Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00503
COMMUNITY DEVELOPMENT DATE ISSUED: 9/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-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: 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: 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 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 9/3/2008 $93.40 LIC 75059
[TAX] 12% State Surchar 9/3/2008 $11.21 SUP 4226S
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 B 'ermittee 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.
09/02/2008 TUE 15:56 FAX 5036242938 Willamette Electric 0 002/002
It
v , %Ss r
Electrical Permit ApplicrilECEIVED >FO12 oEFICE uSi ONLY
VI i
City of Tigard Received
: f . Ug Es t Puma No.: f„,„ $ 3
: s ' 13125 SW Mall Blvd., Tigard. OR 97 r _ � J
Phone: 503.639.4171 Fax. 503.598 96 U I_ — ,
T rG:� Y,1) ins Line: 03.63 64175 CITY OF TI�►ARD Date Ready /By: See Page 2 for
Internet: www.tigard ov NotifiedtM Supplemental v lementalInformation
-
,.:.,..;_.. -.: - ;.; :. ;.. :. .:.....,,. -..::. KlA�".1�8I-I#:- AI's: . •
0 New construction 0 Addition /alteration/replacement Please check all that apply (submit 2 sets ofplans w /itcros checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
El Demolition El Other:
r i '": ':> <:::': - `:'; ;:< ::,.., ::..: .t.1.4 ...::,. C ,,,Soul ,.:,:. z :.:::;:; .' .. . ....:.
where the available fault current 0 Marinas and boatyards.
: : - ; - .. CATEGORY 'OF CON5TRUCTIQN •,,, ' exceeds 10,000 amps at 150 volts or Q Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling Commercial/industrial ❑ 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.
JOB< S' GPP': INF' A TION` 'ANDiai.00ATION::':::., :? ` - :.: :;` <;
::.::.... ... :.;�:::::;:::•...: ,- „....,,.. O .... ,:. ddi lion of new motor load af ,. ..
C/ ryry I00HP or more• occupancy.
Job no.: / Job site address: ,,eer.'t �" ; : �,s;:
( E Q k -.-1,� � S . ^ ' p , : kf,?f % ' t' ` tt ..F:;� ❑ S ix or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: F j n e-,; 7 2 u` t ❑Health -care facilities. ❑Supply voltage for more than
❑ Hazardous locat 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ? - ,• / ❑ Service or feeder 600 mops or more.
F1E:SC g.RVI-E ^' .1,—: Z,V; i: :.
Cross street/directions to job site: /4
pt °' = ?s
��/£,f -\'(_ i: .' ^ .. �,.!' , O cscr i ption �� . � ' ... .. .. Qh-. Fee. Total , .:
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 14 4
Tax map/parcel no.: Ea. add'' 500 sq. ft. or portion 33.40 1
nergy,res 75 00 2
,
Limited energy, residential
' `D> SCR1PTION OF : WORK '. :: ., :-`' (with above sq, 0.)
:..::...:... .... ..,, . .. : :, ' -; -
Limited energy, multi family
75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
R .
®;
200 amps or less 80.30 2
P , O E Y, _ OVVNl�R;i, [,f 'TENANT " 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 I
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
—
Fee for branch t
circuits s v/
"
j] APPLICANT;' "' -; , ;❑-`.CONTACT- 'PERSON: ' above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service OP f eeder fee
Contact name: first branch circuit 46.85 l'ibtf> 5 2
Address: Each add'I branch circuit 6.65 (.„,51 2
— City/State/ZIP: Miscellaneous (service or feeder not included)
ty 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
,CONTRACTO
';;�;:;- ;cii`::;;.': : ��::;:.:a + :.::..:.:.:.. R?.:.;::`; ; :;:::;( -'';, , `J -' Sign or outline li htin 53.40 2
Business name: Willamette Electric, Inc. Signal circuits) 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 any of the above
Per inspection 62.50
Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (1 hr mm) 62.50
CCB Lie.: 75059 Electrical Lic.: 34 -283C Suprv. Lie.: 4226 -S Industrial plant per hour 73.75
- 5':V ; ;::ELECTRICAL'P T IIEE
E.RMIS F:' <_: ;p ':a-t :::,
Suprv, Electrician signature, required: .,„I - Subtotal: t' 3 , a / /7
Print name: David Fife Date: 0;2 r Q Plan review (25% of permit fee):
` l?
State surcharge (12% of permit fee): / / , 7,
Authorized signature: TOTAL PERMIT FEE: / N 40/7 i'
Print name: Date: p ermit application expires if a permit is not obtained within 180
Date: days after it fins been accepted as complete.
Number of inspections allowed per permit.
l:'\ nuitding \PcmriiOO£LC- PcnniiApp.doc 05/23 /06 440.461ST( I i /05 /COM Wrt3
.. , ~ / ~ ' . ' �--
CITY OF '/ ��
��m n m v�'m TIGARD . '
BUILDING DIVISION PERMIT | ~~~~^~~~�^"~~~ ~~"°"~-^~°"~ #: ELC2008-00503
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 915/2008
Phone: (503) 639-4171
ti
Inspection Requests (24 Hrs.): (503) 639-4175 ...1440- ^�....
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
� 10/16/2008 � 7:U1A� � 20
SITE ADDRESS: CLASS OFVVORK�
�
� 10250 SWGREFNOU0GRO111
SUBDIVISION: LOT #: TYPEDFUSE�
� LINCOLN CENTE�LNCOLMBLDG � 001
�
PROJECT NAME: � CORNFDRTHCDNSULTAWTS
DESCRIPTION: � T|.
PHONE #: OWNER: PHONE #: � SH0REMSTBM REALTY SERVICES, 503-412-4800 503-412-4800 CONTRACTDR
' �NLLAKdt�-T��ELE(�FF�|C|N�� � S03-824'3631
Inspection Request Scheduled For: Date: 10/16V2000 Pour ' '
Code # Inspection Description .Confirm Contact # Message
195 Electrical final ' 503-h24-3631 N
Corrections/Comments/Instructions:
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( 1 ) \ V V/A / \
•
�� PASS || PARTIAL [|�AN��EL | NO ACCESS
|
` _- . . �� ��
n FAIL ri CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
�� e~� ���L
|Inspector: �� ` ��w��� > �_«Z Date: » Phone #: /5U3\718-»~����
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2008-00503
13125 SW Hall Blvd., Tigard, OR 97223 902008
Phone: (503) 639-4171 ,..._.
Inspection Requests (24 Hrs.): (503) 639-4175 DATE ISSUED:
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/14/2008 7:00AM
SITE ADDRESS: CLASS OF WORK:
10250 SW GREENBURG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME:
CORNFORTFI CONSULTANTS
DESCRIPTION: - n .
PHONE # : 503_412-4800
OWNER: SHORENSTEIN REALTY SERVICES,
CONTRACTOR: PHONE #: 503
WILLAMETTE ELECTRIC INC
Inspection Request Scheduled For: Date: Pour Time:
10/14/2008
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 076693-01 503-624-3631 N
Corrections/Comments/Instructions:
Lux) VOT-TtIV R. Z ' 7-chr
•
— s ri PARTIAL APPROVAL Ej CANCEL NO ACCESS
0 FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: .Mi ' Date: ID - 1 i f —1 Phone #: (503) 718-
CITY OF TIGARD , -
T f
BUILDING DIVISION PERMIT #: ELC2008- 00503
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91312008
Phone: (503) 639 -4171 aNti�iip Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 A
INSPECTION WORKSHEET FOR DATE: 9/17/2008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 10250 SW GREENBURG RD 111 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG 4 LOT #: 001 TYPE OF USE:
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 9/17/2008 Pour Time:
Code # Inspection Description infirm # Conta • Message
L0 Elactrietal-fet* 0766569 -01 ` 3. 624.3631 N
Corrections /Comments /Instructions:
146 ■ RoQq1A -;14 h N.o L -
`7 .Vi 5 15 fwatz4+41- Fa_
wALL. cov 15/.1 it )
n PASS AP APPROVAL ❑ CANCEL fI NO ACCESS
I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G" hi B LE
Date: 1f till Phone #: (503) 718 - 2.1414(0