps - ' 2
Mailing address: 5 ( 5 51,/ / "�ai/1 '4- loo 401arnpsto100arnps 2
S 1 601 amps to 1000 ant 2
City: . ) S SIP: 'yea 3 over 1000 or volts 2
Phone: - •3.2 i1 0 Fax: 797 - 9) E-mail: Reconnect pay I , . 1
Owner installation: The installation Is being made on property 1 own Temporary services ar feeders -
which is not intended for sale., lease, rent, or exchange according to t" st 'Hatioa,alterarlan,ortelocalion
ORS 447, 455, 479, 670, 701. 20 amps or teas — _ 2
— 201 amps to 400 amps 2
Owners signature: Date: 401 to 600 amps _ - ' 2
ENGLNEER. , Branch circuits- new, alteration,
Name: or extension per panel:
p ' i l s ` : A. Fee far branch circuits with porch ise of
Address: ( service orfeodafee. each branch circuit 2
_
City: (PK)GL>, - I State: 0 I Zip: q72) , B. Fee for branch circuits without purchase
Phan:_%? - 3- x/75 Fax:. . `/73 E-mail: of savicz or fedrrfee. first branch circuit 2
Each Orb branch c
lac. (Starke or feeder not Included):
O Service over225amps- cornmcrdal O health- cmefacility E:lcb pump or irrigation chcle 2
O Semite over 320 amps - rating of 1612. ❑ Hazardous location Each signor outline fighting 2
family dwellings 0 Building over 10.000 square tea four or Signal circuit (s)ora limited energypand. •
❑ System ova 600 volts nominal More residential units in one structure alteration. or extension* _ 2
O Buittfing over three etorini ❑ Feeders, 400 nmpsor more •Description: --
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable In any of the above:
13 EgvaaAightingplan 0 Other . pain.. on •
Submit _. sets of plans with any of the above. lnvestigationfee •
The above are not applicable to temporary construction service. Other
Na all ludrdkdoos ac
ct end' tat*. please esti Jurisdledm for more infamadon- Notice: This permit application Permit fie $
O visa O MasterCard expires if a permit is not obtained Plan review (at r__._ %) $ _ -
Ctedt wed number. - / I within 180 days after it has been State Paige (8%) .... $ •
6t p"` ° accepted as complete. TO'T'AL . $ .
Name et eat holder as shown on credit card
s
casda older'Iprtawrc Amoaot 4404615 (t.VWCOM)
Z 3OVd : Xvd 112111W Q'IVNOQOVW INd 617:g0 G3A ZO- LZ -EVN
F TI
B , tion L
CITY Line: (503) 639 - 4175 MST
INSPECTION DI : siness Line: (503) 639 -4171
BUP
Received : ieRequested -)- 07 - _ AM PM BUP
Location 0 9V 6 c Ls Suite MEC
Contact Person Ph ( ) PLM
Contractor '‘Ni CAIYINStk \_ t I V\ Ph (S°3 ) 6$ 4 - 3 ( ‘ Oa SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR Oa,- O 0 0 S - 4
Crawl Drain
Slab Inspection Notes: .' V � G CE SIT
Post & Beam r TL,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall �� �(/� 0 eh
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
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Dates M o2, l — d 7 Ins ectoF�"'`v Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this Inspection record rom the site.
PASS PART FAIL