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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00003 Date Issued: 01/05/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 590 Subdivision: Lot: 0 Project: ID Experts Project Description: (7) branch circuits for TI Owner: FEES LINCOLN CENTER LLC Quantity Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 CALIFORNIA ST 49TH FL 7 crt Branch Circuits 01/05/2010 $100.70 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 01/05/2010 $12.08 Electrical Contractor: WILLAMETTE ELECTRIC INC PO BOX 230547 TIGARD, OR 97281 PHONE: 503 - 624 -3631 FAX: 503 - 624 -2938 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: � ( e--- Permittee Signature: o/i.7 /9 L/ e.7/ /Cf/V OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 603.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. JAN 04 2010 2:52PM WILLAMETTE ELECTRIC,INC 5036242938 p.2 Application R C " )?" r g t, I OWOl f t( li...L �L0.y ` .., '$".„ -.� ,."' Electrical Permit App , .. • p 1,. Received .' rwp /� j � City of Tigard JAN 0 4 t S It) PemdtNo./LL' ©/o ��1/VQ • 13125 SW Ha ll Blvd., Tigard OR 97223 en Review /���Q > Other Penret 8( �' 0 /t0 '�D� i e7 n " %�s Phone: 503.639.4171 L Fax: 503.598.1960 mgr I g`g` :, Inspection Line: 503.639.4175 CITY OF TIGA �c Y /BY t i 6/ I ® lie See ee Page for 2 2 ffInformation atv•i. ` Internet www tigard orgov BUILD i L Oil t a.! 4 7"t ;. ..i }i ?r t>' .,- . _ 'i- r, ., ' , . e g,..4y- .., - �..t .. >. ... r ...: v .. ..- •, Addition/alteration! lacement Please check all that apply (submit 2 sets of plans wfitems checked below): CI New construction Addition/alteration/replacement 0 Service or feeder 400 amps or more 0 Building over three stones. ❑ Demolition ❑ Other where the available fault current 0 Marinas end boatyards. S . 3r / :w a } 'd ,- exceeds 10,000 atnpsat 150 volts or Floating buildings. . •r ' "" lose w ground, or exceeds 14,000 ❑Commercial use agricuhtaal ❑ 1 and 2- family dwelling 14 Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Y Multi -famil ❑ Master builder ❑ Other: 0 Ere pump. 0 Installation of 75 KVA or T ['Emergency system. larger separately derived system. : 7 1 , ti t : ,.::+ N. , ; r r ❑ Addition of new motor load of 0 '•A" "E' "1 -2" "1 -3 10011P or more. occupancy. Job no.: �1 Job site address: /p ■3o ll] P ,, t 4 0 Six or more residential units. 0 Rccreatioml vebicic packs. City/State/ZIP: e l,_ > 0 He aI scare facilities, 0 Supply voltage far more than ��tY (j h�a ,Jr�t 0 Hazardous locations 600 volts nominal. 4; tsiibldg.iapt. no.: 5"QA I Project name: � ri lqp,• ❑ Service or seder 600 amps or more. Cross street/directions to job site: Description Qtv. Fu. Tel " New residential single -or multi- family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or Less 145.15 4 Ea_ add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 x j t u l.t a` q t<f ,. x . .. ,'fj . (with above sq. ft) . .. . t iT i . � l`•1 i� - v WJ i a�.L,� >.U1' Y i ,[.,_ .: A Limited energy, multi- family 75.00 2 /- ,«y, Gr+r r 1 A I/ t. /,a+'3 ,. residential (with above sq. ft.) Services or feeders Inslallatlon,alteralion, add/or relocation 200 amps or less 80.30 2 r .. , 5 . it »a t z,. _t f Yq ..i� X r f. .ti �` .• xt'ta,� ,?� C 1" ' �, y ; ;, :; 201 amps to 400 amps 106,85 2 Name: 401 amps to 600 amps 160.60 2 601 antps to 1,000 amps 240.60 2 Address: Over 1,000 amps or voles 454.65 2 City/State/ZIP'. caoo� services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) 200 amps or less 66.85 ' l Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteratlo� or extension, per panel Owner signature: Date: A. Fee for blanch circuits with j : . . �- , ' f`/'„ t - s ) 9- a 2. ' 1 - y , f' 1 _» above service or feeder fee, x: } >.w k . .. + t.x r ., a � „ . .an .. _. ti rte x_ ?s § 6.65 2 each branch circuit _ , Business name: 3. Fee for branch circuits without service or feeder fee, / 46,85 74, 2 Contact name: first branch circuit Address: Each add'I branch circuit 6 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling. service and/or feeder Phone: ( ) f Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or Irrigation circle 53.40 2 i ; ' , - , fV ; .: ... = . t a a k ,.. d _ ' ir" F- -:Z-i4:t Sign or outline lighting 53.40 2 Signal circuit(s) or limited Business name; Willamette Electric, Inc. alteration, energy panel, alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 City/State/ZIP: Tigard, Oregon 97281 Each additional inspection over allowable in an of the above Per inspection 62.50 Phone: (503) 624-3631 Fax: (503) 624 -2938 Investigation per hour (1 kr rain) 62.50 CCB Lie.: 75059 V 1 Electrical Lic,: 34 -283C ✓(Suprv. Lic.: 4226 -S t / Industrial t per hour 73.75 .. -.1 r, yr ::',r. .. Suprv. Electrician signature, required: 5uSubtotal: iOO 1 70 Date: 1/ // /V Plan review (25% of permit fee): Print name: David Fife State surcharge (12% of permit fee): / /?. • 0 Authorized signature: , gn TOTAL. PERMIT FEE: permit application expires if a permit Is ant obtai within 180 - //;;,..'7/ This Print name: I Date: days after It has been accepted as complete. $ Number of inspections allowed per permit. L•t Building \Pemrits+ELC•PmmiiApp.doc 0523/06 460.461 51(11ro5,COM /WEB