Permit CITY OF TIGARD ELECTRICAL PERMIT
1
COMMUNITY DEVELOPMENT
PERMIT : ELC2008-00531
DATE ISSUED: 9/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-04500
SITE ADDRESS: 10250 SW GREENBURG RD 120 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG
PROJECT: THE GUIDANCE GROUP
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: 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 REALTY SERVICES WILLAMETTE ELECTRIC INC
ONE SW COLUMBIA ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
ft
Phone: 503 -412 -4800 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 9/12/2008 $53.50 LIC 75059
[TAX] 12% State Surchar 9/12/2008 $6.42 SUP 4226S
Total $59.92 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: ? 'j C/zi/
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.
1111114/11/2008 THU 14:10 FAX 5036242938 Willamette Electric Z002/002
•
..-- -Electrical Permit ApplicRo, CE1VED
FOR OFFICE USE ONLY
u .... ,
City of Tigard
" 1 1 2008
13125 SW I-tall Blvd., Tigard, OR 972iE P
il
Phone: 503.639.4171 Fax: 503.598.1960
r Plan Review
E ill III I WA rffi Vill
Datef13 : - .
Other Permit: /if i .e,
...... _41,
TIGARD Inspection Line: 503.639,4175 CITY OF TIGARD Date Ready/By: ECM 21 See age 2 for
• Internet: www.tigard DIVISION NotifiedNethod: Supplemental information
lIpl pIttr-t
0 New construction 2 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/itcms checked below):
D Service or feeder 400 amps or more 0 Building over three stories.
D Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
..:',.: _tAtE601Y i OF CO :=.-.. - - :- ..:: • ..:: '. '" . ;'.. - : '. '-•:' : - ".: exceeds 10,000 amps at ISO volts or 0 Floating buildings.
. . . . .. ...... . .. .
' - — less to ground, or exceeds 14.000 0 Commercial-sine agricultural
El 1- and 2-family dwelling IS ,Commercial/industrial 0 Accessory building amps for all other installations. buildings.
D Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
. - - .. . 0 Emergency system, larger separately derived system.
.1613" ' AND i TION::' ' . • .' • : • ' - ' ' • - 0 Addition of new motor load of 0 "A' "E" "I "13",
-s I 1001-IP or more. occupancy.
Job no.: / /K J .l Job site address: / (‚5 ,l) 5 „c, i r f- 4, /„ ,...., fs' ,-,, ! . 0 Six or more residential units. 0 Recreational vehicle parks.
i r m
'l 0 Health-cute facilities. 0 Supply voltage for ore than
City/State/ZIP: 4 4 6 , r , "--,),,,,, N z i r .„ : , : , k
0 Hazardous locations. 600 volts nominal
.. f
Suite/bldg./apt. no.: / '..,"?,,,:, Project name: i • t-5 " ID Service or feeder 600 amps or more
I, .':•,i l ii 41' 634" 'if i.' .5) ? ' —
Cross street/directions to job site: Description I Ott, I Fee. 1 Total 1 i
New residential single- or multi-family dwelling unit.
, Includes attached garage.
_
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 I 4
„...
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential.
( 75.00 2
with above sq . fl)
Limited energy, multi-family
75.00 2
residential (with above sq. It)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
..:. [:] - PROPERTY , •OWNER.-::. ; :i ---- ,.. :.... :.-., .... 0 : TEN,NNT.l,., :. .. . :. - 201 amps to 400 amps 106.85 2
, . .. .. ... „............ „ - ... .. . . . .
Name: 401 amps 10 600 amps 160.60 2
---- 601 amps to 3,000 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 10 400 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
..-. „ ... ,..
...:-•,, . •:: .. - 1 0 •APpLICANT:' ...','.,....:•• - ...•• • ;: . :''ID : CONT - AtT - PERSON. ,,. .. , •:• , ./-",:„:.., above service or feeder fee,
6,65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, il
Contact name: 46 85 '=/- /t -
first branch circuit . " 2
Address: Each add'l branch circuit :
• 6.65 /.;, 1 :l'...ff. 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
. • .'......-.':,•:.' :•• •-.'' -::. • :,.'::-.- • ...: .:•,-:,: .:CONTRNCTOR..:; :-- .':•--- .. '. .,. ,-.:: ;:: • ,,. ,.:::.: '' Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name; Willamette Electric Inc energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City/State/ZIP: Tigard, OR 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 1)1 loin) 62.50
CCI3 Lie.: 75059 Electrical Lie.: 34-283C Suprv. Lie.: 4226S Industrial plant per hour 73.75
. . 1 "..•;: ; ':•- • li:: . •.1. , :. , : - ...:- . •ELE,CTRICAL : PERMIP=FEES'.'•• , ..• 1 '
Suprv. Electrician signature, required: - ....—..... -.- ,.. ... ....,..- Subtotal: r .--, -
_,-- ..,.....,.......,.._
I Plan review (25% of permit fee):
Print name: David Fife I Date:
State surcharge (8% of permit fee): 1 f
Authorized signature: TOTAL PERMIT FEE: -6
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
._.
' Number of inspections allowed per permit
I: \13Hilding \Perm its1ELC-Perm itApp.doc 05/23/06 440-4615T( it /05/COMAVEB
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CITY OF ��nm m n�'m mm�m��um��
BUILDING DIVISION PERMIT #: BC2008-00531
13125 SW Ha|| Blvd., Tigard, OR 97223 DATE ISSUED: S�12/2.UD8
Phone: ( 839'4171
Inspection Requests (24Hraj:(503)830'4175 ~�J4■ ��
INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7:00/@M PAGE: 24
SITE ADDRESS: 7�i CLASS � /u25nmr,qRcoyownon ^v � ��
SUBDIVISION: UNCOLMCENTERKUNC�O LOT #: 001 TYPE OF USE: //e.
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PROJ NAME: THE GU|[)AN��E(�F{0Up ! --
DESCRIPTION: T|.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603Al2-4B00
CONTRACTOR: WILLAMETTE ELETRIC INC PHONE #: 603-624'3631
Inspection Request Scheduled For: Date: 11/21/2000 Pour Time:
Code # Inspection Description Confirm # Contact #
199 Electrical final 078360-U1 503-624-3631 Y Message/
Corrections/Comments/Instructions: •
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•
.
.
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0 PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
pi FAIL | I CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
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� l � e |nepector: Oatm: � / 1 `~ ��y ,- Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION , H
PERMIT #: ELC2008-00531
/ •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9112/2000
Phone: (503) 639-4171 , :#2,011iiiii
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,,...4- 11.
INSPECTION WORKSHEET FOR DATE: 11/612008 TIME: 7:00Aivl PAGE: 26
SITE ADDRESS: 10250 SW GREENBURG RD 120 CLASS OF WORK:
SUBDIVISION: LINCOLN CM BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: THE GUIDANCE GROUP 1
DESCRIPTION: Ti
) 1
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: g03-4112-4800
' CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 50.6243631
Inspection Request Scheduled For: Date: 11/6120013 Pour Time:
Code # Inspection Description - onfirm : Contact # Message
130 Ceiling cover (77742-02 503-624-3631 Y
f
Corrections/Comments/Instructions:
P ASS n PARTIAL APPROVAL 111 CANCEL I I NO ACCESS
n FAIL 0 CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: G ---\ Nbesbe Date: ‘4 6(611 Phone #: (503) 718- 14C
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CITY �~����7U�������� ��� } '
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| BUILDING DIVISION PERMIT #: ELC2008-00531
| 13126SVV Hall 8|vd.. Tigard, ORQ7223 DATE ISSUED: 9/1212008
Phone: (508) 639-4171 kagkoMy
Inspection Requests (24 Hrs.): (503) 639-4175 A. ~ 111.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 11/� �O�� � 7� OO�Kd : 27
SITE ADDRESS: CLASS O FVVORK
� 1U�5O��GREENB WORK:
SUBDIVISION: LINCOLN CEMTER/UNC0LN BLDG LOT #: OOj TYPE OF USE:
PROJECT NAME: THE GUIDANCE GROUP
DESCRIPTION: TI
OWNER: SH()RENSTE1N REALTY SERVICES, PHONE #: 603-412-4800
CONTRACTOR: \MLLAME1TE ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/6/2O08 Pour Time:
Code # Inspection Description Contact # Message
126 Wall cover 0777401 503-624-3631 N
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Corrections/Comments/Instructions: .
,
,
NI PASS n PARTIAL APPROVAL El CANCEL I NO ACCESS
r FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: v�]r- ^ ��V������ Date: �� ��� []�� Phone #: (503) 718- 111.6_____
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CITY OF TIGARD
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BUILDING DIVISION PERMIT #: FLC2008-00531
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9.112/2008
Phone: (503) 639-4171 1/44
Inspection Requests (24 Hrs.): (503) 639-4175 Alsi■ t'-.L.
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7 PAGE: 25
SITE ADDRESS: 10250 SW GREENBURG RD 120 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: THE GUIDANCE GROUP
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-481)0
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 1116/2008 Pour Time:
Code # Inspection Description _Confirm # Contact # Message
120 Electrical rough-in 77743.01 503-624-3631 N y
Corrections/Comments/Instructions: ARO) e-
- 710 3221_
. 1.1 0 to■)‘\\k :Iv Nita C-4eA4te - 6it..
cjbovisKt L...
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I I PASS PARTIAL APPROVAL a, CANCEL 111 NO ACCESS
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FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C Nte (___-' Date: / / 611 Phone #: (503) 718-103i_