Permit CITY OF TIGARD ELECTRICAL PERMIT
I N
II PERMIT #: ELC2008-00088
COMMUNITY DEVELOPMENT
D ATE ISSUED: 2/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 530 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: HARRIS & BOWKER
Project Description: TI. Installing (5) 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 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: 4 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: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 2/19/2008 $73.45 LIC 75059
(TAX] 12% State Surchar 2/19/2008 $8.81 SUP 4226S
Total $82.26 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: G�ca �--' •ermittee Signature: .,52e. 2/.--44.7> (J/.
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.
. FEB 18 2008 3:54PM HP LASERJET 3200 P
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..._ .
Electrical Permit Applicatio I _ • i FOR [)F'F'll. h .l.tilt ONLY
City of Tigard �. l . E D V El, Received 1 U g r/ L e U ,
Date/B Permit No.: I,t
. a 13125 SW HaII Blvd., Tigard, OR 97223 1
: �' Plan Review r • ��
Phone: 503.639.4171 Fax: 5O3.5981 ,�6 0 Other Permit: '
I CB 1 9 2008 Date /B
T' 1 U A R 15 Inspection Line; 503.639.4175 Date Ready /By: buns: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
I r Tr
4t1 �, >E � I { 1 1 3� t 1� R rq al {kil�al l IU'�' � iii U1 a�f7'Tt(! n,i � L + 1 aid 1 �AtP.: � '1 ,,'^..' 1
1l l� �l(II11,11. i I � 2 l al�;r , �� nn, :. , 1!(i ( �l {€� t i tl, +tnl , c�I { p V( I �(3I `j YE�(�u` ti�I" ('r: `lri`� {g' ' {`,� 1' P Qg
�rczd' 1'i 4t � d1 ��. � ���� �'tlifa�ie4L� �ll",.{ ��' a8f1�ll�P�fi�tllliillkfatiddlilfiitau ^ks.��kB� �31WR.�l� ;, u' � � � .��.,
❑ New construction Additio r 1 to . a 1 �- . , 0WJ .7. ' W 7 Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 12 Other: where the available fault current ❑ Marinas and boatyards.
7t�ii�l�((ji{+tt 111 'yd�fi�' t { t ( J ( lip 1 p -! t�illt�tgu iprr l' r� l r t r j (' �a, tat]Q� „ >]p ts,•nau};laj ttq,(k t;i . +.js1���7,�jjl'�(ii .. I; 1 „ . ij exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
ipCi':.GiiItUl • $ N gll� l l 1 1111 �"y1 la➢L�5e31ai(tifl�Sa l 7lara{.7, ii7:9tailif tI33Q11nr a itlillUi� ird Il l {`Ittfiitfig lt� i ”,
less to ground, or exceeds 14,000 El Commercial -use agricultural
❑ 1 - and 2- family dwelling ®. Commercial /industrial El Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or
u . 114 ( p�'(t 1, '� " f ' ' s } �` t �' t I A W ? 111,1 X11 a n s 31 W31te i� Ain ,XV I I try ❑ Emergency system. larger separately derived system.
4 �i? iiii0if 1 UH .ss irifi�klEt tntl6l v U 1 l s ; mice t ,ei'1STs iiE`S8t1 ❑ Addition afn v motor load of ❑ . •Ag "E", "1-2", ' 1 -3 Y
Job no.: '(1 Job site address: J o 3C3 5 w � r p d- r , . „. 100HP or more. occupancy.
Q 0 Six or more residential uni s. ❑ Recreational vehicle parks.
City /State /ZIP: ®r Tl�fh ❑ Health -care facilities. ❑ Supply voltage for mom than
P '1 ❑ Hazardous locations. 600 volts nominal
r ldg. /apt. no.:
Project name: / ❑ Service or feeder 600 amps Of more
e rr-, p >•�1J P (
:E Iiil it i i , . a � tagEff (i�� ;, ITEM � 11,
Cross street/directions to job site: Description Qty. Fee Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no,: _ 1,000 sq. ft. or less _ 145.15 4
Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
{mil d + >.: fj�!ffE � y� in•µ n em at Limited energy, residential
('JN.� + �i���ilR lfi1E3111�1f �rtui o a C+yrC;d1( I((f 1.1 P'? l 4 75.00 2
1't,- a m�a-',.,a.udntanut a tenlr , mllna ' ti` 'fi1l11 €1: 1til ��112 (with above sq. ft.)
a -- !+ Limited energy, multi- family
Oil/ /- 7-1I`0 c e + °• 1,,, ,r residential (with above sq. ft.) 75.00 2
t7(� C@ Services or feeders installation, alteration, and/or relocation
� } s F, T8 f a"� IE ft �d TFZSSV IIIMIIR IL j i{ k 4,n, Nin haBI,3 Wtl��llfl'r �3I � r ,` 201 201 am amp
to 400 amps 106.85 2
��.N�tl„�,,.
Name: St, JreA/„Ct W �e,4 ` Se e - S 401 amps to 600 amps 160.60 2
'T_ �.1 r ,� 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: ( ) I 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 t0 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
A. Fee for branch circuits with
,� gtr uar ag � I ar U +t r a lu r a ^ I h
t � 1� "a llitan rFllli �. i11 11 t: EFE [11' ,;n ,fiufui) lr 1 i l II above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits _
Contact flame: without service or feeder fee, / 46.85 / ( / T j Z 749 first branch circuit
Address: Each add'l branch circuit r y 6.65 ,96 4 --e — 2
Miscellaneous (set or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) f Fax: : ( ) Reconnect only 66.85 2
E-mail: p �fp� p f'r Pump or irrigation circle 53.40 2
ii`i' e iiiiiiIREMEI IIIIIIM �� irtlw h� SE11i,i�11111 1 Y Ni(i�,11{? I f1ti l tll11 BIBS Si or outline lighting 53.40 2
Business name: Willamette Electric Inc. Signal circuit(s) or limited-
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
Phone: 5113 624 -3631 Per inspection 62.50
( ) Fax: (503) 624 - 2938 Investigation per hour (1 hr min) 62.50
CCB Lie.: 75059 . Electrical Lie.: 34 -283C Suprv. Lic.: 4226 - Industrial plant per hour 73.75
' ` aiii "`t`iu .'° I h'a In 1, {
Suprv. Electrician signature, required' �� s � "'" °� fi ( w : 7'3
-
Subtotal:
Print name: David Fife Date: / P d Plan review (25% of permit fee):
State surcharge (12% of permit fee): T
Authorized signature: TOTAL PERMIT FEE: 5'2.. L
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit.
I \ BuildinglPermits\ELC- P,rmiiApp, doc 05/23/06 440.4615Ttr t/135/COM.'WEB
1
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2008-00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211912008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 _Ali A I
INSPECTION WORKSHEET FOR DATE: 2/28/2008 TIME: 7: 00AM PAGE: 27
SITE ADDRESS: 10300 SW GREENBURG RD 630 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS & BOWKER
DESCRIPTION: II. Int (5) branch circuits.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 1
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 2/2812008 Pour Time:
Code # Inspection Description ( --C-enfirm_t Contact # Message
-I-2i* "A-1=4:=Impeemyt-iR. 065821-0 603-6243631 N
1245
*LL C.V.ralt-
Corrections/Comments/Instructions:
/--->
FA PASS El PARTIAL APPROVAL El CANCEL fl NO ACCESS
fl FAIL n CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: G-1 N 4 ) 6 V-t Date: 1/1i 'IA Phone #: (503) 718- 7-IP1k),
CITY N�x����U��������
��u m n OF m u�m��mm�� ^
BUILDING DIVISION PERMIT #: ELC2008'00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2y1912008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/3*2008 TIME: 7:00A&4 PAGE: 26
SITE ADDRESS: 10300 SW GREENBURG RD G30 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS & BOWKER
DESCRIPTION: TI. Installing (5) branch circuits.
OWNER: SHORENSFEIN REALTY SERVICES, PHONE #:
CONTRACTOR: WLLAME1TE ELECTRIC INC PHONE #: 503-624-3031
Inspection Request Scheduled For: Date: 8/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 065982-01 5O3-6'Z43831 M
Corrections/Comments/Instructions:
•
7 PARTIAL APPROVAL CANCEL NO ACCESS
| I FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
�\
Inspector: y�-- 1\166 / �� Date: n^' �x� Phone #: 8503\ 718- l/^���•
CITY OF TIGARD
BUILDING DIVISION A
PERMIT #: ELC2008.00088
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/19/2008
Phone: (503) 639-4171 dr
Inspection Requests (24 Hrs.): (503) 639-4175 AK41-
INSPECTION WORKSHEET FOR DATE: 3/1412008 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10300 SW GREENBURG RD 530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS & BOWKER
DESCRIPTION: TI. Imtalling (5) blanch circuits.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
:199 Eloctrical final 66692-01 603-624-3631
Corrections/Comments/Instructions:
PASS [7 PARTIAL APPROVAL I CANCEL 111 NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: or--1 Date: 14V Phone #: (503) 718-114%