Permit :- C ITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2008 - 00643
COMMUNITY DEVELOPMENT DATE ISSUED: 11/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135A6 01003
SITE ADDRESS: 10300 SW GREENBURG RD 200 ZONING: C -
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT : JURISDICTION: TIG
PROJECT: KPD INSURANCE
Project Description: TI - (3) branch circuits. Job No. 140
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: 2 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 11/19/2007 $60.15 L1C 75059
[TAX] 12% State 1 1/19/2001 $7.22 SUP 42265
Total $67.37 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 . _ - • - ccordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspend= . for more than : • da ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those i les are set forth in • •1- .01 -0010 through OAR 952 -001 -0100. You may obtain copies t41 ese rules or direct questions to OUNC at
503.24..6699 1.800.332 ,
Issue. By: Y Permittee Sign' ure: • _ , ff '( '� (
d_
vie 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. ELE
C'N f - < DATE:
LICENSE NO:
Call 50 • 9.4175 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.
11/19/2008 WED 9:34 FAX 50 36 2 42 93 8 Willamette Electric l?] 0 02/00 2
Eli ectricat IP e riffil ii .A.Plaie a fii ll) llT , 'A. wr jel ; 1. ,14; - 4 A i 1 1.1T9. 1 11 , VIA P VV il 0A 4_ • , fw.ii.,..r-':•mwe - 0A--'0
v;...0. ..0%! '. :9,,,,.
Received
gECEIVED 1 1)617r: a /9 a k I omil No
. ., , . .. .
1 312!) S V.! I lull 131vo., l igui'd, OR 9 z23
Plan Review P ..-
Plionc: 503.639.4171 Fax: 503.598.1960 Date.43y: Otbcr Pci itur I
nalliki Inspcction Line: 503.639.4 175 NOV 1 9 2008 Dato Ready/By: iiii.-- 17%1
'4 Internet: www.tigard Nor ified/Methorl: „.4 1 Supplemental Infon»alion
TYPE OF CirfOrT PLAN REVIEW ------------
0 New construction M Addition/a141119100qPIYJSION Please cheek alt that apply (submit 2 sets of plans wiitems checkedWow):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 DeM0111.1011 E - J Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to pound, or exceeds 14,000 [3 Commercial.use agric.ultural
0 1- and 2-family dwelling El Commercial/industrial Ei Accessor building amps for all other installations. buildings.
E Multi-family Li Master builder 0 Other: 0 Fite pump. El installation of 75 KVA 01
0 F.rnet•gcncy system. large' separately derived system
JOB SITE INFORMATION AND LOCATION D Addition °racy; motor load of
, 100HP or more_ occupancy.
Job no.: / Y(';,) Job site address: , ,,,1 '.,') .,4-1 ,,* . I ; A i ,.;' i ,---, . .
• l• ,,,,, .'," ..'' .:, jt‘i j f '. t '':;`,.., e. %) 1 '. .,'•.' ' U Six or more residential 'mils, 0 Recreational vehicle milks
0 Health-care facilities. 0 Supply voltage for more than
(
City/State/ZIP: /. ,, . 1 /.' s ,„,.. ::::,:;',' '-:,: ,-;• .."--
' • -': , ::. ...._..2......e.: ‘: •••-• 0 Hazardous locations. GOO volts nominal.
Suite/bldg./apt. no.: .. 401,42,4-- Project name: MR) Zi5444 0 Service or feeder 600 amps or more.
...:.. •::. . • .• ..:' • .: TEE .SCHEDULE :
Cross street/directions to job site: Description IStyj i± Total I •
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'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
: : : • DESCRIPTION OF WORK • . : : . : : : : .• (with above sq. ft.) 75.00 2
Limited energy, multi-family
75.00 2
residential (with above sq. 11.) ________
--------
Services or feeders installation, alteration, and/or relocation
200 amps or less ____ 80.30 1 2
_____ _.
0 PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 1 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 1 2 —
C,ity/State/71P Temporary services or feeders installation, alteration, and/or
:
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
201
Owner installation: This installation is being made on property that 1 own which is not amps 10 400 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 c •tension, per panel
Owner signature: Date: A. Fee for branch circuits with
0 APPLICANT . . , • 0 CONTACT PERSON above service or feeder fce,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits , , ,..
withora service or feeder fce, /
46.85 yi, x'-' 2
Contact name:
first branch circuit
Address: Each add'I branch circuit .Y 6.65 / ,..,) ;',,,,- 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each inanufacturcd 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
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: ['age 2 2
— ----- --
City/State/Z1P: "figard, OR 97281 Each additional inspection over allowable in an3: of the above
-
Per inspection 62.50 _
Phone: (503) 624-3631 [Fax: (503) 624-2938 Investigation per hour (1 hr min) 62.50
CCB Lic.: 75059 Electrical Eic.: 34-283C Suprv. Lic.: 4226-S industrial plant per hour 73.75
. .... .
., .... ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: . ' Subtotal: ... 6„. 0 .,..„..
Date: // /
Plan review (25% of permit fee):
Print name: David Fife ,, ,
6 / ' C
_, State surcharge (12% of permit fce): ',,/ '---?-'
Authorized signature: TOTAL PERMIT FEE • /t i
j .
This permit application expires if a permit is not obtained within 130
Print italne: Date. days after it has been accepted as complete.
' Ninatici of inspections allowed per permit.
lAtioildialpertaitsTI.C.PeriaitAiro doe 05/23/00 .1:10-16 I sr ( I 1(05/COM/WEI3
CITY OF,TKIARD
BUILDING DIVISION PERMIT #: ELC2008-00643
13125 SW Hall Blvd., Tigard, OR 97223
:5 DATE ISSUED: 11/19/2008
Phone: (603) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
-4.
,.4
INSPECTION WORKSHEET FOR DATE: 12/12/2008 TIME: 7:00AIVI PAGE: 11
SITE ADDRESS: 10300 SW GREENBURG RD 200 CLASS OF WORK:
,..
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE: - c it .. ..:
PROJECT NAME: KPD INSURANCE
DESCRIPTION: TI - (3) branch circuits. Job No. 140
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: WILLAMET ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: •2/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 079013-01 503-624-3631 N Y
,„......,—..,„ ....
Corrections/Comments/I structions:
Q6\
PASS 0 PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Gn- N681--‘ Date: 1,420 Phone #: (503) 718- 1-/14)
, . •
CITY OF TIGARD - - .
BUILDING DIVISION PERMIT #: ac2000,.00643
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/19/2008
Phone: (503) 639-4171 kopoll
Inspection Requests (24 Hrs.): (503) 639-4175 -.-Ag -1
INSPECTION WORKSHEET FOR DATE: 12/11/2008 TIME: 7 PAGE: 21
SITE ADDRESS: 10300 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: KPD INSURANCE
DESCRIPTION: TI. (3) branch circuits. Job No. 140
OWNER: SHORENSFEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: WiLLAME. i i E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 12/1112008 Pour Time:
Code # Inspection Description Coil ii Contact # Message
130 Ceiling cover 07896130 503-780.3222 N
Corrections/Comments/Instructions: /
•
-------)
fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
E CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' NoeL‘ . Date: 11-1 ii 1 Phone #: (503) 718- Itit4.6•
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: ELC200B- 00643
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/19/2008
Phone: (503) 639 -4171 iv �j�u�u�l f �)
Inspection Requests (24 Hrs.): (503) 639 -4175 �_! __..
INSPECTION WORKSHEET FOR DATE: 12/10/2008 TIME: 7 :01AIMM PAGE: 26
SITE ADDRESS: 10300 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: KPO INSURANCE
DESCRIPTION: TI - (3) branch circuits. Job No. 140
OWNER: Sl•ft)RENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3531
Inspection Request Scheduled For: Date: 12/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 078927 -01 503 -780 -3222 N
Corrections /Comments /Instructions:
6 S s t)v- A1..L CANra ®v
66 oNt l if cal 1.1 14 a t fl e eowb w e .
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •
)/(FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v t 6 641 1.E Date: 3 1.'10 3 Phone #: (503) 718- 3)1 146
. „ .
CITY OF TIGARD ;`
BUILDING DIVISION PERMIT #: ELC2008.00E43
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/19/2008
Phone: (503) 639 -4171 18410'
8 O
Inspection Requests (24 Hrs.): (503) 639 -4175 111.
INSPECTION WORKSHEET FOR DATE: 11/20,12008 TIME: 7 :00Am PAGE: 26
SITE ADDRESS: 10300 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: KR) INSURANCE
DESCRIPTION: TI - (3) branch circuits. Job No. 140
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503- 412 -4800
CONTRACTOR: WILLANIF I IE ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: Pour Time:
p G 11/3�120{l€3 l i
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 078305 -01 503-624-3631 Y
Corrections /Comments /Instructions:
A SS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
____
Inspector: Date: // - A ` Phone #: (503) 718-