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Permit 17 CITY OF TIGARD ELECTRICAL PERMIT OF PERMIT #: ELC2008 -00438 COMMUNITY DEVELOPMENT DATE ISSUED: 7/30/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 601 ZONING: R -12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT : 009 JURISDICTION: TIG PROJECT: MATRIX Project Description: T.I. Modifying (8) branch circuits. 10/20/08, ADDING (2) BRANCH CIRCUITS. 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: 9 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 COCHRAN ELECTRIC ONE SW COLUMBIA ST #300 BROADWAY ELECTRIC PORTLAND, OR 97258 626 SE MAIN PORTLAND, OR 97214 Phone: 503 -412 -4800 Contact #: PRI 503 - 234 -6564 FAX 503 - 238 -2098 FEES Description Date Amount Reg #: ELE 37 -546C [ELPRMT] ELC Permit 7/30/2008 $93.40 LIC 72942 [TAX] 12% State Surchar 7/30/2008 $11.21 SUP 3447S [ELPRMT] ELC Permit 10/20/2001 $13.30 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $119.51 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 fo• OAR 952 -01 e e ! hrough 10 R 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.3 . 4. Issued = y: 4 0 1/ ��� Permittee Signature: 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. { "Elects Electrical Permit Application �� i, f ( r * .` ^ 1 ' k`: F OIC OF FI CE , U SE ONL , ° - A "�` ` ',,. -r r - City of Tigard Date/By: Permit No.: ELC 2_002 — CC) :n a 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: ' ' ' Phone: 503.639.4171 Fax. 503.598.1960 Date /By: 4I6AItD Inspection Line: 503.639.4175 Date Ready /By: Juris ® See Page 2 for Internet: www.tigard - or.gov Notified/Method• Supplemental Information • a 1 _ TYPE OF 'WORK:-:-., . , - ;,",':::•"•._:"':--'-, - . PLAN REVIEW ; . ❑ New construction �Q Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY. OF CONSTRUCTION - , _ - exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling I Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family . ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SI INFORMATION AND LOCATION - • - ❑ Emergency system. larger separately derived system. - ❑ Addition of new motor load of ❑ "A" "E" "1 - "1 - Job no.: 7G � Job site address i Six or or more. occupancy. l [ l !�� © �t��� ❑ Si or mote residential units. ❑ Recreational vehicle parks. City /State /ZIP: ..-/—r, /1�f � y ❑ Health -care fa cilities. 0 Supply voltage for more than /^ / 1 ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. ri0.: ' Pro j /� Project name: �� uf/l/I I' / 0 or feeder 600 amps or more. (�/ FEE SCHEDULE:- :;',.,..:. ',' ', Cross street/directions to job site: Description I Qty. I Fee. I 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'I 500 sq. ft. or portion 33.40 1 Limited enemy, residential 75.00 2 - .. - , - - , DESCRIPTION, K` OF WOR - : ; T ` ?� := � . . _ (with above sq. ft ) fi n/ Limited energy, multi - family /. / Y p�4 a2J2 -O0 Lim - � � V residential (with above sq. ft.) 75.00 2 /WC( �`" Services ps o r feeders installation, alteration, and/or relocation 4(1/?&A 200 amps or less 80.30 2 ❑,, P OWNER , ' _ . _,. - ., - 12!1ENANT- ' , 201 am to 400 amps 106.85 2 Name: Y 7" (O\ 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 Owner installation: This installation is being made on property that I 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 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with ` ❑ APPLICANT : v_ :' •: _ ❑' CONTACT' PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits 414(r< without service or feeder fee, / '� 46 85 Contact name: �{. -�/� c � \.l 6 first branch circuit / �l Address: 4 Each add'I branch circuit A 6 6 j - 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 5 5 P ty dwelling, service and /or feeder 90.90 j 2 Phone: ( 5 0 D ) 31 `5 9' 7 Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 ' .. . - CONTRACTOR .... • . Sign or outline lighting 53.40 2 I ( (I Signal circuit(s) or limited - Business name: W� - c-ci 1n VY y <<1 P z d U C teen C panel, alteration, or Address: e s `� I extension. Describe: Page 2 2 City/State /ZIP: l 1� L� C Each additional inspection over allowable in any of the above � l I G 2 .1 / Per inspection 62.50 Phone: (j = L, 34.4 --( (s (4 Fax: ( 03) 2...093 3� � Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lie.: L Suprv. Lic.: L_V-+.Th Industrial plant per hour 73.75 A <:- ELECTRICAL PERMIT, FEES:::::: ?:' Suprv. Electrician signature, required: \ A \ __\ 4\___ \ <_. d� - Subtotal: i Print name: \� V ���� ����� \�� \Date: Plan review (25% of permit fee): ) �O l!\ tit �sss q l �, ` State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. i i, e, ' Number of inspections allowed per permit. l 1' \BuildingWermits\ELC -Perm iApp doe 05/23/06 440- 4615T(1 I /05 /COM/WEB ` I CITY O F TIGARD ELECTRICAL PERMIT IN PERMIT #: ELC2008 -00438 COMMUNITY DEVELOPMENT D ATE ISSUED: 7/30/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 601 ZONING: R -12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT : 009 JURISDICTION: TIG PROJECT: MATRIX Project Description: T.I. Modifying (8) branch circuits 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: 7 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 COCHRAN ELECTRIC ONE SW COLUMBIA ST #300 BROADWAY ELECTRIC PORTLAND, OR 97258 626 SE MAIN PORTLAND, OR 97214 Phone: 503 -412 -4800 Contact #: PRI 503 - 234 -6564 FAX 503 - 238 -2098 FEES Description Date Amount Reg #: ELE 37 -546C [ELPRMT] ELC Permit 7/30/2008 $93.40 LIC 72942 [TAX] 12% State Surchar 7/30/2008 $11.21 SUP 3447S Total $104.61 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: cee Vi . 75C /✓ / 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 t ' t FOR OFFICE USE ONLY ;. ` r f e t ;.',,,.•.‘,,,•;:.4 . r - ,-.. 4,1t , --e- ..- .- ? .i. .. 1 •__L ..` .„ ; City of Tigard Date/By: , � Up Permit No.: — ****Ua39� C1 13125 SW Hall Blvd., Tigard, OR 97223 % Plan Review , Phone: 503.639.4171 Fax: 503 59 :. ° o �� Date/By: : Other Permit: • 'IGARD Inspection Line: 503.639.4175 I� '0 A pate Ready/By: Juris: ® See Page 2 for Internet wwtiv.tigard or.gov ` \� 1 G`` �� Notified/Method: 776 Supplemental Information - �♦ � � 'f �. y „ "'^''`��'F ' . ., ^�.5,'' '.h,n,: ?. i,,f:^- 'aa� s> :y ,' �• ��{., ,' is,�,•�s ��_� PLANtREVIEW.,_s� �s• � a. .TYPE OF � RK' '� ,s . rs..�3 '*.�:',�. � . - .. ,� "'. `�:., -i �_ .�. . :`•' t ; °m .. " .0. (,��, Y' ' . . �. a _.'�''4zs: :E zr�F . ..,.� -r. �:. .•c . .. : �i . .- . r ., ...: , .. .. .:� ❑ New construction ( " ,,7ddition/alteration/r�ea Please check all that apply (submit 2 sets of plans w /items checked below): , .` VVV��' ❑ Service or feeder 400 amps or more ❑ Building over three stories. :Y Demolition ❑Other: w where the available fault current ❑ Marinas and boatyards. -_ " CATEGORY OF, CONSTRUCTION:-,• ” .• . " ' .: ., -, -x ;; "' _ � "°' • . _ °'„ exceeds 10,000 amps at 150 volts or ❑ Floating buildings. _ : r ` f '' r -4 ' less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling gCommerciallindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or >' ,,`,, .;,_ ; ,,, - ❑ Emergency system larger separately derived system. : :: 7 ' .. JOB SITE, INFORMATION 'AND LOCATION; h .. , ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", i`; O (o O V ed. 100HP or more. occupancy. Job no.: y Job site address: 1p�0 S ltd cYEev�bu,rz� i 8 0 Six or more residential units. 0 Recreational vehicle parks City /State /ZIP: ---"\` /'�, ,t O O� ❑ Health -care facilities. ❑ Supply voltage for more than ` ' J l N v ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 601 Project name: Mato X ❑ Service or feeder 600 amps or more. Y. =:4 ; f! FEE. SCHEDU r; ":1 '._�':-, ,.. LE.: r_ -. Cross street/directions to job site: Description I Qty. I Fee. 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'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 # ',:?t 81ii ' •t : -; "F=it s'. `'' DESCRIPTION' OF- WORK0a� :: 'r' ` t x - .,., w, : (with above sq. ft.) F f > ,.. ...,_4. >. , -. r ;:. ,nom v, _ :x � . _ - .._:z' . -;: " ',` �`: . � �;r_•M =+ `r'='a'�`.u: -$:: it � -�� l n,W t�El. Limis d energy, ifam.lf 75.00 2 � 1 /� /a �3��� 1 ' rii dsntial (with th shbove lt.) � � � Y'" � Servvices or feeders instaallaation, alteration, and/or relocation " w`r f �' M (ii{ ZAA e jLd 200 amps or less 80.30 2 • ;'.: _.' ❑; PRO RTY OWNER` ` y .; ;' _ ,'rr± ;::- ` F _ LI TENANTi:: ., '-' ' -` }'` ' 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 Owner installation: This installation is being made on property that I 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: A. Fee for branch circuits with ,4" ,-, :t,:;:_: ` ^• ❑ , ' APP L ICANT. f f _ , ; p ,-_ = - ', : . ❑; C ONTACT- , PE RS ON `" above service or feeder fee, ` } ` each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, / 46.85 % g 2 first branch circuit Address: Each add'1 branch circuit _ 7 6.65 1 10. 5 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only ' 66.85 2 E - mail: Pump or irrigation circle 53.40 2 .` le.- _ CONTRACTOR ° _, :, . ; , :4� _ , ,, Sign or outline lighting 53.40 2 Business name: � Si circuit(s) or limited - ���� — k�CY r � 1 Dc4 CQ C .. , 1 c « 61-r, ! ? nergy panel, alteration, or Address: extension. Describe: Page 2 2 City/State/ZIP: / ( 1+ I Each additional inspection over allowable in any of the above ��" ` `�� S � v Per inspection 62.50 Phone: (5 -4a) Z, 3L( -L (4 Fax: ( 'ct3) 2_3T - 2...C7ci 1( Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lic.: L //� Suprv. � ���� Industrial plant per hour 73.75 7aq 31. rv. Lic.: 1 V P :' ', ' ELECTRICAL' PERMIT,. FEES ; xu Suprv. Electrician signature, required: ( \� Subtotal: ei3, 4 -/ - 0 Print name: �� Date: Plan review (25% of permit fee): `^ � � ' ( State surcharge (12% of permit fee): r/, O7 Authorized signature: TOTAL PERMIT FEE: . /0 LI, 6 This permit application expires if a permit is not obtained within 180 Print name: Date. days after it has been accepted as complete. * Number of inspections allowed per permit. h\Buitding\Permits\ ETC-Perm itApp.doc 05/23/06 440- 4615T( I 1 /05 /COMAVEB i - CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2008-00438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7130/2008 Phone: (503) 639-4171 A:It Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE 10/31/2008 TIME: 7 PAGE: 48 SITE ADDRESS 10220 SW GREENBURG RD 601 CLASS OF WORK: SUBDIVISION LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: T.I. Modifying (8) branch circuits. 10/20/08, ADDING (2) BRANCH CIRCUITS. . OWNER: S H ORENSTEIN REALTY SERVICES', PHONE #: 503-412-4800 CONTRACTOR: COCHRAN ELECTRIC / ---' K\J\ 0 - PHONE #: 503-234-6564 / Inspection Request Scheduled For: Date: 1 0/31/2008 Pour Time: Code # Inspection• Description Confirm4 Contact # Message 199 Electrical final 0774'16-01 503-349-3636 Y Corrections/Comments/Instructions: --- Y IR • '<PASS F I PARTIAL APPROVAL 0 CANCEL ri NO ACCESS n FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G NICo LE Date: t 0131 (1 Phone #: (503) 718- IA CITY OF TIGARD P , ..„„) .117 BUILDING DIVISION PERMIT #: ELC2008-00438 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2008 Phone: (503) 639-4171 Az Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE 10/27/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 10220 SW GREENBURG RD 601 CLASS OF WORK: SUBDIVISION: LINCOLN CENTERITHREE LINCOLN LOT #: am TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: T.I. Modifying (8) branch circuits. 10/20/08, ADDING (2) BRANCH CIRCUITS. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: COCiiRAN ELECTRIC (3 o U 'A? (\t1,0,11) PHONE #: 503-234-6564 Inspection Request Scheduled For: Date: 10/27 Pour Time: Code # Inspection Description 9_ irm # Contact # Message 199 Electrical final 077208-01 503-349.-3636 N. Y Corrections/Comments/Instructions: ' - ' P - , tk&lk OL 0 \ ikkM 4 Ate a 0 0 ThikAl Kit K;1 (6 (0 ( Z 76\ 16 (\KW)* i N.1 4 1/1 • '5 ?.. fl PASS I I PARTIAL APPROVAL n CANCEL 0 NO ACCESS IK 'FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G* ----, N Date: I r) C Phone #: (503) 718- 3-114)