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Permit CITY OF TIGARD ELECTRICAL PERMIT °' PERMIT #: ELC2009 -00004 COMMUNITY DEVELOPMENT DATE ISSUED: 1/6/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AB 01002 SITE ADDRESS: 10220 SW GREENBURG RD 301 ZONING: R - 12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT : 009 JURISDICTION: TIG PROJECT: COMSYS Project Description: TI - Job No. 155 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: SIGNAL/PANEL: 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: 5 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 $80.10 LIC 75059 [TAX] 12% State 1/6/2009 $9.61 SUP 4226S Total $89.71 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 a 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule are set forth in OAR 9 • 001 -0010 through OAR 952 -001 -0100. You may obtain copes rules or direct questions to OUNC at 503.246.6 99 or .800.332.2 • • L Issued By. / / t `i Permittee Signal 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: /!,,4* ' • 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. 01/05/2009 IRON 15:44 FAX 5036242938 Willamette Electric 1 002/002 Electrical Permit Amalie li' EC i , . rOi2 OFEICEUSEOi \ LY City of Tigard Received S G � / Permit No.: EL „ s_ Ord a d 13125 SW Hall Blvd., Tigard, OR 97 2�1l Li e i Plan Review r Phone: 503.639.4171 Fax: 503.598.1 ' Date /B : Other Permit: :• Inspection Line: 503.639.4175 Date Ready/By: 1 MI 1Z See Page 2 for Ir., • 1:13 Internet; www.tigard- or.gov CITY OF TMGARG Notified/Method: Supplemental Information c a E+ I i a rr s �� � ? s n aic s c' � s t ,, f � 1� r. v. � .,ram r�rt ;mac . -:, ,-s rr 1~ : sf :1:: :e ry - !�s- }. as, - ,r; Ais $ , ! - I , 2 :!:-1;,,i t 7�, � . . „ , , 5 a ; ■A .te r � • , �'`C �_ �.. ,.c . �„ �r`irt :..._..<3 -.: c;c�' A 2� .ru w..,,s�4.,eer_ -e _. .L�: k �:2 ' < r ri.. .: . sSy. F ,,. '.'� y ` . s 'z -' a... �R --v . ^ f 31 , .. ` :e + 5 �- ��.;:eS ; i Q New construction Fri Addition/alteration/replacement Please check all that apply ( subm i t z acts of plans wtitenu check b el o w). 0 Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault cu ,��, .rent 0 Marinas and boatyards. Vii s . • a .. c - .. w €`' : z , ; , ,. 4 ,t' r . _ a y w < c, � c ,w �` r ' : , , , ,, t 1. excee 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑. Master builder LjOther: 0 Fire pump. 0 Installation of 75 KVA or r > ^ : 4; y:_ u „ =a;;e a , ,;,; ax `.x .z;; ,. ;:r; - <; ;; - ,> ', 0 Emergency system. larger separately derived s stem. . ",,,,a,,,:�� <A ;.r.,a,i, �'e , k'?':.4 *z; ,,. 4: '-�{ ; �, F : .• g P Y Y s t; v 4-te s ',bs,:e4r,* F k'r :.x�K� ',! ^ ,.`sa z .ale rt,.i ?r�-K :s, 4rj « .;. ❑Additionafnew (� ,. A ., .. „ Job no.: ° '� ' ^" E 100HP or more. occupancy. °'� 0 4 , Job site address: ;.;: t s: . s .,,t ,•- , t4' F,.,,. 10 . ❑ Six or more residential units. ©Recreational vehicle parks. City /State /ZIP: T,, ' °,u 4- El Health-care facilities. 0 Supply voltage for more than ,,, ` t , / ,,,,,,o...4- ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: , r I Project name: . ,., ❑ Service or feeder 600 amps or more. _ , s' e , / : i M ail -. : \. , �ki a . 4 1ffirW s er- t ; 2 �O'�a F Cross street/directions to job site: .. . -. J D escription Qty. Fee, Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: ( Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add't 500 sq. ft. or portion 33.40 I Limited energy, n ,,., x ? _T F - • ,s; 9 gy, residential �.� i a 8 a s r� �• ',. \ with above s fl. 75.00 2 �a ;�t�i`2 R�� � �i ;.... ; -i 2 , '.. Limited energy, multi Li gy 75.00 ; .r *; , : ,. % residential (with above sq, fl) Services or feeders installation, alteration, and /or relocation �, { , ;F � zr N ter.^ vim 200 amps or less 80.30 2 't � s "� a* (: 441 ;91.,A L-Y. „> a - s Y . - 4 '' `a .,; 201 amps to 400 amps 106.85 2 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: ( ) ( Fax: ( ) _200 amps or less 66.85 1 I 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: si c : u re ri A. Fee for branch circuits with N - aa` S. ! Y ?? - F;� f :, r_ ^:r :. 't ' ' ; 4. , - ,T, ;'''' ''' . Oar ;`;. . r ' ' s r� , - ;.F , e ��;:d °r:� above ch branch or feeder fee, a ' < 6.65 2 each branch circuit Business name: B. Fee for branch circuits • Contact name: without service or feeder fee, / .4 46.85 j t ,,� ° " 7 2 first branch circuit Address: Each add'I branch circuit ta - 6.65 ' 2 SS Miscellaneous (service or feeder not included) _ City/State /ZIP: Each manufactured or modular 90.90 2 Phone: ( ) (Fax:: ( ) dwelling, service and/or feeder Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 .'a - �'r�.:° '"tis'.".` ; ,�'° .r,� •wru:,• -2arr az- s'. 4 l r, g e -Qi ; fain ���_ �' ..i , :` e a r1,' : ;= t Sign or outline lighting 53.40 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 min) MI 62.50 MI CCB Lie.: 75059 Electrical Lic.: 34 -283C Suprv. Lie.: 4226 -S Industrial plant per hour , - t-4 '•,. '`PiKf Y rI ' "Mr it S_.t`s s� s P.74% Suprv. Electrician signature, required: . ,------"". ....I. Subtotal: , G - .-•• Print name: David Fife Date: Plan review (25% of permit fee): / State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: - ,---- Print name: Date: This p ermit application expires If a permit is not obtained within 180 days after It has been accepted as complete. '" Number of inspections allowed per permit. 1:'auitding \Posits \ELC- PcrositApp.rlec 05123/06 440.4615T( I I /05 /COM /WEB CITY OF TIGARD BUIODING DIVISION PERMIT #: ELC2009 -00004 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 116/2009 Phone: (503) 639 -4171 , , ?� Inspection Requests (24 Hrs.): (503) 639 -4175 �'. .�' �� INSPECTION WORKSHEET FOR DATE: 2/16/2008 TIME: 7 :00AM PAGE: 5 SITE ADDRESS: 10220 SW GREENBURG RD 301 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER INCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: COMSYS DESCRIPTION: TI - Job N.S. 165 OWNER: Sl REALTY SERVICES, PHONE #: 5034124100 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503- 6243631 • Inspection Request Scheduled For: Date: 2/1812009 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0130610 -01 971- 2130413 N Corrections /Comments/ Instructions: 1PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FA n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '' a L-E" Date: 1 1 2 '1 Phone #: (503) 718- CITY OF TIGARD - = `' BUILDING DIVISION PERMIT #: 1 1 0200 (I00;4 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/60009 Phone: (503) 639 -4171 , 1 ,' 'I lk Inspection Requests (24 Hrs.): (503) 639 -4175' "_I INSPECTION WORKSHEET FOR DATE: •li29t2 0c TIME: i:OIAN' PAGE: ;a!' SITE ADDRESS: 102111 SW GREENC3URC RD 301 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: COMSYS DESCRIPTION: TI - Jth No. 155 OWNER: Sl REALTY SERVICES, PHONE #: ,0_t- x';11 -4800 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503.624 -3031 Inspection Request Scheduled For: Date: •1/29/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 000111.01 503.624 -3631 Corrections /Comments /Instructions: PASS 0 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 -- Zq Phone #: (503) 718- CITY OF TIGARD 11■1- 7 BUILDING DIVISION PERMIT #: FLCOOra C.t( {}4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/G12009 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,':� "'I — INSPECTION WORKSHEET FOR DATE: 1126/2009 TIME: /:00AM PAGE: 24 SITE ADDRESS: 10220 SW GRFENi3UF G RD 301 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE. LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: COMSY,S DESCRIPTION: TI - Job No. 155 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: w11_I_ TE ELECTRIC INC -TQme_ 9 7 / /9 _ 0 w 3 PHONE #: 503 Inspection Request Scheduled For: Date: 1/260009 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 079994 -01 603 -624 -3631 Y Corrections /Comments/ Instructions: 0 1 col A no eitep" v7 so op P a ,(/ seP a 4 3 s 4) . 3 o A/EC-- 0 mG r b (e,f n o prope/t /y s'appc see_ 3383o e eP g Cci. b ies H o - 4- �-h ,` 40 be s &/ � P � &. b y weiy r see 3 04 // fl1 c y ,i 0 41- e 2 s v e po -� -d 6 e -r ii` vl W s ti ` Q - W rtes Sec 300,11 1, � � /Vte P ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ,LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: G — 2 6 - 0 9 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: I C1(j(jt3- (j {,W 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 /CJ200.9 Phone: (503) 639 -4171 j�l Inspection Requests (24 Hrs.): (503) 639 -4175 ..,-..� .,__— INSPECTION WORKSHEET FOR DATE: 1 /1 009 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 10220 SW GREENBURG RD 301 CLASS OF WORK: SUBDIVISION: I INCOLN CENTER /THREE LINCOLN LOT #: 008 TYPE OF USE: PROJECT NAME: GOWNS DESCRIPTION: TI - Job No. 155 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: r Inspection Request Scheduled For: Date: I/1?J2003 Pour Time: Code # Inspec : -scription Confirm # Contact # Message 12( ' all cr3a" 079.586-01 603.6243631 N Corrections /Com ° s /Instructions: ` El PARTIAL APPROVAL El CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 1 Phone #: (503) 718-