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Permit CIT `O F TIGARD y ELECTRICAL RESTRICTED ENERGY PERMIT :: COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00295 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/16/2008 PARCEL: 1 S 135AB -04500 SITE ADDRESS: 10250 SW GREENBURG RD 111 ZONING: C - P SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG PROJECT: CORNFORTH CONSULTANTS Project Description: Voice / data cabling. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 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 Reg #: ELE 37 -546C FEES LIC 72942 Description Date Amount SUP 3447S [ELPRMT] ELR Permit 10/16/200E $75.00 [TAX] 12% State Surch 10/16/200E $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 • This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,_or -if-wo suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility 'oti s fication Cent Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions • 0 -t 503.246.6699 or 1.800.332.2344. Iss d By: I, /1 (/ Permittee OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. OCT/I5/2008/WED 01:26 FM COCHRAN TECHNOLOGIES FAX No, 971 205 4268 P. 002 y ,. Electrical Permit A t • EIVEI FOIL OFFICE USE ONLY Received City of Tigard Pe xo : - ' t DaterB : •F �� 13123 SW Hall Blvd.. Tigard, OR (i9�7223 1,5 20 Plan Review l � w 1 Phone: 503.639.4171 Fax: 503.508.1060 Dare/BY: Other Permit: 1 „: A ii ft Inspection Line: 503.639.417���v � r � �1�r9�® Date Ready/By: Wit id Soo Page 2 for Internet www.tigard- or.gov !! `' Novi; cNte iit),nd l _. Supplemental Information :i , , rrr ,;; oW0$io A' FLAN REVIEW New construction , Addition /alteration/replacement Firma check all that apply (submit a sets of plans w /items °keel :ed below): ❑ Sol- we or feeder 400 taupe or more ❑ Building ovCt three starke. ❑ Demolition ❑ Other: ,,bore the nv afable fault turfed! 0 Marinas and boatyards. . CATEGORY OF CONST ucnoN . - - exceeds 10,000 amps at 150 volts or l3 Floating buildings. loss to ground, or exceeds 14,000 ❑ Commescial•usa agricultu,al ❑ 1 - and 2- family dwellin o mtnercial/industrial ❑ Accessory building amps for all other lnstatiations, buildings. El Multi- family [J Master builder El Other: ❑ Fla pump. CI Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION • • . 0 Emergency system. larger 0 , "1 -2 " '1 ssystem. - ❑ Addition of now motor load of (] "A' "B" "1 " "t - 3 ", lob no.; f0 ' 762 ,1 Job site address: JQ �"� bLi IaOldP occupancy. _ f Ihr � - Rp 0 six or more residential units. El Recreational vehicle parks. City /State./ZIP: `r' 0,.t( O _, q7Z Z3 0 Health -care facilities. 0 suppl ,Aa Ha more than [I Hazardous locations. 600 volts nominal. Suite/bldg. /apt_ no.: � Project name:e t 4tYkQy., _ ❑ Service or feeder 600 amps armors. . ' ; . - FEE SCHEDULE:. . Cross street/directions to job site: Dwsripriaa 1 Qty. I Fat 1 Tot I • New residential single- or multi - family dwelling unit Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less I.45.15 4 arcet no.: • Ea. add'I 500 sq. ft. or portion 33 b0 1 Tax ma p Limited energy, residential 75.00 2 DESCRIPTION OF WORK.' ' .. - - ' . ,° at r' (with above K. it.) 1 t fit` ` Limited energy multi family 75.00 2 Vvi cg - residential (+ +lilt above so- hJ Services or feeders installation alteration, and/or relocation 200 amps or less 8030 2 ` • 0 PROPERTY OWNER:.:, ', ': •-;;- f ; ; • • : ,Y ', 0- TENANT •' ' 201 am 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 reloc0o0 _ _ Phone: ( ) Fax: ( ) 200 amps or less 66.85 ' 1 Owner installation: This installation is being made on property that I own which Is not 20] amps to 400 amps I0030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70]. 401 amps to 599 amps ]33.75 2 Owner signature: _ Date: Breach circuits- new, alteration, or extension, per panel A. Fee for branch circuits 1pllh ©- APPLICANT' ' 1 I . - CONTACT..PERSON'" ' ` ,: above service or feeder fee, 6.65 2 • each branch circuit Business name: • 4. ". kc., .tit p i1 B. Fee for branch circuits ,, -� `� lr without service Or feeder fee, g6.8S 2 Contact name: f�L1l Y t , �nCL'il • first branch circuit Address: I0 X10 • Pt t+1 � r5b j •t ' 1 Cr, Each add'! branch circuit 6.65 2 . Miscellaneous (service or feeder not included) City/State /ZIP: 1 e-/t © � 0 (1 12. 3 Each manufactured or modular 90,90 2 dwelling, service and/or feeder . . _ _ ph .( one_ 03).. �1 J — 29 ... Fax; ; ( . .) . . .. .. . . . Reconnect only E -mail: _ Pump o irrigation circle 53.40 _ 2 CONTRACTOR: , , . - , ... Sign or outline lighting 53.40 2 � `� Signal drcult(s) or limited - Business name, 1.O(,f _ Y o J u_4. t teL neBY panel, alteration, or Address: , `` ` • W extension. Desc Page 2 75: of 2 - City /Statc/ZIP: 6 ti n Each additlenal Inspection over allowable in any of the above - rJ '� �+ N� -� 2{ - -.-- -- Per inspection 62.50 Phone: (5 o's) z..3r4 -LP (.1) c4 Fax: ( ' D3) Z 3• 2rc7i' Investigation per hour p hr mi 62.50 CCP. Lie.: 7, Electrical Lic. :3 . 5L((0 1`-1 Suprv. Lic.: L l' � Industrial plant per hour 73.75 Cr ELECTRICAL PERMIT: FEES , Suprv. Electrician signature, required: Subtotal: 1f5— _ - . Plan review (2504 of it fee): Print name: � - e: Date: 61 t ip — perm n '^ 'r'` � - ° n State surcharge (12% of permit fee): _I — Authorized signature: TOTAL PERMIT FEE: Print name: f7ate: This p ermit ePplicatipn expire$ it permit is net obtained within 180 days after It has bears aee.prtd as compkte. • Number of inspections allowed per permit. ma ndptgtaermltslaLC- PormitApp.doe 00/21!46 440 4615T(11105 /COM/WSB • I 1 CITY OF TIGARD BUILDING DIVISION - . • ,- . PERMIT #: El. R2008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2008 Phone: (503) 639-4171 tioligi! i it Inspection Requests (24 Hrs.): (503) 639-4175 „JAI - 1J - INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7 PAGE: 49 SITE ADDRESS: 10250 SW GREENI3URG RD 111 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: ow TYPE OF USE: PROJECT NAME: CORNFORTH CONSULTANTS DESCRIPTION: Voice / data cabling. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: COCHRAN ELECTRIC PHONE #: 503-234-65M Inspection Request Scheduled For: Date: 10/21/2008 Pour Time: Code # Inspection Description onfirm # Contact # Message 199 Elect ical final 076921-0 603-250-3983 N Corrections/Comments/Instructions: It - PASS 0 PARTIAL APPROVAL fl CANCEL NO ACCESS _ fl , CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: s''' N 6 g Le Date: VT241 01 Phone #: (503) 718- 2- . . CITY OF TIGARD BUILDING DIVISION A .„. PERMIT #: ELR200800295 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2008 Phone: (503) 639-4171 , :NI lifi Inspection Requests (24 Hrs.): (503) 639-4175 „J.- —A INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 1W1712008 7:02AM 21 SITE ADDRESS: 10750 SW GREENBURG RD 111 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: LINCOLN CENTER/LINCOLN BLDG 001 PROJECT NAME: CORNFORTH CONSULTANTS DESCRIPTION: Voice I data cabling. OWNER: PHONE #: 503-412-4800 SHORENSTEIN REALTY SERVICES, CONTRACTOR: COCHRAN ELECTRIC PHONE #: 503-234-6564 Inspection Request Scheduled For: Date: Pour Time: 10/17/2008 Code # Inspection Description Confirm # Contact # Message 189 Elecnical final 076854-01 503-234-6564 N Corrections/Comments/Instructions: G 0143 Q.041;t\‘'CT, r AR. %00 I ()■ 1 I PASS 0 PARTIAL APPROVAL n CANCEL 0 NO ACCESS "l )?) CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: G .--- N r 6 4 ?)k.-- Date: 101 11 01) Phone #: (503) 718- 1,_100