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Permit il CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2009 -00005 COMMUNITY DEVELOPMENT DATE ISSUED: 1/6/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AB 01003 SITE ADDRESS: 10300 SW GREENBURG RD 540 ZONING: C -P SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT : JURISDICTION: TIG PROJECT: HERR & DIMONE Project Description: TI - Job No. 156 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: 6 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 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 1/6/2009 $86.75 LIC 75059 [TAX] 12% State 1/6/2009 $10.41 SUP 4226S Total $97.16 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 are set rth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies o\these rules or direct questions to OUNC at 503.246.6 99 r 1.800.3 ‘ Issued,B� ! � , P ermittee Sign. . aJ,Ji 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: '•NTRACTORINSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 4 . 7 /t�`-- ' 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. .4 01/05/2009 MON 15:46 FAX 503 . %, "° oari"°: 0002/002 Electrical Permit Application ' i I ® 5 2009 FOR OFFICC USE OI LY City of Tigard � Received D 9 Permit No : h4 Q 401.0 13125 SW Hall Blvd., Tigard, OR ` H TI ARD Da R Plan cvicw Phone: 503.639.4171 Fax: 504 40 g y g� �Dp 6 Datc/B ; Other Permit t 1 G I? D Inspection Line: 503.639.4175 0 � O � ta� l 9 Ur 4 9 ® 1 ' Date Rea Loris: fel See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental information ..sa',eu' .,: -., .:. , „�. a�^m :.!:��s:y::,. :, c:r �.�. �. , 1;.y� - A ,,, - - �(�n } `�`a'! c 4 ,k75? '- f]� .. .l : - ':V �`4.Iz< x . ; .s. °.:-. � a - ._AF , . '. 4t.� _ - r w ,.Y” i f• .> r. �..•..'+In;'.:.'Y._ i F . ° ,vt„ �L4 vY '�Si S .;.v,. 5,. , . .•tFlf'.FJ �.�F 2 . -.P£ (fa_, 'iT 1 fit:. ..t,e1� =,/. `�h li �t -� ..J ,. : �S. ^ ��• .�r '•'r<.�^ y . R•...:C:ss. 1.1 .;.5�`1..: e.M: ,•/l.i. �'3,' � J�� r. {Sk�3iyv' 'S.��^` 2 ,s_�y?: , ca - ^;: _' ��:tiSYx�y,•U'�t.L��sw::, >• .. ...t,. * T " `i�9: ,. ..t,. l �. +�.,,�'t . � ;:�,.. .�.,.,. ���� F•r. < f t "+�-+• ,,. .,.'� +r>, .. ..n , �.. .,: F����.�:a:'nN:j ., 3. r.. °�:i /n �r"r ., a ❑ New construction 1 Addition /alteration/replacement Please check all that apply (submit 2 sets of plans ye/items checked below): • ❑ Service or feeder 400 snips or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. R b y i' �.. rj - ^.;.. L�� :..-.: "''.`ICJ I.:.i L -i> Y ti� ..'Yt..ff , to S -`%E�•'�'sz 1i t� 0 volts • '•�f ..' : � ..:, ; 4 �-A'' `�' •<., r krt x��� . . grps ..,� �l:;s ��?,^`r�; s�� / � . � ;v :� '�� ` , ` exceeds 10,000 amps at I S v t ❑Floating buildings. ❑ 1 - and 2 - family dwelling 9 Commercial /industrial ❑ Accesso buildin less to ground, of other installations. 14,000 ❑ builds Cotruncrcial-use agricultural �' g amps for alt other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: 0 Firc pump. 0 Installation of 75 KVA or ' €ei. ' 7.777,4 e :7: ' •^ ,.. tt 4 =�: z... -,, .7 - Emer enc system. larger separately derived s � ^l'r _:1 O)'�1 ` 1 � - 9 'd � 2 1 t ' rt :r: rt v : ° v : �.:.: ,��i`ra g Y Y g P Y stem. MOW' Y ' r 1 R v , •V ,Z }. ROV40, :a slit' ❑ Addition of new motor load of ❑ "A" "E", "1 -2" "1 -3" �' .- ��. ->�� TF :�- � �� .�, r�+r, :a�',rsa a. ,� t ,. ,.:, �cr. "'�'S�?' Job no.: i :n p Job site address: / or more, occupancy. r ' !' ' �� r `' -? w ae . 4, e. /'w pF ' , ^` ©Six or more residential units, 0 Recreational vehicle parks. City/State /ZIP: . F . :' , � Health -care facilities, ❑ Supply voltage for more titan tr G ; {' ' 0 PP Y $ 0 Hazardous locations. 600 volts nominal. Suite /bldg. /apt, no.: C'" Project name: / 5,/ , , ,,,,‘ �' ❑ Service or feeder 600 amps or more. Cross street/directions to ' ;t E ' � kA ' P ea. tat -t r R"' `� 4 .."' ;"Y5R :� X .� ;WAN � .: .- s o job site: ` a i l , ty. :e 'Total °x . i=. Deserlplioo I Qty. � Y Fee. � � Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea, add'l 500 sq. ft. or portion 33.40 1 tgi u-:r;,Vig.::`:41!s. no.: : aw , :,: ,;.x� Limited energy, residential ,2, a' ;�,.; ...� >. -•.. t•,k _ �; e, > a, .�`St� p E ��iB` W(3 `:y'' wis above .^..i, .,e'` Yn •t ".�.vA t. 1•o�s�ti`:na.r ,.L , ., ,'�. -., .., >?C•3'ir^ ". a.:: ?�, irY `r %r ^.r�,is�'�5;�. ( q ) 75.00 2 Limited energy, multi- family " e,„;; } r, ; ,,r,` - , ,--, 6 - ., a , ;, "` residential (with above sq. ft.) 75.00 2 ' Services or feeders installation, alteration, and /or relocation r r 7w� - a 1 t z.. Z < , std' f. '.e >s� ; scQ 200 amps or less 80.30 2 : .v � - ',.� 3 ;;'§ " 151( F7.- E,„ }': z4•=' 'a + ''I` . 2a ..f., _ t. �5 `IE- ._,`. ,., d, '. s,_t e,, ,,,, S ;,.4::: ./. A3 ::5- -;- ik „ a0,-= e t , ;A0 • 201 amps to 400 amps 106.85 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) 1 Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: ; s " ;„ • �,r�� u r: r. ;;f • A. Fee for branch circuits with 5p ?. c�- K •:T�:. .:APAIT 3- ; f2 � above bo c erv'c �i :t^ - < +� service e reader fee, ,�.: <.., or f f ��Ll'.. s �,' ,. ,. 6.65 2 t '" " each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 . ,, }a 2 • first branch circuit Address: Each add'1 branch circuit ( 6.65 , h 2 - Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) ( Fax: : ( ) Reconnect only 66.85 - 2 E -mail: Pump or irrigation circle 53.40 2 t ��, c � `G;.r.i? '�r?"•ii�'.'� .'• f" ^."<` •` s c �.��.. .:- C - _ _ �f::- .::�J.R!`.: j ::. k < +r-o•t -.r<w„ <�'C ,1QT. eta >+ : ;_ =tiK : �,; __ tF „!:, ; i s ,.,;, ' ':a or outline I' 53.40 :<v[rx._ Y .a.h�: >~Ci:.,,. �'e'>:� ��,� .r:,,= :s1:. •Y9., Sign lighting 2 Business name: Willamette Electric, Inc. Signal circuit(s) or limited- energy panel, alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 City/State /ZIP: Tigard, Oregon 97281 Each additional inspection over allowable in an of the above Per inspection 62.50 Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (I hr loin) 62.50 CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv. Lie.: 4226 -S Industrial plant per hour 73,75 7,r, TagirA2 Suprv. Electrician signature, required: J Subtotal: Print name: David Fife Date: Plan review (25% of permit fee): t,` s ; Authorized signature: State surcharge (12% of permit £ee): ,.,' ` TOTAL PERMIT FEE: 9 7 . -: Print name; This permit application expires if a permit is not obtatncd within 180 Date. days after it has been accepted as complete. r< Number of inspections allowed per permit. I:\ Blinding WerrnitstELC- PcnnitApp 05/23/06 440.4615T(I I /05 /COWIN /ER ` CITY TIGARD BUILDING DIVISION PERMIT #: EL0009-00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/612009 Phone: (503) 639-4171 Atb nylo Inspection Requests (24 Hrs.): (503) 639-4175 _ ^ ��� INSPECTION WORKSHEET FOR DATE: 1/21/2009 TIME: 7 PAGE: 9 SITE ADDRESS CLASS 10300 WORK: SUBDIVISION: LOT TYPEOFUSE � L|N(�0LN{�ENTER/(yNFUNC0LN #: USE: PROJECT NAME: � HERFk&0k40NE DESCRIPTION: � T| - J N 156 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603-412-4600 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-634'3631 Inspection Request Scheduled For: Date: 1/21/2009 Pour Time: Code # Inspection Description Confir # Contact # Message 199 Electrical final 503-6243631 N Corrections/Comments/Instructions: - ^^--/ ■ PA ' || PARTIAL APPROVAL || CANCEL NO ACCESS ^ � CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector:. ' me E~ Date: V - *�t ~ Phone #: (503) 718' '__ CITY Q 4 TIGARD BUILDING DIVISION PERMIT #: ELt�2009 0t)t3:15 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i/5/2003 Phone: (503) 639 -4171 io �,m�„� 'iII� Inspection Requests (24 Hrs.): (503) 639 -4175 : ' 11.. INSPECTION WORKSHEET FOR DATE: 102009 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 10300 SW GREENBURG RD 540 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: HERR & DIMONE DESCRIPTION: TI - Job No. 156 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: t;03-412-4800 CONTRACTOR: Wit LAhMF TE ELECTRIC INC PHONE #: 503 - 624.3631 Inspection Request Scheduled For: Date: 110 /2OO9 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 WRIT cover � L�iy 1 J`?/l, ° 079510-0 1 50:3- 624- 3631 N Corrections /Comments /lnstructio .: � �'i. •ASS I I PARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: ; ,. L .� � Date: / " — d — I Phone #: (503) 718-