Permit .E'
� CITY OF TIGARD ELECTRICAL PERMIT
. . ' COMMUNITY DEVELOPMENT Permit #: ELC2009 -00266
T:I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/04/2009
Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200_ S,W_GREENB.U_RG RD, STE# 750
Subdivision: LINCOLN CENTER /FIVE LINCOLN_ M Lot: 0
Project: Western Architectural •
Project Description: TI - (5) branch circuits. Job no. 206
Owner: FEES
LINCOLN CENTER LLC Quantity Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL 5 crt Branch Circuits 06/04/2009 $73.45
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 06/04/2009 $8.81
Electrical
Contractor:
WILLAMETTE ELECTRIC INC
PO BOX 230547
TIGARD, OR 97281 •
PHONE: 503 - 624 -3631
FAX: 503- 624 -2938
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $82.26
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: � � 95/ �A fk.V CAJCILUI Permittee Signature: ` *pp
�I v
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.
•
06/02/2009 TUE 8:09 FAX 5036242938 Willamette Electric Z002/002
Electrical Permit App1icati CEIVED FOR OFFICE USE ON LY ,
a. w
- City of Tigard Received
Y g Perna Na: r 6 t.
13125 SW Hall Blvd,, Tigard, OR 9723! NI 0 2 2009 DatcBv: !h /I /�
�' Phone: 503.639.4171 Fax: 503.598:1960 { Plan Review Other Penult:
DateB :
I 'I)
I
. Inspection Line: 503.639.4175 BI Date Ready/13y: Juris: See Page 2 for
- _ Internet; www•tigard or,gov CITY OF TIGARD Notified/Method: Supplemental Information
.,,. ^r' - .�••.,�Mr:,:..:� . ,;; -�> r,za'•- • - - [
�ReA<-'�r° 44-, -,E� .,U.�j„g.1, � 3<tF' '.- e,tt s �: .dv ;�:c PP
7 °c..t. -,?- :d� - .•7. .TSrt�_ ,"1.:. e: e<5 sN ?� ';
''�?�... : =:N:: � -,. Fria +`�'� qe„ r \n.. _- ,�.-�,�. � t ." �" W :9 :13
e 1 < " n . 'z i% < � t, , �s� "�:: ✓ . '�.4�'•:`c \.,:.::1,.. . - �- t.v� ;a.' x; ,.
.. 5, a,:j : r:� y,•' � ?s = 5� ..,s 4? d:: � l�s'• '�21.:= .5'.�f�?''•5�' } :,`,.
❑ New construction F . Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/hems checked below):
❑ Scrvicc or fccdcr 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current Ca Marinas and boatyards.
e' %4y:"•:F •r ,%' jeY9e'�is�/etWa�:?,'P'"r „" ::, ms k .: li X i;cr. $`,y� it=YSy . VOIv \;. , Y
:4 y_s t 4 .1G an ;L:.. • gr -; p X44 , f l ;:),.-g>`v', ' keiYA :lit 7t- exceeds I ground, amps e s ❑ mg buildings.
0 volts or Float'
�._ .,, „__ s , :. °,rug' i. r5Yy ;n co I to round,:r exceeds [4.000
g ❑Commercial -use agricultural
[] I - and 2- family dwelling Ezi Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
2:04,14.10,.,'0„,v, t �z g �, • s , G . , � ,.,;;,�,. ,, 1 /' ❑ Emergency system. larger separately derived s
�`',W.rd l a } S. vW� fir; no ;,S1� t.:4 .' a?::• g P Y stem.
Y
^ as'=•: � I, r�r` C4. �x m = �C;.`'. z? �r.,,' ?s1��3' �, a�A S" �,-'',. • `A�!)Jl'lti:�- E}��r::.;r :9" }:�r ,.E., ,•I-
.. r•,�; y>;,^ •: ^�S �vN• +��sf:,r,�,�s -:�n;. ❑ Addition anew motor load of ❑ •`A•• 2 "1-3",
Job no.: f - '� Job site address: C" , 4r9' :7 ..,.+ [� e,„; ,3 6- '�"fre,-- -•• ? n e. 100HP or more, occupancy.
� (• / i „ Oslo or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: / � ` ❑ Health -care facilities. ❑ Supply voltage for more than
/7/4 t, 4:n1- : % •i ;,�'
'fl;; w ._. ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: F ". "p' Project name: r . : ,,. .' ' ; �.... f r" ❑ Service or feeder 600 amps or more.
Cross street/directions to job site:
De
"` , u r l p l to .i`"Mi ` `?�J'x: g 0 g5 " ^':'r ' +: . :!( * ».;:
Description I Qty, 1 Fee. ., ., l Ta
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 map /parcel no.:
Ea, add'l 500 sq. fl. or portion 33.40 1
.x`x T . t ; y ., , r t _ _ _ Limned energy, residential
�': Y:: .t.4" - '.��= �'J V 1' j r� + }G 4'. :r. %.- 75.00
Limited energy, multi - family
:9
�'r *tit �. �C'`�`�` (with v
`:i'an, , im'? "1... . •�: ". y+ §t:: .SiY `^ i' a;. ').'i_'.�.'. (
%'!Y `"�,+SS7,'`, ,1F=: :t;r,r .r. -.< s ,.. -.,"T t'•:.� r f..... � ,:1;1 .... �= J..:z. ,. ,..., t� .15. M... ..�,... s q' )
,,�. ---,0•,\ ~ 75.00 2
,vi . ,>-'12,.. Sl 'P�lr °'.z'r P, °a ;Y residential (with above sq. 0.) -
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
i=':c`st ,:F *.oKt�<;1?�.,. to ;:4�; a'`: iSi - +- �. N.. -:7 ".
.?�..w- - 119!11 t t1, ,z , r`i :: - %u;; �YAi •:. r` 201 amps to 400 amps ,..., ,. �.�.. ..,rr, ,.., �.- ..,.vkr,:- x :�.<..,�`;,s� <:n..,. ..,, , �,. >�.t,,, •_� ::`'r`.S,n;?i>'�,:r� P P 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 ur feeders installation, alteration, and /or
relocation
Phone: ( ) 1 Fax: ( ) • 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 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 signature: Date: Branch circuits - new, alteration, or extension, per panel
. : A. Fee for branch circuits with
, / i >.�. ,: S:i.
Ap `-
v
a o e service or
=.�? b s ry a feeder fee
:,.ruUN; o
Tel
I`.EI O
Business name: each branch circuit
B. Fee for branch circuits ,,,.
Contact name: without service or feeder fee, / , Fa ' .
first branch circuit f 46.85 2
Address: Each add'{ branch circuit 6.65 R 2 j t?' - 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
_ �; <:- ;; .«;O ltil_CT6R -,:, -� `� ea ; _, g - , Sign or 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 infection over allowable in an _of the above
Per inspection 62.50
• Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (I hr min) 62.50
CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv. Lie.: 4226 -S Industrial plant per hour 73.75
Suprv. Electrician signature, 5j:0.z. Subtotal: °'
Print name: David Fife Date: Plan review (25% of permit fee): G
Authorized signature: State surcharge (12% of permit fee): "'
t 5 TOTAL PERMIT FEE: 0 .' h ,, <.. - -•
This p ermit application expires if a permit Is not obtained within 180
Print name: Date:
days after it has been accepted as complete.
•
. Number of inspections allowed per permit.
I: V \Pcrmits\ELC- PermitApp.ttoe 05/23/06 440.4615T( I I /OS /COM /1VEB