Permit CITY OF TIGARD ELECTRICAL PERMIT
T PERMIT #: ELC2008 -00378
COMMUNITY DEVELOPMENT DATE ISSUED: 6/30/2008
•TlGniiD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
• PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT : JURISDICTION:' TIG
PROJECT: FARMERS INSURANCE
Project Description: Installing (2) 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: 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: 1 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/SPECOCC:
Owner: Contractor:
SHORENSTEIN REALTY SERVICES CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 • 11401 NE MARX ST
PORTLAND, OR PORTLAND, OR 97220 -1041
Phone: 503 - 412 -4800 Contact #: PRI 503 - 255 - 9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 6/30/2008 $53.50 LIC 48748 •
[TAX] 12% State Surchar 6/30/2008 $6.42 SUP 3132S
Total $59.92 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: Permittee Signature: Z r 7
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.
•
• INSPECTOR'S SIGNATURES ARE NOT ,.
Inspections Required for: Fica,0g. -(jd -7R- REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description PASS Date I By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation • 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing \ 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain • 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors ' \ 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls '135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -m
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown •
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final .
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
_ 340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill • 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 _ Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final • 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCazd- AOP- Blank.doc 02/02/07
CITY OF TIGARD ELECTRICAL PERMIT
-0 ° r PERMIT #: ELC2008 -00378
COMMUNITY DEVELOPMENT DATE ISSUED: 6/30/2008
T ,IGn'RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT : JURISDICTION: TIG
PROJECT: FARMERS INSURANCE
Project Description: Installing (2) 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: SIGNAUPANEL:
MANF HM/ SVCI 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: 1 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 CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 11401 NE MARX ST
PORTLAND, OR 97258 PORTLAND, OR 97220 -1041
Phone: 503 412 -4800 Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 6/30/2008 $53.50 LIC 48748
[TAX] 12% State Surchar 6/30/2008 $6.42 SUP 31325
Total $59.92 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: ! ,� ��. _- Permittee Signature: —,(1%
/' 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.
�' , : FOR2 O FFICE USE` ^ -' i "`
Electrical Permit Application `` , ° l .
F @f �i'! I• eceived
-
"
::'''''4d''-`'`,:t; : e rm i t no .: --
711 City of Tigard Date/By: ` F �, , •01... ® 1 3125 SW Hall Blvd., Tigard, OR 97223 JUN 2 7 2008 Plan Revie
' ∎i •I' C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T 1 G A R,D Inspection Line: 503.639.4175 Date Ready/By: Juris: see Page z for • Internet: www.tigazd- or.gov �1 (� 1 1GA�� Notified/Method: Supplemental Information
- . . -. PLANM1M.G ENGIP.IEERI
"'...TYPE OF WORK ' '` PLAN;REVIEW
Li New construction U Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories
CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards
I_l I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi- family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural
'' '
' JOB - '
SITE INFORMATION AND LOCATION - • • : •.,'. amps for all other installations. g
�' buildings
Job no.: 280910 I Job site address: 10200 SW Greenburg Rd ❑ Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City/State/ZIP: Tigard, Or 97223 ❑ Addition of new motor load of ❑ "A ", "E ", "1 - "1 - ",
100HP or more. ❑ occupancy
Suite /bldg. /apt. no.: 200 Project name: Server utlets a Six or more residential units ❑ Recreational vehicle parks.
❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal.
Service 600 amps or more - -" —
Subdivision: Lot no.:
- ;'- FEE SCHEDULE '. • . . ' .
Lincoln 5 Description 1 Qty. 1 Fee. 1 Total 1
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
' DESCRIPTION OF WORK - • Includes attached garage. •
Add new dedicated 120volt 20amp and 30amp circuit to the server room at Farmers Insurance 1000 sq. ft. or less $ 145.15 4
......---------- Ea. Add! 500 sq. ft or portion $ 33.40 I
❑ PROPERTY,OWNER - 1' . _ •. ❑ TENANT.. . _ Limited energy residential
(with above sq. ft.) $ 75.00 2
Name:
Shorenstein Realty Service Limited energy, multi - family
residential (with above sq. ft.) $ 75.00 2
Address:
Service or feeders installation, alteration, and /or relocation
City /State /Z1 P:
200 amps or less $ 80.30 2
201 amps to 400 amps $ 106.85 2
Phone: Fax:
401 amps to 600 amps $ 160.60 2
601 amps to 1000 amps $ 240.60 2
Owner installation: This installation is being made on property that 1 own which is not Over 1000 amps or volts $ 454.65 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less $ 66.85 1
❑' APPLICANT : ' ' ": 1 ' ' ` -' ❑ CONTACT PERSON 201 amps to 400 amps $ 100,30 2
401 amps to 600 amps $ 13335 2
Business Name:
Branch circuits - new, alteration, or extension, per panel
— - -A —Fee for branch circuits with - - -
Contact name:
service or feeder fee, each
branch circuit $ 6.65 2
Address:
B. Fee for branch circuits
without service or feeder fee,
City/State/ZIP: first branch circuit 1 $ 46.85 46.85 2
Phone: Fax:
Each additional branch circuit: 1 $ 6.65 6.65 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
' ^ ". . CONTRACTOR . - . :.. . . . • r .. `. dwelling, service and or feeder $ 90.90 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2
Pump or irrigation circle $ 53.40 2
Sign or outline lighting $ 53.40 2
Contact name: Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: Page 2 2
City /State /ZIP: PORTLAND, OR 97220 -1041
Each additional inspection over allowable in any of the above
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Per inspection $ 62.50
Investigation per hour (1 hr min) $ 62.50
CCB Lic.: 48748 !Electrical Lic.: 26 -496C ISuprv. Lic.: 3132 -S Industrial plant per hour $ 73.75
Suprv. Electrician signature, required: ELECTRICAL PERMIT. FEESR . '
Subtotal $ 53.50
Print Name: DARK MCNEEL Dgte: 06/24/08 Plan review (25% of permit fee)
i State surcharge ( 12% of permit fee) $ 6.42
Authorized signature:
TOTAL PERMIT FEE $ 59.92
Print Name: DARRELL MCNEEL This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Number of inspections per permit allowed.