Permit A. CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00473
Aimtve ��;� DEVELOPMENT SERVICES DATE ISSUED: 9/25/01
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -00600
SITE ADDRESS: 08060 SW PFAFFLE ST
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Temporary service.
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: 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:
EEI SOLUTIONS CHRISTENSON ELECTRIC INC
5665 SW MEADOWS RD, SUITE 300 111 SW COLUMBIA
LAKE OSWEGO, OR 97035 STE 480
PORTLAND, OR 97201
Phone: 503 - 294 -2150 Phone: 241 -4812
Reg #: LIC 458
SUP 3289S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 9/25/01 $66.85 2720010000( Elect'I Final
5PCT CTR 9/25/01 $5.35 2720010000(
Total $72.20
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 dired questions to
Permit Signature: 4477 / Issued By: /f
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: OA AL-7.6L/e4 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
o Sent by: CHRISTENSON ELECTRIC 5032056721; 09/24/01 12:11PM; #564;Page 1/1
; Q
A Electrical Permit Application
Date received: y' 25 D/ Permit no.: ore g.pD J i ll y7
' , of Tigard (/-;.) P ro'ccl/a 1. no.; , • 1 l ! City g 1 pP Expire date;
city of i9ard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By:�'Receiptno.:
Phone: (503) 639 -4171 -
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
"1 I'I'I; 01: l'}_Rrl IT
0 1 & 2 family dwelling or accessory Cl Cammerciallirdustrial 0 Multi - family 0 Tenant improvement
Cl New construction 0 Addition /alteration/replacement 0 Other 0 Partial
Job address: 8060 SW PFAFFLE ST TIGARD Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: (Block: [Subdivision: 97223
Project name: CAMERON PLAZA Description and location of work on premises:200A TEMPORARY SERVICE
Estimated dare of completion/inspection: QUESTIONS .. CONTACT BILL TRANTHUM (503) 816 -7886
Job no: 103 - 2700 - 004 -001 Fee Max
Descdptlon Qty. tea) Total no. insp
... Business name:CHRISTENSON ELECTRIC, INC. _ New residential _singjeornsdll family
Address: 111 SW COLUMBIA, SUITE 480 dwelti gwrit. lncludesattachedg
City: PORTLAND I state: 0R I ZIP :97201 - 5x86 Serncetaduded'
Phone503 2414812 I Fax5032410510E - mail: 1000sq. ft. or less 4
CCB no.:458 c. bus. lie. no: 26 - 34C Each `nanals00 sq. ft. or potponthereof
Limited energy, residential 2
City/metm o. 5 46 limited energy, non - residential 2
Each manufactured home or modular dwelling
Signet of supervisin q r tAuired} Date 9/24/0 1 Service and/or feeder 2
Sup. elect. name (print): BRIAN CHRISTOPHER Liceaseno: 873S Scnlcesorfeeders- installation, .
alteration or relocation;
200 amps or less 2
201 amps to 400 amps 2
Name (print): 401 amps 10 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: 12JP: Over 1000 amps or volts 2
Phone: I Fax: I E-mail: j,u•nnoft only 1
sta
Owner inllation: The installation is being made on property I own i, TeR - .
which is not intended for sale, lease, rent, or exchange according to ituta1I5tFoa ,allaratlom,orreloariom
ORS 447, 455, 479, 670, 701. 200 amps or less 1 66 . 5 2
• 201 amps to 400 amps 2
Owner's signature: _ • Date: a0t to 600 am s V 2
Branch circuits - new, alteration,
or extension per panel: .
Name: . Fc fur branch circuits with purchase of
Address: service or feeder foe, each branch circuit 2
City: I State: • I ZIP: B. Fee for branch circuits without purchase
Phone: Fax: E-mail: of service or feeder fee, first branch circuit: 2
Each additional branch circuit: • I
PLAN Ri \'11'11' (Please (-heck all that :will)) Misc .(Service not Included):
0 Service over 225 amps - commercial O Healthcare facility Each pump or irrigation circle 2
O Service over 320 amps - rating of 1&2 0 Hazardous location Each sign or outline lighting _ 2
family dwellings 0 Building over 10,100 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension' 2
❑ Building over three stories . CI 400 amps or more *Description:
O Occupant load over 99 persons O Manufactured structures or RV parlr Each additional Inspection over the allowable in any of the above
O Egress/lightingplan O Other. Per inspection I I I I
Submit _ sets of plans with any of the above. lnve tisarion foe
The Above are not applicable to temporary construction service. ^ Other ,
Nor all jurtutetinnr accept credit cards, please can jurisdiction for more information. Notice: This permit application
Permit fee $ 66.85
O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit and number: I / within 180 days alter it bas been State surcharge (8%) .... $ 5 - 35
Name of cardholder ea shorn on credit card ttsp� accepted COn'pl`te T TRUST ACCOUNT DEDUCT 20 , as
S
Cardholder ai&ratwc Amrwnt , 440 (61001COM)
OCT.2000 +FEES ON BACK OF FORM
CITY OF TIGARD BU" DING INSPECTION DIVISION _
24 Hour Inspection Line: 63_ .175 Business Line: 639-4 I
BUP
Date Requested 1 d f AM PM BLD
Location " - 6 , �. � � Suite MEC
Contact Person I Ph 2 4. -7g PLM
Contractor "/ 'h SWR
BUILDING Tenant/Own- ELC D , Cad 4 /73
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN ).
Slab SIT
Post & Beam 7
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler / SO CO ref /
Fire Alarm
Susp'd Ceiling PaMr* J
P fT S�SiI��
Roof
Misc:
Final
P ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains (�
Final
PASS PART FAIL C 1,�' t r _ C , �, 1
MECHANICAL ��
Post & Beam V \
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL -
<ServIc
Rough In �.
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date i;76 / 2 b/' Inspector �lo/ �/�n Ext
Final �J
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.