Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00069
DEVELOPMENT SERVICES DATE ISSUED: 1/27/2006
671 I
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG
Project Description: 7 branch circuits.
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: 6 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 Contact #: FAX 503 - 238 -2098
PRI 503- 234 -6564
FEES
Description Date Amount Reg #: LIC 72942
[ELPRMT] ELC Permit 1/27/2006 $86.75 SUP 3447S
[TAX] 8% State Surcharge 1/27/2006 $6.94 ELF 37 -546C
Total $93.69 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 O' R 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-.:16-332- 44.
Issued By: GIVP Permittee Signature: . 4 / 7 A
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.
,
Permit
ke
'�tr"rical . ," �� � "� • . `° App o �• IV ED FOR OFFICE USE ONLY
City of'Tigardl' Received n , rya
t+ Date/By.
/ ' .a .....067 --06 .o a t ` P.ermitNo: 1'
13125 •SW Hall 131vd.,.Tigard, OR 97223
` J p AI 7 U
(� Y`Adt�OLb ( " "
• f t ki � o a Plan Review: _ •
_
Phone: 501639.4171 Fax: 503.598.1960` +1 0 1; 1 Date/By: ,- Other Permit:
" Inspection Line: 503.639:4175 A •' I
Internet: www.ci.tigard.or.us �^ --� ^': Date ReadyBy:.a ,? _ #1:' / °�3r`':; ., H''See Page 2 for.
�� CITY O F TI Notified/Method: t Supplemental Information.
i 1.s74 '- �s n , ,, P".` -5 c 1 ��'k 3 1 �3 �' '� ; 0 Il _: .�, . ''I �r ' 3 Ph .. , .
(], New construction DLAdffi ion/alteration/replacement Please check all that apply.
❑ Demolition ❑Other: ❑Serviceover 225' amps; corrlm'1' ❑Hazardous location
• d ° o, ,aa .. , - ❑Service over 320 amps - rating. ❑Buildng over 10,000 sq. ft.,
�, w. - ,.a ,•� ., �• ��,. _ . n of I- and 2- family dwellings' - 4 or more new residential
0.1 and. 2 familydwelling [I ommercial/industrial ❑ Accessory building ['System over 600 volts nominal. units in one structure
❑ Multi family ❑ Master builder DBuildingover three stories,. . ❑Feeders; 400: amps or more
❑ Other
7 s.r ' .4 ,•�., ❑Occup l over 99 persons: ❑Manufactured structures or
, ter °� > r, 1 s � � � r 9 s ' s1 0 7 " i t r 4 P EA y V a RV ark.
= •� ❑Egress / P
Job no.: / q ° ' Job site address: /02ij Sl t) 6 peek)
x,77 ❑Heal care . facilit y
❑Other:
Submit 2 sets of plans with any of the above. •
City /State /ZIP:
f 02A_, The above are not applicable to temporary construction service.
F;r; A ny s Er,;; '.::: ,. ;
t ; .M J . a .
Project nam 000 rioa G t = '
•
Suite/bldg./apt. no.: .,
Desorption. Qty. Fet- Total
Cross.street/directions to job site: New residential•stngle- or multi- family dwelling unit:
Includes attached garage:
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'I 500 sq; ft. or portion 33.40 1
Tax map /parcel no:: Limited energy,.residential 75.00' • 2
a q � » 1 1P M x - - ,- z S ,. • Limited energy, non - residential - 75.00 2
f3' -411, ..t't nr i�`�t , `a8 3S tai Ila7Fl• 0 �t�' l v3' N t •� s , 2 ; 1. 3 `7 - r ?
�� /�� nr;:, l_?, r t „ . >� '„ _ Each manufactured or modular
in 1 t a dwelling,,service and/or feeder . 90.90 2
Services or feeders installation; alteration, and/or relocation
:: 200 amps or less 80.30 2
11'` �. � i 'f3 g ` 4AgOn b 3 j u 201 amps to 400 amps 106.85 2
E
Name:
401 amps to 600 amps 160.60 2
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 F ax: ( ) 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
' 1" = TY.;rf� zz �- t t -a "C c_'s'.t 1,?:
r pa ; ; r!'.ar , . 4 . R.Z5 ' ? r V g �i , .�t : 1_ 7 e a 67 A. Fee for branch circuits with
co //� service or feeder fee, each 6.65 2
Business name: 9/at__ C c Y �p, -� branch circuit
B.
Contact name: Fee for branch circuits
without service or feeder fee, i
46.85 t 6 g 2
Address: each branch circuit ., " ) ]
Each add'l branch circuit ( 6.65 X796. 2
City /State/ZIP: Miscellaneous (service or feeder not included) I
Phone: ( ) Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail:
Signal circuit(s) or limited,
t - i` jWl "• A44:, .mfr `ni .; -' :` : s, energy panel, alteration, or
Business name: C . W awC c extension. Describe: Page 2 2
0 Gl c c .I'' �L
Address: 2 S l_ /s l � I Q\ � Each additional inspection.over allowable in any of the above
" \ Per inspection 62 -50
City/State/ZIP: d , r ,�
�9.--- `\ - 7 2-`L4 Investigation per hour (1 hr min)- 62.50• ""
Phone: (5 ) 23`4 _-L5 Co L Fax: (9N3) 2.% -2, ci $ Industrial plant per hour 73.75
"
CCB Lic.: 7 2 Electrical Lic.: 3,44-1-5 ; ,�.u; a , -_ ; :'
C 1 2 ' 3 � c ' S 'Aux._ Su Lic.: Subtotal 1
Suprv. Electrician signature, required: \ ! 1. Plan review (25% of permit fee)
l State surcharge (8% of permit fee) 6, .9
Print name:
\�Gv,Y e`_ \
� t\ � � Date:
TOTAL PERMIT FEE ' .93
Authorized signature: This permit application expires if a permit is not obtained within t 0
Print name:
days =after by it has ri - been,accepted as complete -
oun
KC�l� I I Date: y TeCty
`' Number Fee of methodolog inspections set per permit allowed. Building;Induso- y Service Board
i:\ BuildingTerrnitsELC "Permitppp.doc 12/03 440 - 4615x(10 /02/COM/WEB
CITY OF TIGARD EL .
BUILDING DIVISION PERMIT #: a I)CJ 6--000 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4 . 11 111
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 0 Ol d v I / / -#S00 CLASS OF WORK:
SUBDIVISION: Le' #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3-- -40 Co Pour Time:
Code # Ins ection De cription Confirm # Contact # Message
lqc 7�
Corrections /Comments /Instructions:
e /_7- I /I
, J
A __:.. , .,.i_ f !—..ed
I
1
•
Irj PASS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: q--64 60 a Date: 3 q 64 Phone #: (503) 718- LLL'
CITY OF TIGARD : eZC
BUILDING DIVISION PERMIT #: 20 DOD h?
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / v-'ll 11 r�l
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 0 Z O CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 —g— 0 Co Pour Time:
Code # Inspection Description Confiyn # Contact # Message
Corrections /Comments/ Instructions:
.
n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
g FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
rte-- Q
Inspector: v .� , 9 • Date: O 4 Phone #: (503) 718- 21k,
--,
CITY OF TIGARD
BUILDING DIVISION .. ._, -„..
PERMIT #: FLC2006.0f./069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2006
Phone: (503) 639-4171 losodipviei I II\
Inspection Requests (24 Hrs.): (503) 639-4175 ,--04, ■• IL
INSPECTION WORKSHEET FOR DATE: 2/20006 TIME: 7:02AM PAGE: 7'i
SITE ADDRESS: 10200 SW GREENL3URG RD .500 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: 7 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 60a-293
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-234-6564
Inspection Request Scheduled For: Date: 3/2/2006 Pour Time:
Code # - - • - •, - !Description Confirm # Contact # Message
125 Wall cover 026144-01 503-201-5806 N
ciee%%-tIN%tl ql iltkot4
Corrections/C. - - s struction .
01 PASS El PARTIAL APPROVAL 0 CANCEL n NO ACCESS
I FAIL I I CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
G- . Al) 081.1*'
Inspector: Date: 71: 6 Phone #: (503) 718-1114)