Permit CITY OF TIGARD ELECTRICAL PERMIT All ° PERMIT #: ELC2008 -00161
' COMMUNITY DEVELOPMENT DATE ISSUED: 7/30/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CD-00500
SITE ADDRESS: 07910 SW PFAFFLE ST ZONING: C -P
SUBDIVISION: PACIFIC CROSSROADS CORP LOT : JURISDICTION: TIG
PROJECT: PACIFIC CROSSROADS CORP.CENTER
Project Description: Building B. New building shell.
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: SIGNALJPANEL:
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: 5 PER INSPECTION:
201 - 400 amp: 1 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:
CEDAR HILLS DEVELOPMENT HILLSBORO ELECTRIC
915 NW TORRYVIEW LANE 21185 NW EVERGREEN PKWY #110
PORTLAND, OR 97229 HILLSBORO, OR 97124
Phone: 503 - 299 -3100 Contact #: PRI 503 -439 -9666
FAX 503 - 601 -3680
FEES
Description Date Amount Reg #: ELE 34 -499C
[ELPRMT] ELC Permit 7/30/2008 $300.70 LIC 134481
[TAX] 12% State Surchar 7/30/2008 $36.08 SUP 4941S
Total $336.78 REQUIRED ITEMS AND REPORTS
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 may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
4
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.
EIectrt;�cal Permit Application FOR OFFICE USE ONLY
City of Tigard Receives "Z y
® Date/By: / / or - Permit No.:EL�� Co t (
13125 SW 4x11 Blvd., Tigard, OR • 97113e. Gov Plan Review
Phone: 503.639.4171 Fax: 503.5 afr 6Mij M } • t; Other Permit: y�G� t
Inspection Line: 503.639.4175
P
Ins 'L\ _ ,,,, i I Date/Rv Ready/By: 3G1/�ePUV p (XX3
� ® _ Date Ready/By: Janis: 0 See Page 2 for
Internet: www.ci.tigard.or.us MA Notified/Method: Supplemental Information
SSG�
.::. Y `` f �y� : . PLAN REVIEW..
E New construction ❑ Ad UdRl;Y4[ ion/replacement Please check all that apply:
❑ Demolition Other: [7Service over 225 amps, comm'I OHazardous location .
❑Service over 320 amps - rating ❑Butldng over 10,000 sq. ft.,
CATEC RY .OF. CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ l- and 2- family dwelling ✓['Commercial /industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑Other: ❑Building over three stones :Weeders, 400 amps or more
DOccupant
SITE IN.FORMA LOCATION t load over persons ORV pa cure structures or
• :...:
. : . :
o 99
. :.., .. ; � -..: ;. .: - .,.. ❑E plan Pa
Job no.: Job site address:� ID u j y �fV ❑Health -care facility OOther:
S Submit 2 sets of plans with any of the above.
City/State/ZIP:I) %HI ci� 2 The above are not applicable to temporary construction service.
FEE SCHEDULE
Suit e )apt. no.: I Project name: r A ft � l 1 u v1 et S Description 1 Qty. 1 Fee. I Total I •
New residential single- or multi- family dwelling unit.
Cross street/directions to job site: Includes attached garage.
1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Subdivision: • I Lot no.: Limited energy, residential 75.00 2
• Tax map/parcel.no.: ° sq. ft.)
.... _::iT.qi :......,:.,,._ ......::...:..D
.. . .....:... ..... ESCRIPTION OF WORK's %x;, �� > �;;;-
's:;.:.,�'; ;>�.
.,....�, ; :; ; ....,.:.;... , ..... -_ . ...., .... .. :..:...:..: .... Limited resdential (with above q
. , . )
00 2
NW 1 VJ .. I A."101-- /` t •
1 Services or feeders installation alteration, and/or relocation
S i _ ) 200 amps or less 2 80.30 16040 2
u ■ y D / 67 6 • 201 amps to 400 amps r 106.85 1 %5 2
.; ..:
r ; ❑:;PROPERTY OWNER -: ;;;: _ x r .. . TENANT::R ; . ,: ;: :! !„..p; : ,,,, ,. , :: ,. 401 amps amps
ps to 600 160.60 2
601 amps to 1,000 amps 240.60 2
Name: Over 1,000 amps or volts 454.65 2
Address: . Temporary services or feeders installation, alteration, and/or
• • relocation
City/State/ZI P: • 200 amps or less 66.85 1
Phone: ( ) Fax: ( ) 201 amps to 400 amps 100.30 2
401 amps to 599 amps 133.75 2
Owner installation: This installation is being made on property that I own which is not Branch circuits - new, alteration, or extension, per panel
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. A. Fee for branch circuits with
Owner signature: Date: above service or feeder fee, 5' 6.65 33.1:5 2
' each branch ; ;, ::: ri•A_-^ •Q:�APPLICANT: r'.:; ; .:J: ;: . t it`:.''': ®:'CONTACT i, ,,:i
circuit
... ...�_- . , .. -: ,. t . ,.:,� '� ._ _.... ,..:.., , ..... ...... -.
. :... B Fee for branch circuits
without service or feeder fee,
Business name: first branch circuit 46.85 2
Contact name: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
Address: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
City /State/ZIP: Reconnect only 66.85 2
Phone: ( ) . . I Fax: : ( ) Pump or irrigation circle 53.40 2
E -mail: Sign or outline lighting 53.40 2
Signal circuit(s) or limited.
,: ::;, :.,-.,t ]: ;, .,:;. _.:,: ,.:..'. :. 'CONTRACTOR , .: ; : a . �i `: , i :ii ' .:n:v ' '. ::�?.
" :.
:: -,.; , � .. . ., . ,. energy panel, alteration, or
extension. Describe: Page 2 2
Business name:
Hillsboro Electric L.L.C.
Address: 21185 NW Evergreen PKWY Ste 11110 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: Hillsboro, OR. 97124 Investigation per hour (1 hr min) 62.50
Phone:(503) 439 -9666 Fax:(.503)601 -3680 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
CCB Lic.:13 4 4 81 Electrical Lic.:3 4 - 4 9 9 C Suprv. Lic.: 4 9 41 S Subtotal: 300 ."10
Suprv. Electrician signature, required /OA" Plan review (25% of permit fee): ...
15 State surcharge (12% of permit fee): 36. O 8
Print name: Joey Vi tacco ate: ub TOTAL PERMIT FEE: 3 3 / .' 8
I This rmit application expires if a pe pp ' p' permit is not obtained within 180
Authorized signature: • days after it has been accepted as complete.
• Number of inspections allowed per permit.
Print name: Date:
i:\ Building \Penniis\ELC- PtsmitApp.doc 12/03 440- 4615T(I WO2COM/WEB
• . •
INSPECTC - - SIGNATURES ARE NOT
Inspections Required for: aChio 3-6y)// REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By I I ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain • 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 DTisc. inspection:
235 Shear walls /anchors `C 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 • Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
_ 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
I 905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
•
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Spnnkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 I Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection I 599 Final inspection
1:\ Building \ Forms \InspCard- AOP- Blank.dx 02/02/07
'CITY OF TIG14R® _ : ac2oos= co" co)
.BUILDING DIVISION PERMIT #: •
13125 SW- Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1.1012(:11 , 1.1
Phone: (503) 639 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: W1812009 TIME: 7: SAM PAGE:
SITE ADDRESS: (! 1f3'it' a°W ; A4' I i..4': `.:: i CLASS OF WORK:
SUBDIVISION: + 't ?'':; .,SR ArY3,,I.,:ORf LOT #: TYPE OF USE
PROJECT NAME: PACIFIC '.'1.?C .}SROT,4C?Lf.(_=P <I' ?•04 N .14,
DESCRIPTION: : t;•_f }a .41f T 6 t�t •iS �i',li,
OWNER: (1' DAR H i L i i F Vi'= LoPME PHONE #: ` s -:� %rl�•;ti�it�
CONTRACTOR: i i!! , :,1":0R0 I :LEG r - R1c PHONE #:
Inspection Request Scheduled For: Date: 211 :02= Pour Time:
Code # Inspection Description Confirm # Contact # Message
•:c3C:1 r.:; S 081- 14442 -0 i W3.307-6365 •
Corrections /Comments /Instructions: - '
- y.
• -
• fl
4
tt
A
: \PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
7 ❑ FAIL ID CALL FOR INSPECTION El ADDITIONAL FEES, ASSESSED
Inspector: NN� �-- Date: - � • Phone #: (503) 718 - L
•
,
�� OF CITY ��n mwn����mm��
x WILDING DIVISION PERMIT #: FLC2008'00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30'2008
Phone: (503) 639
Inspection Requests (24 Hrs.): (503) 639-4175
.��m+ �
INSPECTION WORKSHEET FOR DATE: 2813/2009 TIME: 7:01A&8 PAGE: 13
SITE ADDRESS: 07910 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER
DESCRIPTION: Building B. New building shell.
OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 50B
CONTRACTOR: M|LLSB(}R()ELECTRIC PHONE #: 503'439
Inspection Request Scheduled For: Date: 2/19/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E|md/iuo|finu| 080642-01 503'307'6385 N
Corrections/Comments/Instructions: '
•
` '
\
it\i/
Q PASS D PARTIAL APPROVAL D CANCEL [1] NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
��' �]�� ` ~' 2.-11 -4 ��h�
Inspector: »�J ` »�~w�� ��� Date: ~—~, ��''� Phone #� (503) 718- .~°n��&0
CITY OF TIGARD
ELJILDING DIVISION PERMIT #: ELC2008- 00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/200A
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/012009 TIME: 7 :00AM PAGE: 10
SITE ADDRESS: 07910 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER
DESCRIPTION: Building B. New building shell.
OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439-9666
Inspection Request Scheduled For: Date: 2/5/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 ElecticaI rough -in 060376.01 971-219-0096 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C " N6 8 Date: 1.4 Phone #: (503) 718- VIA)
•
CITY OF TIGARD
BOLDING DIVISION PERMIT #: ELC2008 00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2(108
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7 :00AM PAGE: 6
SITE ADDRESS: 07910 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER
DESCRIPTION: Building B. New building shell.
OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100
CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503439 -9666
Inspection Request Scheduled For: Date: 2/5/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 ; Electrical service 080331 -01 503 439 -9666 N
Corrections /Comments /Instructions:
•
%' PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 6B 1 Date: 5 at Phone #: (503) 718 - V `llt
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC200B -00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2008
Phone: (503) 639 -4171 p . � _ ��� ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ,
INSPECTION WORKSHEET FOR DATE: 9/12/2008 TIME: 7:OOAM PAGE: 10
SITE ADDRESS: 07910 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER
DESCRIPTION: Building B. New building shell.
OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503- 299-3100
CONTRACTOR: HIL.LSB0RO ELECTRIC PHONE #: 503 -439 -9666
Inspection Request Scheduled For: Date: 9/12/2008 Pour Time:
Code # Inspection Description ,Confirm Contact # Message
105 Underground /slab cover 075426-0/ \ 5 03439-9666 N
I
Corrections /Comments /Instructions: N.-•-___, i'
•
❑ PASS ❑ PARTIAL APPROVAL XCANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr Ntk5 Le Date: 9 1 % Phone #: (503) 718- Ihk,
El Other:
COMMERCIAL WORK ONLY:
Fee for each commercial
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
•
0 Audio and Stereo Systems
El Boiler Controls
C lock Systems
LI D • ata Telecommunication Installation
Ell F ire Alarm Installation
[] H VAC
Instrumentation
LI I • ntercom and Paging Systems
• Landscape Irrigation Control*
El M edical
El Nurse Calls
El O utdoor Landscape Lighting*
• Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are requ
for all other installations
1:\ Building \Permits\ELC- PermitApp.doc 03/23/06