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Permit r ; CITY OF TIGARD ELECTRICAL PERMIT ` o COMMUNITY DEVELOPMENT Permit #: ELC2010 -00371 T1GARD: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/21/2010 Parcel: 1S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 900 Subdivision: LINCOLN TOWER Lot: 0 Project: NW Mortgage Group Project Description: (2) branch circuits for copy machine. Owner: FEES LINCOLN CENTER LLC Quantity Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 CALIFORNIA ST 49TH FL 2 crt Branch Circuits 07/21/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 07/21/2010 $7.63 Electrical Contractor: CHRISTENSON ELECTRIC INC 111 SW COLUMBIA ST, STE 480 PORTLAND, OR 97201 PHONE: 503 - 419 -3300 FAX: 503 - 419 -3695 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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: it /W'- _ Permittee Signature: nAT - 4 / / ©A' • 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 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. JUL -16 -2010 FRI 11:57 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01/02 Electrical Permit Application RECEIVED VOR OFFICE LISE ONLY .................. . ilflisio City of Tigard u �ciB • 7 4 f) - 0 - permieNo, _ i / -0037/ 13125 SW Hall Blvd., Tigard, OR. 97223 1 (V L � 1 !D ) [ V . 0 } o Plan Revie Phone: 503.639.4171 Fax: 503.598.196 ma Other Permit; r 1 t i A I:1) Ins Line: 503.639 Data Roady/B Ju rin: El See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD NotiEed/Mmhod: 'I sup....... information .. �TYP>C I . o� .1VG 1��IV��'101�I ��.. , � " °' 'p..� , -�.- � �_slim. �n.Y,�, .,;1 r , • � z,r,,... New construction dditlon /alteration /replacement Please check all that apply (submit? sets of plans w /items checked below): ❑ Se vivo or feeder 400 amps or morn ❑ Building over three stories. 0 Demolition U Other: where the available fault current ❑ Marinas and heatyard>. C T'ECO OF:.0 R111CT amps a or ❑ Floating buildings , . ' ,.:.. ,. ... IONi ; �;, , � . :::'S ., : • ..:,;,,. exceeds 10000 t ] 50 votes o leas to ground, or exceeds 14,000 ❑ Commercial - use agricultural ❑ 1- and 2- family dwelling Commercial/industrial 1=1 Accessory building mops for all other installations. buildings, [] Multi - family ❑ to builder ❑ Other: ❑Fitt pump. ❑ Installation of 75 KVA of .. , ,. ... Emergency system, larger separately derived system. ' ,1018 SIT. INTORNFAT A N D `:- LO CATION, : ❑Addition of new motor load of []' A" "E" "1 - 2 ", "1 - 9" Job nog (0 ( Job site address: � ,, y y , I • , p� 1001 or more, occupancy. _ � y I _ { V �1UU /' R , ]�1 W' - ❑ Six or more residential unite. ❑ Recreational vehicle parlct, City /State /ZIP: a _ i i'ar A, � 3 Di Neahh•aara Facilities. ❑ Supply voltage for more than ❑Hautrdcus locations. 600 volts nominal, Suite /b1d /a t. . Project name: ki i ❑ Service or feeder 600 amps or more / o• site: a '� �1 Cross strect/dir SCIIE Pct. 1 w . �� . ��� �Deacriyrian 1 pity. 1 Mal 1 New residential single - or multi-family dwelling unit. _ a D t - -- ,/ -� . ��� multi-family Includes attached garage, - subdivision: Lot no.: 1.000 sn ft. or less 168,54 4 Fa, add'l 500 sq, ft. or portion 33,92 1 map /parcel no.: Limited cncr1 '. residential 75 ,0 0 2 . .OT . VYORK; :, !' (with above sq_ ft.) Limned energy, mule - family 75.00 2 residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100,70 2 .. ' : ❑ PROPERTY • OWNFR:: • • :. :: , ' ' t lr TENANT ' •• r 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name; 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552,26 2 Temporary services or feeders inshillatinn, alteration, and /or City/State /211': relocation r22 Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 : 201 amps to 400 amps 125.08 Owner installation: This installs Lion is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 166,54 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee ter branch circuits with • . . ri Ai WANT •' :'• .. ..'. .: i j Fr'.or i. tc`I' P,Ii:RSO�N:.' :.- - above service ar fecdcr fee, 7.42 2 each branch circuit Business name: r without J X11 J� jJ �.. .+�� l9. Fcc for branch circuits witho service or feeder fee, first , 56.18 t� 't 1 K 2 Contact name: branch circuit ,90,,, - --- - - Each add'I branch circuit , T., 7.42 , 2 Address; Miscellaneous (service or feeder nvt included) _ _ _ City/State/ZIP: Each mnnuthctured or modular 67.84 2 service and/or feeder r Phone: ( ) Fax :: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E Sign or outline lighting 67.84 2 CONTR4CI OR : Signal circuit(s) or limited- energy ' Business name il « a -�a, panel, allemlion, or extension. _ Page 2 2 Each additional inspection over allowable in any of the above Address: \ \,\., ep. �� „ �. - 4f a Additional inspection (1 hr min) 66,25/ hr / �� Investigation (1 hr min) 66.25/ hr N t ) City /State /Z1P: ± _ 1 .. L Y` q, _jib Industrial plant (I lir min) 78.18/ hr Phone: 15 WO lnspcctinns for which no fee is 90.00/ hr r specifically listed ('h hr min \�/ C: B Lie.: Electrical Lic.:r 4 Suprv. Lic. :5 s I;I EG°TIZICAL PERMr II;ES \ � J Suprv. Electrician signature, required. - / Subtotu!: � Plan review (25% of permit fcc); Print name: / �- _ State surcharge (1 2/c of per fee): - II! / _ , ; ► fir r/ Authorized signature; TOTAL PERMIT FEE: ' ruin permit application expires if a permit is not obtaincd • i hin 1 1 Y days after It has been accepted as comnlete. /'7 / Print name: Date: • Number of inspections allowed per permit. / 1: v3,ril .1.(' -1'a mil App, do n /own , 4 • 1 , ; "9-1.... f 3 2. 03 • 6."E cL -et 2 /A/ /!� I► ��' : l,; ' 7: ' + ...< 4 0# :: 7/A00