Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00291
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/29/2006
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Low voltage for fire alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC
ONE SW COLUMBIA ST #300 PO BOX 87387
PORTLAND, OR 97258 VANCOUVER, WA 98687 -7387
Phone: Contact #: PRI 360 - 737 -9725
FAX 360 - 737 -9648
FEES Reg #: ELE 37- 428CLE
LIC 67787
Description Date Amount
[ELPRMT] ELR Permit 11/29/200€ $75.00
[TAX] 8% State Surcharl 11/29/200€ $6.00 REQUIRED ITEMS AND REPORTS
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 susp nded for more -thin 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain .opies of these rules or direct questions to OUNC at
50 .246.6699 or 1.800.33 . 44.. /J Q y
1 ued By: r' \ )76 _ Permittee Sig ture: Air
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.
" E Pe'r`mit Application FOR OFFICE USE ONLY
Received /� gi Permit No.: G L 'aLIQ� .. .Aw
City of Tigard Re
Date/By �� �9 u
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 , , �v t. ,.. DateB . Other Permit:
Inspection Line: 503.639.4175 a y. Date Ready/By: � ® See Page 2 for
w
Internet: ww.ci.tigard.or.us Notified/Method: Supplemental Information
rf;^;;;� �^ �' �;�_• rs� °,a..;� - �uxa: cs-'� �':3s,.:w .9"� "�- � - - Y .,,�u.;� a a .�,s�s. —„
�r;� , ,�`!�; f atOA:l , ,.'�.� g ;TYPE, OF.r WOit7k a� x _ "' e. .:... : ..:
•�� � .. �'' � -., � ��. ;� �� ��r -�,�.` �.� =��.. :� ��� � �� PIAN�EVIEW "�� X tr. :
❑ New construction S Addition/alteration /replacement Please check all that apply:
❑ Demolition ❑ Other:
0 Service over 225 amps, comm'I ❑Hazardous location
Imo " = "; si'...: r, > - ;: , .•, �;. -.,. - . " :. '_:; § , ;r - ;: - . ❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
t .4_.:':•, ''--i, . CATEGORY° OF 1 t � A of l- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Building over three stories 0 Feeders 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
ka _ ,M ,,•. ❑ Occupant load over 99 persons ❑Manufactured structures or
�td g ng plan
RV ark
❑E hti P
Job no.: " Job site address: �� ❑Health -care facility ❑per:
I oat:3 t0 � W 6 if k� 1 y ' Submit 2 sets of plans with any of the above.
City /State/ZIP: . p V \ , 1/4 (1) i e � 1 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: � ' FEE* SCH EDUIk ' '"
;CO Project name: G � W�12.i�j .._. _. F , _ .,,
Description I Qty. I Fee. I Total I
Cross street/directions to job site: 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'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
°'s . , " , l 7`` DESCRIPTIOP1 ,Of WORKf l * M az A` 1 Each manufactured or modular
i ,aVVv S t_ .3 ( .- / s P n „ b L e S dwelling, service and/or feeder 90.90 _ 2
I C / V U Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
it ;;`, -; 105Cii TY OWNER air i i "NiT ®t 1'ENA ifiNVO” 201 amps to 400 amps 106.85 2
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 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( )
relocation
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
�� as v s ® APPL CIANT` 4 , ` i r i ® O NTACT PE ' a Fee for branch circuits with
"�_ ` �`{ ` a _ service or feeder fee, each
Business name: )1,441/1/1 Li A` C Lv "� branch circuit 6.65 2
� ^ Fee for branch circuits
B.
Contact name: c - g w ithout s ervice or feeder fee,
�l —> 46.85 2
Address: 1 d et - c "� _ t�
each a branch branch it
Each add'1 branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or f eeder not included
y ( �u� �� LA L(}` ( included)
Phone: (.3(p)--)3—) ? ) l- Fax: : (...3.(..‘,.)•03-2 / 6 y r Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
- », .,!. a ` .>-'` -- sZ�.,� .�..,..�. 3s -•ssr
energy ' � �, -. .. �:> g : ' � r �,; �COIVT,RACTOR.�� �`��t�:�5a�.�'r a "f�` .:. ,���� Pan el, alteration, or
Business name: F extension. Describe: Page 2 2
�'vl/1 V/1' fc l VI' i. C Ck,` L
Address: 1P C Q v ✓ 3 7-1 Each additional inspection over allowable in any of the above
, !� /J • Per inspection 62.50
City / State /ZIP: i .i�l�� may /��t) V '- '✓ Vim-' (j4 Investigation per hour (1 hr mm) 62.50
Phone: (3p) )3 ) 9- Z S Fax: (3e -)3-2 C, 6 y s' Industrial plant per hour 73.75
I "�� tLECT
CCB Lie.: C.).)') - 7 Electrical Lic.: 37 Clt,: Suprv. Lic.: b ?v Subtotal
Suprv. Electrician signature, required: ` " " "_ ` . ., jt,Ai' , Plan review (25% of permit fee)
`�"� State surcharge (8% of permit fee)
Print name: LV\--Yr-U ii, ?� ,,
1 Date: 1 TOTAL PERMIT FEE
Authorized signature: / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: `f"O s S 'B Lts ("C‘X.,--) Date: ( - 7 ' • Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
1 \Building\Permits\ELC- PermitApp doc 12/03 440- 4615T(10/02/COM/WEB
CITY OF TIGARD
-- - BUILDING DIVISION
4111110 PERMIT #: ELR2006-00291 - —
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639-4171 i ttpli
Inspection Requests (24 Hrs.): (503) 639-4175 . ..„.._%fr ...
INSPECTION WORKSHEET FOR DATE: 12/29/2006 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: L vo f fi a
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360..737..9725
Inspection Request Scheduled For: Date: 12129/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041662-01 603-780.3222 Y
Corrections/Comments/Instructions:
TL N.Al... PE - r4b i WA TE67 A e pR.4,4 AL
■ IS \-) ‘‘' ( \ 1 6 i 06f\I 1
' 1
•
4 .
PASS I 1 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: N 6 Dathy-24 34) Phone #: (503) 718- _744
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00291
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639-4171 lo A 1\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1202006 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Low voltage for fire alarm,
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
Inspection Request Scheduled For: Date: 12/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
- 135 Low voltage 040635-01 360737-9725
Corrections/Comments/Instructions:
)(PASS I I PARTIAL APPROVAL fl CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 6 LC Date: 12 /" 6 6 6 Phone #: (503) 718- ZLIO■