Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT ISSUED ELC2007
COMMUNITY DEVELOPMENT
DATE ISSUED: 3/26/2007
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 300 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT : JURISDICTION: TIG
PROJECT: BANK UNITED
Project Description: Relocate branch circuits to Elec. room panel upgrade feeder to 100A 3 pole.
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: 1 W /SERVICE OR FEEDER: 20 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 BEAR ELECTRIC
ONE SW COLUMBIA ST #300 P.O. BOX 389
PORTLAND, OR 97258 DONALD, OR 97020
Phone: Contact #: PRI 503 - 678 -1355
FAX 503- 678 -1108
FEES
Description Date Amount Reg #: ELE 24 -107C
[ELPRMT] ELC Permit 3/26/2007 $213.30 LIC 20919
[TAX] 8% State Surcharge 3/26/2007 $17.06 SUP 4902S
Total $230.36 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 Permittee Signature: er
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for. ELC2007- 00182 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By I ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading X 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG-Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG-Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG-Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough in PLM - Plumbing, Permit
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
_ 499 Final inspection 599 Final inspection
I:\ Building \Forms \InspCard- AOP- Blankdoc 02/02/07
03/22/2007 THU 16:11 FAX 5036781108 Bear Electric. Inc. Z 001/002
Electrical Permit AUp � t on: p�
City of Tigard F �r - i \ ' ` e e ved F OR OFFICE USE ONLY 131 SW Hall Blvd., Tigard, OR -, 1, , w Da :� . 0 7 6 I _ __!'n rtM
Phone: 503.639.4171 Fax: 503.598.1960 . ')j 1 L3:ti° , Other •e - t:
t� '' DateJB
Inspection Line: 503.639.4175 to w: . rt 1 t 6' Dat Rea B W 0 Se Pa 8 e 2 for
s Y Y
Internet: www.ci.tigard.or.us Notified/Method:. Supplemental information
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❑ New construction ►0..6dditi6r alteYanon/replacement Please check all that apply:
- 7 i t•"• • ['Service over 225 amps, comm'l ['Hazardous location
El Demolition ❑ Other:
K . ,� _�� u�,�,zA w .. i s , _ Jr. ,,,, Yl c ` }. ❑Service over 320 amps - rating ❑Bulking over 10,000 sq. ft., • O W> "x^ ai r ���• d13 sr4 141 3 " "' o anvil dwellings 4 or more new residential
n ? :._ ?Olt OFi•FCOI��STZL3� , . ,r. y , >�: 3' :;_c f 1 • and 2 f y d
:,4f>`%r.=S= .iS'2. Vh r'- . it .,,..sr . , - ,..,amp. .r::d - cam'.:. .,. .--(r �:-r'rg417 -k _ �': _..,:.,,..- ,m..I..
❑ I. and 2 family dwelling XCommercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
hti
[0 Multi family 01 Master builder ❑Other:
DBuilding over three stories ['Feeders, 400 amps or more
y Multi y ,,, R ; y ? _ . - d _ r � r. : _ . ••� ❑Occupant load over 99 persons ['Manufactured structures or
s�` - . .... r .': - s rJ.(� ;STI �j iy( � -1 11�V � O A O .� 2 > : ^�� cY n E ess/ii n plan RV park
r ::- `ta;i -!.6,, ..s tt <c.• ,<rn.W.:w,,.- ,,:- .:,e•.-,.x• O ,,,,,,_`=.er >:,_::w- �L:, Y w:.,.,,..` ; .-..•_;tx-i.-0w..H , .'s:r?;�?:rs?. ❑ g gP . ['Other:
Job no.: Job site address: 1 03ap 5' 6QEa l 31.4R tp ❑Health -care facility
____. Submit 2 sets of plans with any of the above.
City/State /ZIP: ' 7 ,4 j) 0 R. ?7z 'L 3 The above are not applicable to temporary construction service. • Suite/bldg. /apt.no.: 00 • • Projectnam e : .3474--- K . . � i � �= ---.�s:,.I�,•.�._.- �..,`U.: s- :'.
�A Description '' I Qty. I Fee_ I TOW I
Cross street/directions to job site: I tNcdLA) / A , New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'1500 sql ft: or portion ' 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 • 2
f ;:� >„� a -� •,�„�• � ;�.>�,. y t,� <...A��..«.., ,w�..�� �� �+,«, a.` er r i;'xvr�" i-,.. Each manufactured or modular
1.�-e ,,, • : �� r � D S.�rp �-P ? g17#7 • -' ,'' 2'i' r�-eele
�"c.:'E3' � . 7 rkfi. 'z�Y�.? ia.,�..s. «.•eon. :+` W.��1 -�x._� � . ��K:.� . �dl:�x4's`o'ti��srea;- .,�'.3�3?� '� �;ih;�.:
t� e Loc.. 't_ af2 -'R (4 gay.. t i S 'f -D E C- I:C'CQ.Ir- -l� dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
Rovtul i'R>� r to u P CaR 4 n L F“- -b /Oa A- 3 rb t-c- 200 amps or less t 80.30 50.30 2
• -. ,..34-Z; ,. :�<c-.,MV : �E xG:: z 0 .Rzd °�. . w.> :;3°s^.-: ` 201 amps to 400 amps 10.5 2
ry+rc';'a� n, z....,_.:�,�•,�_L- :,,:�: � -r = , _.1- x?ei2�t4::1� � = ��-k�>a..: 401 amps to 600 amps 160.fi0 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 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
r n rik`r • , ' " ' . � p r7 A. Fee for branch circuits with
- service or feeder fee, each 6.65 /33 2
Business name: branch circuit 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address: • Each adcl'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
• ;x- z ; �", ' :. > ""r--'s h y . _ '$' Yt s,.,. ;:s F "er '` h en panel alteration or y t
,..^ = r�� �.. o. ?�%', r%»;;:�?v„l ,�t� - -�,.= �.,,, ,;�x.��' -•�`: ���.., g P
f'..k s> .,. m
/ extension. Describe: Page 2 2
Business name: BC{c 2 P Lac rittc- (fQ C ,
Address: _ . 9 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Du ,,,3p Lp, 0 la, 9 70 ZO Investigation per hour (1 hr min) 62.50
Phone: (5 3) L7 8 /3 Fax: ('o3) 1, 78 i1),,,s2 Industrial plant per hour 73.75
Zp Q Electrical Lic.: -1076_ Suprv. Lie.: 4',Z - ..
CCB Lie.:
y / / �(S Subtotal J 3 0
Suprv. Electrician signature, required: / ` -� - - . Plan review (25% of permit fee)
Print name: p� t,pH VA 1 t_ L 4. � .„,S Date: 372 / o 7 State surcharge (8% of permit fee) � 7, Q t...,
TOTAL PERMIT FEE ft 9237r3C)
Authorized signature: This permit application expires if a permit is not obtained within ISO
• f days after it has been accepted as complete
Print name: J Date: • Fee methodology set by Tri County Building Industry Service Board
*• Number of inspections per permit allowed.
•
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