Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00517
COMMUNITY DEVELOPMENT DATE ISSUED: 9/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 700 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT : JURISDICTION: TIG
PROJECT: FARMERS INSURANCE
Project Description: New and relocated switches, outlets and lighting for TI.
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: 13 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 CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 11401 NE MARX ST
PORTLAND, OR 97258 PORTLAND, OR 97220 -1041
Phone: 503 - 412 4800 Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 9/5/2008 $133.30 LIC 48748
[TAX] 12% State Surchar 9/5/2008 $16.00 SUP 3132S
Total $149.30 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
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: `� � P ermittee Signature:P /COriCni
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.
Electrical Permit Application . FOR OFFICE USE ONLY
Received
r'`' . City : er mitno.:
City of T igard y 5 is � ,� - - c r)5/7
'� 13125 SW Hall Blvd., Tigard, OR 97223 � t Ce Plan Review
Phone: 503.639.4171 Fax: 503.598.19611 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 C — G TOO Date Ready /By: Juris • Li See Page 2 for
. Internet: www.tigard-or.gov G1 ? J r J �'
Notified/Method: Supplemental information
_�.. f;' :„1:,,4:. � .��TYPE 3" 'e k . _ t OF.WORK ro.b �,, a "Z4:7 - ITl € , . Q , S,.0. PLP.N'i RVIEW, A��q�, ", •: �.i;;.: "� .
..:-,x x, �.,�� .N, , ,:. €.� "
H New construction H Addition /alteration /replaceme j 31LDhx� >����SZ�� - .�;.�� ".,,�.,� > ,. Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: Ul ❑ Service or feeder 400 amps or more ❑ Building over three stories
li ;fix : , a:
,fir *�`�,,� .,� >,_ £.. _ � - ��— .n,..,..� -, = ���.'"
� -� ,�;,� "�� - � , CtA�TEGOTt;YOFCONSTRU,�TIONtt, , ,; , Z.:70 , 0 where the available fault current El Marinas and boatyards
H 1 - and 2 - family dwelling • Commercial/industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi - family ❑ Master Builder ❑ Other - less to ground, or exceeds 14,000 Commercial -use agricultural
;;, .; r. t. € -� .
�, , -;.s,, � , JOB INFORMAL'�IOi`IAND��t.OGATION�„ 1, w a� - �_ � R Ai ; ,„ ,v amps for all other installations. 0 buildings
Job no.: 280850 Job site address: 10220 SW Greenberg El Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City /State /ZIP Tigard, OR ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
100HP or more. ❑ occupancy
g t. name _ Farmers Insurance Group ❑Six or more residential units ❑ Recreational vehicle parks.
Suiteibld_ .'ap no.: 700 Protect
❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal.
❑ Service or feeder 600 amps or more
,.:: r, _ 7,, ,t, .P E EEE SCit.Ot LE ° il'F,
Subdivision: Lot no.: ..,� °. �:; F: -.fig.°
Description I Qty. I Fee. I Total '
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
°,a , ,„ ) - DEsfRiPT1ONaOF WORK>,/, , ov ,,,, ,,, , c „ Includes attached garage.
New and relocated switches, outlets and lighting for tenant improvement 1000 sq. ft. or,less $ 145.15 4
Ea. Add'I 500 sq. ft or portion $ 33.40 I
$)it `H ° I'i. ".t, ,.r , 'llfA, ❑:.TENANT+ '' w`' _ "i,W",,., Limited energy residential
Name:
(with above sq. ft.) $ 75.00 2
Shorenstein Realty Services Limited energy, multi family
Address: One SW Columbia #300 residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and /or relocation
City /State /ZIP: Portland, OR 200 amps or less $ 80.30 2
201 amps to 400 amps $ 106.85 2
Phone: Fax: 401 amps to 600 amps $ 160.60 2
601 amps to 1000 amps $ 240.60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 454 65 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less $ 66.85 1
"'` ;U( i1 PP.LrCANT, _ ;,.,,; ; :I, " "", 3 ' ❑iWCONTACT QERSOIV °I'`:_.` ll i 201 amps to 400 amps $ 100.30 2
Business Name: 401 amps to 600 amps $ 133.75 2
Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit $ 6.65 2
B. Fee for branch circuits
City /State /ZIP: without service or feeder fee,
first branch circuit 1 5 46.85 46.85 2
Phone: Fax: Each additional branch circuit: 13 $ 6.65 86.45 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
: ,, „ •.;/ ltftQ tI .. , ,' ,CON,TRACTOR' ; kU N' a t °/ '. ;p:? E:.'t *' ",,, dwelling, service and or feeder $ 90.90 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2
Pump or irrigation circle $ 53.40 2
Contact name: Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: Page 2 2
City /State /ZIP: PORTLAND, OR 97220 -1041
Each additional inspection over allowable in any of the above
Phone: 503- 255 -9488 Fax: 503 - 257 -7121 Per inspection $ 62.50
Investigation per hour (1 hr min) $ 62.50
CCB Lie.: 48748 'Electrical Lie.: 26 -496C ISuprv_. Lic.: 3132 -S Industrial plant per hour $ 73.75
ELECTRICAIt
Suprv. Electrician signature, requires: �®
RIs;41 FES 1 7' n 1''`r i•.:i :'' , ' ki
t.G,� Subtotal $ 133.30
Print Name: DARRELL MCN ,/ Date: 0 03/0 Plan review (25% of permit fee)
Authorized signature• State surcharge ( 12% of permit fee) $ 16.00
,I �� " TOTAL PERMIT FEE $ 149.30
Print Name: DARRELL MCNEEL This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
r Number of inspections per permit allowed.
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELG2008 01.x17
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/6/2008
Phone: (503) 639 -4171 as! u ,� uq N o � ' ll l "
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10131/2006 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 10200 SW GREENBURG RD 700 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: New and relocated switches, outlets and lighting for TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 - 412- 4800
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: o3 256r94f38
Inspection Request Scheduled For: Date: 10/31/2001 Pour Time:
Code # Inspection Description Confirm #\\ Contact # Message
(
199 EIech.ricai final \ 971 -505 -1621 N
y
Corrections /Comments/ Instructions:
40\
I' .
,
jiA PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL [ I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1\)(),6t. Date: 1 7 1 ?tlo Phone #: (503) 718- VILA)
CITY OF TICARD
BUILDING DIVISION PERMIT #: ELC2008-00517
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/512008
Phone: (503) 639-4171 a hoftwili
Inspection Requests (24 Hrs.): (503) 639-4175 • -
INSPECTION WORKSHEET FOR DATE: 10/•7/2008 TIME: PAGE:
7:02AIVI 25
SITE ADDRESS: CLASS OF WORK:
10200 SW GREENBURG RD 700
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/FIVE LINCOLN
PROJECT NAME:
FARMERS INSURANCE
DESCRIPTION:
New and relocated switches, outlets and lighting for TI.
PHONE #: 503-412-4800
OWNER: SHORENSTEIN REALTY SERVICES,
CONTRACTOR:
CAPITOL ELECTRIC CO INC PHONE #: 503
Inspection Request Scheduled For: Date: '10/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 076049-02 971-506-1621
Corrections/Comments/Instructions:
EThi% c9S1
r) eft oFF
.e\ soviR 611>Cft
PARTIAL APPROVAL El CANCEL n NO ACCESS
fl AIL 0 CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED
Inspector: G ---, N661-6 • Phone #: (503) 718-
Date. Alta_ 7.,Lfiqb
. .
. . _
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
ELC2008-00517
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
91512006
Phone: (503) 639-4171 esittimoi,i;
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/26/2008 7:00AM 17
SITE ADDRESS: CLASS OF WORK:
10200 SW GREENBURG RD 700
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/FIVE LINCOLN
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: New and relocated $:witches, outlets and lighting for TI.
PHONE #: 503-412-4800
OWNER: SHORENSTEIN REALTY SERVICES,
CONTRACTOR: PHONE #: 503
CAPITOL ELECTRIC CO INC
Inspection Request Scheduled For: Date: Pour Time:
9/2612008
Code # Inspection Description Confirm # Contact # Message
125 Wall cover . 075972-01 971-5061621 \ Y
Corrections/Comments/Instructions:
()Ilk
. •
F4 PASS 0 PARTIAL APPROVAL n CANCEL ' n NO ACCESS
n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Gn WU) i-- Date: t tlUl d t Phone #: (503) 718- tillk