Permit „".- -' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00735
. COMMUNITY DEVELOPMENT DATE ISSUED: 10/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 470 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION:- TIG-
PROJECT: 7- ELEVEN INC
Project Description: 6 branch circuits. j
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: I 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: 5 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 10/30/200' $80.10 LIC 75059
[TAX] 8% State Surcharge 10/30/200' $6.41 SUP 4226S
Total $86.51 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: 41,4_44. Permittee Signature: % _ 40 _� Z,
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.
,
`'''} OCT 29 2007 10:21AM WILLAMETTE ELECTRIC INC. 5555555555 p.2
i
Electrical Permit Appli 'T`�
t • eived FOR OFFICE k E MIA'
City of Tigard Da teBy �
�a9 /f!7 /, Q
J� Permit No 44.2 �
r 13125 SW Hall Blvd., Tigard, OR 979 0U1 Plan Review /
' - • Phone: 503 639.4171 Fax: 503.59 f 2 9 2 Date/ 13y: Other Permit:
T I G A RD Inspection Line: 503.639.41 5 � Date Ready/By: kris See Page 2 for
Internet: www.tigard- or.goi , 1 Y Vr 1" 11 it otified/Method: � � � SupplementalInforniation
• irsl ''„ 1Y1( °'x n „, ;met rl • ul(1I tt s '' : f s ; , 1 mil film :gtG�% ! {I (ill!( (�f "ji hr.
' }! s . K `` 4 p 1 p tjlt; saya ' ® f � { �
111 2t u 1�f1F11111 (: ININ 4 < IfME. NmtP,w: 1; le; li i lf r i 11 9 11 !tY. � dm1: • _ 1 1 111 1E('1F I t4N{ hill. x,.d n� 'uaiadl lz?h1 i 14 11111 Ui,f1[1I11
❑ New construction ❑ Addition /alteration/replacement • IF` Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stones,
ff (( ❑ Demolition ��ff I �(�f ff ❑ Other: }� `` ��(?� jii ((10((++��� NN i���ff j where the available fault current ❑ Marinas and boatyards.
11 11111 LII i ,111. IA 1f(t, i� a l nl utltiiii dl liol I i s s> "o l hiiiii O /It ! i � dill ll` #r Till ll 4IU 1it11 �1I118( l ess m groun or excee or ❑ C ommerc Commercial-use rise agricultural
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings
0 Multi - family ❑ Master builder u i
El Other: ❑ Fire pump CI Installation of75 KVA or
ii##�{ 1� t . (( tttliu ((� I i �� 1 � n tB
�tr 1 t [I se P to A '�, ' 1 1 ❑ Emergency system. larger separately derived system.
�IIIl i i ( IAi Inimi d� 'a•sll HI mitdnths r le add nitn tt t7 #tt &11i � Ii�1 i It i n , •y "1 ❑ • A dd itio n of new motor load of ❑ "A" "E , "1.2" "I 3
Job no.: 74 Job site address: or more. occupancy. ❑ Six x o on r more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: /a 2 .- & - - 1 1 � �7 ///^^^ ❑ Health -care facilities. CI Supply voltage for more than
J aalrt 6t ❑ Hazardous locations. 600 volts nominal
Suite /bldg. /apt. no.: `t70 Project name: ❑ Service or feeder 600 amps or more
t ! / {tp yj �p } �tnw � sn+ 3 r ,, j �
1[I I11i .11II 1A "#fi[I ERNE` ia1 11 �I ES rifil
Cross street/directions to job site: Description Qty. Fee. Total •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel n0,: • Ea. add'i 500 sq. ft. or portion 33.40 1
Limited energy residential
�€, to s mit 7500 2
6 3 I rr@lnitnia s millt' ll udriE '1111 ) lini .''' (with above sq- 8.)
Limited energy, multi family 75.00 2
7-7;11_0y t ,, Ar ► "4r residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
r f a ,ex t tT 1 1.1`
ti •. tii� I' t4 4°1 PO ' t x1 i �s�I ht &�� ' � ;r 201am st o400am s 106.85 2
1.: E �� l ..s tnt RI C,ir, astir 1 r tia 1 .k�vs ,i a 1 -_ 1 1 ' 1 ' a it P P
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
City / State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 I 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, er panel
Owner signature: Date: A. Fee for branch circuits with
I t am t t ( w t pa an „t� as u a 1
i! _ it u ri 3 �ti ui;rt �' ' 9 a e� u n i t ntFil�, �i ' «" t, 8rt re above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, / 46.85 Y / $ 2
first branch circuit
Address: Each add'I branch circuit "' 6.65 3 3' $� ZS
Miscellaneous (service or feeder riot included)
City /State/ZIP: Each manufactured or modular
dwelling. service and /or feeder 90,90 2
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E-mail: ! t p t( + a� y � ` 3 ■ f Pump or irrigation circle 53.40 2
iti((l11 11111�1l1 ' ill-41111111111111 a x ,1u1 `ins 1 "t �l1l �::=r1�'1'i " ,I ill11 1Ell1lll1U11 ,,, q Si or outline lighting 53.40 2
Business name: Willamette Electric Inc Signal circuits) or limited -
energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City /State/ZIP: Tigard, OR 97281 Each additional inspection over allowable in anLof the above
Per inspection 62.50
Phone: (503) 624 -3631 Fax: (503) 624 -2938
Investigation per hour (1 W min) 62.50
CCB Lic.: 75059 Electrical Lie.: 34 -283C Suprv. Lie.: 4226S Industrial plant per hour 73.75
1I 11$11llllll II r ,P u�lluq;� , {. x , ' 11}1 tl�l +;�' ,
Suprv. Electrician signature, required:° ` Subtotal ^,/, .
Print name: David Fife Date: e /O -Z , _ :3 / Plan review (25% of permit fee):
State surcharge (8% of permit fee): jj 14
— Authorized signature: TOTAL PERMIT FEE: P
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
. • Number of inspections allowed per permit. /
I.\ Building 'Pwmita'ELGPermitApp.doc 05/23/06 440- 4615T(11/oi/COh1/WEB //� .�j
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: EI_C2007•00735
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1at30/2007
Phone: (503) 639-4171 "pi Tit\
Inspection Requests (24 Hrs.): (503) 639-4175 ..—....bfr ■,...•
INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 10220 SW GREFNBURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/iWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7.ELEVEN INC
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: • Date: 1122/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Elechical final 063637-01 503-624-3631 N
---"------------__________/
Corrections /Comments/ Instructions:
a PASS 1 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
. 0 CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: ,) N Date: t' 1 ( r% Phone #: (503) 718- 2-qtA
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELC2007•00735
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/2007
Phone: (503) 639-4171 tti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/1812908 TIME: 7:02AM PAGE:
SITE ADDRESS: 10220 SW GREENI3URG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN GENTERrrwo LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7 INC
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMLITE ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 1/18/2008 Pour Time:
Code # Inspection Description Contact # Message
199 Electrical final 0635211-01 503624-3631
Corrections/Comments/Instructions:
Pt-eAribg A ,k CetaZ 044 030 IX\ C. ce) N
\Ai Ni2- \kai■41'a t. O 41.-
astA cit.IS e Walt- 1V ' USCSUP1 41 4 . ,
4 Ct t C-I c.0 v ,,MP ik .1 w t, FiZi e)f s■AK. ,
v.tri
The electrical installation def@o'f§ lidtdd
on tnis report Shall O @WNW and
an inspection request mA 1Uuih 20
calendar days per OAR O1tielii-o0o
PASS PARTIAL APPROVAL LI CANCEL L NO ACCESS
-y\FAIL /1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G ( A Date: i'l Q Phone #: (503) 718-
CITY OF TIGARD
. ,
BUILDING DIVISION , , PERMIT #: ELC2007- 00735
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/2007
Phone: (503) 639-4171 iniello 1#
Inspection Requests (24 Hrs.): (503) 639-4175 . 1.11.
INSPECTION WORKSHEET FOR DATE: 11/2812007 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 10220 SW GREENBURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/a :,%.1140 LOT #: TYPE OF USE:
PROJECT NAME: 7 INC
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAIvIEITE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 11/28/2007 Pour Time:
Code # Inspection Description „GOlifIrrn-# Contact # Message
130 Coiling cover 06039501 503-624-3631 N
Corrections/Comments/Instructions: )
/
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..k. tt
C.d ■ F.. (4.- —
PASS 0 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
0 FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: CT — . ftsi 6E3 W Date: li 1.A16 Phone #: (503) 718-P146
CITY OF TIGARD . „ f.....
BUILDING DIVISION PERMIT #: ELC2007-00735
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/300007
Phone: (503) 639-4171 ai tiollill\
Inspection Requests (24 Hrs.): (503) 639-4175 L...,_.Ww -.......
INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:00AM PAGE: 26
)5 2 Ca.6 i
SITE ADDRESS: 10220 SW GREENg 470 CLASS OF WORK: dsomk
SUBDIVISION: LINCOLN CENTELLWO INCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7- ELEVEN INC 1111) t= ..t
DESCRIPTION: 6 branch circuits. "7
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEITE ELECTRIC INC PHONE #: 503-62A-3631
Inspection Request Scheduled For: Date: 11/8/2007 Pour Time:
Code # Inspection Description Cop ' . Contact # Message
"V& MgaTitvl-rintigli-io 059284-01 M3-624-3631 N
1 2.6 Nt4.1\L-1-. (JD \Talk...
Corrections/Comments/Instructions:
0 ‘4.. ` fi, C.tt) \ Ye& 2,
fl PASS , PARTIAL APPROVAL III CANCEL pi NO ACCESS
I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G 1\K)ESI. Date: Il ' 1r O Phone #: (503) 718-