Permit CITY OF T' GA R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00095
4 DEVELOPMENT SERVICES DATE ISSUED: 3/21/02
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: 12 branch circuits and fire alarm (low voltage.) REVISED PLANS reviewed 3/20/02 and fees adjusted to
match (total 36 circuits and fire alarm panel and wiring)
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: 1
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: 35 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 • Ceiling Cover
PRMT CTR 3/8/02 $195.00 2720020000( Wall Cover
Elect'I Final
PLCK CTR 3/8/02 $48.75 2720020000(
5PCT CTR 3/8/02 $15.60 2720020000(
(additional fees not listed here)
•
Total $471.62
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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
Permit Signature Issued By: G
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: Q1'l r.ippQ _ DATE:
LICENSE NO: 3 S
Call 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
Date received: 11 /-3/; -- Permit no. ‹ g - 0 95
,, j City of Tigard Project/appl.no.: Expire date: .
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT .. N
❑ 1 & 2 family dwelling or accessory xEP:Commercial/industrial ❑ Multi - family xtit Tenant improvement V ❑ New construction ❑ Addition/alteration /replacement ❑ Other: ❑ Partial
JOB SITE INFORNL1TION
pa.
Job address: 8060 S W PFAFFLE ST (T) Bldg. no.: • Suite no.: Tax map /tax lot/account no.:
Lot: l Block: 'Subdivision:
Project name: CAMERON PLAZA I Description and location of work on premises: TENANT IMPROVEMENT Z
Estimated date of completion/inspection: NNs
....:;.:IT ...ON)LILACTORAPPLICATION .• ; s .,: . , : .i _ , F.F.- SCllliDULE.:;,:: ,..
Job no: 103 -2700 -501 Fee Max
Business name:CHRISTENSON ELECTRIC, INC. Description Qty. (ea.) Total no. insp
Address:111 SW COLUMBIA SUITE 480
New residential
cl u d gleormuld g am g e per
� dwelling unit. Includes attached garage. r
City: PORTLAND I State: OR I ZIP:97201 -5886 Service included:
Phone503 2414812 IFax503241051PE -mail: 1000 sq. ft. or less 4.
CCB no.:458 I Each additional 500 sq. ft. or portion thereof
c. bus. lic. no: 26 -34C Limited energy, residential 2 t d
City/metro • o.: 5 46 Limited energy, non- residential 2
N
Each manufactured home or modular dwelling J;?...
Signa of supervisin ectrtca (required) Date 3/7/02 Service and/or feeder 2
Sup. elect. name (print): BRIAN CHRISTOPHER License no: 8735 Services or feeders — Installation,
•
alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
• City: 'State: 'ZIP: Over 1000 amps or volts 2
Phone: I Fax: 1E-mail: Reconnect only
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 installation, alteration, orrelocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701. 201 201 amps to 400 amps 2
Owner's signature: • Date: 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: • ZIP: B. Fee for branch circuits without purchase
_ Y I I B 1 L 6 .85 2
Phone: Fax: E -mail: of service or feeder fee, fi rst b ranc h c r
Each additional branch circuit: 3 -ra -55 a_f ?J
PLAN REVIEW (Please check all that apply) Mlsc . (Service or feeder not lncluded):
❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps- rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension' 1 i5.00 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description: LOW VOLTAGE FIRE ALARM WIRING
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lightingplan
0 Other Per inspection
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other _
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $K +'/ 1 Ra
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ "*8 gi gAe.5
Credit card number: / / _ within 180 days after it has been State surcharge (8 %) $ 45-60 A,37
Expires accepted as complete. TOTAL $ 259 .35
Name of cardholder as shown on credit card 1-)90)a.
Cardholder signature Amount 440-4615 (6100/COM)
OCT.2000 +FEES ON BACK OF FORM
Electrical Permit Fees: Limited Energy Fees:
•
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
p Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total y Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq. ft. or •
portion thereof $33.40 1 ❑ Burglar Alarm •
Limited Energy $75.00
Each Manufd Home or Modular ❑ Garage Door Opener'
Dwelling Service or Feeder $90.90 2
Services or Feeders • ❑ Heating, Ventilation and Air Conditioning System'
Installation, alteration, or relocation
200 amps or less $80.30 2 ❑ Vacuum Systems'
201 amps to 400 amps $106.85 2 •
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders . • TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved: •
Over 600 amps to 1000 volts. ❑
see "b"- above. Audio and Stereo Systems
Branch Circuits - ❑ Boiler Controls
New, alteration or extension per panel
a) The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circuit $6.65 2 ❑ Data Telecommunication Installation
b) The fee for branch circuits •
without purchase of service Fire Alarm Installation
or feeder fee.
First branch circuit ) $46.85 4L • IS ❑
Each additional branch circuit 3 5 $6.65 al '' iC HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuit(s) or a limited energy ❑
panel, alteration or extension $75.00 Landscape Irrigation Control
Minor Labels (10) $125.00 ❑
Medical
Each additional Inspection over
the allowable in any of the above . ❑ Nurse Calls
Per inspection $62.50
Per hour $62.50 _ ❑
In Plant $73.75 Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ 3.S L l 1P D ❑ Other
8% State Surcharge $ o ,9 , 3" - / Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ Q� * No licenses are required. Licenses are required for all other installations
/
front of application. (J lQ
Fees:
Total Balance Due $ i.- ' 6)
Enter total of above fees $
❑ Trust Account # 8% State Surcharge $ •
Total Balance Due $
Odsts \forms\elc- fees.doc 10/09/00 ++OVER FOR PERMIT FORM
CITY OF TIGARI) 24 -Hour \ '>
BUILDING - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested — C31) " AM PM BUP
Location 08v O v 6 (1 Suite MEC
Contact Person Ph ( ) PLM
Contractor Z S bO `^ Ph (5 D ) 8 I SWR
BUILDING Tenant/Owner ELC 4.40;- 00 0 13
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection NotesWilyp P L � � VOW
SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall .
Fire Sprinkler 7"'� /
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
F� rm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
d PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line L � C n
ADA
Approach/Sidewalk Da Inspects Ext
Other:
Final DO NOT REMOVE this inspection record from the j b site.
PASS PART FAIL