Permit [
-
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97-0594
------' '-'—'-- �—'-----~~ DATE ISSUED: 08/29/97
� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639171
PARCEL: 1S135AB-03400
SITE ADDRESS...:10260 SW GREENBURG RD #300
SUBDIVISION -TOWN OF METZGER ZONING:C—P
BLOCK ~ LOT ^14 JURISDICTION: TIG
Project Description: ADD SIX (6) BRANCH CIRCUITS TO AN EXISTING T0MINT OCCUPANCY.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- MISCELLANEOUS
1000 SF OR LESS ^ 0 0 — 200 amp • 0 PUMP/IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp ^ 0 SIGN/OUT LINE LTG..: 0
LIMITED ENERGY - 0 401 — 600 amp • 0 SIGNAL/PANEL ^ 0
MANF. HM/ SVC/FDR..: 0 601+amps-1000 volts.: 0 MINOR LABEL (10)...: 0
SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADD'L INSPECTIONS---
0 — 200 amp - 0 W/SERVICE OR FEEDER: 0 PER INSPECTION ^ 0
201 — 400 amp ^ 0 1st W/O SRVC OR FDR.: 1 PER HOUR ^ 0
401 — 600 amp ^ 0 EA ADD'L BRNCH CIRC: 5 IN PLANT ^ 0
601 — 1000 amp ^ 0 PLAN REVIEW SECTION
1000+ amp/volt : 0 >=4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only ^ 0 SVC/FDR >= 225 AMPS..: CLASS AREA/SPEC OCC. :
Owner: FEES
DEAN WHITTER type amount by date recpt
10260 SW GREENBURG ROAD PRMT $ 60.00 GEO 08/29/97 97-298799
SUITE #300 5PCT $ 3.00 GEO 08/29/97 97-298799
TIGARD OR 97223
Phone #:
Contractor:
CHRISTENSON ELECTRIC INC $ 63.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
__
PORTLAND OR 97201 Ceiling Cover Underground Cove
Phone #: 241-4812 Wall Cover Elect»l Service
Reg #..: 000004
This permit is issued subject to the regulations contained in the Tigard Municipal Co6e State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling )246-1987.
Permittee Signature: Issued By:
OWNER INSTALLATION ONLY
The installation is being made ori property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
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SIGNATURE OF SUPR. ELEC'N: ���~� DATE:��'� �� ����
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LICENSE NO: �� ,� ��
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
•
Y/
CITY*F TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Recd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Print or Type
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit #� G�' R� -6S9 j
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development LINCOLN TOWER Number of Inspections per permit allowed
Name (or name of business) DEAN WHITTER
f v Service included: Items Cost Sum
I
Address 10260 SW GREENBURG RD SUITE 4a. Residential - per unit
City /State /Zip TIGARD OR Each additional $110.00 4
500 sq. ft. or
Commercial Residential El Limited thereof $25.00 1
Limited Energy $25.00
ROSS CROSBY PIONEER CONSTRUCTION Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation
111 S.W. C OLUMBIA, SUITE 480 200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City PORTLAND State OR. Zip 97201 -5886 401 amps to 600 amps $120.00 2
Phone No. 503- 241 -4812 601 amps to 1000 amps $180.00 2
Job No. 222 -6975 Over 1000 amps or volts - $340.00 2
Reconnect only - $50.00 2
Elec. Cont. Lice. No. 26 -34C Exp.Date
OR State CCB Reg. No. 00458 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 5246 Exp.Date Installation, alteration, or relocation
/� 200 amps or less $50.00 2
Si nature of Su . ec'n .2. I 201 amps to 400 amps $75.00 2
g �. 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 873S Exp.Date see "b" above.
Phone No. 503 - 241 -4812
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit 1 $35.00 35 • 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 9 5 _ 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
60.
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 3
NOTICE• Subtotal $ 63.
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ 61 -
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $ 63:00
I: \DSTS \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0594
DEAN WHITTER
10260 SW GREENBURG RD Unit: 300
06/16/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received / / / / 08/29/97 RECD GEO 08/29/97 GEO
ELCC003 Permit created / / / / 08/29/97 PASS GEO 08/29/97 GEO
ELCC500 (F)Issue permit / / / / 08/29/97 PASS GEO 08/29/97 GEO
ELCC700 Ceiling Cover 08/29/97 / / 10/31/97 PASS MJR 10/31/97 MJR
ELCC720 Wall Cover 08/29/97 / / 10/15/97 Wall rough -in pass: Install box retainer PASS BRP 10/15/97 J *H
clip on switch boxes at approximately 6
locations - prevent box from
cantilevering. For information only:
Check disposition of existing systems,
outlets, J -boxes at final.
ELCC720 Wall Cover / / / / 11/25/97 PASS MJR 11/25/97 MJR
ELCC799 Elect'l Final 08/29/97 / / 10/31/97 PASS MJR 10/31/97 MJR
ELCC799 Elect'l Final / / / / 12/12/97 Phase 2 approved. PASS BRP 12/14/97 J *H
ELCC800 Case Finaled / / / / 10/31/97 PASS MJR 10/31/97 MJR