Permit CITY OF T I GAR D � ELECTRICAL PERMIT
PERMIT #: ELC2001 -00552
ik DEVELOPMENT SERVICES DATE ISSUED: 3/14/02
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: Electrical work asssociated with new office building. (Shell Only) Job No. 103 - 2700 -001
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: 1
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: 2 W /SERVICE OR FEEDER: 46 PER INSPECTION:
201 - 400 amp: 6 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: 1 > =4 RES UNITS: > 600 VOLT NOMINAL: X
Reconnect only: SVC /FDR >= 225 AMPS: X 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'l Service
PRMT BB 11/7/01 $2,659.40 4434 Ceiling Cover
Wall Cover
PLCK BB 11/7/01 $664.85 4434
Underground Cover
5PCT BB 11/7/01 $212.75 4434 Elect'l Final
(additional fees not listed here) SE die
7W �
Total *) .004.)
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: 0ti , 7DA Issued By: �/)
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 639 -4175 by 7:00pm for an inspection the next business day
v /
Alk Electrical Permit Application
Date received: 41 G O/ . Permit no.:fl.e?m / — oO 5 3
„v'.'iI' City of Tigard Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, Q \9`f�3
Phone: (503) 639 -4171 < Date issued: By: Receipt no.:
Fax: (503) 598 -1960 1 \�'_ Case file no.: Payment type:
Land use approval: 40 1 2 2 - q 0 . ) - 0 0 0 . 1 0
. - TYPE O
.._ ,:.. . . - OF PERMIT ; . -,:..' .. , •
❑ 1 & 2 family dwelling or accessory CI Commercial/industrial ❑ Multi - family ❑ Tenant improvement
•
❑ New construction ❑ Addition/alteration/replacement - ❑ Other: ❑ Partial
JOB SITE INFORMATION
. Job address: 8060 SW PFAFFLE STREET Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: ISubdivision: TIGARD 97223
Project name: CAMERON PLAZA J Description and location of work on premises: OFFICE BUILDING ELECTRICAL
Estimated date of completion /inspection: QUESTIONS? CONTACT EARL BELL ' ,vg 4 ,/( , ire. - 3 /0' py
ONIRAICIOR.iAp • LCATION t a
-- _ - r; - r = -� -- • .-.,. � -= - , _:, _,...- . -i- - : _r r -:,•- .5C111>{D1.tiE, -- =7,: i_ .
Job no: 103 - 2700 -001 .46.4 //unir - /rROT. i•6Q Fee Max
Business name:CHRISTENSON ELECTRIC, INC. Description Qty. (ea) Total no.insp
Address: 111 SW COLUMBIA, SUITE 480 New residential -single or multi - family per
dwelling unit. Includes attached garage.
City: PORTLAND [State: OR I ZIP:97201 -5886 Serviceincluded:
Phone503 2414812 I Fax503241051 tE -mail: 1000 sq. ft. or less 4
CCB no.:45 8 I c. bus. lic. no: 2 6-3 4 C Each additional 500 sq. ft. or ponion,thereof
Limited energy, residential 2
City /metro ` o.: 5 4 6 , Limited energy, non- residential 2
-- / Each manufactured home or modular dwelling
Signat ' of supervisin l. ectnci • (required) Date 8 / 31 /01 Service and/or feeder 2
Sup. elect. name (print): BRIAN CHRISTOPHER License no: 8 735 Services or feeders— installation,
alteration or relocation:
.- PROPERiYOIVNER� - 200 amps or less `.1L Ad' ' � J 6. < , . ' 2
Name (print): 201 amps to 400 amps
y1; . ..c (,,r, 44 , • 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: J State: J ZIP: Over 1000 amps or volts y�,
Phone: [Fax: E -mail: Reconnect only 1 y 4.4-44 �7 1
Owner installation: The installation is being made on property I own Temporary services or feeders - . ..
which is not intended for sale, lease, rent, or exchange according to llatlon , alteration, orretocetion:
ORS 447, 455, 479, 670, 701: 200 amps or less 2
• n 201 amps to 400 amps 2
Owner's signature: _ l2� _ 401 to 600 amps 2
. 111111111111.1.1— � f - - �" s " Q� . Branch circuits -new, alteration, 1
/ 1�1W �t' or e xtension per panel: L
Name: m _ Fee fcr branch circuits with purchase of I � , � �
Address: t '" service or feeder fee, each branch circuit �t/ `p' 9 ' 2
City: B. Fee for branch circuits without purchase
Phone: — of service or feeder fee, first branch circuit: 2
Each additional branch circuit:
(/(/l//(( /t/lll
DO . ( - Misc. (Service or feeder not Included):
❑Serv over 225 ig , n , , 1 Each pump or irrigation circle 2
Service over 320. c I I � , { �/(�(J Each signor outline lightin � ,S3,y1S s1; • 2
❑
family dwellings 11 ,1 Signal circuit(s) or a limited energy panel,
❑ Systemover600v
I �� I /] / J /� alteration, or extension* 2
O Building over three 1 i r t/ •
O Occupant load over f '
f f „ i 'Description:
❑ Egress lighting plan 1 (x(1 Each additional inspection over the allowable in any of the alcove:
/ Per inspection { I I I
�/ Su61 t. • i Investigation
The above ar ,..her
'Not all jurisdictions accept c 1 r ! ermit application Permit fee $ ii 3S4
O Visa ❑ MasterCar. ( 1 I c _ 03'
Credit card number: I)1 - a permit is not obtained Plan review ( at % ) $ 664.85 j
within 180 days after it has been State surcharge (8 %) .... $ w
Expires
accepted as complete. AO
Name of cardholder •i. mown on credit card P p te. TOTAL $ T5 3 7 . nn 'e+4'
Cardholder signature S Amount 0/1 ��
440-4615 (61ootcbh0
OCT. 2000 +FEES ON BACK OF FORM .. j $0. 5
7 ,a....,1//1:0 4-,44 7 / .. off, //2_0/'9 772 /9 7 — .3//9/O �, c� ) •
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175
•
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Reques d ( AM PM BUP
Location b Cac) • - uite MEC
Contact Person = — -- -"' Ph ( ) F l ( 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC / -" d 6 S
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation p
Drywall Nailing v
Firewall
Fire Sprinkler u
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
S PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: LI Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �O` / 0 2— Inspector .f Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL