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Permit . ki - CITY OF TIGARD ELECTRICAL PERMIT 4; PERMIT #: ELC2007-00793 COMMUNITY DEVELOPMENT DATE ISSUED: 11/27/2007 TIGARD,, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 500 ZONING: C -P SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG PROJECT: CONCERO INC Project Description: New and relocate switch, light and outlet for servrer room. 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: 0 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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 REALITY SERVICES CAPITOL ELECTRIC CO INC ONE SW COLUMBIA #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 [ELPRMTI ELC Permit 11/27/200" $53.50 LIC 48748 ["1'AX I 8% State Surcharge 11/27/200" $4.28 SUP 3132S Total $57,78 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: (% /. / Permittee Signature: 0-� 0��io 7....L.„0,.... 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. , . • v FOR OFFICE USE ONLY Electrical Permit Applica 11411 ' , , '''' ' ','" 04,,„ Received :- Al - Date/By: i/Z2Vel P ermit nR_e _jlk 7 --00 7 93 City of Tigard Plan Revie 13125 SW HALL BLVD.. TIGARD, OR 97223 NOV 2 salwr r": Date/By: Other Permit: Phone: (503) 639-4171 Fax (503) 598-1960 ,._ TYPt CITY.KMAND Date Ready/By: Juris: 4 ,....- ---. Li See Page 2 for Inspection Line: 503-639-4175 Notified/Method: _ Supplemental Information Internet: www.ci.tigard.or.us V; W:MUSA2::11g4743tiZ..,04 ' ig WillARWMTATV:i' 1I nIyISION 11 New construction H Addition/. r ofi irOlacement Please check all that apply (submit 2 sets of plans w/items checked below): H Demolition IE Other: III Service or feeder 400 amps or more LI Building over three stories a0r-:::16,WM-MTNATAME670eZOKCON&-fikTOTAroOde:nrliTIKIesati where the available fault current H Marinas and boatyards H 1- and 2-family dwelling Ld Commercial/industrial LI Accessory building exceeds 10,000 amps at 150 volts or Floating buildings El Multi El Master Builder E Other less to ground, or exceeds 14,000 Commercial-use agricultural 4,45IIVZXtinsg,atgiir§itaiWorryj:gtib:WAbtd0 amps for all other installations. Ill buildings H Fire Pump El Installation of 75 KVA or Job no.: 271439 Job site address: 10220 SW Greenburg El Emergency system larger separately derived system. O Addition of new motor load of City/State/ZIP: Tigard, OR 100HP or more. 0 occupancy ID Six or more residential units El Recreational vehicle parks. Sitit no.: 500 Project name: Concero El Health-care facilities III Supply voltage for more than Cross Street/Directions to job site: El Haoardoiis locations n 600 volts nominal. O Service or feeder 600 amps or more lig ,'*:r 4 :WW: . .V.' , TS':''16 ,, !::M.C.COMDStl.tg:'Aletk.T3i2: 01 7:"Itik , Zif , Subdivision: Lot no.: Description I Qty. I Fee. I Total I ** Tax map/parcel no.: New residential - single or multi-family dwelling unit. wiTA.N1!zigiv,.4.-*, .*,...i;; Includes attached garage. New and relocated switch, light and outlet for server room 1000 sq. ft. or less $ 145.15 4 Ea. Add'I 500 sq. ft or portion $ 33.40 1 t. Lill P.k.ORE,RMOR/JR" 3til!;>,:lt_ililMNA'1",4,Wtt'.15, Limited energy residential (with above sq. ft.) $ 75.00 2 Name: Shorenstein Relaty Services Limited energy, multi-family residential (with above sq. ft.) _ 5 75.00 2 Address: One SW Columbia Service or feeders installation, alteration, and/or relocation 200 amps or less $ 80.30 2 City/State/ZIP: Portland, OR 201 amps to 400 amps $ 106.85 2 401 amps to 600 amps $ 160.60 2 Phone: Fax: 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 F $ 66.85 1 4111 `41:raknrP.Pl Utritc,OISTATG15,PU,s9N5e 201 amps to 400 amps 5 100.30 2 401 amps to 600 amps 1 $ 133.75 2 Business Name: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with Contact name: service or feeder fee, each branch circuit $ 6.65 2 Address: B. Fee for branch circuits without service or feeder fee, City/State/ZIP: • first branch circuit 1 $ 46.85 46.85 2 Each additional branch circuit: 1 $ 6.65 6.65 2 Phone: Fax: Miscellaneous (service or feeder not included) E-mail: Each manufactured or modular tilcii..,:::a1atfit:,':.;gONOU,CfO)ti44=„g;E,.I4f:,K:tfiMAIe,::,.:itW dwelling, service and or feeder $ 90.90 2 Reconnect only $ 66.85 . 2 Business Name: CAPITOL ELECTRIC CO., INC. Pump or irrigation circle $ 53.40 2 Sign or outline lighting $ 5 3.40 2 Contact name: Signal circuit(s) or limited- energy panel, alterations. or Address: 11401 NE MARX ST. extension. Describe: 1 Page 2 1 2 City/State/ZIP: PORTLAND, OR 97220-1041 Each additional inspection over allowable in any of the above Per inspection $ 62.50 Phone: 503-255-9488 Fax: 503-257-7121 Investigation per hour (1 hr min) $ 62.50 CCB Lie.: 48748 'Electrical Lic.: 26-496C ISuprv. Lic.: 3132-S /a I. It.) Industrial plant per hour $ 73.75 . ' FIEEOTOICORROIIVEUSSett..%;;4tit.41:,vr:40w,renotoom Suprv. Electrician signature, required: 7D1,..1,114,41,3/ ...... Subtotal $ 53.50 Print Name: DARRELL MCNEEL Date: 11/19/07 4 Plan review (25% of permit fee) State surcharge ( 8% of permit fee) $ 4.28 Authorized signature: --.? e4.4.4k-44..--)14AC-/ i ' TOTAL PERMIT FEE $ 57.78 Print Name: DARRELL MC ' EL This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete * Number of inspections per pennit allowed. • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007. 00793 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12118/2007 TIME: 7:01Aivl PAGE: 69 SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CONCERO INC DESCRIPTION: New and relocate switch, light and outlet for servrer room. OWNER: SHORENSTEIN REALITY SERVICES, PHONE #: ;603.412 C ONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488 Inspection Request Scheduled For: Date: 12118/2007 Pour Time: Code # Inspection Description Confirm # Contact # Itles 1119 Electrical final 0616834)1 971-227-4267 Corrections/Comments/Instructions: \\,\%\\ \-\\\ PASS I I PARTIAL APPROVAL EI CANCEL LI NO ACCESS II 1- Li CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 11--rt Phone #: (503) 718- I-44 • • CITY OF TIGARD BUILDING DIVISION . PERMIT #: ELC2007-00793 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11127/2007 Phone: (503) 639-4171 Ame110 Inspection Requests (24.Hrs.): (503) 639-4175 .44' 'IL INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7:00AM PAGE: 39 SITE ADDRESS: 10220 SW GREENBURG RD 500 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CONCERO INC DESCRIPTION: New and relocate switch, light and outlet for servrer room. OWNER: SHORENSTEIN REALITY SERVICES, PHONE #: F03-412-4800 CONTRACTOR: CAPITOL ELECTIRIC CO INC PHONE #: 503-255-9488 Inspection Request Scheduled For: :ate: 11/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 060540-02 971-221-4267 Corrections /Comments/ Instructions: • O a PASS H PARTIAL APPROVAL fl CANCEL D NO ACCESS IL j CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED Inspector: eTh () -E Date: IA( 1 Phone #: (503) 718- P 1% 4 • , • „ CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2007•00793 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2007 Phone: (503) 639-4171 hafititAl# Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 10220 SW GREENBURG RD 500 CLASS OF WORK: . , SUBDIVISION: LINCOLN CENTERrIWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CONCERO INC DESCRIPTION: New and relocate switch, light arid outlet for servrer room. OWNER: SHORENSTEIN REALITY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: E03-25&9488 Inspection Request Scheduled For: Date: 11/30/2007 Pour Time: , Code # Inspection Description Confirm # Contact # Message 12E, Wall cover 060540-01 971-227-4267 Corrections/Comments/Instructions: 5 PASS PARTIAL APPROVAL CANCEL LIJ NO ACCESS Lii CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G N66 LE Date: 4131 O Phone #: (503) 718- 14/11,