Permit f j
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00445
DEVELOPMENT SERVICES DATE ISSUED: 8/11/2006
I 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 Description: Demo and space prep.
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: 1 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: 503 - 293 - 2745 Contact #: PRI 503- 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 8/11/2006 $53.50 LIC 75059
[TAX] 8% State Surcharge 8/11/2006 $4.28 SUP 1965S
Total $57.78 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: ds)-
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.
RUG 10 2006 7 :01RM W BFNI T ELE CTRIC 5036242939 p.2
+ .. tea ^S c•3 -ie" r'ta :l,tis ;; °;,,:tz t: ^� 0 '. - ,- ,.., ':,,.:•e ;;k.rt- . °Y' _ 0 ,� . "'. ,i=ds,-" „-.,,,,
•
• .` p :,: . .cam -5
O l 14 D a t a, 1 , c a - r nrly 'i
NR,,... 503.639.4171 F:ax' `II 7 ( 1 O +,, ,/.�
tnInspection 'me: �O:a.639.4� S � G �)‘'A � r;=� I,,,, , .. -- - -- - - .. .. ._..... - - ���� �/
-
(� - - sue.';. .' G �, i Et -s Page Z 7"cr
interact: www rr NCniGed/Methr, ?1 - - -- 1 - i ;u lem II IaI III
& §11 p, . I 3 PP a I ()„ a(IJi�
•
_ _ i . Ir- E ;: ? ' { ” . `;� 5 � .�,pF� .... rim : . I : • _ _ _
a 5` 'i, N ; i S ' 0.: TA k i... i. ."- ,dt. ' 7 6 `s : ,• •- . ° r u : '.+ t I .
r 1 , _ _ '.t 'I tiv( p-E1IE�la
1 ` >i 1 a that apply:
Please check ll tht l
❑ New construc
❑ Demolition ' i " ' h l ai . " ❑Service over 225 amps, comrn'l ❑ Hazardous location 7 . .t yr; r e , , 3iv '' • • ' t -:`� 69' ' Bois t E L . - . 8 • Tel: `' : ' ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
., .. , -<, f.a ...,. ?„,> .xEt ; ca : r - ti . .,�'' o l - a nd 2-family dwellings 4
a•.d A: �s y ]lings or mm•c rew residential
' do I l /industna
❑ t ommercial ❑ Accessory buildin
1 - and 2 - s w ❑System over 600 volts nominal units in one structure
� �" ` ❑Building over three stories ❑Feeders, 400 amps or mere
❑ Multi - f -. , ❑ Master builder ❑ Other
d r �g��- ,� ❑Occupent load over 99 person ['Manufactured structures or
a t- 'Si stq a a a S a a I e a :igi¢r �i •et - 5 1 1 R V park
ig , ,i ,,,, >r z Al.f *i i s k ' . . cl ;'4 ! r , . 4,1, i ❑Egress/lightinp plan P
Job no.: 7 Job site address: Zell.? i / ❑Hea]th - care facility DOther. _
�' " ".. ' - Submit 2 sets of plans with any of the above.
City /State /Z ': The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: / l 6 Project name: z S w
L . ; '
Decdptaon Qty, I Fec i I Total `
Cross street/directions to job site: New residential single- or multi family dwelling unit.
fl � S ft or l Includes attached garage.
C 1,000 sq. ft. or less 145.15 4 —
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion _ 33.40 1
Tax trap /parcel no.: • Limited energy, residential 75.00 2
� <r i, t ' � r -� tr . I t _ r r; , Limited energy, non-residential 75.00 2
,a ,,. ':,t oitt ., • -1€5 � 4 .„ „a°cr 4 i , , ,,,a ° _ � # : ? I >,,om -mks,,; y Each manufactured or modular
0 dwelling, service and /or feeder 90.90 2
1 - -4 .4.•-4: ` .' , ) Services or feeders installation, alteration, and /or relocation
I 200 amps or less 80.30 I 2 ,
i 4 lit . 74 t a • �R t u r '>_ t ' � ; r ' - c.es 1 ; t ,.- ,. r '`t ,,, 201 amps to 400 amps 106.85 , 2
�' %.. rS .-., St.Lad' atti - gm ..a.4' .; 'i` t. ." 5�e! -w.. -, 401 amps to 600 amps 160.60 1 2 J
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
r -tb ra " r ts^ a r
a, �','r { tv� — L 1 � � r r £ -1' S F,(;a t�l� �c p r , E *: A - Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, / 46.85 t i,6_
� 2
each branch circuit
Address: Each add'I branch circuit / 6.65 6 `� 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) • Fax : : ( )
Pump or irrigation circle 53 -40 1 21
Sign or outline lighting 53.40 2
E -mail: i j
Signal circui[(s) or limtted-
a - a a L e h v la ,, e ; ' ,, r :r --ar ;n i ; net, alteration,
Ess ,5,. -'3 �° .w� ;r t � , �1i, k:, ,. ..,. _ � , ra �" ry- ?.::y.- _ energy FOn, or
Business name: extension. Describe: Page 2 2
� cr � .
Address: 4 � Each additional inspection over allowable in any of the above
F . Aa - ai -� - - s - --
-- Per inspection 62.50
City /State /ZIP: .- ,.. •
.mod i� —_ Investigation per hour (1 he min; 62.50 ________
Phone: ( t; r �* )t Fax: a) ,/, 9 ' Industrial { punt per hour 73.75 _
t (il'" Y `' ` i ' k' 8:10' '.{' I . , g e .� : "' 6 ,, , ...
CCB Lic.: Electrical Lic.: • r(�1.,< ej, Suprv..L.ie.: , it ie •i Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee) ___—
Print ttanae: �q l Date: C _Q State surcharge (8% of permit fee) C.1 2_ - i
!� TOTAL PERMIT FEE 3
•
Authorized signature: '��
Thin permit application expires If a permit is not obtained within r .
—
Print name: Date: days after it has been accepted as complete
Fee methodology set by Tri- County Building Industry Service Beard
\ —' a'• Number of inspections per permit allowed.
i \Building\Prrmits\ELC- Pu doe 12103 490 - 46t Sr it 0 /c12ic O■/WEB
----,-, -
•
CITY OF TIGARD
, v _
BUILDING DIVISION PERMIT #: ELC2006-001145
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/11/2006
Phone: (503) 639-4171 )6,
il
Inspection Requests (24 Hrs.): (503) 639-4175 ial l
INSPECTION WORKSHEET FOR DATE: 8/3112006 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Demo and space prep.
OWNER: EQUITY OFFICE PROPERTIES TRUST. PHONE #: 603-293-2745
CONTRACTOR: NUNN& I I E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 8/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 03586.5-01 503-6243631 N
L 1 Net C..01N7aL
Corrections/Comments/Instructions:
Do Ner co v- .c.. i Li t.) o vii TR t a
s...... ssb . of ( -
1 1
I X PASS 0 PARTIAL APPROVAL fl CANCEL I I NO ACCESS
fl FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G-- . \1\I be) 1..i Date: 4 Z *I 1 4 0 Phone #: (503) 718-
_