Permit •
CITY O F T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2005 -00565
���� DEVELOPMENT SERVICES DATE ISSUED: 8/8/2005
"� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S126DC-03300
SITE ADDRESS: 09900 SW GREENBURG RD,? - 1 lb ZONING: C -
SUBDIVISION: LEHMANN ACRE TRACT o � LOT : 005 JURISDICTION: TIG
Project Description: (5) branch circuits. Job #67- 47072.
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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: 4 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:
ATHERTON REALTY PARTNERSHIP . CHRISTENSON VELAGIO, INC.
MARTHA ATHERTON 1631 NW THURMAN ST. STE 200
2100 S WOLF PORTLAND, OR 97209
DES PLAINES, IL 60018
Phone: 847 - 298 -8600 Phone: 503 - 419 - 3600
FEES Reg #: LIC 64137
ELE 2G -1174C
Description Date Amount
SUP 1994S
[ELPRMT] ELC Permit 8/8/2005 $73.45
[TAX] 8% State Surcharge 8/8/2005 $5.88 REQUIRED ITEMS AND REPORTS
Total $79.33
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: zp .�y Permittee Signature: SQ c:)1'N \
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.
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- ,AUG -05 -05 FRI 01:15 PM CHRISTENSON ELECTRIC FAX NO. 5034193695 P. 01
Electrical Permit Application 1 OIH( F. I,S1: ONI.\ .
City of Ti arci j i� �(gQ��� Recoivrd� , - Permit No.:
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13125 SW Hall Fllvd.,'I igard, OR 97223 Plan R other Permit:
Phone; 503.639.4171 Fax: 503,598.5960 4 1 117%1 I Datdfly' T _,__ - ,,,�, - ---.
Inspection Line: 503,639,4175 AUG 0 - •� c � � I Date Ready/By; 1 uru: ♦?1 See Page 2 for
Internet: vvww.ci.tigard.or.us t LUU1- J ,. Nutifted/Method; Supplemental Information
• ': , • . }„ , . . rxnlr''tiD rw�# ' 4; , '. ' rr ' , :. ' ' '' : ' PLAN' :VIEW , . ,
D New construction )S2SI Xtti~dititIn /AItera,ian /r p Please check all that apply:
'�� Div °Service over 225 amps, comm'1 ❑Hazardous location
• ❑ Demolition ❑ Ot her: -.—..- Service over 320 amps - ratio
C] >1 rating 013uildns over 10,000 sq. ft -,
'' - , • '• • ,. .,., ' CATEGORY: OP UCTION''„ ;''' .I ; • ,;)' of 1 • and 2- family dwellings 4 or more new residential
• I- - and 2- family dwelling I Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
I:Building over three stories DFeeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons °Manufactured structures or
., 4OB tain "'
t NNPORMATJON 'AND LOCATION' ❑Egress /lighting plan RV park •
j •
• ❑Health -care facility ❑Other-.
Job no - 67 - 47072 ,lob site address; 9900 SW GREENBURG RD 2ND FL
Submit 2 sets of plans with any of the above.
City /State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service.
_ ,, ' . .EEE'';SC1; EDULE .
Suite/bldg. /apt. no.: 220 270 Project name: WELLS FARGO —.
_
/ � bticortinn I Qty- I Fee, I TOW{ [ _
Cross street/d to job s i tc: QUESTIONS ?1�ON B. (503) 419 -3631 New residential single- nr multi - family dwelling unit.
_ - _. - - Includes attached garage.
1,000 sq. ft. or less 145,15 4
Subdivision: Lot no.: Fa. add'I 500 sq. R. or portion _ 33,40 1_
.- -.�•.. - Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential W 75,00 2
DESCRIPTION ION OF WORK ,
• � " • Each manufactured or modular
dwelling, service and /or feeder _ 90.90 2
CIRCIl LTS FOR TENANT IMPROVEMENT Services or feeders Installation, alteration, and /or relocation
200 amps or less 80.30 M 2
. ❑ PROPERTY OWNFIi! . , • • 1 ' 0 .TENANT ' 201 amps to 400 amps 106.85 2
— -- , • • 401 amps to 600 amps M 160.60 2
Name: -601 amps to 1,000 amps • 240,60 u 2 .
_
Address: _ Over 1,00_0 amps or volts 454.45 W r 2
- Reconnect only 66.85 2
City /State /ZiP: Temporary services or feeders installation, alteration. and /or
relocation
Phone: ( ) - J Fax: ( ) 200 amps or less — _66,85 L
Owner installation: This installation is - being made on property that I own which is riot 201 amps to 400 amps _ 100.30 , ry 2
• intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: _ Date: _ Branc ci - new, alteration, or extension, per panel
' I , APPLICANT ' CONTACT. PERSON ._ ., _ A, Fee for branch circuits with
,_.� _ � _ 1:".] ❑ service or feeder fee, each 6.65 2
Business name: branch circuit ___ -
_ -•• .- 0. Fee for branch circuits
Contact name: wifhoud service or feeder fee,
each branch circuit 1 46.85 46.85 2
Address: Each add'l branch circuit _ 4 6.65 26 e1
0 2
~
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City /State /ZIP: Miscellaneous (service or feeder not included)
-- - Pump or irrigation circle 53 -40 _ 2 _
Phone: ( ) ...,..... Fax:: ( ) _ Sign or outline lighting 53.40 u.. 2 _
E -mail: Signal eircuit(s) or limited- 75.0C
" < ONTRACTOR energy panel, alteration, or
.. ' extension. Describe: Page 2 2
Business name: CHRISTENSON VELAGIO, INC. ,, --
Address: 1631 NW THURMAN ST 2ND FL a l l o w e
- _ _ ... Per inspection _ m 62,50
City /State /ZIP: PORTLAND, OR 97209 -2558 Investigation per hour (1 hrrni,r) 62,50
Phone: (503 ) vy 419 --3300 Fax: (503 ) 419 -3333 Industrial plant per hour 73.75
_. , ELECTRICAL, PERMIT EEILS+ . „ . ,. »
CCf3 Lie,: 64137 Electrical Lie.: �,— �1 _ Suprv. Lic 1994$ Subtotal 73. 45
Suprv. Electrician signature, required; �� w Plan review (25% of permit fee)
-~ State surcharge (8% of permit fee) 5. 88
Print name: ROBERT AXT 8-5-05
Date: y�
TOTAL PERM IT' 79. 1
Authorized signature: This permit application expires if a permit is not obtained within 150
r days after it has been accepted as compictc* *VI * �
Print name: Date: • Fee mcthodulogy set byTri- CouutyBUilding industry Service Dosed
-- -- " Number of inspections per permit allowed.
i 1fluildi0p \Pcrm■rokI;t,C- PcrmitApp dot 12/03 410- 4615T(10 /02/COM/WE13
CITY/3F TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 00565
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2005
Phone: (503) 639 -4171 /4/4
Inspection Requests (24 Hrs.): (503) 639 -4175 ``'I.
INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7 :03AM PAGE: 32
SITE ADDRESS: 09900 SW GREENEURG RD 270 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 005 TYPE OF USE:
PROJECT NAME: WELLS FARGO •
DESCRIPTION: (5) branch circuits, Job #67- 47072.
OWNER: ATHERTON REALTY PARTNERSHIP, PHONE #: 847 -298 -8600
CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503- 4'19 -3600
Inspection Request Scheduled For: Date: 9/21/2005 Pour Time: ,3\
Code # Inspection Description Confirm # Contact # Message SO
199 \1 Electrical final 016254 -01 503 -702 -0875 N �
a1
Corrections /Comments /Instructions:
\;
( .r
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / c --7 — Phone #: (503) 718 -