Permit r; z CITa' OF TIGARD
ELECTRICAL PERMIT
lir-- CITY PERMIT #: ELC2008 -00502
COMMUNITY DEVELOPMENT DATE ISSUED: 9/3/2008
TIGAttD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 265 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT : JURISDICTION: TIG
PROJECT: TRISTAR INS. GROUP
Project Description: (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/ 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 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 9/3/2008 $53.50 LIC 75059 •
[TAX] 12% State Surchar 9/3/2008 .$6.42 SUP 4226S
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 : i// � �� ` 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. ELECN: 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: Fi X18 osoa REQUIRED ON GREEN INSPECTION CARD. .
Code Inspection Description PASS Date By 1 Code Inspection Description I PASS Date I 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 A 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 x 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 -in
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 - Plumbin Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in g
920 Suppression trip test
310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
. _ 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 \InspCard- AOP- Blank.doc 02/02/07
i T CITY OF TIGARD ELECTRICAL PERMIT
Ph
CITY OF f[ PERMIT #: ELC2008 -00502
COMMUNITY DEVELOPMENT DATE ISSUED: 9/3/2008
Tt'cl∎ii 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 265 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT : JURISDICTION: TIG
PROJECT: TRISTAR INS. GROUP
Project Description: (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/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 9/3/2008 $53.50 LIC 75059
[TAX] 12% State Surchar 9/3/2008 $6.42 SUP 4226S
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.
... :::::7--- Issued By: A Permittee Signature: 7,X71-l/
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.
09/02/2008 TUE 15:54 FAX 5036242938 Willamette Electric Z002/002
• • Q
Electrical Permit ApplicatiRi ECEI i `' `.. i;: -', r FOR OFFICE"USGbNCY,; r:' ; •
IN • City of Tigard SSLN �6' t _ 2 , ,,,. t Permit No.: •' ° •
13125 SW Hall Blvd., Tigard, OR 97223 t! (, Plan Review
1 Phone: 503.639.4171 Fax: 503.59 1960 Datc/F3y: Other Permit:
r I c j A RD D Inspection Line: 503.639.4175 U. C ITY OF TIGARD Date Ready /By: lurk: ei See Page 2 for -
intcret www ugard orgov 8 INS �� Notified/Method: 'f Supplemental information
olV
OF " R1( P LAN REV W
0 New construction [ Addition /alteration replacement
Please check all that apply (submit 2 sets of plans w /ucros checked below):
❑ Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
cA7`,P OF CONSTRUCT i. exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling L Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
Emergency system. larger separately derived system.
JO$'STCE7hTE`O IAT[OTVAND_1(JCAT30N ;.: ❑ Addition of new motor load of ❑ "A "E "1 - 2 • "1 - 3 .
r 100HP or more. occupancy.
Job no.: 4( Job site address: / ` 9 ., ) i 4 K::-,;:4," r � ` /` "J, € ❑ Recreational vehicle arks.
{ / ( ` • ' ❑ Six or more residential units. p
City/State /ZIP: 70 5440 ° tell i ,/z ❑health -care facilities. ❑ Supply voltage for more than
_� ❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: � Project name: r ye ( 5 ,,, ' Service or feeder 600 amps or more
f F E
F1;SCItEDUI E
Cross street /directions to job site: 9 Y / ,i /�`' aUS.A Description 1 Qtv. l Fcc. 1 Total 1 '
New residential single- or multi family dwelling unit
includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. 0. or portion 33.40 I
Tax leap /parcel no
Limited energy, residential 75.00 2
DESCRIPTION' OF WORK (with above sq. n.)
Limited energy, multi- fainily 75 00 2
residential (with above sq. R.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
: "❑ PROPERTY OWN - � ` " Q ?,TENANT 201 amps to 400 amps 106.85 2 •
Name: 401 atnps 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: ( ) Fax: ( ) 200 amps or less I 66.85 1
Owner installation: This installation is being made on property that 1 ow which is not 201 amps to 400 amps 100.30 2
own
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner Signature: Date: ,. Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
0 ".`APPLICA\T , . ;.1 ; ❑ .CONTACT above service or feeder fee, ((5 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, / (( c
Contact name: / 46.85 ( i " 2
first branch circuit
Address: Each add'( branch circuit d 6.65 n X, l 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
90.90 2
Phone: dwelling, service and/or feeder
( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRA CTOR Signor outline lighting 53.40 2
Business name: Willamette Electric, inc. Signal circuit(s) or limited -
energy panel, alteration. or
Address: PO Box 230547 extension. Describe: Page 2 [ 2
City/State /ZIP: Tigard, Oregon 97281 Each additional inspection over allowable in any of the above
Phone: (503) 624 -3631 Fax: (503) 624 -2938 Per inspection 62.50
Investigation per hour (I hr min) 62.50
CCB Lic.: 75059 Electrical Lic.: 34-283C Suprv. Lic.: 4226 -S industrial plant per hour 73.75
"'"w��! Su LEG:TtitCAL "p 12 Subtotal: /7'3, ,
Suprv. Electrician signature, required: -
Print name: David Fife Date: 0i ca rs"i Plan review (2556 of permit fee):
State surcharge (12% of permit fee): b, k/ !:r
Authorized signature: TOTAL PERMIT FEE: 59,27;
Print name: Date: This permit application expires if n permit is not obtained within 180
days after it has been accepted as complete.
" Number of inspections allowed per permit.
1:? nuilding ,t'enniIs1 PermitApp.dnc 05;23106 940 4615T(I lies /COMrhVEB