10220 SW GREENBURG ROAD STE 570 i
;--10220 SW GREENBURG RD, STE 570-
1999
SAVE - i'fr.ST"'RICAL INFORMATION
BUILDING(5) NAME CHANG-E
PER KIT CHURCH, ENGINEERING
10220 GREENBURG RD, LINCOLN II NORTH
CHANGED TO 10220 GREENBURG RD, LINCOLN III
10220 GREENBURG RD, LINCOLN II 5OUTH
CHANGED O 10220 GREENBURG RD, LINCOLN II
1
CITY CSF TIGARD ELECTRICAL. PERMIT
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC96-0786
DATE ISSUED: 1.2/13/9(_,
PARCEL : IS135AB-01004
STTE ADDRESS. . . : 10220 SW GREENBURG S RD #5*70
SUBDIVISION. . . . : ZONING:C-P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
Project Description: INSTL I SERVICE FEEDER
----RFSTDENTIAL UNIT------- SRVC/FEEDERS----- ------MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - '.7?00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH AT'rl" - 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LT(3. . t 0
1_.IMT- -Lj ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MAt,r-:. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LASEL ( 10) . . . s 0
...._.----SERV ICE/FEEDER-..---.- --BRANCH CIRCUITS-.----- ---ADDIL. INSPECTIONS----
0
NSPECTIONS—0 200 amp. . . . . . 1 0 W/SERVICE OR FEEDER: I PER INSPECTION. . . . . : 0
20J. - 401? amp. . . . . . : 0 1st W10 SRVC OR FDR. : 0 f.',ER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 1 0
Go 1, -- 1000 amp. . " . . : 0 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
I I E'LVIN MARK MANAGEMENT type amount by date V'ecpt
10220 SW GREENBURG RD PRMT $ 60. 00 TAT 12/13/96 96-28769t
,9PCT $ 3. 00 TAT 12/13/96 96-287691
TIGARD OR 97223
Phone #.-
Contractor:
C14RISTENSON ELECT RTC INC $ 63. 00 TOTAL
Ili SW COLUMBIA
SUITE 480 REDUIRED INSPECTIONS
Powrl-AND OR "371.:'01 Ceiling C,3ver Undergrol.tnd Cove
Phone #: 5031-24t-4812 Wall Cover Elect' l Set-vice
Reg #. ,, .- 000004
This permit is issued subject to the regulations contained in the 'h
Tigard Municipal Code, State of Ore. Specialty Cod" and all other Perm i t1eir-
i Ay,lt-.
applicable law;. All work will be done in accordance with
approved plpi%. This permit will empire if work is not started d'(4
within 180 days of issuance, or if work is suspended for u —
p*
than IN days. is BY
INSTALLATION ONI-Y-----
The installation is being made on property I own which is not intended for
siikle, lease, or rent.
nWNERIS SIGNATUREs DATE-
INSTALLATION
SIGNArURE OF SUPR. ELECIN: DATE:
TCENSE NO.,
Call for inspection - 639-4179
EXPIRED
Com;,lur)ity Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Pert-nit #
Phone (503) 639-4171 Date Issued �Z
CITY OF TIOARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639 4175
1. Job Address: — --------
4. Complete Fee Schedule Below:
Name of Development LINCOLN II SOUTH _
Address
10220 SW GREENBURG RD SUITE 570 Numher of Inspections per permit allowed
Service included Items Cost(ea) Slim
City/State/Zip TIGARD OR
-- -- 4a. Residential -per unit
Name (or name of business) 14W HARDWOODS 1000 sq. 6 or less E11�
yy�� Each additional 500 sq rt or - —
COmm@rC181 C^1 portion thereof 325 On
Residential Limited Energy — — $2500 — —
Erich Manurd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder _ $6800
ROSS CROSBY 4b. Services or Feeders
Electrical Contractor CHRISTENSON ELECTRIC INC installation,alteratlon,or relocation
Address- 111 SW COLUMBIA SJ ITE 480 200 amps or less h0A 1 $60 00 60. z
City PORTLAND 201 empe to 400 amps $8000 _ 2
State OR Zip97201-588 401ampetosooamps $,z000 — 2
Phone No, 241-4812 601 amps to 1000 amps $18000 — 2
Job NO. 2-�96 --- - over loon amps or Vons sa40 00 "--- 2
contractor's license NO. — Reconnect only ,-- $5000 - -- 2
Contractor's Board Reg No, --- 4c. Temporary Services or Feeders
Signature of S`upr. Flec'n -" hrslallation,alteration,of ieiocatinn
`- 200 amps or less
License Nojq7m- Phone No._ t 201 amps to 400 amps 2
401 amps 10 600 amps $5000 2
Over 600 amps to 1000 volts $7500 --- 2
2b. For owner installations: $10000
see"b"above ---
Print Owner's Name_ 4d. Branch Circuits
Address— New,alteration or extension per pone
a)The fee for branch circuits with
City Stat@_ Zj purchase of service or feeder fee.
Phone No._ Each branch circuit
$500
The Installation is being made on property I own which Is b)The fee for branch circuits without -----
not intended for sale, lease or rent. purchaas o/First branch Circuitmgrvior leader fee.
circuit E35 00
Each additional branch circus 35 00 ^"
Owner's Signature
- —_ 4e, Miscellaneous
3. Plan Review section (if required hPump(Service irrl feeder
t included)
Each g $4000
Each sign or outline lighting $4000 —'�-_--
Please check appropriate item and enter fee in section 5B Signal circun(s)or a limited energy ----.
4 or more residential units in one structurepanel,alteration or extension $4000
Service and feeder 225 amps or more Minor Labels(to) $tno oo
System over 600 volts nominal 4f. Egch additional instlection over
Classified area or structure containing special occupancy the allowable in anv the above
as descrihed In N E C Chapter 5 Per inspection
Per hour --- $3500
Submit 2 sets Of plays with appliratl.nn where any of the above Woo
In Plant $5500 --
anply. Noi required for temporary construction services. _
_
5. Fees:
NOTICE Sa. Enter total of above fees
5%Surcharge (05 X total fees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ — »
AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS, OR IF 5b. Enter 25%of line A for $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3)
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. $ _
Trust Account #
Balance Due EX P I R 11 D 1
_ S