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Permit CITYCITY TIGARD ELECTRICAL PERMIT TIGARD #: ELC2008 -00425 COMMUNITY DEVELOPMENT DATE ISSUED: 7/24/2008 TIG■RD!' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT : JURISDICTION: TIG PROJECT: CORVEL Project Description: (7) branch circuits for TI. Job No. 972 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SHORENSTEIN REALTY SERVICES WILLAMETTE ELECTRIC INC ONE SW COLUMBIA ST #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 7/24/2008 $86.75 LIC 75059 [TAX] 12% State 7/24/2008 $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 w coordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe ed for more than :0 • = • ATTENTION: Oregon law requires you to follow rules adopted by t - Oregon Utility Notification Center. Tho rules are set forth i • • R 9.2-� 0 a1 -0010 through OAR 952 -001 -0100. You may obtain cop = = o these rules or direct questions to OUNC at 503 246.6699 or 1.800. . .•4/ Iss ed By: L Perm ittee Sig - /' 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: CCONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 11 .L %:i�Iro - — 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. 07/23/2008 WED 14:36 FAX 5036242938 Willamette Electric 0002/002 - ste Z aR � 11)1: l;l( } 1 1 tit 1► \I1 + } !1 ���6e PQ.'rm {,��t!9li�i `� T"• x. xk F' 1 a t� use °3 : ._ ..._. r "..w. y� 1 t � 1 `�`/' �(/��`^� i V Received Permit No.: 1 � ,) Catty of Tigard C� Dale 41 : 9 i . , u • a w 13125 SW Hall Blvd•. T igard,OR 01 '' ^ n plan Rcvirw ar Permit: Phone. 503.639.41 T I. .Fax: 503.598 '' .i I 600v Datc/8 , 0+1 ,__._ - """' .) pme RcedyBy. lur Sc a Pere 2 for l I t tl ;iry inspection tine: 503.639 4175 t \ � , N ote itcady/eyd' a , Snyl temantxt 9nrnJnrafion 6 > Internet. www.tigard-or.gov J ` ., ,. x OF WORK ., l 11 PLAN REVIEW _ __ pla•+?e cheek all that amply (submit 2 sits of plank whims cheCt,Cd below)' 0 NCw constnleiion a Addition/alto D Service or fcedsr 400 amps or more 0 Building ova three Swricz. r • . where the available (null eunent 0 Mainas and boatyards. 1 Dornotition ❑ Other; exceeds 10,000 amps at 150 volts or ❑ :floating buildings. CATEGORY OF CONSTRUCTION -' lots to ground, or exeecda t4 000 0 Commercial -use agrieuliu eI 1- and Motility dwelling [ Commercial/industrial ® Acces building amps for all other installations. buitdinga. Other: 1:1 Firc pump (� lnsralluion of 75 KVA or „ � Multi-faxnily ❑ Master builder 0 l ar T separately derived !Worm. (� Fir e pump. aystcm. 8e o l' JOB SHE INFORMATION An LOCA T1ON © Addition Of new motor fond of J / t OO or more. occupancy. Job no,: � /1 / Recreational vehido parks. kb site address: i „, e .; ) , (. j „ ^: t” r l !r. t` it f ( S i x or morn rcsident;al nuns. '� a fi y -, C %^ n ' ❑Supply - nhagc rm (Inv than j 1 t Pmt ' Q H,,,h•carc facili,,,, City/State/ZIP: ~ / l d e r � (� f � . rs GOD volts nominal . . ❑Haza rdous locat ” ; /! Y O Servic or fccder 660 amps m more. J no.: / = '� % 1r EE SCHEDULE 7 Project name: DercriPtion „Lap. 1 ra. 1 Total f • Cross Suet s/diret ti(ms to job site: _ - New residential single- or muRi•faioily dwelling Unit. Includes Attached garage. 1,004 sq R. or 10.5 145.1 S El Lot. no.: 1 Subdivision: _ ( En. odd'1 500 sq. 6. or portion 33. - Tax map /panel no.. Limited energy, residential 75 00 1 2 • a�scatpTION OF WORK (with above c q• et) Limited energy, multi - family 75,00 - 2 Ft ` f' " residential (with above .sq.6) i _...__..._ —__ - -- - Services or feeders installation, alteration, and/or relocnrian t 200 amps or less 80.30 1 2 __ _ —� - O pRoptury OWNER 1 0 TENANT 201 amps to 400 amps 106.85 Name: ' -- I Name: 401 amps to 600 amps 160.60 1 8 __ 1 Address 60! amps to 1,000 amps ' 240.60 2 _ ._As .. ..._ Over 1,000 amps or volts — . 2 ; ZI P: -�-- Temporary services or feeders Installation, alteration, Tndior City /5jatel,..1 P 1 Phone: ( ) relocation I�� Fax: ( ) ---- -- -- 200 amps or less' 66.85 1. T- - 0wtaer isistni{ntion: This installation is being made on property that I own which is not 201 amps w 400 amps 100.30 2 100.30 2 intended for sale. )case, rent, or exchange, according 10 ORS 441, 449. 670, and 701. 401 amps to 599 amps Branch circuits- new alteration, or extension, per panel 1 Owner signature: A. Pee for branch circuits wrth !> -� -- �� above service or feeder fee. [_} A ?I'L {CP APiX CONTACT PERSON above 2 each branch circuit ,, 1� Business name: _ _ _ B. Pcc for branch circuits without service or fccder f�, aG ` ' I 2 Contact 11a___ _. ._ first branch circuit i..� ,' ma x -,�- - c- Each add'I blanch circu (a? 6.65 .. (jyr :?,-_''' 1-Address: .-.w. — Miscellaneous (service or fccder not included) I Each maiufacuircd or modular 1 City /Star__ . �� 90.94 2 _ dwcllinF, seNiu arld /or fccder Phone: ( ) Fax:: ( �� ) Reconnect only 66.85 2 E-mail: -^ 1 Pump or irrigation circle _ S3.40 2 _ .> --�-� CO AC{OR Sign or outline lighting 53.40 - Sign circuit(s) or limitcd- 1 Business name: 1,4v1 t T'i< 1...;1._42(.. w•e � -r r- -, energy panel, alteration or extension. Describe: Page 2 2 1 Address: `�• ,'� %`�,..::, ? C ;,-;"1-1 ..� ---t CO/Stare/ZIP: R � Each a inspection over allowable in any of the above 1 o q ,,, r ; . j C7 (7,_ cz l t � "' : , Pet laVoction 62.50 Phone: (SD3) L 2oi _ - .!., i ! aX: «r'a )l o 2 1 `'i Investigation pc; hour (t hr mm) 62,50 -� CC Lic.: ; -, :; Electrical Lic.' ssi. - ' j�3.. ,f _• Suprv. Lic.: (,1�.3i ^, .._ Industrial plane per hour 73.75 �� a �. _ _ � . ELECTRICAL RICAL 1?ERIVII T FEES Suprv. Electrician signature, restated: Subtotal: -__M Print Plan rcvicw (25% of permit fcc): _ print name: ,-- .. Date: Start surcharge (12 "/, of permit fcc): r''I :., ., TOTAL PERMIT FEE: ? - a" - r , Authorized signature: This permit application capita; it permit 'ts not obtained within 100 Print na.mc: 1 Date; dnvs nacr it hoc leeen accepted es complete.. r: " Number orinsneci;nm allowed pCT permit t:tauildino'Pornu&W.I.C.Puin Appdoc O /2" ena•onisTnl/os/CQMiwE" • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-004125 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10412006 Phone: (503) 639-4171 4414:1'41t Inspection Requests (24 Hrs.): (503) 639-4175 ,_5 INSPECTION WORKSHEET FOR DATE: B127/2000 TIME: 7:00Alvl PAGE: 2'1 SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE: LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CORVEL DESCRIPTION: (7) branch circuits for TL Job No. 972 OWNER: SHORENSTE.IN REALTY SERVICES, PHONE #: 503-412-000 CONTRACTOR: WILLAIVIE I 1E ELECTRIC INC PHONE #: 503 Inspection Request Scheduled For: Date: 0127/2008 Pour Time: Code # Inspection Description Confin Contact # Message 199 Electrical final 074708-01 503-624-3631 Corrections/Comments/ Instructions: V 1 PAS 1 1 PARTIAL APPROVAL 0 CANCEL 1 1 NO ACCESS Ti FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: ( 1). 2-11) Phone #: (503) 718-14 1 CITY OF TIGAR® BUILDING DIVISION PERMIT #: 13125 SW Hall BI,Vd., Tigard, OR 97223 DATE ISSUED: E #_t 2900u12 5 Phone: ,(503) .639 -4171 - ,o��. •�l ea 7/2412009 Inspection Requests;(24 Hrs.): (503) 639 -4175 �' ! '`�'I INSPECTION WORKSHEET FOR DATE: 8/`951200!d TIME: T: 00AM PAGE: 11 • SITE ADDRESS: CLASS OF WORK: 1020C) SW CF�F "twN€3U(2G RD 15f1 SUBDIVISION: t iP4t�7LN rfE{�ITE:t °2di 9VE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CORVEL DESCRIPTION: (7) branch circuit.. for TI. Job No. 972 OWNER: SI REALTY SERVICES, PHONE #: 503. 412 - 4600 CONTRACTOR: WIL AME TTTE ELECTRIC INC.' PHONE #: 503.6 ?4.3631 Inspection Request Scheduled For: Date: Bf15/700t Pour Time: Code # Inspection Description /Confirm #.. Contact # Message 1 06 Underground/:slab cover 074237 - 01 J :03 -624 -3631 Y Corrections /Comments /Instructions: .� 3' - \ 1 3 : j • I PAS H PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1`‘%e Lt ---- Date: ''1E - 1 Phone #: (503) 718- Valk CITY OF TIGARD . BUILDING DIVISION s PERMIT #: ELC2008-W125 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . — "'..,. INSPECTION WORKSHEET FOR DATE: 7/30/2005 TIME: 7:01AM PAGE: N j SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: COPVEL DESCRIPTION: (7) branch circuits: for TI. Job No 972 . OWNER: SIIORENSTEIN REALTY SERVICES, PHONE #: 5034112 -A1300 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 1;03-624-3631 Inspection Request Scheduled For: Date: 7/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Coiling cover 073461 -01 503 - 624 -3631 N Corrections /Comments/ Instructions: ? 0 fa i 1 3yw \'T 5 T 4 + ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ni. v 05 e J Date: 111101 Phone #: (503) 718- 7-1114(, CITY OF TIGARD • • BUILDING DIVISION ;...: , PERMIT It: ELC2008-00425 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 7/2400M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/2512008 TIME 7; 00AIVI PAGE: 26 SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CORVEL DESCRIPTION: (7) branch circuits for TI. Job No. 972 OWNER: SI1ORENSIFIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631 Inspection Request Scheduled For: Date: 7/25n008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 073212-01 603-6243631 N Corrections /Comments/ Instructions: &--- D■J tal i ) - w .t y ,4c INVQ4 et z..to emip Lra p R.) o o„ To (.4 Ti E \ 1 7 3 Q W A RF VI . P t L L t S " a ktj CV cd811e ■d-\ C tv4(L P3 5 06.11,.. tArt4-1 r_t, rV V\A 1-1- c53\IEIZI (AM (g-h c LLD 0 ‘ 11 C-tibt q t t 21 5 - ' , 7 PASS PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED --,— _ Inspector: CY • Nt_e_M Date: 111616 Phone #: (503) 718- viqk,