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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00215 COMMUNITY DEVELOPMENT DATE ISSUED: 4/14/2008 Tk■RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 400 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG PROJECT: REGUS HQ GLOBAL Project Description: TI. Installing (7) branch circuits. 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 HMI 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: 6 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 CAPITOL ELECTRIC CO INC ONE SW COLUMBIA ST #300 11401 NE MARX ST PORTLAND, OR 97258 PORTLAND, OR 97220 -1041 Phone: 503 - 412 - 4800 Contact #: PRI 503 255 - 9488 FAX 503 - 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 4/14/2008 $86.75 LIC 48748 [TAX] 12% State Surchar 4/14/2008 $10.41 SUP 3132S Total $97.16 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: lL� ___ Permittee Signature: / / ��p��jr/ 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. Electrical Penult App lication IN FOR OFFICE USE ONLY Received _ a ' I L Per n o.: City of Tigar : i , k"v ' Date /By: �J l �� A: L C a(xU �,�— w 131 SW ,Ha ll Bl Ti 0�7 12 23 ' Plan Review c +, 4 r ��,,,_� r , Phone: 503.639.4171 Fax: 503.598.1960 0 � � Date /13y: Other Permit: , V/ (1/2 (/t�CJ 'TIGARD Inspection Line: 503.639.4175 Ip,P 4 R Date Ready/By: Juris: ❑ See Paget for Internet: www.tigard- or.gov ��,;�A�® Owqr1M Notified/Method: Supplemental information CAI '.1,],., ,, -; ,,a.. ::': r ' ' . T fief I cf6.1 K', .. NG i }V � > i s. „�` P Ai.',1 UI M41M ... t _. . E ; .> IL ❑ New construction U Addition /alteration /a ".' . ent Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories ,, „ CQTEG®RYO> CONSTRUCTION.„ t,;.;, ..,, ,,_ , -_, where the available fault current 0 Marinas and boatyards - 1J I and 2 family dwelling ❑ Commercial /industrial [J Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Multi family El Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural Y ` ` mil 's' E ' ^ "` ;JOB S ITE INF,ORMATl9i AND LO: TIO,N gli `'`�" iSii amps for all other installations. ❑ buildings ❑ Fire Pump ❑ Installation of 75 KVA or Job no.: 280609 Job site address: 10260 SW Greenbutg Rd ❑ Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", City /State /ZIP: Tigard, OR 100HP or more. ❑ occupancy SuitsibldgizIpt. no.: 4th floor Project name: Regus HQ Global ❑Six or more residential units ❑ Recreational vehicle parks. ❑ Health -care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more L v ' .- REEOSCiIEDULh* , -. ';Aa, Subdivision: Lot no.: a� a �,� ,n... a. t Description I Qty. I Fee. I Total I Tax map /parcel no.: New residential - single or multi - family dwelling unit. ,~,,> °a.',,; ;.„' M ,» 'DESCRIPTION „OF W &ORI '” ` ii Includes attached garage. New and relocated switches, outlets and lighting for tenant improvement 1000 sq. ft. or less $ 145.15 4 Ea. Add'l 500 sq. ft or portion $ 33.40 1 /.g;. J fP2QPERTIY'OWNER" ' .,P '= u�:','. := 'd/r OLIITTOOPoom$40ale max, Limited energy residential (with above sq. ft.) $ 75.00 2 Name: Shorenatein Realty Services Limited energy, multi- family residential (with above sq. ft.) $ 75.00 2 Address: One SW Columbia #300 Service or feeders installation, alteration, and /or relocation 200 amps or less $ 80.30 2 City /State /ZIP: Portland, OR 201 amps to 400 amps $ 106.85 2 401 amps to 600 amps $ 160.60 2 Phone: Fax: 601 amps to 1000 amps $ 240.60 2 Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 454.65 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or Owner signature: Date: relocation 200 amps or less $ 66.85 1 '4 , 1 < < , ,� r ( 201 amps to 400 amps $ 100.30 2 U . M A "PP_ >I.IC?.I�iT�:,.'$s.;',"';r. :�I�.. �� `- a . .: L.��> ' €�ONTAGT FERSONa��.,� P P - 401 amps to 600 amps $ 133.75 2 Business Name: Branch circuits - new, alteration, or extension, per panel , A. Fee for branch circuits with Contact name: service or feeder fee, each branch circuit $ 6.65 2 Address: B. Fee for branch circuits without service or feeder fee, City /State/ZIP: first branch circuit 1 $ 46.85 46.85 2 Each additional branch circuit: 6 $ 6.65 39.90 2 Phone: Fax: Miscellaneous (service or feeder not included) E -mail: Each manufactured or modular -.r , te ' '' ' f * '. +:tt " =:i t' .f dwelling, service and or feeder $ 90.90 2 :`�' ,r s C(JNTI2AG"GOR,,,k: :;:,.. ,. d e Reconnect only $ 66.85 2 Business Name: CAPITOL ELECTRIC CO., INC. Pump or irrigation circle $ 53.40 2 Sign or outline lighting $ 53.40 2 Contact name: Signal circuit(s) or limited - energy panel, alterations, or Address: 11401 NE MARX ST. extension. Describe: Page 2 2 City /State /ZIP: PORTLAND, OR 97220-1041 Each additional inspection over allowable in any of the above Per inspection $ 62.50 Phone: 503 - 255 -9488 Fax: 503- 257 -7121 Investigation per hour (I hr min) $ 62.50 CCB Lie.: , 48748 'Electrical :66-496C 2 6 -496C 'Suprv. Lie.: 3132 -S Industrial plant per hour $ 73.75 r EbEgt7.:I''4MP ;M.fi- EFES.+ . ` �f.. " :If :.4: A _ , , Suprv. Electrician signature, require : ��V' V . {- Subtotal $ 86.75 Print Name: DARRELL MCNEEL Date: 04/11/08 Plan review (25% of permit fee) State surcharge ( 12% of permit fee) $ 10.41 Authorized signature: ' , ( . ,4,t ' � {, TOTAL PERMIT FEE $ 97.16 Print Name: DAR L M NEEL v v f L This permit application expires if a permit is nut obtained within 180 days after it has been accepted as complete. * Number of inspections per permit allowed. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -00215 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 10260 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: HO GLOBAL DESCRIPTION: ii. !Walling (7) branch circuits. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 -9488 Inspection Request Scheduled For: Date: 5/6/2008 Pour Time: Code # Inspection' Description Confirm # Contact # Message 199 Electrical final 069410-01 971- 506.2504 Corrections/Comments/Instructions: � I ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ' 1 " Date: kti Cri Phone #: (503) 718- 14% CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639-4171 l t Inspection Requests (24 Hrs.): (503) 639-4175 —......f*' --a. INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 10260 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: HO GLOBAL DESCRIPTION: TI. Installing (7) branch circuits. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-265-9488 Inspection Request Scheduled For: Date: 5/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 069409-01 971-506-2604 N Corrections/Comments/Instructions: • PASS El PARTIAL APPROVAL 0 CANCEL n NO ACCESS [ FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G--% a■ ,• - N i.v r_tc Date: 4€101 Phone #: (503) 718- 01b . .. . .. CITY OF TIGARD , ... . .., A BUILDING DIVISION PERMIT #: ELC2008-00215 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4114/2008 '. Phone: (503) 639-4171 Jt Inspection Requests (24 Hrs.): (503) 639-4175 U — INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7:01AM PAGE: 32 SITE ADDRESS: 10260 SW GREEWBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTERARC0111 #: 014 TYPE OF USE: PROJECT NAME: HO GLOBAL DESCRIPTION: TI. Installing (7) branch circuits. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 603 Inspection Request Scheduled For: Date: 4/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Well cover 068838-01 971-506-2504 y Corrections/Comments/Instructions: R.00 it"..6 CO 'P el-6661.— + A 1, pi PARTIAL APPROVAL fl CANCEL El NO ACCESS Ti FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: GTh NP; La' Date: 4 1 4 4 Phone #: (503) 718_144