Permit A ' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00623
it DEVELOPMENT SERVICES DATE ISSUED: 11/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG
Project Description: (3) branch circuits for cooling tower. Job No. 8449
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: 2 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 #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 #: ELE 34 - 283C
[ELPRMT] ELC Permit 11 /1/2006 $60.15 LIC 75059
[TAX] 8% State Surcharge 11/1/2006 $4.81 SUP 19655
Total $64.96 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 set1rth in Op,R 95 1 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes rules or direct questions to OUNC at
503-24 699 or 1-800-3 234� < 1
Issue By: r` �itd Permittee Signatur ?___.i 4 / (}---'
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
ti
SIGNATURE OF SUPR. ELEC'N 7 ` 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.
.00T 31 200G 7:59FIM IJIILLFIMETTE ELECTRIC 5038242938 . p.2
FOR OFFICE USE
Electrical Permit Application -
a �� [Lecerved / � Permit No.: Ei -� a
City of Tigard rd �` Date /By. /C � I Cr/ TTT
13125 SW Hall Blvd., Tigard, OR 97 __ e Plan Review Other Permit:
Phone: 503.629.4171 Fax: 503.59 A ' i G r'il': �� i'I Date/By:
• lw' �(v l ® See Page 2 for
Inspection Linz: 503.639.4175 1 2O�- ' = Date Ready/By: Information
C1 Noufied/M ethod:
Supplemental
.onus
Internet: www.ci.tigard � - _ � -- _ ,,. _;, _ _
fi
_ :......:, .. . .... .... ......:_::....,_:.„ :_,e 1 a't k: �.. - .. - �� -ter
: ...::: .t:, .-t.�a ... > ':. '
c " i /re lacernent Please check all that apply:
El New construction d� p
` ❑Service over 225 amps, comm'1 ❑Hazardous location
❑ Demolition ❑ Other: 320 amps - rating ❑ Buildng over 10,000 sq. fl ,
_ rt r . . _ ftli ,,, , , 'las: 27 Lg14 _ _i: ' j i i "Yij :: ==i' dwellin s 4 or more new residential
Service over
i'i . . o 1 an am y g
: .. .... 'r' ..; - • . :- _.. - - -,. - .,-�-' units in one structure .. ::.--- ..:. a_: _... �- .:•::,��::,�:,:- :�.x.__,x:. - <- .._:..,..._ ..__. � ❑ System over 600 volts nominal
❑ 1 -and 2-family dwelling ® Commercial /industrial ❑Accessory building DEuilding over three stories jFeeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
� d ,6 ; RV park
%,; ',...+ t 3 ' ) , ''� -, _ ' a s •ibis eh* ..:_.` , Yx : ;,, ,, , ❑Egress /lighting plan
= - ., ..:..-= ..,5: -_.S -.. _J:- •+1tP�. .... ,r._ l - « " r ; : ;. - •� r ,
.i:� ?'� '� �'� '��= i _ ❑Other:
J • ••.: L, 9 ❑Health care facility
Job no.: a' I Job site address: / 0 Z t u S w cz, e. ey 6u-.y ,t d Submit 2 sets of plans with any of the above -
The above are not applicable to temporary construction service.
City/State/ZIP: �"; y a�� a � 5 7 �, z 3 ,.::,�;.�:,; _ ��- _
City i ?:;;r•�E� r~'�;f �:_- � "�����,�_...��I �r'tr' ,:....., _
Suite/bldg./apt. no.: I Project name: C v t' , y ? L. Descrlpdon - r Qty I Fee. M1 Total 1 R*
Cross streetidirections to job site: New residential single- or multi- family dwelling unit.
Includes attached garage,
1,000 sq. ft or less 145.15 4 .
Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential
Subdivision: 75.00 2
Tax map/parcel no.: ' 2
. „., Limited e -test 75.00
.
....:.. ....,. ... ma c..::, .::�� _ ..._ _..... :M„'.::i:, <:�: ' �^
',,, r. gy, non-residential a
. , . - :: : g.:. , : : :5,gii; :.,:;:;;::_
"'- . -s::', ` Each manufactured or modular
n.r 1 ,.._..� °a,::. service and/or feeder 90.90 2
C
.:.„__....... ,. -..... Zr dwelling, s
o a /;01, 7 Ca w �' Z CC" e. / `t Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
F - °f,. - L.t: -t' _ �"': :iii= i °'. '=` z .t t :f. s 0,' 201 amps to 400 amps 106.85 2
eih: - I, -::„4:-,:;_,..,.., y g F -.. t.3 l a A l - :.s - if j-;. :::: _ t�fac; o ti p; . s . ` _'_'h..: : r K A : ag, 2
" = .�_�. `� ••a.- J1s,.r J�ze�G ��:x= _i�'::;= `tr >- �== (:lu,..� ... . t�....t >. �.- ,:.rx s, 401 amps to 600 amps 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 l
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: __ r Date: a Fee for branch circuits lte th alteration, or extension, per panel
Branch ono n, er a
„_" ; ;: :-= 5: ;; .gam -
'- �_as� :�;, !::'�;} � � ' .. »:, � ; , � each
!ol .: .,.. , k :ii; .._ . - - -4. ,:u., � - ; i4 i ,F. z '" ..,~w._:. service or feeder fee,
6.65
branch circuit
Business name:
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 V 9 - 3 2
first branch circuit
Address: Each add'! branch circuit Z. 6.65 i 3 %' 2
Miscellaneous (service or feeder not included)
City/ State/ZIP:
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
E-mail: :,' - J ' sl - -; energy panel, alteration, or
_:: �: :` A t e 91'i:r= ;.x::M:,; Pa e2 2
_ -" ' %!;• - �'E= •sr'r::�" �., : . . ,.. ._.�,;;:��= = " --,: .. extension. Describe: g
Business name: , / I I -.1,4, ett Q / / e t trr- r... 4
`�" ' Each additional inspection over allowable in any of the above
Address: P O 8- ev- • 2..i 0 -SV) Per inspection 62.50
•
e 7 Z 'F I Investigation per hour (I hi min) 62.50
City /State!ZlP: T i � �,r' i.) 0 ►'- Industrial plant per how '13.75
'J I Fax: S�.. ) 1t - 4' - 2. `7' 3 P - ,sut,;,rr a �:-ax_ .
Phone: ( s a _ _ ; :=;'' ';; r'-
(5 } 6
CCS Lic.: 75 `7
Electrical Lic.: 3 ii -zeS G I Suprv. Lic.: V Z Z b '•.-Y Subtotal 46 0 i _.:-- 5- -
- Plan review (25% of permit fee)
Suprv. Electrician signature, regwred ^._- - State surcharge (8% of permit fee) 4--/ (� - P .. f - i Date: /0 - 7' - " 4 6 `fir
Print name: [ 1 TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 18D
days after it has been accepted as complete
Date: * Fee methodology set by Tri- County Building Industry Service Board
Print name: •> Number of inspections per permit allowed.
.140-46 I ST( 10/u2ICOMIW EE
r\ Building \PesniutELC -Pa mitApp doe 12/0?
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00623
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171 oot�
Inspection Requests (24 Hrs.): (503) 639 -4175 �. ' I _ �
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :00A1v1 PAGE: 32
SITE. ADDRESS: 10220 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ WO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: TWO LINCOLN nn
DESCRIPTION: (3) branch circuits for cooling tower. Job No. 8449 l�
OWNER: EOUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503.62.4 -3631
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039873-01 503-624-3631
Corrections /Comments /Instructions:
SS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL
❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: w! / �� — o 6 Phone #: (503) 718-