Permit ,y (d F.a CITY OF TIGARD ELECTRICAL PERMIT
i
il
F „ PERMIT #: ELC2007-00790
COMMUNITY DEVELOPMENT
D ATE ISSUED: 11/26/2007
TIGAILD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 571 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT : 009 JURISDICTION: TIG
PROJECT: TRELLEBORG
Project Description: (9) 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: SIGNALJPANEL:
MANF HMI 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: 8 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 SERVIVES 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
IEL,PRMTI E1.,C Permit 11/26/200" $100.05 LIC 75059
ITAX18% State Surcharge 1 1/26/200' $8.00 SUP 4226S
Total $108.05 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: P / ,L ; ` Permittee Signature: �'1 -SCT �L��LM 'y—
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• - ' . ' y NOV 26 2007 8 : 5 8 , WILLAMETTE . E S L - E T R I C INC.. 5555555555 p. 2
� .�� . Ir r.a ,r f , i ,1
r M1 • Electrical Permit Apt 1 4 1 S. . s t a i OIt IIl t 11 L t 1 51 ON1_ l ,i i , ''
I ' '' I, Received / _,,
a l F; City of Tigard Date/B : _ �u. /. • Permit N �` �' .I '.- 4� y
t • 1 3125 S W Hall Blvd T 2U , OR 0 B P lan Review
II • Other Permit:
, Phone: 503.639.4171 Ftt ; 5 3.598.1960 Date/B :
'? Inspection Line: 503.63 4 �5� 1 10 RD Dale Ready /By: ® See Page 2 for
rll I' , - i n
nj Internet: www.tigard- or.:ov. Notified/Method: Supplemental Information
81, in th o 11`g111E a �llp:l�llpi lul'tl' I 'il 1 1 9 ' tN Id'?�q ti {� i =' F i l lll Err -, u m ; l na m imacar > °i! is ^till r' 4i i r.
8 llll i ..,:111t .11�l ll�l inillll iii ili$sGuiulfi�i*';;lhr'il du�tutib� it it A littlimiii� ll -' i Milli al�lilllii : i isti till oi(�; dt tell I i a ll, �,Mi.ti!i , EG i
❑ New construction IN Addition/alteration /replacement Please cheek all that apply (submit 2 sets of plans w /items checked below).
❑ Service or feeder 400 amps or more ❑ Building ova three stones.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
Eli ( (+ ( � f'rfi� 7 rn , r rm ur �K ° tta o } r nnn ) p g l 4i I��() exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ilj� #: � 1� J1NOIfiL•i3 "? Eini)ifi { }i htul -i tlifbrtm }Ut1 tip j i r_: =„ i I'`,;! 11111119111 less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling El. Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
' der
[ ❑i Multi-family
�}�l � '` ❑ ' Master builder ' ( El { Other: ` { { �f ����� ❑ Fire pump. ❑ installation of 75 KVA or
l t.[ IS -!UI_ 1 I II ! Itliu a t�.ILWull da ii �l 1314111Ua`_u i ll t ° :,:, iltaii to o f h tan sli , ({ t ( 1 goo ❑ Emergency
fn ewe larger separately
motor load of 1 derived system.
Job site address: 100HP or more. occupancy. • Job no.:
�D g 84.4 1 re ❑ S ix o more residential units. ❑ Rea ticoal vehicle parks.
City/State /ZIP: .> , grGP A» ❑ Healthcare facilities. ❑ Supply voltage for more than
® ❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt.no.: /! Project name: 0 a V ❑ Service or feeder 600 amps ormore.
1 i l hli Viii f ,lr( i,RrPr�ia� ®1 ( 01flt t 1 i�181111 I II�(�liali=
Cross street/directions to job site: D escription Qty. Fee. Total ^
, New residential single or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Tax ma / arrel no.; Ea. add'/ 500 sq. ft. or portion 33.40 1
p P Limited energy, residential
i ' 7 NE IC FE • I9�lui 1 w� i liffi r 6t a{i r h r i k a a diuf3 ;' f nt � ,rk ' Is i r + l ilt i l i foui- l Il il!{ (with above sq. @.) 75.00 2
.,�'' y � Limited energy, multi - family 75.00 2
,f ilia eRO .L'°' P i t p`t� 1e c owl I. residential (with above sq. ft.)
Services ar feeders inatallation and/or relocation
{ I r= tar u oatayl n n . a { �� ( ���1 as i i s ; 200 amps or less 80.30 2
11 '7 '• t i lie V'll'il « I nil, ' �I l u i t ' t bit at ` iN9JGli +a '." ;l�l�� Iii i . v i ii i irt � � ,, „ `. a m p g , l 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: ,
Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner si nature: Date: Branch circuits — new, alteration, or extension, per panel
g A. Fee for branch circuits with
�., 7 ' r uta tp rzg3i1T' < , �' i n aua; tar : n i ,
ir' l#1 ■ 1 ilillIi8lC ! , iii Fin �; 1 " 11(11111 11th i'l i ,1 i thrill In ;!fie , ti, iIlli t ��?;, i� 1111111 each circuit feeder fee, 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, I 46 85 �� ' 2
first branch circuit
Address: Each add'I branch circuit �` 6.65 J r 2 .2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: {g l�c7 Ii lg � } n r 111th t p r p f Pump or irrigation circle 53.40 2
111 3�iNINT a.` I y 'ik110 u111111111 1 1:l "iu E 611" eat . ..i1i111I111 111 i� )I 'I 1 I' il' sign or outline lighting 53.40 2
Business name: Willamette Electric Inc energy panel, or t tni, or
energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City/State /ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 624-3631 Fax: (503) 624 -2938 Investigation per hour (1 hr min) 62.50
CCB Lic.: 75059 Electrical Lic.: 34 -283C Suprv. Lic.: 4226S ig Industrial plant p �g 73.75 (g
. '— .....- i.liLtlilt1111.nt,C ITIO n k A,`�t +l�&1�11 IHEIr $ '�II9MEN3!rt-I
Suprv. Electrician signature, required: Subtotal: 60 '
Print name: David Fife I Date: / — 16-'1'7 Plan review (25% of permit fee):
1 State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE: /Q ''
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete. 10
•
Number of inspections allowed pa permit.
1 \ Building 'Pennns'ELC•PermitApp.doe 05/23/06 440 - 461ST °1/05/COM/WES
������� OF CITY ���� mm�������� .
BUILDING DIVISION PERMIT #: ELC2007-00790
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/26/2007
Phone: (503) 639-4171 ik
Inspection Requests (24Hmj:(5U3)G3O'4175 A. -'h!
INSPECTION WORKSHEET FOR DATE: 1I/28/2007 TIME: lOUAM PAGE: 8
SITE ADDRESS: 10220 SVVGREENBJR0RD671 CLASS OF WOAK:
SUBDIVISION: L| NOOLN CENTER/THREE LINCOLN LOT #: OO,9 TYPE OF USE:
PROJECT NAME: TR ELLEB0RG
DESCRIPTION: (9) branch circuits.
OWNER: SH8RENST]N REALTY SERV1VES. PHONE #: 503.412~4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-8243531
Inspection Request Scheduled Fur Oate: 12/28/2007 PourTime�
Cod- ' nspec * � -acr/pdon Confirm # Contact # Message
^~
�
199 Electrical final 062296-02 509~780'3222 Y
Corrections • - - - ^ ons:
' 'Ep^^\\ -- -
,
\s,
\ i 'NN \ N,
.
4 44,
------- fl PARTIAL APPROVAL E CANCEL NO ACCESS
�� �� �
FAIL / / CALL��R|NSPE�TON ��AOODl[}NALFEESASSESSEO
Inspector:
- AN) ()(e)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200700790
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 11/26/2001
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1W:14/2007 TIME: 7:01A1v1 PAGE: 36
SITE ADDRESS: 10220 SW GREENBURG RI) 571 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TRELLEt3ORG
DESCRIPTION: (9) branch circuits.
OWNER: SHORENSTEIN REALTY SERVIVES, PHONE #: 603-412-4600
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-G24-3631
Inspection Request Scheduled For: Date: 12/1412007 Pour Time:
Code # Inspection Description _Oonfirm # Contact # Message
130 Coiling cover 0615444 503.624-3631
Corrections/Comments/Instructions:
1. bill WIL- 1 - 14 mai= 'EL:Ec.7
'Nee ck.xAr ExyL L'
1 1 0) (YT
co'
Wcnk•zeT)V 1-sot4 \)6 (f-4
PASS 11 PARTIAL APPROVAL fl CANCEL fl NO ACCESS
1 AIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: , 666 LE Date: 711 1 al Phone #: (503) 718- i_9t_!4
CITY OF TIGARD
BUILDING DIVISION ,:441k, PERMIT #: FLC2007-0.0190
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 . 1/26(2007
Phone: (503) 639-4171 Vtill'
Inspection Requests (24 Hrs.): (503) 639-4175 _
INSPECTION WORKSHEET FOR DATE: 11/3012007 TIME: 7:OOAM PAGE: 31
SITE ADDRESS: •0220 SW GREENBURG RD 571 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 . TYPE OF USE:
PROJECT NAME: TRELLEBORG
DESCRIPTION: (9) branch circuits.
OWNER: SHORENSTEIN REALTY' SER VI YES% PHONE #: 503412-4600
CONTRACTOR: WLLAMETTE ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: ' --- Date: 11/30/2007 Pour Time:
(-- cor)
Code # Inspection Description Contact # Message
120 Electrical rough-in 060563-01 . 5036'24-3631.. N
I Z w4411 Cz \rak.
Corrections/Comments/Instructions:
C ------1:-- 0 PARTIAL APPROVAL E] CANCEL 0 NO ACCESS
fl FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: N ()(3L...c- Date: It 430(09 Phone #: (503) 7181mt•