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Permit / / / / / L 4 1,, ' /ev �, ; CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00097 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2012 Parcel: 1 S136CD01002 Jurisdiction: Tigard Site address: 7906 SW PFAFFLE ST Project: Spec Space Subdivision: 2006 -016 PARTITION PLAT Lot: 3 Project Description: (1) 100 amp sub panel and (2) branch circuits for vacant tenant space. 2/16/12, REPRINTED permit to include (1) additional branch circuit. Contractor: FIVE STAR ELECTRIC, INC. Owner: PFAFFLE OFFICE, LLC PO BOX 555 PCCC LLC BANKS, OR 97106 915 NW TORREYVIEW LN PORTLAND, OR 97228 PHONE: 503 - 324 -0948 PHONE: FAX: 503 - 324 -0973 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 02/14/2012 $100.70 Specifics: amps or less 2 crt Branch Circuits w /Purchase 02/14/2012 $14.84 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 02/14/2012 $13.86 Electrical Type of Const: 1 crt Branch Circuits w /Purchase 02/16/2012 $7.42 Occupancy Grp: Service or Feeder 1 12% State Surcharge - 02/16/2012 $0.89 Electrical Total $137.71 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 OAR 952 - 001 -0090. You may obtain a copy . - rules or direct questions to OUNC by calling 503 232.1987 or 1.800.332.2344. Issued By: ice 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' 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. CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00097 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2012 Parcel: 1S136CD01002 Jurisdiction: Tigard Site address: 7906 SW PFAFFLE ST Project: Spec Space Subdivision: 2006 -016 PARTITION PLAT Lot: 3 Project Description: (1) 100 amp sub panel and (2) branch circuits for vacant tenant space. Contractor: FIVE STAR ELECTRIC, INC. Owner: PFAFFLE OFFICE, LLC PO BOX 555 PCCC LLC BANKS, OR 97106 915 NW TORREYVIEW LN PORTLAND, OR 97228 PHONE: 503 - 324 -0948 PHONE: FAX: 503 - 324 -0973 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 02/14/2012 $100.70 Specifics: amps or less 2 crt Branch Circuits w /Purchase 02/14/2012 $14.84 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 02/14/2012 $13.86 Electrical Type of Const: Occupancy Grp: Total $129.40 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 O±, . •52 - I. 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Iss By: Permittee Signature: 6� ��/ �G / TT/�O' 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. Fax ; Feb 16 2012 08:35am P002 003 JEJle1.7.14TICIUL rerturt appitcauon col: orFicr. 1. si.: oNLy City of Tigard Rcoeived Datelt : Co 0 1 -- • Permit No.: •Le z -c, a 4 ,-. 111__---- ,. 13125 SW Hall Blvd, Tigard, OR223C\> ,1 4 _ 14;5) Plan Review ; - Phone: 503.639.4171 Fax: 5031598;1960 X Date/B : Other Permit: t a Inspection Line: 503.639.41 r .,„e- ?‘ TO- Pate Ready/Br Avis: 53 See Page 2 for Internet: WWw.4ard-orzov 110 1' A c3 Notieed/Method: AP i suppleraental Information . - ...1-■ l V.t ...'/;:;41;'',.-7 e'Y..=:.14 ' ,f, ' ■.• tilg -- ,' "'frit' dAt'itti'ikt. r 9`e" f.,' '.%, ,.';'-'-. '.• !' if '.'",',"'..;•? ';.kal".'e^i;t:ZiO'FtriPh.-....iggC: -" :-• .'•i' '.''''isr , - 2grarikItt5ri, - Ni_:nra,,,,,:": , f,`" re.- aCsetn - . ) r;••••. rhw Please ic all that apply (submit 2 sets of plans w/items decked below); AZNCW COnStrUCtiat) 0 Additiordalteratiodl irep4nt C,\ \ ,-‘t \)' • la Servioe or feeder 400 amps or more El Building over three stones El Demolition 0 Other: ‘ v. where the available fault currant El Marinas and boatyards. qqr: •-•' vi..e, t ) `4 , '',... :VA . .... r' 'V 0. ■• : t ;' 4 . /...;....1;f1'.., ,,,- ..r. 4 /- .7 A..■.giiiii ^ 4L,Z.E7/1 ii. ' : .• .i.ILLTEd44a:17: v .„ • ,.' ' + ' •:, i',•■'•A7Pi`';/ ""•,',.■,',“.•,," ',':' • `••• ''' leSS to ground,. or mote& 14,000 1:1 Commercial-use ageicultural El 1- and 2-family dwelling P.4 ommercial/industrial LI Accessory building amps for all other installarions. buildings. 0 Muiti-farni1V • Master builder C3 Other El Fire pump. 0 Installation of 75 KVA or 'ttkZrzl'f/IA1=: ",:er,i' '1,; "a, ..,:. .r....1,..;!,,A;r , , 4 '.,...;:..; 0 Addili of new mow kad of 0 " A.... "E", 9 "1 Job no.: F542 ., ,f Job site address: -7 90 , p '‚ , ,Sf- - 100HP or mom, 0 Six or more midential units . occupancy. El Recreational vehicle parks. - . - City/State/ZJCP: ( i(' (..)?,_ C 1 3-0- .' • 0 Hcalth_care faciaica. 0 Supply voltage for more than I 0 Hazardous locations. 600 volts =mind. Suite/bldg./apt. no.: ' '' j Project name: E-A ic4 El Service or feeder 600 am • or more. .. 't AT :7 - •1 : 17.4 0 .1.in l's ;,.: Cross streer/direetions to job site; -7 c s,-A,b,_ iff -• • --- ,,, , " - , ,:" r: - • 4 Descri • • SD IrMillWinillM=11.ri New residential single- or multi-family dwelling unit . . . . Includes attached garage. Subdivision: Lot no.: 1,000 s( . ft. or less 168.54 4 Ea. tuld'l 500 sq. ft or portion 33.92 1 Tax map/parcel no.: Limited energy, residential ., 4.,,, i ( a sq 11.. 75.00 2 ..',..' Limited energy, multi-family 75,00 2 .1 ii, 4 4 ' residential (with above sq, ft) (--% _. At Services or reoders htstallatioo alteration, and/or relocation ej f ' ' ' TO 0 • 1 - N.. -1 1.0! it lib _ • ' 10 1Z o co e7 7 #.791/ 4. 200 amps or less 100.70 2 fai7-41.k4L71, .b 177:ft=m3 ,, 201 amps to 400 amps 133,56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 ... 2J City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 iol amps t,o 599 amps 168.54 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch eircuits:- new, alteration, or extension, Per 2 kitnel • Owner signature: Date: A. Fee for branch circuits wtth . ' ItWV%'ri• kr,' ,i".. '7 „). \ eef ' tr,. , 1".'-i'. ' 1 i .; ;" ..-.:,,,, '.•44,ge ,,, „. ,.,,,, , - -, -„.„..;;•; ,;, above SerViCe or feeder fee, 1 142 1 1r. 2 41ttlerl6r":"IT:rit-2,ssf.:ur.i.. ;MI ... tt, .,.,,•%-,, 4,:P. • .,,I, , o- IA r4f... .;', ,',,,,, . ..,,.,'-,.,:v each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first Contact name: branch circu 56.18 2 it Each add'l branch circuit 7,42 2 Address; Miscellaneous (service or feeder not included) - - Each manufactured or modular City/State/ZIP: _ 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E il Punap or irrigation circle 67.84 2 -ma: - li M I'' .-.1 :1l'@/ irrn":27 isrP 'i ' ,.,•;;..-;',,,,.;;;;,^, v; ;.;,,,,..,,,-..; .;.. Sign or outline ightng 67.84 2 , k. '''...:1/1 ' .1.4 irloi.11 4 1 ` , / , q `• . k•dt;b1 4:*$":"14.1'4 ", .' ' ' .'' ' '.:„.`.: ';,;+: ,', Signal circuit(s) or limited Business name: - e - - vt c... 1 i c... L. II n panel, alteration, or extension: PAge 2 2 Each additional inspection over allowable in any of the above Address Pf? -- VO`i‹., Additional insec pt:iota (r min) 1 n ... 66,25/ hr City/State/ZIP: Investigation (1 hr min) 66.25/ hr , .I I - 0 -- lo (D Industrial plant (1 hr min) 78.18/ hr Phone: (-e . . .- it , :. Fax: (St) -19." Inspections fbr which no fee is 90.00/ hr s.-- : listed hr one CCB Lic.: 1 -s,....• i Electrical Lic.: - - uprv. Lic.: . .. _ "I'''.'" 01.4.a:;018.`t..2&n. Subtotal: 7 , A Suprv. Electrician signature, required, -411111. ,..... raWir Plan review (25% of permit fee : Print name: - • • (j Date: 0 - ,„ - permit I f - State surcharge (12% of perm fee): . 5? .. 1r TOTAL PERMIT FEE; • Authorized sisnature: , This permit apptiestion expires a permit is not abeatned within ISO Print days after It bas Wen accepted as templet& name: Date; * Number of inspections allowed pea isuitctareirreituEr...c,perratrApp. 07/01/11 440 • Fax: Feb 13 2012 10:50am P002 003 Electlrilea( YernUt A nticaMgn .NCI J/N G NI q 7 0 �i> � i ! } OIL �0 i 0 Rrseived l'eilnitNo.�LC /�2 — 1)0 City g I74taBy: IIIII 13125,S W Ball B1 d., ' - i'gard, OR 97723 Plan Review l • 'V • Phone: 503.639.4171 rF Date Ready /By: C�&� L 0 Z I 4: 83d Date./By; Other Permit: f i t ; :1 fJ..l 7_ Inspection sine: $03.6 3 Iuris: - Pi See Page 2 for Internet: www.tigar'd or,gov - `5 ; • Natificd/lvlethod: r rf l7 Supplemental information wr r eY .,.Ji •n K' ^rte : 76 "; , Gt5aH + - N 1 M , �i 7' 7 r r r, ,Ptis, ; At"r',; t, wi�r g S, i A > 'a ! ^n -,k ke ;• 9' e+r44k .; ,4. :I 5• ` ;ct i � #k„ . ,. � "�:,�,* i` - ..r... :Y ., ,, ,..rr.• ^ , ,.ts „ r ✓ tt ,n eq" .�, • i. : i.'. '�- ,...,.' '' ,'r ,Y, a G p ks+' o s *c - a T ', �. " Y q— g construction R. &iti Please rbeolc all drat apply (submit sets of plans w /items checked below): � Jd ` ❑ Service or feeder 400 amps or more 0 Building ove three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards, „ ,,:. , a - . . .,..r ?; oee 0,000 am 150 s at volts or Floating buildings. • ✓; .r.: `,".Sea'l�Jr :..�'dG �': ,�N "°;,!M ,, .:, p_�,P,,11LF�; �:: ,, L'Li ?,!i�:{ ^ ^;w; ex del p i$ s- 8 i Y rots 'sc T ' +$i1 ' ;i 'fe ° �' 0 ^' „ ? ' ?� � lass to ground, or exceeds 14,000 ❑ Cotmtnareial -use agriculture! 0 I- and 2- family dwelling paaommercial/industrial ❑ Accessory building amps for all other installations. buildings. 0 Multi- family 0 Master ❑ Other Pire pump. Instillation of 73 m �...:, • :c. *.... : 4 v ` . ,.', ❑ Frt 8yat larger separately de system. ��y�,{j..�� ter builde er 1 A o .a .i ry�'�i+,RSr - r, 'o 1 t ', 1 , k� _ _ ©Addition of new motor load of ❑ "A ", "E" "1" "t �V l ob no.. 4 Job site address: 1, I ti 100iP or more, OGLUpa �[ t.� 0 Six or more residential units. 0 Recreational vehicle parks - C? ❑ Health -care facilities. 0 Supply voltage for more than > ty !State /ZIP. -,y n 4 El Hazardous locations. 600 volts (lumina]. Suite,!bidg.Iapt . no.: Project name' - • • ' ❑ S more. . k k OS� — CIoss street/directions to job site: • ne - o l Fee. I Totof { N,ew residential single- or multi - family dwelling unit. . • • . -- Includes' attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 i 4 Ea. add'l 500 sq. It. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential y A ��{�r� ?j { y r L (� _ 59 . �h ^ S ` , : 4 M � 1 !.S N0 .. L , iiekti*,e } • i ; .: 9 ' . � ' O:' 'J 7 ^� • with ( above sq. ft.) 75. 1 ` y� Q � 7 Limited enemy, multi farrr ' \Q 6 residential (with above sq. ity 75.00 2 \V \ a: \ L \ r a C. k)b . fi. ) Services or feeders installation, alteration, and/or relocation 200 amps or less I 100.70 i ,I'eU 2 0. e q o- ' rS ` ".t.i a - � ; A '' i r x po 400 amps 133.56 2 � a,..'��j�'Y �'. � .�'�rY'Gafi�FV,Yi:'� :• tt �- � ` '? Ya[Y2bR` 4 1 r'6�� a b�•4i �+G .��i. l' ' �?v3�+F�{��' t ':���rh DG ,r 201 ams t ,.a T 401 amps to 600 amps 200,34 2 Name: 601 amps to 1.000 amps 301.04 2 Address: _ Over 1,000 amps or volts 552.26 2 - -- • . . Temporary services or feeders installation, alteration, and /or City/State/ZIP: • relocation _ Phone: ( ) Fax: ( ) 200 amps or less _ 59.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 441 amps to 599 amps 168.54 j 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extenslon per panel Owner signature: : Fee for branch c1 with :; •, >., rx >.�. s r r. Mir .. ,;; ?. e.v .. y .. Ny ,r4, abo ve service or feeder fee, �i, q� Date �{�,�,y�� �,� � A p/ I, . t M W ,x, � , .P;;IT�r'x .'n� " < C' i'd��2 �, w v ,C a , : i a� ; r k gt: Yr 1�'R?r>1�7�4'� 'i : j , d 2......-. 7.A2 7' ;7 st�'f ti. eac b cheirc�it Business name: 13. Pee fbr branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit -' - . Each add'l branch circuit 7.42 2 Address: . hIlsceilanequs.(service or feeder not included) Each manufactured or modular City /State /ZIP: M dwelling, service and/or feeder v 67.84 2 Phone: ( ) Fax: : ( ) - Reconnect only 67.84 r 2 - - - Pump or irrigation'cirele • 67,84 2 E - mail' Sign or outline lighting 67.84 { - - T >n. y.rl 1'1 ' I af l" :k +Abf 1, 7 ,r �p ;x _, ii ` L 'r.N e � r . ;1_`;a' Y w• 'M h' •, c. c S1gt1aJ. circuit(s) or limited-energv • Business metric' panel, alteration, or extension. Page 2 2 �l qe a ,„ ' Y1 G t I rc . Each additional' inspection over allowable in FM of the above Address: - 1 ) 0 - Y S Ss— _ Additional inspection (1 hr min) 66.25/ hr j p investigation (1 hr min) 66.25/ hr C ity /State /ZIP: 4" 1 I - E " J j L) Li - Industrial plant (1 hr min) 78.18/ hr • *one: (- B . : Fax: ( CS 't -ye/ 7 inspections for which no fee is 90 ^00/ hr g • - ifuaal listed Y4 In min CCB Lie.: I i Electrical Lie,: � .r Suprv. Lic -: , 22-- ., `,�h > z ..,'c Zs 1� r; y'ti�";i Subtotal: 1r5 ti Suprv. Electrician signature, required j W 4 Plan review (25% ofperutit fee): Print name: `'7 _ � , � t ' Date :a - ) ) &I State surcharge (12% of permit fee): t ,_ -t l ,ti. SJ TOTAL PERMIT FE; r4 Y t Authorized signature: - -- - - - - - -_ -- - - - -- - -- - This perm application expires if a permit is not obtalire3 within 180 Print metre: Date: days after it bas been accepted as complete. N umber o inspecticed allowed per permit. J:' Building 'PemitsIELC,PermitApp.doc 07 /0l/I0 4404615T(i1 /05 /COM/WEB C4_ , — }— • Fax: Feb 13 2012 10:50am P001/003 CONMERCIAL/ININSTRIAL/MENTIAL FACSIMILE TRANSMITTAL SHEET TO: FROM: Electdeal Pen Becca Sinner COMPANY; DAIS: City of Tigard 2/13/12 • FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 503 - 598 -1960 3 PHONE NUMBER: SENDER'S REFERENCE NUMBER: RE: YOUR REFERENCE NUMBER: Electlical.Petwit Thanks, '' r\ Becca Sinner Administrative Assistant Five Stagy Electric, Inc. Phone: 503 - 324 -0948 Fax: 503 -324 -0973 bsinner(u�fiti estarelectric. org P.O. Box 555, Banks, OR 97106 * Phone: (503) 324 -0948, Fax (503) 324 - 0973 * CCB# 158231 LICENSED • BONDED • INSURED