Permit 4, - CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00286
�"I DEVELOPMENT SERVICES DATE ISSUED: 5/20/03
`� � II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171
PARCEL: 1S136CD-00600
SITE ADDRESS: 08060 SW PFAFFLE ST 110
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING. C -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (6) branch circuits.
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: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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:
FINKE, ALEX TRUSTEE L H MORRIS ELECTRIC INC
FINKE, LOTTE I TRUSTEE 7051 SW SANDBURG ST, #100
PO BOX 23562 TIGARD, OR 97223
PORTLAND, OR 97281
Phone: Phone: 503 - 639 - 2334
Reg #: LIC 1838
ELE 20 -39C
FEES SUP 3006S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/20/03 $80.10
[TAX] 8% State Tax 5/20/03 $6.41 Rough -
Elect'l Final
Total $86.51
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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: Permit Signature: ex/ /90/°G/e44_770/1
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'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
•
11• V•)•.: 1V :UJ 1 -1 a!rJJ.a1NaV 1111 OF 11(. {RL)
0002.'003
° 1U-
Ete e..1 Per> �li n
Datercceived,..5 Permit a00..-1 t
"•" , 1 . Ldty of Tigard APR 2f Proje.cti3ppl.no.: • Expire date:
1I" "I vi 25 $W Ball Blvd, T tea:•d, 0 722? Ol :ei;5ucd: BY` ! Rece no.: Crry °f �' ` [ j ona: 03) 639 -4171 CITY OF TIGARD
GUY OF." Case fi'.c no.: Payment type: 8 -1960 BUILDING DIVISION - .
BUILOItAVI l C S I Pp pp ov de- ttlac?003 , eva 7,
77
.. TYPE •01 PERMIT
❑ I & 2 family dwelling or accessory XKCommcrcial/industrial ❑ Multi- family 0 Tenant improvement
0 i1.°,1S CL'nSiIL:GttOn
0 Addit icrV 0 Othr r: CJ Partial
-: ,,.... .... .. : .. . .:.,
JOB 51TIE :INFORMATIOi`I . . ,? ,
Job address: 8 0 6 0 SW PFAFFLE • 1 131dg. no.: Suite PO.: UP Tax map /tax lot/account no„
Lct: ! • Block: [Subdivision;
Project n m)�A1;�HITEC as cription and locat o f wort: on premises: NEW TENA ∎ I u -•R• _ u _ SP CE
Estimated date of completion/inspect - ton: 0
' co TRACTOR :1PPL1CtTlON - FEE SCHEDULE
-. .._..__..,.. .. Fen Max J ob no: 70170
Description Qty. (ea.) Total no- insp
Business name: L.H. MORRIS ELECTRIC INC ( err trsldential- aing
Address: 7 5 S W SANDBURG ST #100 duelling urit-Includes attached garage-
City: TIGARD State: OR ZIP: 97223 Scriceinclud
Phone : 6 1c1_ Fax: 620 -741 -mail
tpCO sq. fl. or less 4
7 Each e dditinnal 500 Sq. tt or Fortiori thereof ���
E lec. bu li e. no: 2 0- 3 9 C
CCB no.: 1 8 3 8 0.ir,.i:ed erer;�. «sidential r-
City /metro lie. n limi:odenerxy,non- residential
''‘ — g- g Each manufactured 1 or modular dwelling ■■
Sen and/or fader 2
l E� re of • A Date ervice , crv� inn el rieian (r 'red} Sice d/or feeder
Ilatwn,
Sup. elect name (pn .
n): GARY PEOPLES ftccn,na:30065 allcritienorrelonaon :
Y..CAr1ER 200 empa or irss 2
I'R01')� T ..
201 amps to 400 a.•nps 2.
Name (print): 401 amps to 600 amps 2
Islai ling address: 601 am s to 1000 amps 2
City, State.: ZIP: Over 1000 gimps orvolu
I Fax __ TE-mait: Recoone<t
Phone; Temporary aer*iea or feeders - .
Owner installatim: The insta]latiCd is being made on property I own installation, alteration, or reloemione
which is not intended for sale, lease, rent, or exchange according to 200 amps or 12ss
ORS 417, 455. 479, 670. 701. 201 unpsto Pom
Date: 401 to 600 amps
Owner's signature: `
GIN Branch cirrulta- nen, *iteration,
� L .... or et tension per panel:
Name• n. Fcc for branch circuits with purchuc of
AddreSS: scrvicc or feeder fee, each branch Circuit
B. Fee for branch circuits without purchase
[ State:
ZIP:
City: 1 of service or feeder tee, first branch el:uit: 1 46 5
Phone Fax E-mail: 1 [a:h additional branch ci rcuit: `��'110 • i
'1'L -tN.RE%'IEW'(Pleiice thcck`.U: hat'appI) , M isc .(5enicsorfeedernotincluded)!
�' � Each pump or irrigation circle 2
O Scrvice Wer 225 amps- ecromertial ID Hoof thh- eflreraci:ity 2
FAch sign or outline lighting
O Service over ] ?) asr; • rating of l dc2 ❑ Bu o ew vci 10,000 ,0 00squar:fcctfcuro' S cirwit(5) o: a limit energy Fara'.
family d dwelling; 1 Buildingo0,0 I — 2
❑ Sys:e,i :averb0]volts nominal
mare RSidenea! units in one structure el leration. or CYIen5lon` 1
O Building over three stories O Etedere, 400 snipe or rr.0rc "Description.
O Occupant I. ?ad •over 99 Dusan. 0 Manufactured structures er RI/ pa'): Each additional Inspection over (he all aviable In any of the above.
O Egn.aIlightingPlan O Other. Per inspection I 1 I
S — sets of plans with and of the above. Investigation ft: -
The above Ar not applicable to temporary construction service. O ther
��n
— Permit fee ... 5 5 2wr
' it iuri.lktionr se v Ma sea-,,n eider :arch please call Jvi;actioa far mart infcrmitton. NotiCC. This permit application P e t fee (at %) g ,�
O •_ 0 :lcrCi:d expire; if a permit is not obtaine
/ / - within 180 days after it has been State surcharge (8%) .... S 4 1 —
Credit earn ncmbcr: F..1nm r -, late. TOTAL S _6_4_9_64-81,,5/ -
acccptc as co • P _
Nara of ordeolder to [now o t . crdit cad +
5 - a at gyp14IS (60CCOM)
in!Fa)drr Rigu. AmJUni -
`.__ - - -- - - - - -- ---- - - - - -- c r S J
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION :Business Line: (503) 639 -4171 MST
BUP
Received Date Requested - 1( AM PM BUP
o
Location D a 0 � .. Suite / MEC
Contact Person Ph ( ) PLM
Contractor L . . - nr,ri's i 4fr c Ph ( ) 8.$6 - l3 L 1 SWR.
BUILDING Tenant/Owner 42., 3- Do xrc
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
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 -
UG/Slab
Voltage
Fire Alarm
• n Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE E Please call for reinspection RE: E Unable to inspect — no access
Fire Supply Line
ADA / �
Approach/Sidewalk Date 6 ` `i/�03 Inspector �Yd �I ? • Ext
Other: �/
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL