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Permit CITY O F TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00549 COMMUNITY DEVELOPMENT DATE ISSUED: 9/30/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AB 03400 SITE ADDRESS: 10260 SW GREENBURG RD 1250 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG PROJECT: REAL NET INVESTMENTS Project Description: Electrical TI - (1) branch circuit. Job No. 6463 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: 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 9/30/2008 $46.85 LIC 134481 [TAX] 12% State 9/30/2008 $5.62 SUP 4941 S 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 rule th 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. 699 or 1.800. 2 Issued � ? G� Permittee Signatur-: i> !:er 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: �� - ,:Jg(f� 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. f _- • ., 09- 29 -'88 10: 15 FROM- Hillsboro Electric 503-601-3680 T -997 P002/002 F -042 Electrical Permit A hca 'e . City Q#TigAr(1 Rece Q I (111 <) r ll I. I fir. (,�i l 'a 13125 SW Hall Blvd.. Tigard, OR 97223 Date/B T //9 of p ermit No.: f , see 9 ; s' Phone: 503.639.4171 Pax: 503.598.1960 E P' 0 2 0 l 7 DatetB view Inspection Line; 503,639.4175 ' �[ ocean. I I {., ; t t; 11 Internet; www.ti pee Date Read /B and - or, ov Id See Page S for g 6 CITY O F TIGARD Notitied/Method: Supplemental Inform E °Ein g1\ll31 . I PLAN REVIEW ❑ New construction Addition /alteration/replacement release check all that apply (submit Z sets of plans w /items checked below). 0 Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition 111 Other: ^—^ where the available fault current OK-trims and boatyards, CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings, ❑ 1 - and 2 family dwelling CommerciaUindustrial less to ground, or exceeds 14,000 ❑ Commercial -use agricultural [] Accessory building turps for all other installations. buildings. 0 Multi - family C] Master builder ❑ Other: d Fire pump, ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION Emergency system_ larger separately derived system. 7 ❑ Addition of oew motor load of ❑ "A ", "6 ", °`I -2 ", "l•3 ", • Job no.: (n �7 )^ Job site address: J ' di [r o rest Occupancy. �,->'V / 1 �. d / (� Six is or or more residential unity. ❑ Recreational vchialn parks. City/State/ZIP. upp 1 y �� f�� ��� 11 / "� � , ❑ HeahhcaKs facilities. ❑ S Volta for more rhea E Hazardous locations, 600 volts nominal, Suitc/bldg. /apt. no.: �� Project name. El Service or feeder 600 amps or more. �L t 1 L,..,�- ,. P`EE SCHEDULE Cross stteet/direction3 tojob site: t ® 0 1)errei� ion , New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft, or less 145.15 4 Tax msp/parcel no.: -- --- Ea. add'l 500 sq. ft_ or portion 33.40 � Limited energy, residential III DESCRIPTION OF WORK with above 75.00 � ... ft. u- , . / �t r _ A , . 1 , ` Limited ene gyy, multi- family 75.00 � [ �/1 L ' / /I residential with above R, ` i Services or feeders installation alteration and/or relocation 20 amps l s 6 � ©PROPEIf,TY OWNER ❑TENANT 201 1 antes to to 400 0 amps 10 0 85 6.85 Name: 401 amps to 600 amps 160.60 1E1 601 amps to 1,000 amps .6 � Address: Over 1,000 limps or volts 454 454.65 5 City /State/ZIP: Temporary services or feeders installation, alteration, and/or - relocation Phone: ( ) pax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to400 amps 100.30 — untended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 LI Owner signature: Date: Branch circuits - new. alteration or extension . r . anel A_ Fee for branch Circuits with .� [] APPLIC.ANT ❑ CONTACT` PERSON above service or feeder fix, $usiueSS name: ---- each branch circuit III B. Fee for branch circuits Contact name without service or fredcr fee, II 46 85 , R [L p — Slat branch circuit " Address: Bach add'I branch circuit 6.65 IIIMU City /Statel2lp: Miscellaneous (service or feeder not included) _ Each manufactured or modular Phone: ( ) p ax; : ( ) dwellin: service and/or feeder 90-90 2 - Reecrn r cd only 66,85 11110 E -mail: Pump o ration circle 53.40 CONTRACTOR Sign or outline lighting _ 53.40 MOQ Business name: HILI; SBORO ELECT j r Signal circuits) or limited- C- energyptmel,alteratior.,or Address: 21185 NW EVERGREEN PKWY #110 extension. Describe: Page2 2 City / State/2IP: HILL SBORO , OR 9 71 2 4 Each additional ins i etion over allowable in an of the above Phvnc: ( 0 3) 4 3 9 - 9 6 6 6 ( 503 ) Per inspection 62.50 �r Fax: 6101 -3680 Invest' grltion per hour (1 hr min) 62,50 — III CCB [ lc.: 1 3 4 4 8 1 E Lic.: 3 4 _ 4 9 9 e Sups'. Lie.: 4 9 41 S Industrial plant per hour 73.75 ill Suprv. B1eCtrician signature, required: 1 ELECTRICAL. PERMIT FEES • - •r .� - _ _ �±} Subtotal: Print name: JOEY VITACCO - Date: 9 -Lal plan review (25 %of permit fcc): L State surcharge (I2% of permit fix): • Authorized signature: IIpTAL PERMIT IrpE: Man Print name: _ bale: The permit application expires if a permit is not obtained withia 180 days after it has been accepted as complete. [ : lnuildingV • e:mit , tLILGPcmitApp.doc 05/231045 . Number of inspections allowed per permit. 440.4615T(11 /O5/COM/ W Ea CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELC j00 00549 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2000 Phone: (503) 639 -4171 yin +�l�� WPi� °iii,l Inspection Requests (24 Hrs.): (503) 639 -4175 �� _�� ` __„ INSPECTION WORKSHEET FOR DATE: . 1W3/2000 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 10260 SW GREENBURG RD 1250 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT # : 0 TYPE OF USE: PROJECT NAME: REAL NET INVESTMENTS DESCRIPTION: Electrical TI - (1) branch circuit. Job No. &163 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503.41: -4800 CONTRACTOR: HILLSBORO ELESMTRIG • Ka i i C . PHONE #: 503-439-9666 Inspection Request Scheduled For: Date: 10/3/2008 Pour Time: Code # Inspection Description ;_____Confirm # Contact # Message 198 Electrical final - 076274 -01 971- 219-8707 V Corrections /Comments /Instructions: -�Y-s`. N c --- C \N f�\\■ l 1 V ,PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G" Nag Li Date: 'lei 3 f '% Phone #: (503) 718 - Z.•11 b