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Permit
11 CITY OF TIGARD ELECTRICAL PERMIT PERMIT* ELC2008 -00609 COMMUNITY DEVELOPMENT DATE ISSUED: 10/30/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 1250 ZONING: C - SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG PROJECT: REAL NET INVESTMENTS Project Description: (1) branch circuit for exit signs. 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: 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 HILLSBORO ELECTRIC ONE SW COLUMBIA ST #300 21185 NW EVERGREEN PKWY #110 PORTLAND, OR 97258 HILLSBORO, OR 97124 Phone: 503 - 412 -4800 Contact #: PRI 503 - 439 - 9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -499C [ELPRMT] ELC Permit 10/30/2007 $46.85 LIC 134481 [TAX] 12% State Surchar 10/30/2001 $5.62 SUP 4941S Total $52.47 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: _ Permittee Signature: Q 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. 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. 10- 29 -'08 14:03 FROM- Hillsboro Electric 503 - 601 -3680 T -107 P002/002 F -480 ti i�lee�ricai Permit Applj Catio® , ` ' - t ��— 1iII:IllI1t " I I , -.1 rt.1 • City of Tigard C /mewed �� / C n d ate/s : Mr Fm°'tN • r . � 13125 SW Hall Blvd., Tigard, OR 9722 y , • . Phone; 503.639.4171 Fax: 503.598.19) Review Date.//1 InS 10n q p % Other Permit: L / I l , ; \ r i,i p� Line: 503,639.4175 Lou Date Ready/By: mil,' _w Internet: www.tigardor.gov f 9 Notified/Method: Page i Information 1 A SupplomentplIpformrat TYPE OF WORK a G t a w PLAN REVIEW Y • oy,. * ^^ �� `ti D Please check all tbat a ppl y (submit j sem of plans w /items checked below): ❑New construction 1i Addition/alteration / ❑ Demolition_ ❑ Other: OLD I. Service or Fader 400 amps or more ['Building over three stories. _ wherr6 the available fault current ❑ Marinas and boatyards. • CATE ORY OF CONSTRUCTION exceeds 10,000 amps at I 50 volts or ❑ Floating buildings. III I- and 2- family dwelling Commercial/indusirial ❑ Accessory esso building less to ground, or exceeds [4,000 1:1 Commercial -use agricultural ry n$ amps for ell other installations. buildings. ❑ Multi- fhmily ❑Master builder ❑ other: ❑ -ire pump. • 0 Iwaauarion of 75 KVA or JOB , SITE INFORMATION AND . LOCATION • D Addi limeagen o f new m larger separately derived system, Q tion of new motor bad of © "A'•,11 "1.2 ", "1 -3" Job no 7 Job site address: j p SW / ay p � I �,i4� ir C 'me Por occupancy. •L l�l V 4.Cr IN ❑ SGt ar more residential units. ❑ Reereationel vehicle perky. City /StateJLIP: �' �� h/Q /a 7 7 7 ❑ Dealrh -care facilities. El Supply voltage for more than 1 Rr " t ifi "a ❑ Hazardous locations. 600 volts nominal Suite/bldg /a Suite/bldg./apt no_: - Z, ri Project name: 1 A , • v y El Service or [ OD D am aeon tamps or . - Cross strcct/dineetions to job site: FEE SQIIrbIILE nextiptibe • utr. I Yea I Total New residential single- or multi amity dwelling unit. Includes attached garage. Subdivision: l,ot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea add'l 500 sq. ft. or portion 53.40 1 Limited energy, residential • DESCRIPTION OF WORK (with abo sq. A.) 75.00 2 tr� ? t° if /. • Limited tergy, multi - family 75 1 ; .I 1! residential (with above sq. H.) 2 - t �� Services or feeders Installation, alteration, and/or relocatio _ OA A ■ -' I A t. ► t \,- _ 200 amps or less 8030 2 . El PROPERTY OWNER . _ I] TENANT . • 201 amps to 400 amps 106.85 2 Name: .. 401 stops to 600 amps 160.60 2 Address: 601 amps to 1,000 amps 24060 2 Over 1,000 Mips or volts 454.65 1 2 City /State/ZIP: Temporary service* or feeders installation, alteration, and/or I relacatlou Phone: ( ) Fax: ( ) 200 amps or legs 66.85 1 Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100,30 2 intended for sale, lease, tint, 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 . r , ad ©APPLICANT - . A Fee for search circuits with . . 0 G PERSON above service or feeder fee, 6.65 2 Business name: each braneh circuit — - B, Ftx for branch circuits Contact name: without service or feeder fee, l 46,65 4 •--- 2 first branch circuit Address: t3ach edd'1 branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not laduded� - Each manufactured or modular Phone: ( ) Fax : ( �) . dwelling, service and/or feeder 90.90 2 Reconnect only 66.85 2 E- mail: _ -� Pump or irrigation circle - 53.40 2 -- CONTRACTOR . - _ Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - ZLLSBORO_EL ! CTRIC, LLC energy panel, alteration, or Address: 21185 NW EVERGREEN PKWY #110 1 0 extension. Describe: Page 2 2 City /StatrfZlP: HILLSBORO, OR 97124 Each additional ins . lion over allowable in a . of the above phO1e ( 503) 439 -9666 Fax: ( )601-3680 p inspection 62.50 5 0 3 Invt ligation per hour (1 hr min) II 62.50 CCB Lie.; 134481 Electrical Lic.: 34-499C .Suprv. Lic.: 4941S Industrial plant per hour 73.75 - Suprv. Electrician signature, required: ELECTRICAL. PERMIT PEES Subtotal: Print name: JO Y VITACCO I Date: 1C C 16 Plan review (25% of permit fee): Authorized signature / 1 1 11 State surcharge (1296 of permit the): ti := "," q TOTAL PERMIT FEE: r L • 4'1 Print name: i I Dom: ----- This permit ■ppllcatlon expiry if tt permit in not obtained within 180 __, days after It boa been incepted as Complete. IA Buitding ■PetmitsIBLC- PermitApp.doc 0511.3/16 ,," ,„,„..../., M., ,.^. , -- -- ` Numbs of inspections allowed per permit. CITY OF TIGARD ' . f.... BUILDING DIVISION PERMIT #: a c2006.0060 9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10130120013 Phone: (503) 639-4171 Ihtvit mo o i j e,, Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: 7 PAGE: 21 SITE, ADDRESS: 10260 SW GREENBURO RD 1250 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: REAL NET INVESTMENTS DESCRIPTION: (1) branch circuit for it signs. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4000 CONTRACTOR: HILLSI3ORO ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 11/4/2000 Pour Time: • Code # Inspection Description GoTifitm-k Contact # Message 199 Electrical final C7/605-01 \ 50'3-260-9567 N Corrections/Comments/Instructions: --) \ \ \ \\ e 5 \ C\ \ V \ e ■2 PASS El PARTIAL APPROVAL El CANCEL n NO ACCESS El FAIL r7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G NN2) L.‘ Date: IIILI GB Phone #: (503) 718- ilio____ • . . . . CITY OF TIGARD , , . BUILDING DIVISION PERMIT #: ELC2008-00609 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10130/2008 Phone: (503) 639-4171 :34 lifil Inspection Requests (24 Hrs.): (503) 639-4175 , I, A 0 r . A I INSPECTION WORKSHEET FOR DATE: 11/3/2008 TIME: 7:00AM PAGE: 30 SITE ADDRESS: 10260 SW GREENBURG RD 1250 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: REAL NFT INVESTMENTS • DESCRIPTION: (1) branch circuit for exit signs. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: HILLSBORO ELECTRIC \4\11‘ e: PHONE #: 503-439-9666 Inspection Request Scheduled For: Date: 11/3/2008 Pour Time: Code # Inspection Description Confirm _ Contact # Message 199 Electrical final 077M0-01 503-260-9587 . y Corrections/Comments/Instructions: A jv IN Mk 0 ■)nil 66 :1 t a •41 ALA,, - To G-izi A-itkL,LvNi A V V.) V 14 4 \nt-MPs1 , --. 9 ( TT i,k.)41t61,) m\)6 Pa-0 \Act -. OP ■ •—t ft' y ...---, c) ' VI I t kg . IRV 3 60 I I PASS fl PARTIAL APPROVAL El CANCEL I I NO ACCESS y AIL CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED Inspector: Cr N 1,k:i L . Date: k 1 tl) Phone #: (503) 718- MiitY CITY OF TIGARD , ¢..,,.. BUILDING DIVISION PERMIT #: FLC2008 -00609 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/2008 Phone: (503) 6394171 1 ' 4 4111\ Inspection Requests (24 Hrs.): (503) 639 -4175 „.4,4-. .. INSPECTION WORKSHEET FOR DATE: 10,31/2008 TIME: 7 :00AM PAGE: 31 SITE ADDRESS: 10260 SW GREENBURG RD 1250 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: REAL NET INVESTMENTS DESCRIPTION: (1) branch circuit for exit signs. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800 CONTRACTOR: HILLSBORO ELECTRIC — 01 _ PHONE #: 503- 439 -9666 Inspection Request Scheduled For: Date 10/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 077463.01 503.260 -9587 Y Corrections /Comments /Instructions: (Sc- t`ce,&.c .ssv w,`2 - 1.11. Vi T C 5 J i irl � "bt `' W ~ Y___ . PcEr , 110 . 3 L) Q 0-tA IN A c _6-FS S O tit L l LAS V - 4J6 E - c`�6� • U The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918 - 271 -0030 • I PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS rN FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G . N (SA L Date: 1013/ A Phone #: (503) 718- thi