Permit ,-;
4 ll,,,,, C T i I /°I►A0 ELECTRICAL PERMIT
PERMIT #: ELC2006 -10036
D SERVICES DATE ISSUED: 3/13/2006
. t8I1 �h'. -- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 190 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT : JURISDICTION: TIG
Project Description: TI 2 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: 1 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:
EQUITY OFFICE PROPERTIES TRUST 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 4/3/2006 $53.50 LIC 75059
[TAX] 8% State Surcharge 4/3/2006 $4.28 SUP 19655
Reversal - [ ELPRMT] ELC 4/3/2006 - $53.50
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $57.78
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: ,�!�2 `.(.�� Permittee Signature: _ �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.
13 2006 8:06RM HP LRSERJET 3200 p.2
• Y af.. Pe>l'Amit _ 1 %is3 t1 vEF) F O[ LIC USE ONLY ii . N • - ... . - i... ; x`13 - .: : :::, '.'..,� , ..,ta'.. „'=2: ., _ a. -.. .. .
r ity of Tigard igard \ Rec. 2 �/ 3 _ I permit iJO 1 ,,, / , s �
Date/By 7 ox{X/ �_ �005�
13125 SW Hall Blvd., Tigard, OR 97223 r 20 06 C Plan Review
Phone: 503.6 9.417! Fax: 503.595.19 4 AR e� .. ,. ° l � ..i Other Permit:
1 I Date /i3y:
_. � , 'i. r Date Read 'B
Inspector Line: 503.639.4175 11 y y: JusIs 121 See Page 2 for •
Internet: wwwc1 tigardor us iu>i1- N./piffled/Method: Supplemental Information
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❑ New construction . W".'• ` d'• itiori/alteratiotl/replacement Please check all that apply
❑Service over 225 amps, conun'1 ['Hazardous location
❑ Demolition ❑ Other
� , +lir�3'nr' -h i 7 � �\� aipAC tip �� �,� a r � `�� ��� ea a a ; ❑ S ervice over 320 amps - rating ❑ Buildng over 10,000 sq. ft., { +to „ r 1 : 1 1 , M �t, W r T f1 y i t,,t -b.A1 d, t °'s. � ,, 5 t ,, d k,l> , „ of 1- and 2- famil dwellings 4 or more new residential •
t] 1- and 2- family dwelling �m
Comercial/industrial ❑ Accessory building ❑System over 600 volts nominal un in on structure
['Building over three stories ❑Feeders, 400 amps or more
Job site a
Multi-family ❑ Master builder ❑ Other Manufactured structures or
D fir � ft , t , , .; � , r, .. ❑Occapart load over 99 persons ❑
133 EtF`; ° j - 1 .t,
S` .1 :4 l i �� 11 i li,� l
' i ; ∎� g 'a r,' : t o r'*l t , �rtf = e ,' Jd , eJ j '. g gP park
1 RV .0. • , •f_.i,...1='2 i . •� . ci., .. .t. ,.: 113t,_.__ h' r 1 e4. t. ,e. " u:a ra -in 3. <..-• s dl .41:31:2. _ 'tom 1. ❑ Other:
❑ E ss(li htin plan P
pO ❑Heath -care facility
Job no.: 210 Job ! �(J� s ((, � ,q� r ,L Submit 2 sets of plans with any of the above.
City /Stale/ZIP: �' ] The above are not applicable to temporary construction service.
f t t7 t4- ; i� , , ,. nc , -r�- rc. r , ,
7 I��mi {���:,�s 3
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Suite/bldg. /apt, no.: 190 Project name: 11.6( Sv ti C1,S Description Qty. Fee Total
Cross street/directions to job site: f t a-e ,,,,A....._ �� �r New residential single - or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 14515 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
>u ar,tllh Ntrry ro 1m,,r, . )
,>w ., ,, t a -r
r z IVAI t ll! r'' lift ' < Each manufactured Or modular
• r'...v� i+ ' it: !1,.gtat_?ilt- ;... t.urV. i +r3 -i dir visa d , ..1 .:1� �. 4 1f E • h _.
r� dwelling, service and /or feeder 90.90 2
- 4 2 . - A._ its.... t i . of l u. l P •A ( Services or feeders installation, alteration, and /or relocation
J 200 amps or less 80.30 2
r ,w ,t t; sr�+j w 1 -..� RIry WR i j41l i` , : r s q i i r i nt; t .4 1 201 amps to 400 amps 106.85 2
r '',
>K c mo s "!,1ra1, ,,2i . :v •i y
tamt. +)r. rL'`3"'f.A. a ,.1 ,79.a . u --A..'..4" . .
s.. s 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
•
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 I 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 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 to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
n *
° 6'r S'• a t S ' " " t k ° A r1 rlr x tv51L Errt -Z. r ,or e 6 1 rt Y ri r F r y r,�r I
al t NI i i . i lit k Fee for branch circuits - with
j s c � '1 , � ricztsVl l �.22 ,r4,3;a0)3.1 �� , 3a., ..f:. -; 1.,: ...:...;.kc.:.,.;..Lw.naia., -=.
„L service or feeder fee, each
6.65 2
Business name:
branch circuit
' B. Fee for branch circuits
Contact name: without service or feeder fee, ( 46.85 ye 6- 2
each branch circuit ` J
Address: Each add'l branch circuit ( 6.6. ( V 'r 2
City/State /ZiP: Miscellaneous (service or feeder not included)
Pump or irrigation circle ( 53.40 2 _
Phone: ( ) l Fax: = ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
v j -., -• r ; r, ff , , - 6 1 *+ "' - e „ � , ,,ic�4; ; - I t o i energy .,, panel, alteration, or
-1 ` N y - �sr�� -1�h s 5°»`,..,�-.,.t�hx °d1t1'3i kL �' extension. Describe: Page 2 2
Business name: t.t1 ,, t1 $.d`^,t , e , �.( f.., { /1 it IN -
tp Each additional inspection over allowable in any of the above
Address: f? a L --? 0 s of - Per inspec :ion 62.50
Investigation er hour (1 hr min) 62 50
City /State /ZIP: rtCiYi_r2,.t(.] d -. 9 T -1-a " p
9 Industrial plant per hour 73.75
Phone: ( ) 4 'Ltl -- 3.4, Fax (1 ) fo2.c9.- 'Z-`'12 nay x _ L , , .:11-'''''''.`'jr:''''''
■ CCB Lic.: 7- Electrical Lic.: . 7r3 L Suprv. Lic.: (49 (S c G Subtotal ST.,)
- Q Plan review (25% of permit fee)
Sup Electrician signature, required: /� ,��� � 1
1- 1 O 7
State surcharge (5% of permit fee) L I , a
Print name: D ate: ' /3 �� 1
I, i1 N 1. TOTAL PERMIT FEE * }�
e
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set byTr.- County Building Industry Service Board
*' Number of inspections per permit allowed.
■ \Building,Pc mits\ELC- Pcrmithpp. doc 12;03 4404613T(11V02VCOWWEB
CITY OF TIGARD .
BUILDING DLVISI ®IV PERMIT #, l D
13125 SW Hall Blvd.; ' ard, OR 97223 D ATE ISSUED:: t �
Phone: (503) 639 -4171 p 1 '�I1
Inspection Requests (24 H .): (503) 639 -4175
INSPECTION WORKSHEET FO DATE: TIME: PAGE:
SITE ADDRESS: j 0 3 0 e. c-,.- {�� /C�' a CLASS OF WORK:
SUBDIVISION: � � OT #: ` TYPE OF USE:
PROJECT NAME:
DESCRIPTION: \
OWNER: PHONE 7 S° -3 �-
CONTRACTOR: \ PHONE •
Inspection Request Scheduled For: Date: 3,3/- Pour Time:
Code # Inspection Description Confirm # Contact # Message
-P \
Corrections omments /Instructions: \
N \
C c
�\
\ \ \_
\
.)
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G .--, V LE Date: 1 3 1 C Phone #: (503) 718- A -
. CITY OF TIGARD _
BUILDING DIVISION PERMIT #:VC 0 I ° l
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 u'
Inspection Requests (24 Hrs.): (503) 639- 4175!�!+� E'I�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 3 D b '5 i24 €CI So\ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE S)( )- f - 363 1
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - - 7- . 0 C Pour Time:
Code # Inspection Description Confirm # Contact # Message
/ 30i x`
Corrections /Comments/ Instructions:
yAk PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL 1 I CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: G Y & 6(6 Date: 3 1 6 1 ) 6(C6 Phone #: (503) 718- 1441,
CITY OF TIGARD - -
BUILDING DIVISION = f PERMIT #:�1 GP -006 -1 D°3C
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171Vi�l+��.
Inspection Requests (24 Hrs.): (503) 639 -4175 "_...
INSPECTION WORKSHEET FOR DATE: sr e. PAGE:
SITE ADDRESS: I 0 30 N Y 'e- - k' « `, E l ` o CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:( 3)(6 — 363- (
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - 2 --! -0 Co Pour Time:
Code # Inspection Description Confirm # Contact # Message
/ — a
Corrections /Comments /Instructions:
X ,=ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
I 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: NA 4 D ate: "" b Phone #: (503) 718-
24