Permit CITY OF TIGARD ELECTRICAL PERMIT
711 PERMIT #: ELC2008 -00249
° . COMMUNITY DEVELOPMENT DATE ISSUED: 5/1/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
PROJECT: ASCENTIUM
Project Description: Installing (3) branch circuits for furniture connections.
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:
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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: 2 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 5/1/2008 $60.15 LIC 48748
[TAX] 12% State Surchar 5/1/2008 $7.22 SUP 3132S
Total $67.37 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:410 /: Permittee Signature:
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.
Electrical Permit Application FOR OFFICE USE ONLY
- . '', Received
City of Tigard .--„ 1 t Date/By: 5oi opPernnt no.:
1 11‘ 1 13125 SW 1-lall Blvd., Tigard, OR Wf23 - t .„:\ Plan Review
2 - - Phone: 503.6394171 Fax: 503.5 .- 4.- ...t ' Date/By: Other Permit:Ea f_ti F - (,)c) i cg
TIGARD Inspection Line: 503.6394175 Date Ready/By: Juris: 0 See Page 2 for
. Internet: www.tigard-or.gov .
" . Notifled[Wethod: Supplemental Information
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:k1.4*7'Atal7SM:;',',Vi;tVU.iCga*:PfYP,'::0k:cv'MMER;Z'*tatIttWAAtfAKI'tSIVr ' tTtkifiltillgle"104,:::414fiEMI011`ttAii!,=;.:2PAM2V5TM17arV
H New construction LL1 Addition/alteration/replactott ro 1-i Please check all that apply (submit 2 sets of plans w/items checked below)
0 Demolition El Other: ) 0 Service or feeder 400 amps or more 111 Building over three stories
W;11,-rVVAMta.VM.;',!(4.fitb,Mial01.1000001Wri:WMA2tErialtrt where the available fault current 0 Marinas and boatyards
. 1 1 - and 2 dwelling H Commercial/industrial li Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
0 Multi ' El Master Builder H Other less to ground, or exceeds 14,000 Commercial-use agricultural
D:CrEfBMMVITATOV§ITDWMTtrCKfrAW-AXON::V,ITNSMZW: amps for all other installations. El buildings
0 Fire Pump El Installation of 75 KVA or
Job no.: 280613 Job site address: 10260 SW Greenburg Rd
0 Emergency system larger separately derived system.
0 Addition of new motor load of
City/State/ZIP:
100HP or more. El occupancy
0 Six or more residential units El Recreational vehicle parks.
Suite n o .. 200 Project name: Ascentium Furniture
0 Health-care facilities 0 Supply voltage for more than
Cross Street/Directions to job site: - 0 Hazardous locations 0 600 volts nominal.
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0 Service or feeder 600 amps or more
ttAggEaDitiatt.N:!Ft.M.Bt4)
Subdivision: Lot no.:
Description I Qty. I Fee. I Total **
Tax map/parcel no.: New residential - single or multi-family dwelling unit.
N2 Includes attached garage.
New circuits for furniture connections 1000 sq. ft. or less $ 145 15 4
Ea. Add'I 500 sq. ft or portion $ 33.40 1
glilxpo0gEoyoE,gve,stigini4:7;,:v4htipt,NLANT4rsta,iTc Limited energy residential
Name:
(with above sq. ft.) $ 75.00 2
Shorenstein Realty Services Limited energy, multi-family
Address: One SW Columbia #300 residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and/or relocation
200 amps or less $ 80.30 2
City/State/Z1P: Portland, OR
201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
Phone: Fax:
601 amps to 1000 amps $ 240.60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 454.65 2
intended for sale, !ease, 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
oixuarAFPIK:ANT 4 i440ar*N1.002*YSVNLIWO30 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133.75 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
Each additional branch circuit: 2 $ 6.65 13.30 2
Phone: Fax:
Miscellaneous (service or feeder not included)
E-mail: Each manufactured or modular
03:Ygrt IV 'A i; !;• i.o Sfeite dwelling, service and or feeder $ 90.90 2
Reconnect only $ 66.85 2
Business Name: CAPITOL ELECTRIC CO., INC.
Pump or irrigation circle $ 53.40 2
Sign or outline lighting $ 53.40 1
_
Contact name:
Signal circuit(s) or limited-
energy panel, alterations, or
Address: 11401 NE MARX ST.
extension. Describe: Page 2 2
City/State/Z1P: PORTLAND, OR 97220-1041
Each additional inspection over allowable in any of the above
Phone: 503-255-9488 Fax: 503-257-7121 Per inspection $ 02.50
Investigation per hour (1 hr mm) $ 62.50
CCB Lie.: 48748 'Electrical Lie.; 26-496C ISuprv. Lie.: 3132-S
/
Industrial plant per hour
$ 73.75
0.1: eP4C4OREO fFriF ES,.
• Suprv. Electrician signature, require
/ Subtotal $ 60.15
Print Name: DARRELL MC Date: 04/29/08 Plan review (25% of permit' fee)
State surcharge ( 12% of permit fee) $ 7.22
Authorized signature: ,...) cts,frz.‘ .....„
TOTAL PERMIT FEE $ 67.37
' Print Name: - DARR CNEEL 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.
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CITY ORT.IGARD
BUILDING DIVISION A : PERMIT #: ELC2008-00249
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2008
Phone: (503) 639-4171 14 011A i it
Inspection Requests (24 Hrs.): (503) 639-4175 - 1
INSPECTION WORKSHEET FOR DATE: 5/12/2008 .. TIME: 7:01AM • PAGE: 26
SITE ADDRESS: 10260 SW GREENBURO RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: Installing (3) branch circuits for furniture connections.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-4114800
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488
Inspection Request Scheduled For: Date: 5/12/2008 Pour Time:
Code # Inspection Description CoTifirm-#., Contact # Message
199 Electrical final 069701 971-506-1621 N
i
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Corrections/Comments/Instructions: _ __
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TRokitxx v cc) bk1 G. i■aa.tys:rit 4 Air_cwhi-,
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I N PASS r7 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cr". A ISEit-a Date: 61121 Phone #: (503) 718- M
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