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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT pisp E Permit #: ELC2011 -00239 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 ? (� Date Issued: 05/06/2011 Parcel: 1 S136CD00401 Jurisdiction: TIGARD Site address: 8020 SW PFAFFLE ST, STE# 100 Project: H & S Holdings Subdivision: CITY BIBLE CHURCH Lot: Project Description: Electrical for TI. 6/24/11: Amend permit to include two suites - 100 and 200. DLH 7/1/11, reprinted for plan review. Contractor: BEAR ELECTRIC Owner: PFAFFLE OFFICE, LLC PO BOX 389 PCCC LLC DONALD, OR 97020 915 NW TORREYVIEW LN PORTLAND, OR 97228 PHONE: 503 - 678 -1355 PHONE: FAX: 503 -678 -1108 FEES Quantity Description Date Amount 2 ea Services or Feeders - 200 05/06/2011 $201.40 Specifics: amps or less 1 ea Services or Feeders - 201 to 05/06/2011 $133.56 Type of Use: COM 400 amps Class of Work: ALT 42 crt Branch Circuits w /Purchase 05/06/2011 $311.64 Service or Feeder Type of Const: 1 ea 12% State Surcharge - 05/06/2011 $77.59 Occupancy Grp: Electrical 1 ea Plan Review Electricial 07/01/2011 $161.65 4 ea Info Process /Archiving - Sm 07/01/2011 $2.00 Sheet (up to 11x17) 1 Misc Administration Fee 07/01/2011 $1.00 Total $888.84 Required Items and Reports (Conditions) This permit is . -• t to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i accordance with a..roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. A ENTION: Oregon law re.- •e- you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -6010 throygh OAR 952 -001.! 190. %:obtain a copy of the rules or direct questions to OUNC by calling 2.1987 or 1.800.332.2344. / Issue. :y: � ln ` Permittee Sign. re: f- .. . 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. JUN- 22- 2011(lWEO) 10:00 Bear Electric (FRX)5036781108 P -001 /006 please a dd 1-6 , Permi-{ IL EL t .oil -oo 39 4 / • Electrical Permit Application ' .R , tKE FOR OFFICE: USE ONLY City of Tigard LC' ' 16 Ru ew i `'r flute/A ; .. Permit NO.: � 1 �� w 13125 SW Hall Blvd,. Tigard, OR 97223 , oi! 2 " Plan Review r Phone: 503.639.4171 Fax: 503,598.1960 O' Date/Bvi G'2Lk• 1l W''1„N Other Vomit Inspection Line 503.639.4175 Date head /tl � j' � runs: OF TTG Natlfladl ( ni l' C " ' See donee Information Ili ,�ttrt Internet www.tigard-or.gov CITY J 1 / Supplemental " Yv , '..�h x .. ! e o •", v `t! '•SY11.77k'-,, r R i R ° 4 - ' , 4, ssk v ,,A, : !.,;:t:4‘ , i1 ,' `4 ,1 t ; . Spin' 1 . " , f �n W,tri M>11 ) ,1G 44, ' 711 ...-d 0 New coast n . �oiC � Addition/al raIionl lnccmen " 1, 1 e . r ' j lam( � rap t PI so 4 check all that apply (submit I acts of plans writems checked below): crviee or feeder 400 amps or mans ❑ Building over three stories' ❑ Demolition r where the available I 4 •7 0 ❑ Other: comae ❑Marinas and boatyards. . a•rr i r� iti ,. r'r 1 V ifli di1r¢ ,h IA Pf Ii, 1 Ep• s� 0, �; 1�. n I + ' 4 exceeds 10,000 amps a1 150 voi nr !��. �b�•r�1 ,, a vE19K ti � t S a r i4;S , P a ❑ Floalitig bulldingx, less to gruund, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 -and 2- family dwelling gCommercialrndustrial ❑ Accessory building amps for all other insusllutinne. buildings. ❑ Multi - family ❑ Muster builder ❑ Other: D Piro pump, CI Instanotiou or 75 KVA or 9, , 7J° 1 � afi i , ❑ 8mergen o ne mn. larger E"."1.2", derived system. VAR IRO i' 1� g c 013 r t µ ?� N st ? +�1: u �1,'i © AdJirion of new motor load of O "A ". "B ". "! -2 ", "I.l ". Jab no.: Job site ttddtvss: sac S w P•Fa.4rlt ,r.4 $ui {e -Irdis t5.9, I00HPor mons. occupancy, ❑Six or mom residential units. ❑ Recreational vehicle parks, City/State/ZIP: ` r ° 43 ( 4.4 o � �QU � ❑ Hea12h a aru f�snili11ev ❑ Supply vultu n for more than Suite/bldg./apt no,:/ O , J P T�"1^{ (� � d ❑Hnaardouslocations. p � 6QO volts nnnduul. • eet name L °' — S atvsce or feeder 600 ran s or mare. ,.,1„ :. ;mat, �� .1 fi ail, !r, t I : :00400 ,,, ,,,f y, 141 tuar Js7 fa Cross street/dlr ctions to Job site: /7 4 g S' hi 46 /,s.465 uerertpt tram r..', Tarot - New residential single- or multi - family dwelling unit. Includes at�ched garages , Subdivision: Lot n0.' 1.000 aq. fl, or Less 168.54 4 " Ea. add'I 500 sq, R. or portion' . 33.92 1 Tux map/parcel no Limited energy, residential t u' t i r, r Maw r, 1„n esta�i.00,:- „�,'_M; ar � L "rIt f , ' �p i'r °' Mira ..its�wwt?:N;7 (with atm)"Ub11') • 75.00 2 - �+ ,/t Limited energy, multi- IarrWy 75.00 2 1 e n r_bQ -- YFI �ol/C _ t 4 residential (`with above sn, R') Services or feeders installation, alteration, and /or relocation r S! ; { X., 1 r �1� �,1/ + '�(( 'f� )Sp■ P ({ frM ? 200 amps or Less a, ) 00.70 2.ol. `t C1 2 Il[li O WR llM7eT w r la 'I0 1 )1 ,t�t,l I l�il�f t(�t111 11' NW ax e 1 ) tilt��l�'','l 1t a 1t�' ambr ra' n+ , 1,� ��, 17l;Ilf�Ps {���,�1. {w�r�in .. �L',ft''w�:�fllru�l1�. 01 amps to4o0 ( 133.66 (�3 z Name: tunas to 600 amps 200.34 2 601 amps to 1,000 maps 301'04 2-, Address: Over 1,000 amps or voila 552 ,26 2 City/State/ZIP: Temporary services or feeders installation, alteration, arid/or relocation 1 _ Phone: ( ) Fax: ( ) ' 2011 amps or less 59.36 ) Owner' installation: This installation is being made on property that I own which is not 201 amps to 400 moo 125,08 _ _ 2 intended for side, lease, rent, or exchange, according to ORS 447, 419, 670, and 70I . 40 1 amps to 599 amps 168:34 2 Branch circuits - new, alteration, or extension, Lrcr, panel Owner r signatu tt r r ry e i : q r� tp`(1 ,ra'• , q _- �� +ct■�' �y Date 1 is A. Fee fbr branch circuits with . . 1 1 11. 0 i{! rIe . .:T• 11r i'11"IrLWiI(� IE�i'•JULi�' V W`1��Et a'1 l . tr Y ln7W ott al,�l' above service or feeder lee. y � 7.42 3 i �� 2 Al 1 t � � "� 1 g � �' R ' u1 ” "' eachbmnchcircti 7.42 - 13usiness name: 13. Fee for branch circuits wrdrr,ut . • •• service or feeder fee, first Contact name: brawl, circuit $6' In 2 fault odd'1 branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each mmlufhctttred or trttxlular 67.84 2 dwell in , service a /or feede Phone: ( ) Fax • ( ) . Reconncct.nnly. 67.84 2 f mutt: Pump or irrigation circle 67.84 2 ( t' 1 1. rtl 0 . t it>T1i y(,4 +: {''�`��^, r1 � MIME G l) r t Sigel or outline lighting 67.84 2 �F71wtn s! 4C1':>!' 4;14BROZit l.%i. y1 ylC1l ISM 1Ut 1'l i' 1ilVll' Zia c.mg. Si Business hums: +• i C� l�`t G n panelialtemtinn, or extension. attire 2 2 N (l , Each Additional inspection over allowable in env of the above p Address: F , O g 4 X ,3 8 -1 Additional inspection (1 hr min) 66.25/ hr City /Stutc/ZIF; Donal D q 7o20 lavcatigaiiptnI hr min) 66.251 hr IIIII Industrual plant (I hr min) 78.18 / hr MN Phone: (5o3) 67 g — 1355 Fax: (5o3 ) 6p7$ - 1 iQ S7 , ,, inspections for which no lee is ' a ecificatl lisrcd 1 1, lir min 9 0.00/ hr CC13 Lie.: a pq i Cr � Electr Lie.: 0 '1„`'j -1o7( Suprv. Lie.: so j 1 p 3 ' lh 'il t a 70.11 1 .1}G,.r..1 atr niM ' 11i ° )s "•1, Subtotal: Suprv. T;leciriciun signature, required: SdS �s ' r � d Plan review (25% of permit fee): / 61, 65 Frith n E vge t Si e l<e..1 ate:. voe.: ? \ Stato s urcharge (12% of permit fen): 7 7. 6 0 Authorized signature: v __ .- • TOTAL PERMIT FEE: • 8 85.85_, - •this permitNpprieatio0 expires ifs permit is nor ebtaluert within in Print nnrrii _ ' days after it etas been accepted as compiete. D ate: • Number ofinapeetiuns allowed per amid. I: 01uildinclrermita \IILC- PerrnitApp.dun 117/01 /1U 440 vovCOM/WBfl a t • y 5- S - tT » ,9 /cam 2--a-0 Wit,, , ,, CITY OF TIGARD ELECTRICAL PERMIT IN COMMUNITY DEVELOPMENT Permit #: ELC2011 -00239 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/06/2011 Parcel: 1 S 136C D00401 Jurisdiction: TIGARD Site address: 8020 SW PFAFFLE ST Project: H & S Holdings Subdivision: CITY BIBLE CHURCH Lot: Project Description: Electrical for TI. Contractor: BEAR ELECTRIC Owner: PFAFFLE OFFICE, LLC PO BOX 389 PCCC LLC DONALD, OR 97020 915 NW TORREYVIEW LN PORTLAND, OR 97228 PHONE: 503 - 678 -1355 PHONE: FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 2 ea Services or Feeders - 200 05/06/2011 $201.40 Specifics: amps or less 1 ea Services or Feeders - 201 to 05/06/2011 $133.56 Type of Use: COM 400 amps Class of Work: ALT 42 crt Branch Circuits w /Purchase 05/06/2011 $311.64 Service or Feeder Type of Const: 1 ea 12% State Surcharge - 05/06/2011 $77.59 Occupancy Grp: Electrical Total $724.19 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 0 r " •2- 001 -0090. Yo - .- - copy of th- - - •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i / /A-.e -�i Permittee Signature: • '_ L . - s�� 1 ' 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. MAY- 06- 2011 (FRI) 09:25 Bear Electric (FAX)5036781108 P. 002/003 Electrical Permit Application CV �Vt� FOR OFFICE USE ONLY City of Tigard - o ` f 13115 SW Hall Blvd., Tigani, OR � J I �01 Plan Res* LF111 ' . , L _� a1 � - ' Phone 503.639.4171 Fee 503.598.1960 t t , , DatslB , Other Permit: j ` / ��� TIG IespeetioaLiaa 503.639.4175 M ,�c G � lteady /8y: {a See l'age3 for ltuernex www.tigard-or.gov II � 1 tS btfimuMettod: = Supplemental lntormatton 1 1 1 i M.• 14,77. iti I ^ ,. �, _T"�% .rm• � I s• - -- a7 u.. m'4 a' u '„ ,7:, 1"n .:t.wa ., J r " . - :ter 'a.tt a yfi t, _ ;,,; ;�:. > 4pw ry - f r n ... rid t"! n. a t 01 « r� i. •+ 4r' ..tty ,«..,.. ...,.,. - :.+..::.L ��11,/Ira..., -._Y. _ .,.- ..:, sar^AAma O New construction E1 Addition /alteratiot ftl tglaccmcnt Plass° check all that .pply (submit 2 sets of p tans Whets checked below): ; ❑ Demolition d pth� 0 Service or leader 400 alnpe or more 0 Building over due* stories. +.� -. tom+. n t] pr taut,' , , »-- x -« - y where the available fault current 0 Marinas and boatyards. Iztl ` " i e, J•. c ...4 ti ,� "I.„ : t'' p c e d ti (e� e cue �yta,,, ,q (e a t �w ,, x r i exceeds 10A00 tarps at ISO volts or Mooting buildings, len m MUM, or cataracts 14,000 Q Commercial.uae agricultural Q 1- and 2- family dwelling l: Commercial/industrial ❑ Accessory building amps for all other Insuuaumta, bnlldla { l Multi- family [l Master 'Milder ❑Other. C1 Fire pump. © installation of 75 KVA or — ; ,r rw- .Titr . 4 ;gi ti ::— as? ❑ Emergency system. !Lugar anpataawly derived vy,rem. � i t a az , ro ' ...hs � , b' M1 e•", ... ,.. ....!, 0' r .... rV . , —,- l. = ' " ;. , anwr. �N:". 1wt:: cu :�,urtJ�.owir,�.�ic�df�fx:'.n . h- »<:,:.a �!�C�rJ 1 . .y �. 9 eJC � " Werl:U:'er © kdd{Ilon of new motor load of (] «A «, »E» «l� ». "1 -3 ". 17 n2� c , ` q l � L . tOaKP armore. occupancy, Job no.: Job site address: VW � T ,S ❑ Sixarmate tceldeadatttn {,� ❑ Aacreationalvehicleparka. City /Stair/ : ) ' 0. a o Q - — - D Health -cane facilities. CI Supply voltage ibr morp than ( r 1 I R. 0 Hazardous locations. 60a volt: ar ottnal. Suite/bldg./apt.no.: Project name: Nekg0 '3 0 Service term:der600 laps ormorn. ; . t: n '.j : « ^ 51 sr�l i�:. ` � .' rm' .'•''. Cross street/directions to job site: • _ ' _ _ �j 4. ,. ts Z " l 1 1�3,'+ltl•II � I IIh�I New residential tinrlm or multi famgy dwelling unit. Includes attached , arage. Subdivision: Lot no.: 1.000 aq, tt. or less MI 168.54 — Q Tax map/parcel no.: — II ..m.,l..«..- ,c ^r.:Y:n r:.,tr. r„ . a ... .. .ae v ... residential 75 0 , - tau: ;w * ? e ,, La add'l S00 e• R ar portion M n .... > h', "I :2-.� °N !.L rpu 1,1, .:..w ti wit rn ovea., i x:r•' 't.' w r �iti -;: ww,�' �"vrrik.N .. ., M � � I r 1,. .� e :, a.- 0 xu�.ii:riiwia�i 't c i E,.�r" t'e.�ir,� wltf elfeve a. . R . Limited corny. multi- thmily • 75.00 =ILI � e# -f I ma f,&p � e •�' ^ nes{dentlat with above s•. ft. t Services or feeders Installation alteration andlar raise ati 200ampsarless FM 100.10 M{� ?- oi ,Lt o '1 1�' IN .W , - M4 Y ' \N , ' f] tl IV W I{`. r(. I i1 t� �1 a 1 N Y I c )' r L g b :'"M f 1 t r P wJ PF �ac Jt , N 4r , -- .:C'.«. ,, .-t,.,.. ,( .n .,R'r' -, ...lot n .,',,J } :„.',1 ,.y ,t , 3 1tv1riiAh �1 /4.eunr. .�IC.,._410V Y; 201 ern © Name: 401 amps to 600 amps MI 20034 © 601 amps to 1,000 amps _ 501,04 IIMINNp Adldress: Over1,000 tun .a orvolts OM $$226 MIII - City /Statt:/ZIP• Temporary services or feeders installation, alteration, and/or relocation Phony( • ) ' I Fax;( ) 200am.sorken Ili 5936 Q Owilco intltallation: This installation is being made on property that I own which is not 201 surge to 400 amps 125.08 MEM intended far sole, inane, rent, or eitehangc, according to OILS 447, 449, 670, and 701. 401 amps to 599 am. s IMMIM Branch circuits -- alteration or extension .cr •anal Owner aignatut Date: A. Fey fbrbranch circuits with �� r . : ,YEA +±"... «11" Z4g R) + " . . r "` 11:" • ,iJ p e a rr x . a w' "" f:,, . above sctvike or feeder fen. �, r" - ', w ' t l %1 ' i">r�i Rt , ri..:, Y " .n ". ! �r: d �! « T . «.� lsn i,,:r tech branch circuit 7.42 kO Ill Business name: B, service for branch circuits f without service or ibcder fee, , first \ Contact name: branch circuit branch —�EI Each Each d'l roach circuit Address: Miscellaneous service or fender not included City/State/ZIP: Each service or r feed modular Eliza �© d cll{n: service auro Phone: ( ) I Fax; : ( ) Rewnncct only El Pura• or irrigation circle MI 67.84 mn w , t ✓ >-r ' w,.. , , 7 � rt,,,e,,,, w..,.« SI o r outline li htin it a _» i, M.. ..:+,.- .,. -771 :ol rf •��i' C•faN X1 {vi� ` i '�r �«. :r1 Vi M w. M744'.4t;lwau«.W' ., Signal L ' C m � -� -°-- •� -�� °� ° Signal cltcu{t(s) or Iltnikd -rneap• Buair name: x 0.t; (1_ . l G j anal alteration or extcnslon- TT ) TC ` ' Each additional in. action over alle ublch tt:• orib: -.Wnsx Adder f / b .7 . . Additional inspection (i hr min) MI 66.25 / hr v �. �� .— �1 n4 - ^ /) ���0 7 �� Incite Lion 1 hunk) 66 251 hr �� 1 _ °Industrial plant n lit itifn7 78181 to Phony (a1,3 ) 6,7g-05 I Paz: (∎ a ) 6 /e -nU a Inapt: tom for which no fee la II 90.00/ lir - e � a . irmtl listed ''A hr min C C B Lic.: a8� 1 / I I±L revel L i c • , r 1 y ' i d ) C I, Suppy• LiCCa s, s 'ii , w w ; F,, t l r n �,yF-� ""• ,F, k -- r Su Slci iaian uitcd: Subtotal: •�, . O 7 1-1 • L U • 81gnatur 1 --�''� Fi Mon-view (25% of it roc): Print name: DatC Smut: surcharge (12% or permit fee): Erriffall 7 9 Torl'A PERNEIT FEZ; ( Authorized signature: . — w tl� , el This penult appueatwrt expires Ir ■ permit is not abtalaed within 180 ChM alter lthas heed atccpted as eempleto. Print 08x1&" Dote: • Number of lnep,xliona allowed per permit I: a ihaea\Twtrowite- pniataarame amino 440,1615TVlinftn"0'.t/W110