Loading...
Permit • „... :.....: CITY OF TIGARD ELECTRICAL PERMIT PE RMIT #: ELC2005 -00760 3. ���, DEVELOPMENT SERVICES DATE ISSUED: 10/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 600 ZONING: C - P SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG Project Description: (24) branch circuits. Job #197582 - 98037. 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: 23 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 BROADWAY ELECTRIC - COCHRAN INC ONE SW COLUMBIA ST #300 626 SE MAIN PORTLAND, OR 97258 PORTLAND, OR 97214 Phone: 503 - 293 - 2745 Phone: 503 - 234 - 6564 FEES Reg #: LIC 72942 Description Date Amount SUP 3447S ELE 37 -547-54 6C [ELPRMT] ELC Permit 10/7/2005 $199.80 [TAX] 8% State Surcharge 10/7/2005 $15.98 REQUIRED ITEMS AND REPORTS Total $215.78 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: ! 512;,cr Permittee Signature: V",-C_ s ,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. .- . El ectrica l P ermit `` s ,�.. t , °r .. !! ® iFOR OFFICE USE ONLY " , 4 , r . ,f -, ' -. •v .{ n ' a. 4, . t i t y ' , :,, City of Tigard DateB , PermitNo.: _' s C� 6.�- fi �U)�� 0 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19 KT 01 2005 �d4ir iii �.l„ 'I B � Date : Other Permit. sl Inspection Line: 503.639.4175 .�t Date Ready/By: 8 See Page 2 for Internet: www.ci.tigard.or.us CITY 0 TIGARD Notified/Method: Supplemental Information ., , , a � ` ., a , :l:,�r::� 1. ,g ' -� .; - �a,�.� P r R.�1VIw' `.'��," ,_,5 + "'. +5:.34.``-x' ti� .., � �+aa - rs :.: ..5 .,t� ��€ ��F '-� •�sii'f {:e=,.e c s� � �mn,3.'�i:• � s. ❑ New construction M Addition/alteration /replacement Please check all that apply. EService over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other: amps g ❑ Buildng over 10,000 sq. ft., �, � ;a:tt'x'r" v ❑Service over320a s -ratm ''"' � ..;, :: { t 0 •fF ;.. e 4 z0 p IT of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling !: Commercial/industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure ['Building over three stories ❑Feeders, 400 amps or more ❑ Multi - family 0 Master builder 0 r 41 '''',,n-' ❑Occupant load over 99 persons ❑Manufactured structures or `t .' I w ., v 1' RV ark it _:?, _ >! tri`i `Jl t? -, t ", ” , zt-, e .:e tit--ii- S. , , Y„ ` t ❑Egress lighting p lan p Job no.: /9 S 8�L Job site address ❑Health -care facility ❑Other: 9Gjp3 7 I /02e7e�s (-t7 (� r��Q v,ry �e � Submit 2 sets of plans with any of the above. City /State /ZIP: Po 0 - , ©� applicable • n n service. • The above are not a 1lcable to construcho ( a r r „+;;,.,> *C SC Ck�E Suite/bldg. /apt. no five 6,, 4c"ect name: /tic le p c 6 , * ' (a �, - A,_.... - , u '� rscription Q t y . Fee. Total Cross sh 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'l 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 x Y ,:: -'A :,t ,i ,,. _.. - 2Q, ,.wa .r�.':'����� ,� � ,..In' ;�'`.'�; Each manufactured or modular 72-"- � 4/ ^� //v /0 €O 7— dwelling, service and/or feeder 90.90 2 ,/ / �ney Services es or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 x �', a ? "r',4.97c -�� �^- -:� e =�<< y: 201 amps to 400 amps 106.85 2 r _� ; •_ �`si C 0 �� ,.T7' x-F — - . t f,. - a ;- ;: ia- •:.-1, s _` ` ` ""'' 401 amps to 600 amps 160.60 2 Name: �,, , , , 0 7 c e -,e_.w/,/3 601 amps to 1,000 amps 240.60 2 Address: -..L) -..L) dv,.1-7 h 2 s v. L0 6 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Qa r -fr(LA � 2 '7 23-5 Temporary services or feeders installation, alteration, and/or ) Fax: ( ) relocation Phone: ( �� ��2 �Y 6 200 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 emu..„ ,� M €w...$' # 41 b Fl :_ , ` ; , h ; V : : Y •g ' A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: C( y c 1 Y 1 C: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, / 46.85 4/4e62 � I t each branch circuit Address: �)3 , 1� 7 Each add'1 branch circuit Q 3 6.65 ,53,2 i City/State/ZIP: / � 1 - V ^ `h. 1 0 � r T 2-I 1 Miscellaneous (service or feeder not included) Phone: (a2-7) L 3 y / b . l_ Fax: : + ( . a' Vt�l � Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: 0 40 C(' •1'121, i . . C ( Signal circuit(s) or limited - +me r, i -' :. ! ,1 ' .•x t ""t energy panel, alteration, or 's `:s,rn . �-«[ � �� °�'� CL'l 8 ' L .. ��.N . �'va:?.i,li3: wn";s��' ( � + I 1 �/ (, extension. Describe: Page 2 2 Business name: aff Ica Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 CCB Lic.: - 7 2f 61-2._ `� - Electrical Lic.: 37' LC.. Suprv. Lic.: 3L{41 S Subtotal / l I, Suprv. Electrician signature, required: 1....._ _� Plan review (25% of permit fee) Print name: k e Date: State surcharge (8% of permit fee) / 5 98 �'� e - � TOTAL PERMIT FEE 2/5, 78 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Building \Permits\ELC- PernutApp.doc 12/03 440 4615T(l0 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: 0 A udio and Stereo Systems* [] Burglar Alarm G arage Door Opener* 0 Heating, Ventilation and Air Conditioning System* E Vacuum Systems* O Other: :P �� $75.00 Fee for each commercial system (SEE OAR 918 - 260 - 260) Check Type of Work Involved: 0 Audio and Stereo Systems 0 Boiler Controls 0 Clock Systems 0 Data Telecommunication Installation Fire Alarm Installation HVAC 0 Instrumentation D Intercom and Paging Systems 0 Landscape Irrigation Control* 0 Medical 0 Nurse Calls Outdoor Landscape Lighting* 0 Protective Signaling Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is\Building\Penn=\ELC- PemtitApp doe 04/03 CITY OF TIGARD $ . EikiiLDING DIVISION PERMIT #: ELC2005-00760 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005 Phone: (503) 639-4171 ,_41111I1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 104 SITE ADDRESS: 10200 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: (24) branch circuits. Job #197582-98037. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: BROADWAY ELECTRIC INC PHONE #: 503-234-6564 Inspection Request Scheduled For: Date: 10/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 1-in -in 018336-01 503-201-5806 1c1.05 W ALL c--OVWL. Corrections /Comments/ Instructions: C45 IrNA.1 Lal5 w4L1L.-.(- • PASS n PARTIAL APPROVAL LII CANCEL r_11 NO ACCESS FAIL A L FOR INSPEC 10 n ADDITIONAL FEES ASSESSED / Inspector: Date: I° 11 Phone #: (503) 718- MI6" - , - ,. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00760 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005 • Phone: (503) 639-4171 ,:i ir . , ! I i i i t Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4: 11PM PAGE: 64 SITE ADDRESS: 10200 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: (24) branch circuits. Job #197582-98037. go■•••■ OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: BROADWAY ELECTRIC INC PHONE #: 503-2346564 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 019604-01 503 201-5806 N Corrections/Comments/Instructions: . 0 P1ovici-0_,0 c-olov Sy p ,p04 org- 4-0 coda- Ar- a Ili ei)e i\S' -I c 0 0 e t u `,k 4_,c 1 , M c cot 61&4> I I PASS _ I,RTIAL APPROVAL I I CANCEL I I NO ACCESS 54 '5, ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 02 Inspeotor: Date: /(0 - 2S — OS Phone #: (503) 718 CITY OF TIGARD - ,. 3UIILt ING DIVISION PERMIT #: ELC2005^00760 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/712005 Phone: (503) 639 -4171 la ii�l�' Inspection Requests (24 Hrs.): (503) 639 -4175 - 'IL. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 14 1 SITE ADDRESS: 10200 SW GREENBURO RD 600 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: • TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: (24) branch circuits, Job #197582 - 98037. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.293 -2745 CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503 -234 -6564 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 019888-01 503 201 -5806 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ip_Ak...ef Date: ) 0 (-OS Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - ' PERMIT #: ELC200S 00760 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005 Phone: (503) 639 -4171 Ja i Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 1217/2006 TIME: 7 :00AM PAGE: 84 SITE ADDRES`• 10200 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: INCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: t - )RPAC DESCRIPTION: ( branch circuits. Job #197582-98037. OWNER: EOUI OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: BROAD ' AY ELECTRIC- COCHRAN INC PHONE #: 503'234 -6564 Inspection Request Scheduled F• : Date: 1217/2005 Pour Time: Code # • - • Descriptio Confirm # Contact # Message 199 Electrical fins 023060-0/ 503 -201 -5806 N Corrections /Com i• - • • . . ons: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL I J NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I Z1' QC Phone #: (503) 718- v'14-