Permit CITY TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00313
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/14/2007
PARCEL: 1 S136CD -90000
SITE ADDRESS: 08060 SW PFAFFLE ST 200 ZONING: C -P
SUBDIVISION: CAMERON PLAZA LOT: JURISDICTION: TIG
PROJECT: LILE INTERNATIONAL
Project Description: T -stats
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 PROTECTIVESIGNAL:
INSTRUMENTATION: .OTHER:
TOTAL it OF SYSTEMS: 1
Owner: Contractor:
G3 LEASING LLC ANGTIL HEATING & COOLING
19480 SW 118TH AVE 4320 N WILLIAMS AVE
TUALATIN, OR 97205 PORTLAND, OR 97217
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•
Phone: 503- 691 -3500 Contact #: PRI 503- 281 -0752
FAX 503- 282 -5722
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FEES Reg #: ELE 618LHR
LIC 8897
Description Date . Amount
[ELPRMT] ELR Permit 8/14/2007 $75.00
. [TAX] 8% State Surcha 8/14/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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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 952-001-0100. You -y obtain copies of these
rules or direct quy, ions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �: ; Permittee Signature: /
• 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 503.639.4175 by 7:00 a.m. for an inspection that business day.
• This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection. .
Electrical Permit Ap °;5y, i n E� roll Orric l.: I til: ONI.\ City of Tigard Receivedp Date/B :0 ®, , Permit N• a. _ , .,1 .. 313
V' V)
13125 SW Hall Blvd., Tigard, OR 97223 l , Plan Revie ether permit:
Phone: 503.639.4171 Fax: 503.598.1960 AUG 1 � "M � i ?,,,-,,,, DateB
Inspection Line: 503.639.4175 : a 1.� 'D ate Ready/By: 7 7�
RI See Page 2 for
Internet: www.ci.tigard.or.us 9 • y �
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CITY t l 1 �M' Notes Supplemental Information
1
• t 1�1( ITTh � TFl;' "PLAN REVIEW
N e w co nstruction m tr e ti ! pl L SIO Please check all that apply
Q : terati
❑Demolition ❑Other:
0 Service over 225 amps, comm'l ['Hazardous location
❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
_ CATEGORY OF CONSTRUCTION of 1- and 2 -family dwellings 4 or more new residential
❑ 1 - and 2 - family dwelling (A Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ['Building over three stories [Weeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: t'00 J ob site address: f� S E,,j of f-fbc, ❑Health care facility. ❑
S l9 p T. Submit," sets of plans with any of the above.
Cit T ( stiL� �7 a The above are not applicable to temporary construction service.
l'
Suite/bldg. /apt. no.: Project name: 1,..1 s FEE'', SCl3);DUI:E.`.
(L� Description I Qty. ( Fee. I Total I •'
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
f� dwelling, service and/or feeder 90.90 , 2
V 11 /I'' � � V 1-1I L ✓Ak(I 1 t TNT Services or feeders installation, alteration, and/or relocation
—
200 amps or less 80.30 2
PROPERTY OWNER El TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: i.„.k v 601 amps to 1,000 amps 240.60 2
Address: IP (Qa Sri pFAPia, ST Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: 7)6/41/24 OW ,2? Temporary services or feeders installation, alteration, and/or
I relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: A* 07 1, ,Q. , k branch circuit
/1 1 B. Fee for branch circuits
`r
Contact name: 1 L p log without service or feeder fee, 46.85 2
Address: I first branch circuit
A U , LOILL V AVE Each add'l branch circuit 6.65 2
City/ State/ZIP: to co q) ? 7 Miscellaneous (service or feeder not Included)
/ Pump or irrigation circle 53.40 2
Phone: ( c7- 6.7 I Fax: ( )
(/ Sign or outline lighting 53.40 2
E Ud ® a Aeil h& (' Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: SNotilt, at Goitre ,
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Investigation per hour (1 hr min) 62.50
OC/ Phone: ( ) t 110j I Fax: ( it
I ° Industrial plant per hour 73.75
I ELECTRICAL PERMIT FEES*
CCB Lic.: en 7 Electric a. : (o(pc S uprv. Licilcy Zl. F a Subtotal
i>tprv, E o 'ian signature, requir - - • . • ` Plan review (25% of permit fee)
Pin t +name • . State surcharge (8% of permit fee)
�' �,� A „.12., -z .. Date: TOTAL PERMIT FEE S 1 4
Authorized signature: ple Thi s permit application expires if a permit la not obtained within 180
f � � days after it has been accepted as complete
Print name: r A x i�'�l Date: i .11� e g Fee methodology set by Tri -County Building Industry Service Board
Number of inspections per permit allowed.
i.•�BuOdn Pemnlst5LC- PelmnApp.doc tvo3 4443
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8114/2007
Phone: (503) 639 -4171 AN146,AI
Inspection Requests (24 Hrs.): (503) 639 -4175 F_ ..
INSPECTION WORKSHEET FOR DATE: 11/9!2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 08060 SW PFAFFLE ST 200 CLASS OF WORK:
SUBDIVISION: CAMERON PLAZA LOT #: TYPE OF USE:
PROJECT NAME: LILE INTERNATIONAL
DESCRIPTION: T-stats .
OWNER: 03 LEASING LLC, PHONE #: 503-691 -3500
CONTRACTOR: ANCTIL HEATING & COOLING PHONE #: 503281-0752
Inspection Request Scheduled For: Date: 11/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 059388 -01 503- 281 -0752 Y
. —
Corrections /Comments /Instructions:
Affi
R.41)
PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 0� Date: 1.1 F in Phone #: (503) 718- AIL_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2007
Phone: (503) 639 -4171 1111'
Inspection Requests (24 Hrs.): (503) 639 -4175 y- L.
INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7 :00AM PAGE: 73
SITE ADDRESS: 08060 SW PFAFFLE ST 200 CLASS OF WORK:
SUBDIVISION: CAMERON PLAZA LOT #: TYPE OF USE:
PROJECT NAME: LILE INTERNATIONAL
DESCRIPTION: T -stats
OWNER: G3 LEASING LLC, PHONE #: 60369•f_36
CONTRACTOR: ANCTIL HEATING & COOLING PHONE #: 503- 281 -0752
Inspection Request Scheduled For: Date: 11/9/2007 Pour Time:
Code # Inspection Description Coptirm Contact # Message
135 Low voltage 059347 -01 503-222-5083 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � ' Date: lk II 01 Phone #: (503) 718- Z"f14
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELR2007- 00:313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR • DATE: 8/17 /2007 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 08060 SW PFAFFLE ST 200 CLASS OF WORK:
SUBDIVISION: CAMERON PLAZA LOT #: TYPE OF USE:
PROJECT NAME: LILE INTERNATIONAL
DESCRIPTION: T #tats
OWNER: G3 LEASING LLC, PHONE #: 503-691-3500
CONTRACTOR: ANCTIL HEATING & COOLING PHONE #: 503. 281-0752
Inspection Request Scheduled For: Date: 8/17/2007 Pour Time:
Code # Inspection Description Co_... Contact # Message
135 Low voltage 054184 -01 503281 -0752 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[-rot ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C.) I` Date: 1111 61 Phone #: (503) 718- IVO