Permit CITY OF T I G A R D Att i PERMIT #: ELC2002 -00400
At-tvo DEVELOPMENT SERVICES DATE ISSUED: 8/19/02
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S136CD -00600
SITE ADDRESS: 08060 SW PFAFFLE ST
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Install 225a feeder for AC unit power and 2 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: 2 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:
EEI SOLUTIONS CHRISTENSON ELECTRIC
5665 SW MEADOWS RD, SUITE 300 DBA INTEGRATED ELECTRONIC SYS
LAKE OSWEGO, OR 97035 P.O. BOX 708
EUGENE, OR 97440
Phone: 503 - 294 -2150 Phone: 541 - 486 -4456
• Reg #: LIC 458
ELE 26 -34C
SUP 873S
FEES Required Inspections
Type By Date Amount Receipt Elect'l Service
PRMT CTR 8/19/02 $120.15 2720020000( Rough - in
Elect'I Final
5PCT CTR 8/19/02 $9.61 2720020000(
Total $129.76
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: 9_,1.) Issued By: 44 ,e,,a___
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: 6 DATE:
LICENSE NO: 3 'S
Call 639 -4175 by 7:00pm for an inspection the next business day
AUG -15 -2002 THU 11:20 AN FAX NO, P. 01/01
,
.. Electrical Permit Application
Date received: _ /9 —0 1 Permit no.gd C_ 200 O 90 D
':,'i Cit of Ti and
�,t t y g _ ProjecVappl.n Expire
co of'1'igard Address: 13125 SW Hall Et f OR 9722 Date issued: 13y P6 Receipt no.: •
Phone: (503) 639 -4171 I
Fax: (503) 598 -1960 AUG .L G 2JU2 Cnse file no.: Payment type:
Land use approval: (i y , J a Li l', OA ,.% 1 D
i . ... : L T - it 4T .
1 l'i is O1' I'h_RNI1 r
U 1 & 2 family dwelling or accessory a Commercial /industrial 0 Multi- family 0 Tenant improvement
0 New construction U Addition/afteration/re.placement Cl Other: Cl Partial '
.1O1t SI I F IN1-01tM.'t l ION
Job address: 8060 SW PFAFFLE ST Bldg. no.: Suite no.: ' ax map/tax lot/account no.:
___.
Lot: Block: Subdivision: CAMERON PLAZA
Project name;PROSOT)I INTERACTIVE Description and location of work on premises: FEEDER FOR A/C UNIT POWER. W /CKT
Estimated date of corn letton /inspectlon: QUESTIONS? CONTACT DAVE HUNT (503)419 - 3617
t, 4. 1) N :_\'fll,)N t ,, , .. FIT, , St'lll;1)111,1•: , , , • .
Job no: 2 -375: Fee Max
Business name:CHRISTENSON ELECIRIC, INC. Description Qty, (en.) Total no. Insp
Address: .. r6 31 NW 'THURMAN 2ND FLOOR Newreeldential- singeormulti- famtiyper
dwellinganit. Indude9 attadtedg
City: PORTLAND rte: ZIP: 97209 Setvlxlnehtdeck
phone503 419 3608 Fax503 4193639: -mail: — 1000 Bq.fr.orless 4
CCB no � • c . bus 26 -34C Eachaddilional )a ft. or portion tltereof
, Limited energy, residential _ 2
City /metro ' o.: 5 46 Limited energy, non - residential " 2
1 - v l ach manufactured home or modular dwelling
Signet of supervisi ec r CI r .aired) Date : 1 1 2 Service and_t_ 2
Sup. elect. name (print): BRYAN CHRISTOPHER License no: 8735 service
so feeders installation,
alteration or re ovation:
1 OWNER 200 amps or less .
•
- Name (print): 201 amps to 400 amps , ., (` �A� .... -_. — , U b . }I i 2
401 amps to 600 amps � 2
Mailing address: _ ' 601 amps to 1000 amps 2
City: Stale: ZIP: over 1000 am • s or volts 2 '
Phone: — IF E •mail; Reconnect only I
Owner installation: The installation is being made on property I own Temporary services or feeders • -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocalioa
ORS 447, 455, 479, 670, 701. 200 amps or less Il 2
all amps la 400 amps 2
Owner's sign ature: _ __ • Date: 401 to 600 nm.s 2
l? N G EN 1? h: R Branch circuits - new, alteration,
Name: or extension per panel:
1. Fee fcr branch circuits with purchase of
Address: . service or feeder fee, each branch circuit 2 5 . 65 13 2
City: I State: • 1 ZIP: B. Fee for branch circuits without purchase
Phone: Fax: E of service or feeder fee, first branch circuit: 2
Each additional branch circuit:
1'1 AN it i:ViI. V(Plea,se check all that apply) Mlle. (Service or feeder trot Included):
Q Service over 225 ..- commerci∎ Cl Health-cm facility Each pump or irrigation circle 2
O Service over 320nmps•ra ling of 1&2 CI Hazardous location Each sign or outline lighting 2
family dwellings Q Building over 10,000 square fed four or Signal circuits) or a limited energy parcel,
t] System over 600 volts nominal more residential units in one swclutr alteration, or extension* 2
CI Building over threw stories O Feeders, 400 amps or wore *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional htspection over the allowable to any of the above:
O Eft 0 Oilier. per inspection 1 I I 1 ----
ftbmIt — nets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. other
'Not all jurisdictions accept credit ends, please call jurisdiction for mete information' Notice: This permit application
Permit fee $ 120.15
CI Vi sa Cl Mastercard cxpircs if a permit is not obtained Plan review (at " %) $
Credit card number:... _ _ ....-1-1 within 180 days after it bas been State surcharge (8%) .... $ 9.61
p iKe accepted as complete. TOTAL $ 129.76 J
Name o fcardholderasibosmon credit card s * ** *TRUST ACCOUNT DEDUCT * **
Cardhrltter lignslure Amount 4404613 (6/00A:'OM)
OCT.2000 +FEES ON BACK OF FORM
CITY OF TIGARD _ 24 -Hour
BUILDING Inspection Line: (503) 639 - 4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re nested AM PM BUP
Location I g 0 (0 0 /, '� J Suite MEC
Contact Person Ph ( ) Pco gR PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC p —0 0 4 /60
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain •
Slab Inspection Notes: SIT �
Post & Beam lv
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing y� \/ h
Firewall GA j � � V1 � , 'V IV Iw \ c oo
Fire Sprinkler �- 1 ( r
Fire Alarm
Susp'd Ceiling �1 {� \ / / /
Roof \ Vi 11 00cl d�(\ , \�U7 �6ZtD W�1 � L� �t/9
Other:
Final '
PASS PART FAIL
PLUMBING c I
Post & Beam
Under Slab
Rough -In ' l
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 •
P RT FAIL
wiee�
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIT Please call • r reinspection RE: El Unable to inspect - no access
Fire Supply Line
Approach/Sidewalk Date 0 Inspect . Ext
Other:
Final DO NOT REMOVE this inspection record from the ob site.
PASS PART FAIL