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Permit CITY OF TIGARD ' ELECTRICAL PERMIT - A RESTRICTED ENERGY a 13125 DEVELOPMENT H BMEN ) 639 -4171 DATE ISSUED: ED: 5% 4 02 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 Data Telecommunications installation. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EEI SOLUTIONS ESP TECHNOLOGIES 5665 SW MEADOWS RD, SUITE 300 7929 SW BURNS WAY STE. F LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070 Phone: 503 - 294 -2150 Phone: 503 - 628 -4195 Reg #: LAC 73872 ELE 34- 269CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 5/14/02 $75.00 2720020000 Elect'l Final 5PCT CTR 5/14102 $6.00 2720020000 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 Permittee Signature � i / . 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 7:00 P.M. for an inspection needed the next business day r 09/2 15/2001 001 05:1 FAX 50.35981960 Lill ur li�..xy (..0 • uu•) . . _ ap LlectricalPermitApplicatiion �a�«iV�:� , _,, ,,�►. • R o jecdappl.nv -: F�tpiredatc: k4,_'It��• City of Tilga xen Receipt no.: �' k ddIIUU Date is sued: ' �1 CiryofTigard Address: 13125 S Phone: (503) 639-4 Pa type: Fax: (503) 598-1960 MAY 1 20 � � Land use approval: • ' • • : : or PERMIT 0 Mu family 0 Tenant improvement Commercial/industrial 0 Partial 0.1 c 2 fancily dwelling or accessory ddition/altetation / replacenlen( CI Other. O Ncw construction • • - .1013 SITF-INF Bldg. no.: Tax map/tax lot/account no.: Job address: i 1� • � L Bl Description and location of work on premises: Estimated date of completion/inspection: t SCHEDULE CONTRNCTOR APPLICATION • Job nn: Fee • D eseritttion Q. (ea) Total lig Business name: �✓A Newresidentlal single or multi - family per e ith mEN dwelling unit. I n elttdet atsaclred pr�- • State (Jet" ��p ZIP: q --i Service included: Phone: Ca 2 d • �` E ac h a ddi t. or less E - mail: T ! h additional 500 •. ft. or portion thereof __ . L. — •, � 2 CCB no.' '?, -7'._) Elec. bus. lie. no: = =_ City/metro lie. no.: / / 2 Each manufactured home or modular dwelling 1111111 2 / o�.►i� .5".••• 9 nd/ • 1 su•- Ising clecu1cinn (required) Dale S $c rrvirL acssorfor cefsdei dere— ltetrttuition. 1111 5i License no: " , 5(-'F altecationorrelo ® lion- 2 _� PROPERTY OWNER 200 amps or less �= 2 �, 201 amps to 400 amps 2 w �, V �. 401 amps to600om•s _ M • • 601 amp t 1000 amps 2 sum • Mailing address: i16 , • �.� Over 1000 amps or volts v Own er installation: The Phone: Temporary Services or feeders - IIII installation is being made on property I own T ,altnation,or . which is not intended for sale, lease, rend or exchange according to 111 200 amps or leas = = =© • Date: 447, 455, 479, 670, 701. 201 amps l r 400 amps ate: 401 to 600 am • s 2 Owner's signature: _ _ 401 to 600 eircults - new, alteration, ENGINEER or extension per panel: A. Fe for branch circuits with purchase of 2 • suVirt or feeder fee, each branch circuit ■ Address B. Fee for branch circuits without purchase StIMINIIMMINIMIll of service or f oeder fee, first b ranch circuit: __ 2 111111111 , ' mice. (Service or feeder not included): 2 ' .PLAN. REVIEW (Please check all that apply) Each pump ic irrigati on circle 2 - amps-commercial 0 Healthrnre faciliry �__ O S ervice over 325 amp 2 0 Hazardous l a O family dwellings amps of t &. Signal circuits) or all limited energy panel, 2 family dwellings 0 Building over 10,000 square feet four or alteration, or extension 0 S over 600 volts nominal more residential units in one structure 0 Building over three stories 0 Feeders, 400 amps or more •Desert • lion: ion over the allowable In any of the above over ❑ Manufactured structures or RV pork Each additional inspect .10111111111111111 O Egrms/ ntlon gplaZt 99 persons 0 Other Per inspection O Egr�s/lightingplan investigation fee • Submit of plans With any of the above. O ther � — The above are not applicable to [temporary camutruetJ °n service. Permit fee $ jurisdiction for more information. Notice: This permit application Plan review (at %) $ �� Na i jurisdictions M tc 1d cards, please `tit expires if a permit is not obtained Plate review (at (396) 5 . r Visa c 0 err: otCard wit hin 180 da after it has been � � TOTAL $ credit care numr,er. Erpltes accepted as complete. Name of entdholdrr as aho••o on t card $ Cardholder yro aGlS ( fi Cardholder rlRnarure Atncluor • CITY OF TIGARD 24 -Hour • BUILDING _ Inspection Line: (503) 639 -4175 INSPECTION DIVISION -'1 Business Line: (503) 639 -4171 "MST _ BUP Received Date Requested 'e: — D Z AM PM BUP Location a tg I00 ?ft; 11l: Suite MEC Contact Person Ph ( ) PLM Contractor 'E -61 C \ b LO 61 Ph (S03 ) (D D, f3 - L I 4 7S - SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: '/ ELR LQ o; -• o 0 C� 8 S Crawl Drain Slab Inspection Notes: LO p L SIT Post & Beam OVIF � O AM Shear Anchors 1 TY14\ • • Ext Sheath/Shear C• Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm- '-1 iN(1)1.- {, Lj rti Susp'd Ceiling J �J 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 ire Alarm V Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI ❑ Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Da� ) ` 2 Inspector l Ext Other: Final DO NOT REMOVE this inspection record from the b site. PASS PART FAIL