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Permit „ CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: ELC2009 -00318 Date Issued: 06/24/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 1165 Subdivision: LINCOLN TOWER Lot: 0 Project: Erik Bucher and Greenspan Project Description: 4 branch circuits Owner: FEES LINCOLN CENTER LLC Quantity Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 CALIFORNIA ST 49TH FL 4 crt Branch Circuits 06/24/2009 $66.80 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 06/24/2009 $8.02 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 $74.82 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 -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: 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' 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. 06/24/2009 WED 9:05 FAX 5036242938 Willamette Electric Z002/002 ,.. 1' milt / .#- ,..-;.t � A '! �ls`e,?��',;�`-�_8�;' > 4 '� 'r ; : :,' - - >;��' c���'�� :;':ifs JL'a It CC�t. �.G 1! r'' 'Lr 41;11L -C" 'iI, ltli'-!:l. �li.6i l'.I ECEI '- ,i�' 1 1 g. .�© All ewa't �o ©81.—Ir ;,:,;a, ., . -- ..,...... -.. , ..: : ........ - ? 41' 5 . r I � q k?' ,: z '' * >c� ��`;�, .�• fiy;Gtrf�; . =' � +i"'v . `�� �'�?4, ��� � , c N :; � , JUN 2 4 2009 C �� '�`" sd ? 3125 Sb/ Ilan IslvcL, Tigard, OR 9 "722.; , 'Q _Y rp ¢ �- F(�/ r _ ji �/ : f Ian itevtc�. - (/ I i l fek ^' u'% Phone, 503.639.'l 17I Fax: 503.595 i SA.,..„ I Odle; Permit. � l { l/ Date/By: i i i O F TIGARD g Ins,ecuon Line. 503.639.41'15 Dal Rcad' /t • it, Ch Sc �a'e z Soy g BUILDING DIVISION i i _� t' �,: -.x. Internet: wva•in'_tigard -or. ,Ol' Nahticdl \ieilrod. t Supplemental lemental information ! TYPE OF WORK PLAN REVIEW - - -_._ P tcase check ail dial apply (submit 2, sets of plans whims checked Wow), j El New construction �./ lddition /a(teration(rcplacement ) El Service or feeder 400 amps or more 0 Building over three stoi ics. 1 ❑ Demolition ❑ Other: I where the available fault current 0 Marinas and boatyards i -- CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings 1 less to ground, of exceeds 14,000 0 Commercial -use agticnitural 1 ❑ I - and 2- family dwelling El Commercial/industrial ❑ Accessory building amps for all other installations. buildings. 1 ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. 0Installation 0075 KV /A or LOCATION El Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCAT ION 0 Addition of new motor load of Job no.: JOb slie addi'CtiS: ?./ j �,,, , - IOOHPormere_ occupancy - t F (,,. �' F ");;,: c r r: 0 Recr eational vehicl arks. _ —_ k � e•' {r'. „i. _ . �: �r� ©Six or more tcsideutiat units ^ P (..I l ' /Stato /Zl l': ' d '3' 'r 0 health -care facilities 0 Supply voltage Bit more than s_ - __� � —_ ❑ Hazardous locations 600 volts nonnna( Suite /bldg. /apt. no.: / `-- Project Pt name: �`` : .-" 1 Service or feeder 600 amps or more. f/ (- ._..__r. r ,� ,'.0,`. , h `' '- t ? ` " k ,. ^ r , r : El FEE SCHEDULE Cross street /directions to job site" Description p I Qty. I Fee. I Tool 1 - - "- New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. R. or less 145.15 4 Subdivision: Lot no.: _ fax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 I Limited energy, residential 75.00 II - DESCRIPTION OF WORK (with above sq. R ) L Aired energy. multi -fan i y 75.00 n g) multi-family residential (with above sq, ft.) .._ II Services or feeders installation, alteration, and/or relocation �_- - -_- 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2 , Name: 401 amps to 600 amps 160.60 2 --- - 601 amps to 1,000 amps 240.60 2 Address: v - � Over 1,000 amps or votes 454.65 I 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone. ( ) I Fax: ( ) 200 amps or less 66.85 _ l II Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps !00.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133.75 MI] Branch circuits- new, alteration, or extension, per panel Owner signature: Date: _._ ____.__._ .............._..__ A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fce for branch circuits without service or feeder fee, 1 46.85 1 ' ' 2 Contact name: j first branch circuit r r'� Address: Each add'I branch circuit r .3 _ 6.65 J` r ,':G`,/ 2 -- Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 1 90.90 2 --- dwelling, service and /or feeder Phone: ( ) Fax:: ( ) Reconnect only 66.85 2 ._ E-mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 . Signal p a nel t(s) or limited- Business name: Willamette Electric Inc energy panel. alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 City /State /LIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above_ -- - A - mm Per inspection 62.50 Phone: (503) (,29 -3631 Fax: (503) 624-2938 �� Investigation 62.50 Investon per hour (I hi min) CCB Lie.: 75059 I Electrical Lie.. I..ic. _Industrial plant per hour _ ____ _ : 34-283C T�/ I / J .. : . � Suprv. FEES s , ____._.___�_ : 4226 -S 73.75 LI,ECTRICAL PERMIT F Suprv. Electriciat st a ire, required: /0//4 O Subtotal: - k' 411-._ Plan review (25% of permit fee): Print name: David Fife Date: e7( - _ W State surcharge (12% of permit fee):; /r Authorized signature: ___ ^ f -- k I'O "1 'AI., PERMIT FEE' PI'Itl( name' Dale; _ -� This permit application aspires if a permit is not obtained within ISO clays after it tins been accepted as CO ntpteic. Number of inspections allowed per permit. r \nn dd toe AP,rm ris'h'!,C- Paint :lop doe 05125/06 4 I 1 'o5 /co'.um':13