Permit CITY OF TIGARD ELECTRICAL PERMIT
��• PERMIT #: ELC2005 -00577
DEVELOPMENT SERVICES DATE ISSUED: 8/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD V LINCOLN ZONING: C - P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG
Project Description: Relocate (2) light poles in parking lot, east side of bldg. 5. Job # 251308.
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: 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 CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 11401 NE MARX ST
PORTLAND, OR 97258 PORTLAND, OR 97220 -1041
Phone: 503 - 293 -2745 Phone: 503 - 255 -9488
FEES Reg #: LIC 048748
3132S
Description Date Amount SUP 26-49
ELE 26 -496C
[ELPRMT] ELC Permit 8/12/2005 $46.85
[TAX] 8% State Surcharge 8/12/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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. _�j;
Issued By: 1 .z. Permittee Signature:
` 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.
� FOR OFFICE USE ONLY .
\f .ec>L ?ical Permit Application Received _
Date /By: , , !�r� p e rmit no.. L !//6 41 7 1
City of Tigard I � l4 Plan Review w�6�Cl I
R EC ` A l4d Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 ," I Date /By:
Phone: (503) 639 -4171 Fax (503) 598 -1960 CITY OF TIGARD Date Ready /By: I see Page z for
'
Inspection Line: 503- 639 -4175 t' , _I 0 1 UU5 Notified/Method: Supplemental Information
Internet: www.ci.tigard.or.us
.'r i ".r:." <;,?.aa•• v "1' 7^ :vu•?r.....t : ;: ;¢;, -- :: .. t : ? « -
���.:a• ° >�.,� . � ���;` =. �* . OF W,ORK� .�.. .>.{�t�.!'4:'" : %, CI'tat ..''�,:.ry &��r��..�. �" e� :�„I ^�2'�`��"'`I?LAN;I2EUIE�W' .� 3. i ", � :;F.is:'�'�
H New construction U Addition /alteration /replacemen Please check all that apply:
❑ Other: r .mm1 rN /ENG1NEERIN
❑ Demolition ❑ Service over 225 amps, comm'l ❑ Hazardous location
i '3`'1, i';. '°, hit , z'�;' > =TBGORY�:OF`G.ONSTRIJ.CTION
��� ,� ;�,����,� e CA., -., _ „_ „ , „ „- , g �,��;�„� „,, E Service over 320 amps - rating El Building over 10,000 sq.ft.
U 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
f.,._: _,..S. JOB S TE [NFORMATtONnND „ w ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: 251308 Job site address: 10200 SW Greenburg Rd ❑ Occupant load over 99 persons CI Manufactured structures or
❑ Egress /lighting plan RV park
City /State /ZIP: Tigard El Health-care facility III Other:
Submit 2 sets of plans with any of the above.
•
Suite hklg. %apt, no.: Five Lincoln Project name: Lincoln Site phase IV The above are not applicable to temporary construction service.
+',,,, ."s01 ",.;. .. i... . AFEESGHEDULE s' Oil u . ;, se't
Cross Street/Directions to job site: Description I Qty. I Fee. I Total
New residential - single or multi - family dwelling unit.
Subdivision: Lot no.: Includes attached garage.
1000 sq. ft. or less $ 145.15 4
Tax map /parcel no.: Ea. Add'l 500 sq. ft or portion $ 33.40 I
ataMlit WSW ,, DESCRIP,T®N o.E ORK`'', : -, F„ ./, Limited energy residential $ 75.00 2
Relocate (2) light poles Limited energy, non - residential 5 75.00 2
Each manufactured home or modular
a ,l: H PRQPERTY``OWNER0 1. .:. H TENANT "„ dwelling, Service and/or feeder $ 90.90 2
Name: Service or feeders installation, alteration, and /or relocation
Equity Office Properties 200 amps or less $ 80.30 2
Address: One SW Columbia, suite 300 201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
City /State /ZIP: Portland, OR 97258 601 amps to 1000 amps $ 240.60 2
Over 1000 amps or volts $ 454.65 2
Phone: 503 -412 -4800' Fax: Reconnect only $ 66.85 2
Temporary services or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1
Owner signature: Date: 201 amps to 400 amps 5 100.30 2
401 amps to 600 amps 5 133.75 2
VIJ
r- " , `�rRPPL;ICAN t v,"'‘ `? 4 il' ?;a't` 2.., r z r' ;'". U" GONTAQTzPER e._ , SON, < Branch circuits - new, alteration, or extension, per panel
Business Name: A. Fee for branch circuits with
service or feeder fee, each
_branch circuit $ 6.65 2
Contact name:
B. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit 1 $ 46.85 46.85 2
City /State /ZIP: Each additional branch circuit: $ 6.65 2
Miscellaneous (service or feeder not included)
Pump or irrigation circle $ 53.40 2
Phone: Fax:
Sign or outline lighting $ 53.40 2
E -mail: Signal circuits(s) or limited -
:t tit, A IMA' .< „R ..' .:€,.:CONTRACTOR < ....... ,... _ I , . jn.a v energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2
Contact name: Each additional inspection over allowable in any of the above
Per inspection $ 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62.50
Industrial plant per hour 5 73.75
I1P2IM ATSWIWLECTIVal. PERMIT EES , s .. -lk
City /State /ZIP: PORTLAND, OR 97220 -1041
Subtotal 46.85
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 3.75
CCB Lie.: 48748 Electrical Lie.: 26 -496C ISuprv. Lie.: 3132 -S P\ TOTAL PERMIT FEE 50.60
� r, \"1 / . f/J 1 This permit application expires if a permit is not obtained within 180
Suprv. Electrician signature, required:
days after it has been accepted as complete
Print Name: DA ELL MCNEEL Date: 08/09/05 * Fee methodology set by Tri- County Building Industry Service Board
Authorized signature:
J�, \ "Number of inspections per permit allowed.
1���4 / ” 1�
Print Name: DARRELL / / / MCNEEL G
A
F TIGARD
BUMING DIVISION PERMIT #: ELC2005 -00577
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/2005
Phone: (503) 639 -4171 / nituti\N4
Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_.,
INSPECTION WORKSHEET FOR DATE: 99/9/2005 TIME: 7 :09AM PAGE: gg
SITE ADDRESS: 10200 Sit! GREENl3URG RD V LINCOLN CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: LINCOLN SITE PHASE IV
DESCRIPTION: Relocate (2) light poles in parking lot, east side of bldg. 5. Job # 251308.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.293 -2745
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255.9488
Inspection Request Scheduled For: Date: 902005 Pour Time:
Code # Inspection Description C• - • # Contact # Message
105 Underground/slab cover 0 5' 7 -01 971-506-0735 N
Corrections /Comments /Instructions:
Qcz..o%J t 0 it 1 V m'l N •'aN(L cep .
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918 - 271 -0030
�Th, PASS El PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL I l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: \J ( Date: Phone #: (503) 718- 2-4%
. i
CITY OF TIGARD .;
• BUILDING DIVISION
. A PERMIT #: ELC2006-00577
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/2006
Phone: (503) 639-4171 A , .
Inspection Requests (24 Hrs.): (503) 639-4175 Ali■ SL,„ 1
INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 52 1
SITE ADDRESS: 10200 SW GREENBURG RD V LINCOLN CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
[ PROJECT NAME: LINCOLN SITE PHASE IV
DESCRIPTION: Relocate (2) light poles in parting lot, east side of bldg. 5. Job # 251308.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/31/2006 Pour Time:
C. • - : - tion Description Confirm # Contact # Message
199 Electrical fina 038989-01 971-506-0735 Y
--,...-------
Corrections/Comments/Instructions: AOA (\N H--\ (-- ,
---,
..)Kk PASS fl PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: c a 1 6k I Phone #: (503) 718-20) '
N■ i
. , _ •