10300 SW GREENBURG ROAD STE 460-1 ..4 sir 2ibiw.
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10300 SW GREFNBURG ROAD, SUITE 460 =
CITY OF TIGARD
ELECTRILAL PERMIT
PE.R1+1I'f #: EL.C96--0t,b111
COMMUNITY DEVELOPMENT DEPAFITMEN-r DATE ISSUED: 08/28/96
13126 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)939-4171
PARCEL: 1 S 1 ,SAB--0 1 00
,ITE ADDRESS. . . : ].,&1 100 SW GE11y .iJRG RD #'+60
.,i.JBDI V ISION. . . . . ZONING:C--P
BL..00K. . . . . . . . . . . LCAT. . . . . . . . . . . . . .
Project Description : Installing four branch -ircuits.
......_RES IDENT?'AL lJN.1 r _ -_ .---TEMP SRVC/FEEDERS---.- ---_---MISCELL.ANEOUS-----._
1000 5F OR Lf-'SS— . : 0 0 - 2,00 amp. . . . . . . : N PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5006F. . . : 0 :01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : N
L11v1IT1r.D ENERGY.. . . . . : 0 401 611110 amp. . . . . . . : 1b SIGNAL/PANEL.. . . . . . . : 0
MANE. HII/ SVC:/FDR. . : 0 601 +amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0
(:1 RCU I TS-- ---- ----ADD' L I N_PECT I(JN5-
0 - E"OCA amp. . . . . . : 17.1 W/SE:RVICE OR FEEDER: 0 PER INSPECTION. . . ., . : 0
201 400 amp. . . . . . 171 I st W/O SRVC OR FDR. : 1 P'ER HOUR . . . . . . . . . : 0
401 600 amp. . . . . . . 0 EA ADD' L BRNCH C T RC: 3 IN PLANT. . . . . . . . . . . : 1i)
6M 1. 1000 CAMP. . . . . . VI ___.__._____..._......___._._. r='I_AlU REVIEW SECTION-___-.._-.________._
1000•+• amp/volt. . . .. . : 0 )=4 RES UNITS. . . . . . . . : t 600 VOLT NOMINAL.. . -
Reconnect
OMINAL.. . :Reconnect only. . . . ., : 0 SVC/FDR > = 225 AMPS. . : k3Lr49jG AREA/Sl--EC OCC.,,
Owner: ___.__.____._ .___.________ _._.---_.______.....__...___._..---..._._._.._.___ FEES
MAL'IBU PACI1=IC t ype amal.lnt by dat e recpt
10300 SW PACIFIC HWY PRMT f 50. 00 CJE, 08/28/96 96-2('.3345
f3(JITE 460 `:,PCT f r.'. 50 CJS 08/228/96 96—L83345
r IGPR'D OR 97223
P"hone :4:
Contractor: --- -__.____.________________.._._. _.__._.._..._._._.._.._....___._...__--•--. .._
CHR I S T ENSON ELECTRIC INC; `,C. 50 TOTAL.
111 SW COLUMBIA
SU 1 l E: 480 - ----— REQUIRED INSPECTIONS
-_.__--
I.ICIARD OR 97223-•5886 Wall Cover Elect ' l Final
F'harle #: 503--241-4812 Elect' 1 Service
Rey #. . ., 00458
This permit is :ssueo subject to the regulations contained 1n the
Tigard Municipal Code, State of Ore. Specialty Codes and all other, Plermittee Sigorture
ar-plicaole laws. Ali 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 coCt`
than IA0 days. I sskied By
INSTALLATION ONI_.Y The installation r.s being made an property I own which is not intended for
->,:0e, lease, or rent .
OWNER' S SIGNATUK- ; DATE :
_..._. -_..--_Cr_NT FIACCTOR INST(--,LLAT ION
S 1 GNA T URC-_ OF SUPP. ELELI N: .,_�C'�. DATE: 13- ?
.....,,_ ... ... ._..._..._1_.._._......_...
LICENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
!� 13125 SW Hall Blvd.
Tigard. OR 97223 Permit # ;rc1G--G'S _
Date Issued
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIOARD TDD No. (503) 684-2772
Inspection (503) 639-4175
f. Job Address: 4. Complete Fee Schedule Below:
Name of Development LINCOLN CENTER Nu'11ber of Inspecdefis per permit allowed
Address__.10300 SW GREENBURG RD SUITE 460 _-- Servire included. Items Goctteal ,.lilt
City/State/Zip_ TIGARD 4a. Residential -per unit
MALIBU PACIFIC1000 sq. R. or less $11000 ^
Name-(or name of business) f,T ir _ Each addltionsl 5(G sq It or
�V )onion thereof $2500
Commercial`VII Residential 11- )onion
1J I.lilHed energy $2500
QIIEST1iiiVS?CONTACT SC TT Frch Manurd Home or Modular
NORRIS BEGGS Dwelling Service or Feeder $6800
2a. Contractor installation only: CXRLSON --
ROSS CROSBY 4b. services or Feeders
CHRIS'IENSON ELECTRIC, INC Installation alteration,or relocation
Electrical Contractor 200 amps nr less $6000
Address 111 SW COLUMBIA,SUITE_ 480 _ 201 amps to 4n0 amps W $8000
CItyPORTLANDState OR Zip 97201-5885 401 amps to 600 amps $1,000
801 amps to 1000 amps $180 00 _
Phone No. 503 T4-1--4 8 1.21 over 1o00 amps or volts $34000 —
Job NO. 222-7735 _ — Reconnect only sso or _
contraci-ir's licence NO._ 26-34C 4c. Temporary Services or Feeders
Contractot'% 3oardInstallation,alteration•or fir ocat
llon
Signature of Supr. e —_ —� 200 amps or less 2
License No. Phone No 201 amps to 400 mps $50 00
873q Phone- - –2-�+�.—�1��1-- a
� 401 amps to Ban amps $7500
Over 800 amps to 1000 volts $100 0n
2b. For owner installations: ( see"h'above ^T
i
4d. Branch Circuits
Print Owner's Name _ _-___..__._ _-_ New alteration or extension per pane
Address_ al rhe fee for branch circuits with
City State_ _ Zippurchase of aorvlce or leader lee 2
�ch branch circuli $500
Phone No. _ _ he fee for branch circuits without _
The installation is being made on property I own which Is purchase of service or feeder fee 3 5
Iirst branch circuit $3500
not iniended for sale, lease or rent. Fach addalonal branch circuli W�3 $500 –
Owner s Siynature ____` _ _ 4e. Miscellaneous
- ------------------------
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation *cis x40 o0
Each sign or outline lighting S4000
Signal clrcu.gs)or a limited energy 2
Please check appropriate Item and enter fee in section 5B. panel,allocation or extension $40 oc
_ 4 or more residential units in one structure Minor -abels(10) $10000
Service and feeder 225 amps or more
System over 800 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allrwable in any of the above
as described in N E C Chapter 5 Per Inspection – _ $35 00
Per hour $55 00
!n plant - - -- $55 Co —�---
Submit 2 sets of plana with application where any of the above `-- -
apply. Not required for temporary construction services. 5. Fees:
5a. Fninr total of above fees S S0.
NOTICE ,%: Surcharge 105 X total fees) $ 215p_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g [)
5h Enter 25%
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Review
w line A for
CONSITIUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) g
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK iS Subtotal g —57-751)
COMMENCEDTrust Account 1y
Balance Due 52.50
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -F imb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plug.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: e _ _-- — ------ -
Date: - -- . A.M. _P.M ntry:
Address: 1.6
',�/-�
Tenant: — ___ _ Step MST:
n BUP:
Con/Own: MEC:
PLM: _—
ELC:
THE rOL.LOWING CORRECTIONS ARE REQUIRED: ELR: �� p
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Ins actor: ate:
APPROVED __DISAPPROVED/CALL FOR REINE R / Cr1 GO