Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00340
COMMUNITY DEVELOPMENT DATE ISSUED: 6/13/2008
.;T GARD� 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 410 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG
PROJECT: EXTERRO
Project Description: TI.
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: 6 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:
SHORENSTEIN REALTY SERVICES WILLAMETTE ELECTRIC INC
ONE SW COLUMBIA #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: 503 - 412 -4800 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 6/13/2008 $86.75 LIC 75059
[TAX] 12% State Surchar 6/13/2008 $10.41 SUP 4226S
Total $97.16 REQUIRED ITEMS AND REPORTS
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 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By
y' _ _., / Permittee Signature: �� �� � i� _
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 503.639.4175 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.
-08/12/2008 THU 16:23 FAX 5036242938 a Willamette Electric Z002/002
RECEIVED
L-
a _s & r ` I ' ',4I1)R1)1I~IIT i'1tit 111 11 } , F'rn ' r
lectriest GD Y --P-P- ia. _, UN 1 2008 ✓ � l{t t f „ . � • .� h : � ;t..:: ) {x .... .
ltecelvoa Permit No., P :4: - �U
1 4 City of Tigsrd BARD Dnie/H
m 13125 SW H ail Blvd., 7 ignrd,OR� of 11 Man Review pkharrcnnit: .6
.' Y >� »w Phone: 5 Fax: 5 i IVISION DeldB : 1nr Sc c rage 2 for
( L��NG D Date Rwdy/By. e
�` i r + i f s l i inspection Line: 503,639.4175 Noified/Mcthod' - Supplemental information
0 -•,.. : . ; :.:.•,.c.„.:. ;; tnternet: www.tigard•or.gov
._ _ _ PLAN RR;EPe
__ .� ..— ._ TYPE OF WORK
_ _ Please check all thm.spply (submit 2 seta of ow watcros checked below)'
!
1 0 New en. nstruction I Addition /alteration /replacement []Service er feeder a00 amps or more 0 B over three stories
`(�_ Demolition ❑ Other where the available Inuit ounces 0 Marinas and boatyards.
excccda ) 0,000 amps at 10 5 volts or ®Finating buildtnEc.
CATEGORY OF CONSTRUCTION fen to Qound, nr exceeds I4.o60 0 C -vac agricultural
1 and 2- family dwelling Cotnmerciai /industrial 0 Accessory building amps for all oiltcr insrnlladons. buildinR . of '15 X VA or
[a Fin pomp.
Multi family ❑ N185tCT bU11dCT Other: Q Emergency system. larger sepereicty derived system
JOB sag INFORMATION AND > t OCA TION omeilion of new motor land of ® "�" "e "'1 •Y' "i -
_ - f 100.HP ar more. occupancy
lo site address; ' s 0 Recreational vchiclo parks
.lob no., ^'� b
u ' ` ... 0 Six or more residential urine.
Q Henlih -care fec ce. ❑ Supply voltage for rnorc tile-
City ( r r ❑Haurdo-s locations. 400 voits nominal.
_ J
Proiea name: 0 C3 Servlce or feeder 600 amps or more. .
1 5uitclbl.dgJapt. no.: / (� "F' - j FEE SCHEDULE I Cross street
.��.• Oaieri lion r . rn. Toad •
/directi.ons to job site:
New residential single- or multi•famity dwelling unit.
Includes attached garage.
1111 _ ._.__ e Lot no.: 1.000 so. ft. or less 11111 145.15 '
1 Subdivision: Ea. add') 500 sq. ft. or portion
l a
Tax map /parcel no,; Limited energy, residential 75.00
DESCRIPTION OF WORK wit above s , R.
--- Limited energy, multi - family 75,00
. .. MI
/% J.. .;. v
/f . r' Tcsidential with above s•. ft .
Services or feeders installation alteration, and/or relocation
E 200 amps or Iess 80,30 2
�. ..
E] PROPERTY OWNER CI TENANT' 201 turps to 400 amps 106.85
, 401 amps to 600 amps 160.60
1 i`lntlac _ M _ 601 ampx to 1,000 amps 240.60
I Address: � N �� - Ovcr 1,000 amps or volts r 454.65 i 2
r .r,_— Temporary services or iceders installation, alteration, and/or
City /Store / /lY: w relocation
— __ - - —. _ v”" - - ) 200 gyp` 5 amp amps or less 66,85 )
an/P1 100.30 .... 7 �
- bona:( ) Fax: ( 400 I° OWI5CC Sk1S2fllDtit101U This instaliatiou is being made on property that T owe which is not 2
intended for sale, lease, rent, or exchange, according to ORS 447; 449, 670, and 701. 401 amps fsranch circuits- new alteration, or extens cr noel
I Owner signature: _ __ — Date A. Pee for branch circuits with
above service. or feeder fee,
each branch circuit
^— (w] APPLICAN7C 0 CONTACT PERSON f 65 2 . i
�n Business starve: ^T B. Fee for branch circuits <. l
b ::; tf.;< •
wirhour service or feeder fee, aG.RS / 2
` Contact name: j first branch circuit -_ _ ._.,
`({ i Each WI branch circuit (p 6.65 7 Z/- 2
- Address —w - W.. Miscellaneous (service or feeder not included)
1 C'it /StatGZ1P; Each manufactured o m odular 90.90 2
I __ - ,. dwelling. service and /or feeder
Phone: ( ) Pax:: ( ) Reconnect only 66.85 2
• i _ Pump or irrigation elide 53.40 2
i. T; malt: .- -- 53.40 - 2
.'- ,. -_� .. -. - CONTRACTOR S Or o tnli ne ii —W
{� , _ gi.gnal circuit(s) or limited-
' [lp5inescneme: r li�Lc %c.- <._ - 7.'.r - I I energy panel, alteration, or
�� ti', f sI i s Page 2 2
extension. Describe: I F
- -- Each additional ins cotton over allowable in an of the above
( •
'_' ' - >
�._._.. -,., i:a: � : l t.>.L_..... � } ' — - Per inspection 62.50
Fax: (` ?; :'. ) i 7 • % - ~t v: investigation per hour (I hr min) 62,5
� &��:: i _ '- � .. -, 7).75 �...
COB Lie. industrial plant per hour
' CC[i Lic.: Electrical 1. c. '�f.i .1 s3_ Suprv. Lie.: �'I l ?i N
i...... „,.�.... 1 _> . . �•, _,..- EI,E,CTRTCAt PERMIT FEES
_.. Saw( al' `7; • Z-''
Print Otun e: elute, required ;
Suprv. Llcctrician sign
• i_______. _. _ - - -.�.__ -� °_ /
Plan review (25 ^/ of Permit fcc):
Date: '/ 2 _ , State surchar (.t2 "/ of emsit fcc `
TOTAL PERMIT ME: ' %` „,,, --
Authorized signaure: ' r
This permit application expire.. it a permit ie not obtained wishin Ian
Print name. Dale; days after it has bean ocropoeil as complete.
._� _- .._-..
— Number of insrYninrs allowed per permit.
>313ad ncdr000luaV.LC- Ammmoo doe 0512305. "0,3615 o ito51COMfW5 3
CITY OF TIGARD
BUILDING DIVISION PERMIT # : EI.C 04)40
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6./13/200t1 Phone: (503) 629 -4171 .� "�,.
, I � I &
Inspection Requests (24 Hrs.): (503) 639 -4175 �! J _ .,.
INSPECTION WORKSHEET FOR DATE: 7/25.120013 TIME: 7:0()AM PAGE: J
SITE ADDRESS: 10220 SW GREI NEf11RG RD 410 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: EXTERRO
DESCRIPTION: 11
OWNER: SHOREN REALTY SERVICES, PHONE #: 5034112 -4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 603. 62,1 -3631
Inspection Request Scheduled For: Date 7/ 1Et � 00e Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Elect Ii cal final 073213 -01 603 -624 -3631 N
Corrections /Comments/ Instructions:
N
■) \� l
U V
PAS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , 0 vif4i Date: njulzyt, Phone #: (503) 718- _A4,)_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1 LC2008- 00340
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13 /2000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 10221) SW GREENBURG RD 410 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: EXTERRO
DESCRIPTION: TI.
OWNER: SHOREN STEIN REALTY SERVICES, PHONE #: 603 -412 -4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503- 623- 3631
Inspection Request Scheduled For: Date: 7/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'130 Ceiling cover 072576-01 503-624-3631 N
Corrections /Comments/ Instructions:
PAS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` N �� Date: 1,1 111 eb Phone #: (503) 718- 2`f `i6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008•00340
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0113/2( }0t3
Phone: (503) 639 -4171 14� , '�n�,� ; ^��I(�i
Inspection Requests (24 Hrs.): (503) 639 -4175 �'� °':...
INSPECTION WORKSHEET FOR DATE: 6/25/2008 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 10220 SW GREENBURG RD 410 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERfTWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: EXTERRO
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603412.-4800
1800
CONTRACTOR: WI-I-AMETI`E ELECTRIC INC PHONE #: 603243631
Inspection Request Scheduled For: Date: 6/25/2008 Pour Time:
Code # Inspection Description • ' • # Contact # Message
P eetri :el roes 07184401 603 6143631 N
125" WALL, coo EIL \
Corrections /Comments /Instructions: N
PASS) n PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: NO6 `e Date: 61 7410 Phone #: (503) 718 -1'