Permit 1 .
CITY OF TIGAR
ELECTRICAL RESTRICTED ENERGY PERMIT
° 4 " COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00462
"" "= DATE ISSUED: 12/14/2007
TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135AB -01002
SITE ADDR :.: S: 10220 SW_GREENBURG RD 571 ZONING: R - 12
SUBDIVISION: �� i CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: TRELLEBORG
Project Description: Data /telecommunications.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SHORENSTEIN REALTY SERVICES HECKTEC TECHNICAL LLC
ONE SW COLUMBIA ST #300 3484 HILLSIDE CT
PORTLAND, OR 97258 HUBBARD, OR 97032
Phone: 503 -412 -4800 Contact #: PRI 503 -572 -1827
FAX 503 -981 -0478
FEES Reg #: ELE CLE14
LIC 162394
Description Date Amount SUP 1496LEA
[ELPRMT] ELR Permit 12/14/2007 $75.00
[TAX] 8% State Surcha 12/14/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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: fry, r ar jlt��
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.
--me
•• •
Dec 12 07 06:15p Susan von Borstell 464-9384 X54,0
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s Perinit A pp li cEivED
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1 Rcccleed
,41.':;', City of Tigard I oa__ Fa Perm,"
-,-...,.. 13125 5W 11:111 Dlvd.. Tigard. OR 97223
I !
_:
•" . :■!;,.. !.! Mimic 503.639 4 171 Fax, 503 OE 1 9 2001 . D....
i Plan Roact.•
i I nateitb.. i 0:1,er Permit.
, .it'i•liii;!.Iii intirn 1 in 53 611 175 (.... u r
, Date It.eadyglyi
.),,,...--- 52 Se 3
t Page for
“;:•311A-i,11- nsec 0 9 4
-, i ' • •••• • --
,„,a/%I'.. inP.1 t•kww ttgardtm goy cays)F FIGARD .
: N.,,, . i 1 _Supplemental Woman-Non
rm _
Tyr PLAN REVIEW —1
Ncia construction ) Addition a terationkcp accmcnt ION pit.,„ check all chat epply 0Am:el tc rif plrain Antuinii chocked belnw)
°Sumer. of fccdgr 400 an QA uric C.) Building or rorrig 65itics
• 0 Demolition 0 Other: where the evetleble feu!, ounces 0 Menem, laid lidin
CATEGORY OF CONSTRUCTION OtCmi5 MON a ra pa at 150 volut PT 0 0nanngbuilclin
I Ig,g to (1011774 OT TXCeedc 14.: CD Commuclat_utc ng,,,utii
11 1- ond 2-family dwelling M Cotnrocrcialiindustrial 0 Accessory building :Imps fa, alt PIM' tAttA311;tportt blIflatAlti
Ei tclUiti 0 Mastcr builder 0 Othcr: 0 Fitt pump Iniitallanor of :5 K V A A,AA
0 $5Plarri. 1:tratA Ccpn,,Arly 4crived R. il■Cf11
JOB SITE INFORYLATION AND LOCATION I r; 4ciditIon Of n troior lad of
1001TP ai mum.
,criiiiniuy .
kb no : 1 .1o1) site address! 1 0 1, „ , .2 ..,:.ii.i.:(,1 li.,it„ f i(,.. 0 s „, „, „,,,,,,, ,„„, 0 Re... ...dingle parlm, l
, .
0 lienlAtACIATC facIIII1C5 0 Supply , elleite 4en- more :het,
City/St:gel:KIP" 1 ' --, , • : 't .1„ i ..
i 16' ..:(,, -, . ..- _r--,.. -i -. 0 H(z.nrdou locations 9 Ar9:A normal
f 1 ,
Suitcrbidgiapt no.: ) . Projent name: 11,3i CO 0 ScriAct or (mit, ann ,,,,,
--
.....). FEE SCIIEDULE
Cross str emidireclions to . job site: . '::• - •,111,,, ; --1,-(,_ _ 1 i PtAPP. Atni 1....SIT L - i - Ct , 1 ........?_ . ..t. - _ - .1" -- 1
_.„ -- .1 New residential Ningie- or mn111-00mily &vain unit,
Includes Ranched grivage.
Subdivi 0
sion: 1 i
._12.: no.: 1.000 sq. ft. or lest ------ 1 - 1T.-5. - ; 5 -
--- Ea. oild'i SAO sq. rt, Or pOition 32.40
--- ti-li l
Tax map/pareel no... _4 LimIty.d energy. - reAidentias
75001 , 2 1
DESCRIPTION OF WORK (with Ahove eq. 9 ) • I
: I
------.'—'1 6-7-6-- LAmned cnragy, multi-family 4-
residential (wiill ibl,VE tti. (1.1 '5.00 . I 2 1
---, .
„....... ... -
Services or feeders installation, alttra 'on, Andior relocation
,,---
1
200 aMpc or 1ccu
......„r29_ 1_____
—
.....TOPERTY OWNER . 0 TENANT 201 amps to 400 amos ---I 106 85 '
401 amps ti 600 amps 1 tot) AO I 4
"e -f,.o_i)i a s :.
- 60! amps to 1.000 Ctilp7
' 240 60
„,..
Address: OVAtT 1,000 am , p or volts ±.. 454 M I .._ I
,_ .. _..._
__.......
Temporary PCKNiete OT reCCICTI i111511211Rtittil.tilterlItion. It t113/01'
(761SWC/ZIP: fa:WM-kW I
A-------- — _ —_,__----........ _I
Phone:( 3 FaX! ( ) 200 amps or loef. i
. 66 55
201 amp s t o 400 amps i 1011 1 I 2 -
Owner installation: This installation is being made on prnperry that I ovm which is not
, 599 5 l L123 75 , i 1 t.
intended for sale. !casent. , re or eri:chang c. according to ORS 447. 449. 67D. and 701 401 amp to ung
. _.....—... —_
Broach circuits- new, Alteration, or eNtensionper panel
ISiwner signarure: Dale
- A. Fee for branch (grants 10/9 I 1 1
0 APPLICANT I 0 CONTACT PERSON above cep: irC Or fccdcr fee. 1 6 05
each tunnel' ramun 1
I
Business name: R Fee for branch circuits
i 1 s,iihour se-1,1ec or fe. edo r fee, I I .
1 COntoct 138111C . i first branch circuit 1 4r, i 85 1 2
1-- i
Address: Eacliadd en
1 branch e rrant 1 6 6S
1 A --....i
. --.......-- — 1 MiAcelIgnxeus iservice or feeder oot incladciD
,----
CitylSWerLIP. 1 ! Each mFinufacntred or modular 1 1 ITT
11 09 .90 1 I 2
' dwelling, sen ondior feeder
Phone: ( ) 1 ray:: - ( ) 2
1 .---...—.--- I Reconnect only i ra3.B5 I
E,-(113,1: , I Pump or irrigrtrion cede 21
I CONTRACTOR 1 1 Sign or outline lighting
i .,7 40 1 2
Business name: , t ..I'' i , i.. -•7 i ,--',' i s . t .... I 1 i ; 7 etrciiittO or limited- I .
I
cnergy piimet. Aeration. or
, - Paii.i. 2 1 1 ,
Addrcnv , , , ; . i : - i cstrnsion. Dcscr:bio-D
I :
Pa pc ' .),C ,
City/State/ZIP! 1 t-'i , i. i "0 - -i ; 1,., , 11-1 - 7( '1 2-1 ' ) E Per se_h ns addltional inspection over alluivii 1
ble in. a of the
1- Ipection I A2 50 i
I Phone: ( ,,, t1:1 1 ri .. , (1 --„,.;(-,-.1 , Fax:( .) (1.' Wi - .,'; 7
i— ' - - I Investigation per hour (1 ln mull I
' - • • 3 . i , . ,. ......
I CCB Lic - ii: ' ,- ill 1 Hewitt-1i Lie ' 7 1- /, Suprv. Liu.: mdtistnal plant peritOUr 1 7.3.75
- RLECTILICAL PERMIT FEES
1 Stiprv. Electrician signmurc, requirrcl - -- ' Subtotal 1 11 7/.. - , ' 11- :. 11.
r _ ,......____. ______ 1 f ) 1
Plan revicw o permil kr
1 ..—
Print ntimc: I Date: — , .
-...4-.-. Stmc surcharge OM of permit fee) , 1 , 124
I . _
1 Authorii signature: i::: , ,t TOTAL PERMIT FEE. 1 . 1) f , '•••
,
, ,
. 1-- Tate ,a a ppligtion 7
I a 4piro if permit la u
lt a n, atitainitii rrithin In
Print name: i'Y :/,' i'L 1, / f i,1,' - Dote: 1 ,..,2 / :), 7 r days atter it )11411'0PM 11tceptrti u5complett.
L2.Li.L'. ' l L -- ---, ,-..._
1 I . X40 CA P showed per ncruill
inuno:gantnur it \EI.CirotintiAnn iig, esis ha5--5-.;1AT5-IVOS/C(0.0.1111
q,
CITY OF TICGARD
BUILDING DIVISION ,w PERMIT #: 1:.1..1 ?007 -00462
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12114/2007
Phone: (503) 639 -4171 '° 44:14.1!.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12f27/2007 TIME: 7:OOAM PAGE: 43
SITE ADDRESS: 10720 SW CREENE3URC P1) r,71 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TRELLEI3ORG
DESCRIPTION: Data/telecommunications.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #:603412 -4800
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 503 -572- 1827
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 062179-01 503- 409-5791 N
Corrections /Comments/ Instructions:
N0 P 1 cAcza.. or 6r '
N
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
• ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: GTh Date:0# 1 1'C ' ) Phone #: (503) 718 -1
' .
CITY OF ��on n m�/m� wm�m���m��
BUILDING DIVISION PERMIT #: �LR2D07OO�G2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2(X7
Phone: (503) 639-4171
i
Inspection Requests (24 Hrs.): (503) � (503) 839~4176
INSPECTION WORKSHEET FOR DATE: 12y20/2007 TIME: 7:O1AhA PAGE: 15
SITE ADDRESS: 10220 SWSREENBUR@RDS71 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TRELLE.80R8
DESCRIPTION: Data/telecommunications.
OWNER: SH0REMSTE]N REALTY SERVICES, PHONE #: 603-4124300
CONTRACTOR: HECKTEC TECHNICAL LLC PHONE #: 6O3-572'1827
Inspection Request Scheduled For: Pour Time:
Code # Inspection Description Contact # Message
135 [/owvohage 503-409-6791 �4
Corrections/Comments/Instructions: '`-�-----'
PASS fl PARTIAL APPROVAL CANCEL NO ACCESS
FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G • NCE Date: 17_•20` Phone #: /503\ 718' ? 111-11)