Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 - 00010
DEVELOPMENT SERVICES DATE ISSUED: 1/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG
Project Description: (22) branch circuits.Job #166.
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 FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 21 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 WILLAMETTE ELECTRIC INC
ONE SW COLUMBIA ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: LIC 75059
[ELPRMT] ELC Permit 1/9/2006 $186.50 SUP 1965S
[TAX] 8% State Surcharge 1/9/2006 $14.92 ELE 34 -283C
Total $201.42 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: A",
OWNER INSTALLATION ONLY 44
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.
JRN.09 2006 9:22AM HP LASERJET 3200 p.2
Electrical Permit Application
FOR OFFICE USE ONLY
City Of Tigard ` - Received — , - ,i6
Permit No r /04)
13125 S W Hall Blvd., Tigard, OR 97223 n liE „. �Q 6
Date/By: R (/
Phone: 503 639 4171 Fax: 503.598.1960 g '''a:xt ,� Plan ne�ew
c , 4.), I Date/B • : Other Permit:
Inspection Line: 503.639.4175 JA, 5 2OO1 ! _ I j c. • Data Ready /By: ® See Page 2 for
Internet www.ci.tigard.or.us Notified/Method:
Supplemental Information
't y TF
i : { • I ``.. lfrig a-.. t l,, `� s_ � r F. , �t f -; .°' r xt,Fl ,:,r tw :: i.2 J:qi ';? .2/_. �qt, i • &ibi _ .
a , ...t::.1 , 4- , ,...-, A T 34' Nh ' I 5 w @ ti T r=� N , y F '1 .;- Sx el,�� I , e .,;: 1 , r t
u.... � fir r . ,!� t esr !t i s s fr,•`. 11"
•?Sn ��6i�, '�LiHL.�kf.�' .4h�R t�LB!A1 S "fs , IS4'1tSSh � • .r'a:�irv S� "i ,i.hiPn'nt;trr i ..kp�'4 •k',�",•."�t'� , i ... M i'^ ...44- . ?;`d'� �i�'. �. � ,' - ..
❑ New construction :t Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other ['Service over 225 amps, comm'l Hazardous location
w � tw t'' . ' " O tt , i :,. F do's , ,, , ? el .; �t • a, ❑Service over 320 amps - ❑ Buildng over 10,000 sq. ft:,
� M tk t all . ..i 1Lb � , v et 1 : ";• ,�`�Qiii.; ; , k'i iP A:,% "'..lf_ s s i of 1- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling El ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi - family 0 Master builder ❑Other:
i t, „7at €k e. a,r r s ❑Deco ant load over 99 persons Manufactured structures or
I3 x. , ltr� v , s1,t: i iit� l f atxai s ” l r, r. P P
. ,.r.:.s,.... s41;,, 1,'.7 ±rev i ,'g iii? 1�= ? , ,% ! 0 -1'9 , ,6 ' 4 ? ❑ Egress/lightingtilan RV park
DHealth-care facility ['Other: no.: / id r Job site address: / O 2047 5 /' - t.rt k ) 1.4A.5 t2/
�� Submit 2 sets of plans with any of the above.
City /State/ZIP: - T t . i4 17 The above are not applicable to temporary construction service.
Suit�/bldg. /apt no : 4 Tc1 Project name: p i+'�: oil "'t w ;n R; • 1 r
r
1` t � � S r e 4- ` p J -' Description Qty . Fee. Total '"
Cross street/directions to job site: S c/ 1 ; J New residential single- or multi- family dwelling unit.
S C , ■.. Includes attached garage.
1,00D sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax trap /parcel no.:
Limited energy, residential 75.00 2
r'a r. ^zp�- ,.a.,::,,.r: x Limited energy, non - residential 75.00 2
�W ��.� t�l-F;�t ��`ta,ero��..,� `��:lilri,�ra�iu�s, ,a,;t�b ia"..�ts;4r,t���,rt }�• • '�ingE >� ��: Each manufactured or modular
• dwelling, service and/or feeder 90.90 2
? " e "' . ° I (i' i9 it 0 1 ' '4 IL._ e, Aft- Services or feeders installation, alteration, andror relocation
200 amps or less 80.30 2 _
L e tr 1 /1 . i a v, t i t , nt a •` ` v i i Yty l �t� W3' I5i '' 2 0 1 a s to 40D S
iios + # ' 4' ( alit , ” l t .s ' . s ilrdani,1• "! 110, rA . ,r , ,+'# like ` ; i ,:. 11 ` mP ainP 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: ( ) I 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 anel
mil` ',; 1 .. a t V;2/ li g f '' tor i i
zr� fi tt i 4. m l '' "t )k'i v: A Fee for branch circuits with p I
i _ . : � 4, ' ti_i .0 ...em :, fi 9t t.a art . a r' Al k t tl t;1 e'SN9' #' t' t"I ^ sue di 4 5e h�i ° r... �>x:;}t14.�� ll
service: or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, y /
Address:
each branch circuit t 46.85 2
Each add'1 branch circuit L( 6.65 M 3` 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( or irrigation circle 53.40 2
( ) Fax: ( ) Sign or outline lighting 53.40 2
E-mail:
e'iit, r t y , Y.y't tni } , ;.�� , , t, Signal circuit(s) or limited-
::,. - ,.-..
Y,.: r i e a ° nor 7 I N ti d ii Y? .t. C fi fy 'ry d r gt '" <j "' ene panel' alteration, or
i ."-I: .1 .. !,l L . a `"r -. ftl }... ; 1£ I£sxk Win a � t , . . &y p
extension. Describe: Page 2 2
Business name: Cdi, A 4.0 ,� 4.0 e r. ,, (t.,T0 is i„, t' _
Address: D a g.„" L, ,. _. ,/ Each additional inspection over allowable in any of the above
City /State /ZIP: 7� C 1
Per inspection 62.50
i t yt lL 1!� l J /‘ — of 7 jii I Investigation per hour (1 hr min) 62.50
Phone: ( Z3,) 4,2,4 - 3 4,•i ( Fax (-V ) (a2 _ z- g... Industrial plant per hour
�i F f "� ',�'41u.4+ 12 �'n �s'� 3 t`� '�
CCB Lic.: �C) q Electrical Lit.: 3,4_ 76-3 L Suprv. Lie.: K1N�1.` R :t5}t _"' 1 ��r,V,i .riM, } �,'u Subtotal i�` =i: ;::::< .r�,•�:
�� � 5 � Subtotal l fr G, c-6,
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: t ce Date: , - _ �� '' State surcharge (8% of permit fee) / Y t Z
J ._
�
Authorized signature: ` i
J --;.2.- TOTAL PERMIT t<EE y L
_ This permit application expires If a permit is not obtained within 180
clays after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri County Building Industry Service Board
— 44 Number of inspections per permit allowed.
BSI" itding ,Pem,its\Et,.GPerndtApp.doc 12/03 440 -461 Sr(1do2 /COMIWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11912006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7:02AIVI PAGE: 62
SITE ADDRESS: 10200 SW GREENBURG RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: (22) branch circuits•.,,lob #166.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 603-624-3631
Inspection Request Scheduled For: Date: 2/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 026221”01 603=624-3631
Corrections/Comments/Instructions: •
6
C-O J t g tsNiLy.
b
NT cm\rad... t_g. utg
Lc. 0 0 • 4 (tislie
PASS 0 PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
fl FAIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Cr' o6f3Le Date: 2'3 -0 I, Phone #: (503) 718- •
...._ .
CITY OF TIGARD
BUILDING DIVISION .,-,
.? PERMIT #: ELC2006.0001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2006
Phone: (503) 639-4171 , Ar gi t i lka
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/27/2006 TIME: 7:00AM PAGE: 76
SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: (22) branch circuits.Job #166.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEJ cE. ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: •/27/2006 Pour Time:
Code # Inspection Description • • • as # Contact # Message
130 Ceiling cover 025863-01 503-6243631 N
Corrections/Comments/Instructions:
,.
CD 6 0 GO fk LL &r i NI c.6- I Li
0
1- PatAl 101 6 IOU , ta, - • 8
o s o l z . y g G i t i f T L -‘ -
% ' c _ E ; LIN u or, L A LL
t s i iiiet\6 pitz. ,1.3 17 fx A, OD tip()C2-11 \IC ,..
0 PASS 0 PARTIAL APPROVAL 0 CANCEL [II] NO ACCESS
;II, FAIL * CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Arm li Date: lb-7A 6 Phone #: (503) 718- 24q ts
CITY OF TIGARD
,. .
BUILDING DIVISION PERMIT #: E1C2006-00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2006
Phone: (503) 639-4171 4Mai ,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03Am PAGE: 57
SITE ADDRESS: 10200 SW GREENBURG RD . OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: (22) branch circuits. Job #166.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEFTE ELECTRIC INC PHONE #: 503.624-3531
Inspection Request Scheduled For: Date: 1/19/2006 Pour Time:
Code # Inssection Description Confirm # Contact # Message
125 Wall cover 026262-01 503-6243631 N
Corrections/Commen s nstructions: -
•
X PASS 0 PARTIAL APPROVAL Ei CANCEL fl NO ACCESS
fl FAIL I 1 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ---- N 6e LfE Date: 1 ( MIN) Phone #: (503) 718- 1-110,
•
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: FLC2006-00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: tigi
Phone: (503) 639-4171 i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2110/2006 TIME: 7:04AM PAGE:
SITE ADDRESS: 10200 SW GREENBURG RD 'ISO CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: (22) branch circuitslob #166.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631 -
Inspection Request Scheduled For: Date: 2110/2006 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
199 V Electlical final 026663 603-624-3631
Corrections/Comments/Instructions:
Rc\7 'irek , C0 nE)N1 ?t-o(*x5 14) wd4-,)
NYAc:14 rc: rC.‘0,P,11,
PASS EI PARTIAL APPROVAL EI CANCEL 111 NO ACCESS
I I FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: - / Phone #: (503) 718-