Permit r1
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00429
eJ� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/1/2005
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD V LINCOLN ZONING: C - P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Overhead paging, floors: 4, 5 & 6 . Job #4988V. (AMP in computer rm. on 4th fl.)
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST STONER ELECTRIC
ONE SW COLUMBIA ST #300 1904 SE OCHOCO STREET
PORTLAND, OR 97258 MILWAUKIE, OR 97222
Phone: Phone: 503- 462 -6500
Reg #: LIC 44823
SUP 3496S
FEES ELE 26 -122C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 12/1/2005 $75.00
[TAX] 8% State Surcha 12/1/2005 $6.00
Total $81.00
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.
Issued By: �� � j C � Permittee Signature: _i f. Cp `t
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.
11 12:00 FAX 5036592824 STONER ELECTRIC [x]002
t L
Electrical Permit Appl.i t 9EN FOR OFFICE USE ONLY
A. Receives Permit No.' W o 9
City Of Tigard An ; 0 2 �� >a __ - "�
13125 SW' Hall Slvti, Tigard, OR 97223 Pl an Review Other Pcmtit;
Phone; 503.639.4171 Fax_ 503.598.1960 LN*� CAT' " �aS - page Z for
Inspection Line_ 503.639.4175 ere "� °a` ke..dyiay'
CITY OF TIGP' ' -�, I Novraln tetbod: SuppIcmental lntotmauon
ImernR avw,W_ta.tiprd.or_us RIM niNG DIVISION
TYPE OF WORK PLAN REVIEW
Please check all that apply: 0 New construction Addition/altrration / leplaczmeni ❑Servicc over 225 amps, comm'l ❑1Gvudous location
❑ Danolition Other; ❑Service over 320 amps - rating ❑l3uildng ova sq. ft,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwrlling CommercialfmdUstrial ❑System over 600 volts nominal units in one slrUChrrn
Ell building 0Systa o ova- thr stones ❑ 400 amps or more
❑ Multi - family builder 0 Other ❑OCCttpard load over 99 persons 0 Manufactured structural or
JOB 151TE• Rig'OY2MikTtli t A!iD...LOCATION ElEgressiligaing plan 1W park
❑Other
r - Qgealthr�re facility --
Job no_: r' i v Job site addz�s: f aOf7 pi ' � , � i rt E � Submit 2 sas of plans w i t h above.
4 -
City/State/ZIP: -r..17 1� r % } n The above a not applicable to temporary cuoslttu�iom service. �
FEEs eGffirDULE`
Suitc/bldgJapL no.: Project name: 4/p l )4 1 C 6rR-� t , 6m t — ••
-
Cross stand/directions to job site: time residential 'logic- or mutt -fwtns dwelling suit
Includes atbebed garage.
1,000 sq. ft.. or less 145.15 4
5nbdivisitm l Lot no.: _ L 2 s dd'I 500 s4 R. or p odia , 3140 1
Limited ia1aS'r residential 75.00 2
Tax ne plpartxl no.: —
malty, wan aidcsslial 75.00 2
• DESCRIPTION OF 'FMK • ' . •.. Each chard or modular
A6-7,\I dweUinn service and/or attends 9 - 2
iJ i IT/9-1, 1l D 3 nL-' �L� b� `� �� Services or feedera instelation, alteration, Ivor relocation . _
200 tarps or less 80.30 2 -
201 aims to 400 amps 106.85 2
p :i F1 rIx ovvr»� . imam 40l amps to 600 amps 160_60 2 -
Name: 601 amps too 1,000 a pa - 240.60 2 -
Over 1 .000 amps or votes 454.65 , 2
Address: Ru:maxi only 66.85 _ 2
City/State/ZIP: Te supor ry sec* 1 or feeders installation, alteration, and/or
reload/on
Phone ( ) f Fa1c ( ) _ 200 amps cr less I 1 66.85 - 1
Owner installation. This iusallation is being made on property that I own whit . is not 201 amps to 400 amps 1 0030 2
intended for sale, leas; nett, or eccha oge, according to ORS 447, 449, 670, and 701. [
4101 smpxto 600 snips 133.75 , 2
Owner Vie- Date: - Dranchcirc - pew, alteration. or a stmai °o, per panel :..t A branch Fee for circ uts with
' { 1 M - ' ice or fonder fee, eat 6.65 2
BuSine,SS eamc bram t:uram _
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit •
Address: „ _
Each odd'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation ea 2
53.40 2
`I Fax : ( ) Siga or outline lighting 53,40 Phone:( ) _ _ E-mail; -
Signal circuit(s) or limited•
energy panel, alteration_ or
CONTRACTOR extension. Describe: I 75.00 .1 c 4 2
Business name: S a N ER &` �E.�� K i C _ -'
Each additional inspection over adlownbk in any of the above
Address: i 904- .Sic CD G k o c 0 . _ Per inspection 62.50 _
City/StatC/ZIP: f ✓1 i L t+1/4 v q K, E 0 R / 72.2_2_ investigation pm - hour (1 hr mm) J , 6150
Industrial plaid per hoar 73 75
Phony (5c 3) 4 (v 2 - Co 5 Fax - ( ) Ca — 49t S _ ELIF hour AL PERMIT FEES•
CCB Lic,: 4Q -S Electrical Lic. :2G - ( a 2 GI Suprv. Lie.: 54.96, 'Subtotal j
Suprv. Electrician signature, required: gliedlua Plan review (25% of putnit fee)
Stile surcharge (8% of permit fee) - 19 0
Print game: M ! Kz= F4 !_ co ki E R I IDa[c: I ) 0 TOTAL PERMiIT FEE ' i , D V
i _
ut110tized signature: Thla tartan application expires it a permit Is nol obtained within 1110
days anew it has been aceepted as compute
Print name: Date: • rec mcthodoiosy act by Tri_Cunnty Building industry Scrsicc Board
CITY ������FU��������
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BUILDING DIVISION PERMIT #: ELR2005-00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/112005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 13y20B2005 TIME: 7 :30AkA PAGE: 39
SITE ADDRESS: 10200 SW GREENBURG RD VL|NCC/LN CLASS OF WORK:
SUBDIVISION: LINCOLN C IVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORTH PAC|F|`/GROUP
DESCRIPTION: Overhead paging, `'ors: 4. 5&G. Job #49D8V. (AMP in computer rm. on 4th M.)
OWNER: EQUITY OFFICE PRO ~ ESTRUST. PHONE #:
CONTRACTOR: STONER ELECTRIC \, PHONE #: 503
Inspection Request Scheduled For: \ Date: 13/20K2005 Pour Time:
Code # Inspection Description onfirm # Contact # Message
- '-- 748-01 503-961'5355 N
~ `
x
Corrections/Comments/Instructions.
____-_-'__-_-
0 PASS n PARTIAL APPROVAL El CANCEL fl NO ACCESS
El FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
'��, � ��~_-
Inspector: ^ Date: o �� Phone #: /503\ 718- 24'4
' `` ,