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Permit CITY OF TIGARD ELECTRICAL PERMIT illilq • 1 COMMUNITY DEVELOPMENT Permit #: ELC2010 00066 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/10/2010 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 500 Subdivision: LINCOLN TOWER Lot: 0 Project: Starbucks Project Description: TI, (1) service and (6) branch circuits. Owner: FEES LINCOLN CENTER LLC Quantity Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 CALIFORNIA ST 49TH FL 1 ea Services or Feeders - 200 02/10/2010 $100.70 amps or less PHONE: 6 crt Branch Circuits w /Purchase 02/10/2010 $44.52 Service or Feeder Contractor. 1 ea 12% State Surcharge - 02/10/2010 $17.43 Electrical 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 $162.65 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. ATTENTI . n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR to 952 -001 -0010 rough OAR 9 -001 a 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: 41111P■' . - Jill ?&L-- - 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 1 I SIGNATURE OF SUPR. ELEC' � ' i� 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. • - 02/09/2010 TUE 14:29 FAX 5036242938 Willamette Electric a002/O02 Electrical Permit Application R ' T D roiz •orrlcE use O L' A City of Tigard Received Date/Bv: , 4:74) 4:74) n Permit No.: EA ct O - G1C)(al�p 111 • n 13125 SW Hall Blvd., Tigard, OR 97223 F EB 0 9 ( r J Plan Review Q It Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Pcrunil: y: • i devo -e704:25" T 1 G n Ii Il Inspection Line: 503.639 pp � Date Ready/By: hurls: Si See Page 2 for Internet: www.tigard- or.gov CITY OF TI GAIIL NotifiedIMellatl: Supplemental Information : .. ......... I < F . , ...... >r ... ., . : >:IR[LAN- REV•)(EV►'s�? :: l�, : .........,, ,... ...- ..... TY•PE.tO W, 07ftC . .... .... : �, ❑ New construction Q Addition /alteration /replacement Please check all that apply (submit 2 sets of plans whims checked below): ❑ Scrvicc or feeder 400 amps or inore ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. .;i: - - - ':'+ - amps at IS volts exceeds 10000 s t O o Is or Floating 'I i n , buI d rP ❑ � 4 - s R`•y':•A ::CO]V$TltlJ�l} U1V�::�.r ; .,•, :......:.......:,..:. -., .,,.,..:...,:..: ,..._:,.. •:,...,•.•.,:,,:::,... ,,,.,:,; -. ..... ...._.,...,:.:.:::::. less to ground, orexceeds 14,000 ❑ Commercial-use agricultural ❑ 1 - and 2- family dwelling © Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of75 KVA or .: �..:::.:•:-• .::.:...:.....:....:..::.............::.....:::.:......... ..::...:.�:..,..:..;.:,.= �::.,: L•rtrcr•enc s ten). larRfSC separately derived, neon. -: 6 Y Ys larger P Y F A7'I'( iVW 4 :toCA`I'1ON :: ;r,:; JOId�`5f•1?E`IN ORh 7 . :........ ..; p._, :.,.._;::r... „r - w otor load of 1 ❑Addition ofnc m ❑ "A ", "F', "! -2" -3" Job no.: a Job site address: `J ,2 4t O { I 10011P or more. occupancy. / / !N (Y /"r"!°t 1 h f ° i. ❑Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: -! 7" )) / a fi ❑ Hcalth - taro facilities. ❑ Supply voltage for more than t.7 / �° A' a ('` k° ❑ Hazardous locations. 600 volts nominal. "gOi1"e/bIdg. /apt. no.: ;?' fit Project name: " s r 3 ";: f ,. ,, ❑ Service or feeder 600 amps or more. :f s 'FE : SCHEO1).! :* . ,:: :;f ; r Cross street /directions to job site: Description I Otv, I Fee. I Tend I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq. ft. or less 168.54 4 Ea. odd'I 500 sq. R. or portion 33.92 1 Tax map /parcel no.: ,. • :.•....:... ;:•:..:;,::.::,•:;=:.. 67.84 2 it energy, residential :,... .:,: : ::... : .:.. : .: •:;:.. , :. mvith above q. Ill • ESCRIATIIDN'UE'.wUR1C` :: ;r: Limited q ) Limited energy, multi - family 4 ,t ,.,, eo .-. - 14:- , 'e. 72:v-, : .,: . ' -' residential (with above sq. ft.) _ 67.84 2 Services or feeders installation, alteration, and/or relocation 200 amps or less '4.t{ s ;..:: ::P.R P. TENNIANT`•:. ^' {:':.: ; ::- ;' . , :,::�.. O ?rRTl.;UWN)ER`.:i "' ` -.0.. - , 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City / State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: -- Branch circuits — new, alteration, or extension, per panel A. Fcc for branch circuits with r feed e service feeder T9 T above sc c , .. .. . ` -(�.. , ,. -;:;'fir: %;'. %��❑ ,... ,..: ,,,..: . ._... ..�. .,..- • -. = 's.... -.. .......:. . ..... ........... � . . 7.42 ,,,,... 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee 56.18 2 first branch circuit Address: Each atid'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular dwelling, service and /or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 s', i;: +;•�. : 2 r•.. ::17: :ty. Si or outline lighting 67,84 � `•.GONTRr�CT.UR:: -. -'.:�: 8 Business name: Willamette Electric Inc Signal circuit(s) or limited- energy panel, alteration, or Address: P.O. Box 230547 extension. Describe: Page 2 2 City/State/ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above Per inspection Phone: (503) 624 -3631 Fax: (503 -) 624 -2938 Investigation 66.25 per hour (I hr min) 66.25 CCB Lie.: 75059 Electrical Lie.: 34 - 283C Suprv. Lie.: 4226 Industrial plant per hour 78.18 _ r.,:•.,.;.:.O ,Uri (tNItT�?F:EES;. ::is . • .•:;; <.,.:.:... ;:; <;• .:K li ._. -- ......... t:::.�.,s.:;; •:�•:-:s. .lE .., Suprv. Electrician signature, required. / - Subtotal: Print name: David Fife Date: �j/ //b Plan review (25 of permit fee): /// State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit Is not obtains within 180 days after It has been accepted as complete. e Number of inspections allowed per permit. t \nuildins'Pcmils PcrmitApp.doc IO:OI:TO 4 40.16 15T( I I/05 ;COM'V'I :11