Permit i•"
CITY OF TIGARD 4 ELECTRICAL PERMIT
•
PERMIT D: ELC2008-00569
• II COMMUNITY DEVELOPMENT
DATE ISSUED: 10/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 350 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
PROJECT: PRO MED
Project Description: (4) branch circuits for T.I.
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: 3 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 10/7/2008 $66.80 LIC 75059
[TAX] 12% State Surchar 10/7/2008 $8.02 SUP 4226S
Total $74.82 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 ma , • � . of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
/ 1
Issued By: - Permittee Signature: �� G f 6. ( - ) A/
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.
10/06/2008 MON 15:23 FAX 5036242938 Willamette Electric Z002/002
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ikac...: ,' r ''.' , ',;„,
0,,,;Ei4g1"., A i '..`■ ''' • ".., . I. I Received
1317 SW ttaiChlvd . Tigaid, OR 97223 1 • --
4 Phone : 503.639.4171 Fax . 5 03.598.1 9 ciar l'er
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6( C T 0 6 2008
i 1 (0 e7, • - --- j: 4
Datelf3v:
..i....,
inspectiOn Line: 503.639.4175 CITY OFTIGARD I D '' te Re I '-ukk f See Page 2 for '
1 - Internet: wwwrigarcl-oraov
ook iNititieoPvietiaxl: I 1 Supplemental Infonnation I
TYPE OMP INGDIVIS1 PLAN REVIEW
0 New construction 13 Addition/alterat ion/replacement Please cheek all that apply (submit sets of plans in/items checked below):
0 Service or feedei 400 amps or mote 0 Building over three. siovics.
0 Demolition 0 Other:
where the available fault current LI Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14.000 0 Commercial-Ilse a' cultural
0 I - and 2-family dwelling ,E1 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
E ivItilti-family 0 Master builder CI Other: D ire pump. 0 Installation of 75 KV;\ or
0 Emergency system. larger separately dot ivcd system.
• , . JOB SITE INFORMATION AND LOCATION
0 Addition of new motor load of
:-... . / 100115 or more. Occupancy.
Job no // _jj:S Job site addr /
ess: i ■-: t - f , . ?: - i -,'
.. -' ' - ' 4 " . ' 0 S ix or more residential units. 0 Recreational vehicle parks
City/State/ZIP: /2, - ,- - ,../. .): , (% L. 0 Health-care facilities, 0 Supply voltage for more than
. 0 , „P .. - 0 Hazardous locations. 600 volts nominal.
. .
"Suite/bldg/apt, no.: ) ,„:„;%,,,,, Project name: Z/ . .. . ,- CIServiecoi feeder 600 amps or mole.
, —...
.FEE SCHEDULE
Cross street/directions to job site: 1,)cifitlon Lai j,-,-,„ I Total I '
---- __
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: r Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
75.00 2
. . ' ..- ., • :" •• . • :: - . :•-.DESCRIPTION OF WORN . ••• . •.. - • • 1' :' (with above sq. ft )
... .. .
Limited energy, multi-family
75.00 2
residential (with above sq. ft
Services or feeders installation, alteration, and/or reloca dot
_
200 amps or less 80.301J2
_
0 PROPERTY OWNER 0 TENANT 201 amps 10 400 amps 106.85 2
160.6
-- 401 amps to 600 amps 2
Name:
601 amps to 1,000 amps 240.60 2
Address:
Over 1,000 amps or volts 454.65 1 2
City/State/ZIP Temporary services or feeders installation, alteration, and/or
:
relocation
_
Phone: ( ) Fax: ( ) 200 amps or less r 66 85 1
2 '
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 17°
I 1 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps _ 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date:
A. Fee for branch circuits with
-. ...- 0 APPLICANT . • .. : 0 CONTACT PERSON . , above service or feeder fee,
6.65 2
each branch circuit
Business name: R. Fee for branch circuits
4,.. ,.•=;' : '
iv/thou/service or feeder fee, /
Contact name: 46.85 ::' 1 -''' '-' 2
first branch circuit
Address: Each add'l branch circuit 6.65 /12 ,.l„...J. 2
,
Miscellaneous (service or feeder not included)
City/Slate/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
- . . CONTRACTOR , Sign or outline lighting 53.40 2
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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) (503) 624-3631 Fax: (503) 624-2938 ,
Investigation per hour (I hr min) 62.50 1 .
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CCB Lie.: 75059 Electrical Lie.: 34-283C L Lic.: 4226-S Industrial plant per hour 73.75 I
. : ... ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ... . :1.,,------ - Subtotal: /
Print name: David Fife •
Date: Plan review (25% of pennit fee):
State surcharge (12% of permit fee).
Authorized signature: Fi‘
TOTAL PERMIT FEE: 7 y - ---
—
This permit application expires if a permit is not (.1(3611;J 180
Print name: Date:
days after it has been accepted as complete.
' Number of inspections allowed per pet nit.
i•Tiiiiiiine'sPerimis\ELC-PeoartAp Ice 0CM/06 410.4615T(1 I/OW:OM:WEB
CITY OF TIGARD . . ,.
BUILDING DIVISION PERMIT #: I~LC200(.00569
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2001
Phone: (503) 639 -4171 14711 1 4i L
Inspection Requests (24 Hrs.): (503) 639- 4175?�i °;AI.
INSPECTION WORKSHEET FOR DATE: 10/30/2008 TIME: 7 :00AM PAGE: 21
SITE ADDRESS: 10260 SW GREENBURG RD 360 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 0.14 TYPE OF USE:
PROJECT NAME: PRO MED
DESCRIPTION: (4) branch circuits for T.I.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503112..4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -524 -3531
Inspection Request Scheduled For: Date: 10/30/2008 Pour Time: i
1
Code # Inspection Description ,,Confirm # Contact # Message
199 Electrical final 077371 -01 503.524 -3531 N
Corrections/Comments/Instructions:
------'\''..---\„
W
i
,.
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G r N ()Q Date: 1 M) Phone #: (503) 718- 49—"P"Y6
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CITY OF TIGARD
BUILDING DIVISION
AI* PERMIT #: ELC2008-00569
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2000
Phone: (503) 639-4171 espipaili?'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1012712008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 10260 SW GREENBURG RD 360 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: PRO MED
DESCRIPTION: ,..,‘ br
0) anch circuits for T.I.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-4*12-41300
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date 10/27/2008 Pour Time:
Code # Inspection Description "on Wm= • Contact # Message
130 Ceiling cover 077184-01 503.780-3222 N
Corrections/Comments/Instructions:
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Lbw vok.-1 kb ci■ett t i 0 MLL.11 iN\ , •
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. 'kt:oNial..., tit- -- 6vtirittd) lt e-elDt-t. i
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7 PASS doo PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS
1 I FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: & • V 0‘; il Date: ICI 211 at Phone #: (503) 718- 2
. . ,
CITY OF TIGARD
BUILDING DIVISION .._ . ,.
PERMIT #:
ELC2008.00939
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 10/712008
J
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/9/2008 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 10260 SW GREENBURG RD 350 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: PRO MED
DESCRIPTION: (4) branch circuits for Ti.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412
CONTRACTOR: WLLAMLI I E ELECTRIC INC PHONE #: 50:3-6243631
Inspection Request Scheduled For: Date: 10/9/2008 Pour Time:
Code # Inspection Description - - irm # Contact # Message
'<6.6...'Ll- Co■IE
770 Electrical roughlr') 076440-01 503-624-3631 N
1
Corrections/Comments/Instructions:
T I S NIZT A 1 - ‘ISe7C.1 4
. CADVZ''R VALL5 b
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c 4 c 5 _gig kepzr co(?..- cz\M,
•
. a PASS E1 PARTIAL APPROVAL CANCEL , fl NO ACCESS
fl FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: G-- NV6 1--‘ Date: 1 I( On Phone #: (503) 718- Iii Lit