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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00374 COMMUNITY DEVELOPMENT DATE ISSUED: 6/4/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 180 ZONING: C - P SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG PROJECT: GROUP ONE LENDING Project Description: TI new and relocated switches, outlets and lighting. 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: 8 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: Contact #: PRI 503- 255 -9488 FAX 503- 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 6/4/2007 $100.05 LIC 48748 [TAX] 8% State Surcharge 6/4/2007 $8.00 SUP 3132S Total $108.05 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: 4 Permittee Signature: 4 - f ) p f ( CQ. C 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. • �'s FOR OFFICE.USE ONLY lecti.ical Permit Application Received C.� � Date /By: )-1/o-1- _ Permit no.: L `c zw __ i s City of Tigard 1(' Plan Review •� �O .\ r1 1 " Other Permit: CI LN - i`I _.a, 13125 SW HALL BLVD., TIGARD, OR 97223 � 1,11 Date /By: Phone: (503) 639-4171 Fax (503) 598 -1960 ; _ • . WARD Date Ready /By: • See Page 2 for Inspection Line: 503- 639 -4175 G! -{V Or ` � 1 ( \elN4 Notified/Method: Supplemental Information Internet: www.ci.tigard.or.us ` �� ti. .,, ,m p':,,_ 1- 1vFAc.. .=' ',e�['SI'*PEcil�`=W..nmv.. >.k i, r.,�.�?4 :.,.. °,UV l��°ars.s�. _.�., V,aPLAI?REYW WU MPAI„._ .,+i n. Li New construction 0 Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories - � _,- 5. ----.a a.; . .� 3. � �� . ,`" '��- x Cr�TEG®RYfOFC® - , ST�RL7C�ION��;��?�,,, 0... , _Zl :45-_,.- „tl2, - where the available fault current 111 Marinas and boatyards LJ I -and 2 family dwelling 0 Commercial /industrial LJ Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Multi family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural t r . l . WNS[TE INFORMATION ANDTLQCAT10N' 2 ' l'IK:Natialiling. amps for all other installations. 0 buildings Job no.: 270624 Job site address: 10200 SW Greenberg CI Fire Pump CI Installation of 75 KVA or ❑ Emergency system larger separately derived system. City /State /ZIP: Tigard, OR 111 Addition of new motor load of Ill "A", "E ", "1 -2 ", "1 -3 ", 100HP or more. ❑ occupancy Surtc bldgJapt. no.: 180 Project name: Group One Lending 111 six or more residential units ❑ Recreational vehicle parks. ❑ Health -care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more Subdivision: Lot no.: .... •.,,..., . >r : .,. :: > EESGHEDIJI $' _. s; ,,:'I Description I Qty. I Fee. I Total I Tax map /parcel no.: New residential - single or multi - family dwelling unit. tER, iVI =,ESGR7H,1rI0 - RW,ORK : ..,. ..n •a,':, Includes attached garage. New and relocated switches, outlets and lighting for tenant improvement 1000 sq. ft. or less $ 145.15 4 Ea. Add'I 500 sq. ft or portion $ 33.40 I r. U c PROPERTY'OWN 'le I.& "tfolLi:, Limited energy residential Name: (with above sq. ft.) $ 75.00 2 Shorenstein Realty Services Limited energy, multi - family Address: One SW Columbia #300 residential (with above sq. ft.) $ 75.00 2 Service or feeders installation, alteration, and /or relocation City/State /ZIP: Portland OR 200 amps or less $ 80.30 2 201 amps to 400 amps $ 106.85 2 Phone: Fax: 401 amps to 600 amps $ 160.60 2 503- 418 -4800 601 amps to 1000 amps $ 240.60 2 Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 454.65 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and/or Owner signature: Date: relocation 200 amps or less $ 66.85 1 R I :; MLI:f:;, � ��,`' 201 amps to 400 amps $ 100.30 2 Business Name: 401 amps to 600 amps $ 133.75 2 Branch circuits - new, alteration, or extension, per panel Contact name: A. Fee for branch circuits with service or feeder fee, each Address: branch circuit $ 6.65 2 B. Fee for branch circuits City/State/ZIP: without service or feeder fee, first branch circuit 1 $ 46.85 46.85 2 Phone: Fax: Each additional branch circuit: _ 8 $ 6.65 53.20 2 Miscellaneous (service or feeder not included) E -mail: Each manufactured or modular ; „ a „s ; 1 „ , ` K `, Ol l.T '€TOR` ;t' 'c , s; oc, ,m, ,,, .l dwelling, service and or feeder $ 90.90 2 Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2 Pump or irrigation circle $ 53.40 2 Contact name: Sign or outline lighting $ 53.40 2 Signal circuit(s) or limited - Address: 11401 NE MARX ST. energy panel, alterations, or extension. Describe: Page 2 2 City /State /ZIP: PORTLAND, OR 9 722 0 -1 041 Each additional inspection over allowable in any of the above Phone: 503 - 255 -9488. Fax: • 503 - 257 -7121 Per ins $ 62 Investigation per hour (1 hr min) $ 62.50 CCB Lie.: 48748 'Electrical Lie.: 26,496C ISuprv. Lie.: 3132 - Industrial plant per hour $ 73.75 , Suprv. Electrician signature, required: ELECTRICAL P,ERvIIT:'FEES* � t . F• ( �. `''3 , i ' Pr .;, , • Subtotal $ 100.05 Print Name: DARRELL MCNEEL Date: 06/0 Plan review (25% of permit fee) Authorized signature—„ t /4C_ li'� ,/ State surcharge ( 8% of permit fee) $ 8.00 J�G (i �'�G'�GII�� TOTAL PERMIT FEE $ 108.05 Print Name: — 6ARRELL MCNEEL This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete * Number of inspections per permit allowed. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00374 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .J INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 70 SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: GROUP ONE LENDING DESCRIPTION: TI new and relocated switches, outlets and lighting. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503-255-9488 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical Final 051103 -01 971 -227 -4267 N Corrections /Comments /Instructions: PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: &�` �'° v `-� Date: 6 ti0 O� Phone #: (503) 718- CITY OF TIGARD - - BUILDING DIVISION PERMIT #: ELC2007-00374 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 1 11-, INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7: 03AIVI PAGE: 44 SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: GROUP ONE LENDING DESCRIPTION: TI new and relocated switches, outlets and lighting. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 60325&9488 Inspection Request Scheduled For: Date: 6/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 050649-.02 971-570-6655 Pn't Corrections/Comments/Instructions: V iv c_. eiok ca c..15 Kt5 s tru■epili•t . PASS LI PARTIAL APPROVAL F CANCEL I NO ACCESS I FAIL H CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (IN\ Qtat- Date: ( 0 • 1 Phone #: (503) 718- 1)41.4 I. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00374 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s , INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 76 SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: GROUP ONE LENDING DESCRIPTION: TI new and relocated switches, outlets and lighting. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 -255 -94BB Inspection Request Scheduled For: Date: 6/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 050023.01 971 - 227 -4267 N Corrections /Comments/ Instructions: • • /1"ASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector • - U J de, ,, Date: 6` Or) Phone #: (503) 718 - 2.4%