Permit 0 lo deP'(1N 1i7L : GC O ( s c� u L�
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CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00443
111
COMMUNITY DEVELOPMENT DATE ISSUED: 7/31/2008 •
T[GARD +.• 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 305 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT : JURISDICTION: TIG
PROJECT: REACH LOCAL
Project Description: TI. 8/28/08 ADDED (1) service.
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: 1 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: 5 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SHORENSTEIN REALTY SERVICES WILLAMETTE ELECTRIC INC
ONE SW COLUMBIA ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: 503 - 412 -4800 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
•
[ELPRMT] ELC Permit 7/31/2008 $80.10 LIC 75059
[TAX] 12% State Surchar 7/31/2008 $9.61 SUP 4226S
[ELPRMT] ELC Permit 8/28/2008 $80.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $179.65
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: e �i �G.7j�✓
// /
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.
below).
RIF /2008 THU 10:59 FAX 5036242938 Willamette Electric Z002/002 002 /002
.
` J. �p I ' ii (•_ "' l; li (( +a, :� � •;f tiv "�' ": riF'i ) t•',.. �. .�. } ��Fi � .:, i:j:�Lsl: f`r.1:: !.r: �•�'.. '= >w;:j� `' 2B�` n N4. i�i' �3t' Cu( �i' �r? �, �. �O�b. �tl>.f,.t1, "'.a�>�:....�r.r , ;r i- .r.'i•r
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; r, .r_ phone; 7(.3 6139. 7 Pax: n 1: Oi ,:,r ncanu•..
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�: � -:�� 031 ,... ,.�,�, ,5.) V o, 11�, I 1
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c ^:. ' l Inspection ?.inc: 5 .639.4175 � (3y- --- -- -,._...---- - - - - -- J: <_- ,; ; ; n -- --- --. .. _....... • Q
I Date Ready/1 ;'i.S_ e 2ro�
'61 Internet. wtlw.tlgald- or.gov 6 I Notifiedimemotc I / I Svpplementa! rma tion
1
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_�- - T `PE OF ; OR s I N . —Y — — 1 — — _ PLAN r € i : ; .. --
Please check all that apply (s it 2 s
N ew construction � � ubm eas ofplatrs ^-;itc -J cb,cckctt
❑ rg Addition /altcratio acein
� C Q ❑ Service or react 400 amps or nor ❑ Buildino. over Ihrec stop its-
1 D Demolition ❑ Other: J where flit available fault current [ i Mn,hiss no d bortysrds.
CATEGORY OF CONS' , - ' exceeds 10,000 amps at 150 volts or U Floating buildings,
s
les to ,round, or exceeds 1.4.000 0 .
_. ._ ground, `( �- oma:cuar.l� use at!ricuhttr !
❑ 1- and 2-family dwellill
)' g EZI C:OmrnCrCiaUutClta ❑ Accessory building amps for all (Abel installations. buildings.
❑ Multi- family [J Master builder {] Other: 0 Fire pump. 0 Installation or 75 1: VA or
❑ Foci gene): system. larger scpsiately derived system.
JOB SITE INFORMATION AND LOCATION "1
..._ �_ - -__ ❑ Addition of new motor load of 0 ° a - "P'• "I -
Job n0. ;' <" °" Job site address: /0,30(,,i 1 % ` !/ 100HP or more. occupancy
: ,,, ,/ ,
,:7 r G .:.5•i_/° l` ^ '_ �' c'':' ❑Six or more residential units_ 0 Reel eaitonal vehicle parks -
City/State/ZIP: .:
El Health-cm Gacai es. 0 Supply voltage fop more than
r .C •' _...__ ❑ Iiazattlous locations. 600 volts nominal.
Suite/bldg/apt. no - 2 a 6 - Project name: /1 , 4 ,.� / � •' / ❑ Service or feeder 600 amps or more. - FEE SCHEDULE
Cross street /directions to job site:
escri lion 1 Qry. Fee. _1 Total I •
D New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'! 500 sq. ft. or portion 33.40 3
Tax map /parcel no.: Limited energy, residential
75.00 2
• DESCRIPTION OF WORK • (with above sq. ft.)
' - Limited energy, multi- fancily
i i c- %."." . /P `t -!- `ii ; - ;i - residential (with above sq, ft.) -
., ;7' � �;� 7.00 2
Services or feeders installation, alteration, and /or relocation
____ 200 amps or Icss 5(1,30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 1 106.85 4- 2
Name: -- _______ 401 amps to 600 amps !C;0.60 2 j
--- -- -- - - ----
--- ...__----- - - --.. 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 154.65 2
City /State /ZIP: Temporary services or feeders installation alteration, and /or
_ _____ ________-- — "_ - --J relocation
Phone: ( ) 1 Fax: ( ) 200 amps or less I 66.55 I )
201 amps to 400 amps 100,30 2
Owner installation: "I`his installation is being made on property that I oven which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps { - 133.75 2
1
_ Branch circuits - new, alteration, or exteusion, 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. Fee for branch circuits
- r
-- �- without service or feeder fcc,
Contact name: 46.85 1 r ' 2
- -� -_ -- first branch circuit f F ¢ r
Address:
Each add'I branch circuit 6.653 " 2
-- -- Miscellaneous (service or fade not included)
City /State /ZIP: Each manufactured d
acture or modular — — h t 1
' — - - -- - -
dwelling, service and /or feeder 90.)0 i 2
Phone: ( ) hax:: ( )
. - _Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 _ _ 2 _
Signal circuit(s) or limited -
Business name: Willamette Electric Inc. - energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City /State /ZIP: Tigard, OR 97281 Each additional inspection oaer allowable in any of the shove -
- -' Per inspection 62.50
_
Phone: (503) 024 -3631 FaxT(503) 624 -2938 - Investigation per hour (1 in uric) - 62.50 _
CCB Lie.: 75059 Electrical Lie.: 34 -2830 Suprv. Lie.: 4226 -S Industrial plant per hour L 73.75 -
__- __...---- - -. - -_ _ -.— _.- ______._.. ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: .
_�w_:__ m> Subtotal: _� =� ,.�.
_
f Plan review (25/0 of permit fee):
Print name: David Fife Date: - --_ - i_...._
o / { -,,
--"- ------ -- ....____- __ -_- Stat s urcharge (12 /� of permit fcc):
Authorized signature: TOTAL PERMIT P15E: ,K1 "i"'" ___
Print name: This permit application expires if a permit is not obiaroed uritirin 130
Date: . - °- - -- days after it has been accepted as complete.
—
' Number of inspections allowed tier pctmit
1 \Pct ,, lioYSLC- Permil,\n,, doc 01 /73/05 400.10151 (11 :051COM:1lg1;
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008- 0(443
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1131 /2(1041
Phone: (503) 639 -4171 u �Wll i
Inspection Requests (24 Hrs.): (503) 639 -4175 .� W .11.
INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 10300 SW GREENBURG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 - 412 - 4800
CONTRACTOR: WILLAMEI I ELECTRIC INC PHONE #: 503 - 6243634
Inspection Request Scheduled For: Date: 8/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 074796 -01 503-624-3631 N
Corrections /Comments/ Instructions:
.\\,,_
l
PASS ❑ PARTIAL APPROVAL n CANCEL — NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 6 "1- N6606 Date: i• y..j° U Phone #: (503) 718 - /AC'
CITY OF TIGARD .
•
BUILDING DIVISION PERMIT #: ELC200B -00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 713//2008
Phone: (503) 639 -4171 /� , i
Inspection Requests (24 Hrs.): (503) 639 -4175 A.-.111.
INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 10300 SW GREENBURG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: 11.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503- 4114800
CONTRACTOR: !M'LLAMETTE ELECTRIC INC PHONE #: 503 - 624-3631
Inspection Request Scheduled For: Date: 8/27/2008 Pour Time:
Code # Inspection Description Confirm • Contact # Message
199 Electrical final / 074708 -01 \ 503 -624 -3631 N
Corrections /Comments /Instructions: - Q ,
1
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(b PR-0yI,DG G 1.J ?)=tis., Futiacq_e___4__L_
P- 1 ; 10 11
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V:1 PASS n PARTIAL APPROVAL , FJ, CANCEL XNO ACCESS
1 CALL FOR INSPECTION � B ' e NAL FEES ASSESSED
Inspector: G t W C% Lif Date: 'IS 11.1 Phone #: (503) 718-
, - - - - -
CITY OF TIGARD . ,, . •
A
BUILDING DIVISION -
PERMIT #:
ELC2008
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 7/31/2008
Phone: (503) 639-4171 .1j:Plit
Inspection Requests (24 Hrs.): (503) 639-4175 ..._.„., --.....
INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: CLASS OF WORK:
10300 SW GREENBURG RD 305
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/ONE LINCOLN
PROJECT NAME: REACH LOCAL
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-4 124800
CONTRACTOR: \A/UAW! I E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 8/12/2008 Pour Time:
Code # Inspection Description
Corrections/Comments/Instructions: ( Confirm # Contact # Message
130 Ceiling cover 074072-01 503-624-3631 N
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4117: PA , El PARTIAL APPROVAL n CANCEL El NO ACCESS
..........
pi FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C.) ■ 0 (So 1...E Date: l 11;1 Phone #: (503) 718-
_ , , . . . _
1 ..• • _ .
CITY OF TIGARD .. A .
BUILDING DIVISION
PERMIT #: L' C20013-00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/31/2008
Phone: (503) 639-4171 . ,T i i i t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/1/2008 TIME.
• 7:00AM PAGE: 22
SITE ADDRESS: 10300 SW GREENBURG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 8/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 073592-01 503-624-3631 N
Corrections /Comments/ Instructions:
•
0 PASS I I PARTIAL APPROVAL CANCEL n NO ACCESS
_
n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G --- • N(18 t-f ----- Date: (c el 1/1 Phone #: (503) 718- 1414