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Permit CITY TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00959 DEVELOPMENT SERVICES DATE ISSUED: 12/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00700 SITE ADDRESS: 10100 SW GREENBURG RD PKGAR ZONING: C -P SUBDIVISION: LINCOLN CENTER COVERED GARAGE LOT : 007 JURISDICTION: TIG Project Description: Replacing 208 fixtures in (3) parking structures, addresses: 10100, 10260 & 10450 SW Greenburg Rd. Job No. 9424 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: PER HOUR: 1 401 - 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 DAN CORRELL ELECTRIC INC ONE SW COLUMBIA ST #300 PO BOX 16785 PORTLAND, OR 97258 PORTLAND, OR 97292 Phone: 503 - 293 -2745 Contact #: PRI 503 - 761 -7299 FAX 503 -761 -2178 FEES Description Date Amount Reg #: SUP 4686S [ELPRMT] ELC Permit 12/15/200` $62.50 LIC 67336 [TAX] 8% State Surcharge 12/15/200' $5.00 ELE 26 -103C Total $67.50 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 suspende r more tha 80 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules set forth in OAR 9', 401 -1010 through OAR 952 - 001 -0100. You may obtain copies of ttes'tsrUtes or direct questions to OUNC at 503- .46-6699 or 1 -800 3 Iss ed By: l' / I. 4_,Alk Permittee Si • 011W,i,, r J., :ef !/r�� 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: — w 1 NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: met. ' /��— 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. DEC ,14 2001 3:20PM KP LFISERJET 3200 5032016833 p. 1 12/14/2005 14:51 FAX 5035981960 CITY OF TIGARD C7} 001 . .. H. E leetri w Permit Application is i i; u 1I i l t: l: t ,..:I. t 1 \ 1 , R....iv.a , City err Tigard '. /a aS a 9X Io,t„r No- Eke-c91/95 95? 13125 SW Hall Blvd., ' ; OR 97223 plop Review mu Phone: 503,639.4171 Fax: 503.598.1060 Dade • Other Pamir. Line: 503.639.417`Tr 1 4 2uQ -- ►-1J•- ,..` I J 158e Rd • • :y. ``"' „�/,' II Internet: www.ei.ti 3. rd.or.us Nod istildelbad: `L(,� .- T1,^ n on 7. ' - / PI cue check all slut apply: 0 New construclion BUILI. ' drjlioin%afteratiaa/>cplacemetu l 0 Demolition ❑Other: Li Service ova 225 amps, comm Hazardous 'I 0 location Service over 320 - ming ❑13uildng over 10,000 sq. ft., . : ''' : !'•'...:;'CATE+l:OA o cor'1`R I t1C73031 ', .. ' : :: ...: +`:'. .... ofI- an42- familydwelings 4or mare now residenoal • [J I - and 2- family dwelling nmerciaJ/industrial ❑ Accessory building ❑System over 600 volts nominal units in one swtalre ❑ Multi - family ❑ Master builder ❑Other: 0511 !ding ova throe stories ❑Feeders. 400 amps Cl more l ❑Occupant load over 99 persons ❑Manufacaued structures ar • . :Idt�W'ST.PL (SYPURMAT10N'i !D WCAT*O[f.:...'. ` 7,, . 0 E6ressnightfng plan RV park Job site address: /Azeo ),, Job no.: � ',`,LL / z jj 4J M 3 00 -' . OHealttrcarc $,et ❑ OOcer: Submit 2 iris ofplans with any of the above. City /Stete/Z[P: T• G/f f O 0/ The above too not applicable to temporary conaouetion service. v �- t tA? . ... ,„ Snite/bldg. /aunt. no.: Project n me: /7 ft/C v / ©4.J Cross streer/direaions to job sit, f , 6/1!"'CV/I., ,e,2 6 144 New resideatiel single -or mdti4au iIY dwelling wait. Includes autos had gamey. • 1,000 sq. IL or less 145.15 . 4 Subdivision: Lot no.: Ea_ add'1500 sq. ft or portion 33.40 I Limited a/ a<gy, residential 75.00 2 Tax map/par el no.: Llittited 7s. 0 -res ea a o 2 . . ... •":•.:': 17ON 'OI►'•,WORIe : .. .. Each manufactured or modular • ic •L° / '_ o P lam ')cre� 4c°f i,/ dwdlinn. service and/or feeder 90.90 2 �( Service, or feeders installitioa, alteration, wd/sr rekeatlo K :, , f7V wG/ � e 200 amps or less j B0.30 2 1 201 amps to 400 amps 106.85 - 2 '•'.••:,:-........:...:: ;n , 'la - �or>k+at+li�awlrl�;: : .'....f.• l ., ., >: . . • :�: ❑' `retvJ�l�l.; .. , • 401 motto 600 amps 160.60 2 . Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.61 2 Reconnect only 1 66.85 j 2 City /State/ZIP: Temporary services or feeders Imtallation. alteration, sad/or Phone: ( ) I Fax: ( ) retaealioa 200 amps Cr ICHS 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 . amps to 400 snips 100.30 2 inten/lod for sale, lesrsc, rent, or exchange, according to OAS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner sign nitre: Date: Breach cireutts- sew, alteration,ormenials., per panel ”{ '' itgli'foPR; : • • a ,. ' •. '; •. ❑.co .to cr PEn$OM t,, A Fee for launch circuits with strike ar c Business name; breach circuit icut fee, each 6.63 2 - B. Fee for branch sir al its Contact name: wirhour service or feeder foe. 46.85 2 • brat much circuit Address: Each net branch circuit 6.65 I 2 City /Sttlte/ZIP: Miacellanco,s (service or tkeder not included) Phone: ( ) , F es; ; ( ' Pump or irrigation circle 53.40 2 Sign or outline lighting 5340 2 E -mail: Signal cirtvts(s) or limited- ,..,...., c; ..i, •::'; , . . i' Gi'Q R;.. ;,. ;, •. 7. :74 energy panel, akcrstro or 0 ' /LAG.. /LAG.. N : extension. Describe: Page 2 Busittcss tlame:7i} -,,� /( (o j L • Each additioaat inspection over allowable in soy of the above Address: , Qa)c. / 6 v 7 — frerld-,4, Per Inspection 63.50 41 1 Ci /Stattc/ZIP: 2� Inv, tion er hoer (I hr min) 62.50 ry �oR7 1'�� �i p Phone: (5'T) 7G! - ?*°1 I Fax' (,[° j) 7!:/ —y l '7 g j.. lad •..:, 1p1antpurh n " ."":'.,' :.; .::i ,. : •, CCS Lic.- 7 3J 6 Electrical Lie.: -( 0 3 a Suprv. Lic.: // f- - . P41 ERA »i Subtotal 6). �� a'D Suprv. Electrician signature, required: ( Plan review (2596 of permit roc) Print name: me: / Date: State surcharge (8% of permit fee) 5 -- Pri �/g� CB S /[ti ! / Dt �" J —' TOTAL PERMIT FEE 7 _ - � 1 A Authorized signature ( 1Z—L -1 - 711, permit appliaar 4ap n e. l.ra If a permit let obtained Within inn /y ( deye skiff It he Ass accepted a sowplato Print name: ` / •� a , , r I Date; / 2—/ / ' 0 • Fmiee hodotoo• id byvd�wry Building iadusoy Sconce Band • tr E °• Number of inspect; tins per wash allowed. • is Saildiensen,da \ELC -Pnttu ste.d 17103 eee W¢a • 17/s, CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200S-00969 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2005 Phone: (503) 639-4171 Reare Inspection Requests (24 Hrs.): (503) 639-4175 II INSPECTION WORKSHEET FOR DATE: 12121/2005 TIME: 7:01AdVi PAGE: 29 SITE ADDRESS: 10100 SW GREENBURG RD PKGAR CLASS OF WORK: SUBDIVISION: LINCOLN CENTER COVERED GARAGE LOT #: 007 TYPE OF USE: ' PROJECT NAME: LINCOLN CENTER PARKING GARAGES DESCRIPTION: Replacing 208 fixtures in (3) pakng structures, addresses: 10100, 10260 & 10450 SW Greenburg Rd. Job No. 9424 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: DAN *RELL ELECTRIC INC PHONE #: 503-761-7299 Inspection Request Scheduled For. Date: 12/21/2006 Pour Time: Co. - Inspection I - • .tion Confirm # Contact # Message 93 Electrical final 023851-01 503-201..6833 Corrections/Commen s ions: • PASS PARTIAL APPROVAL LI CANCEL fl NO ACCESS FAIL I I CALL FOR INSP CTION El ADDITIONAL FEES ASSESSED Inspector: Date: 142.1105 Phone #: (503) 718- Z-1114