Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00759
.'��{ 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 500 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT : JURISDICTION: TIG
Project Description: (22) branch circuits. Job #197582 -98036
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 WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 21 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 - 412 -4800 Phone: 503 - 234 -6564
FEES Reg #: LIC 72942
Description Date Amount SUP 3447S
ELE 37 -547-54
6C
[ELPRMT] ELC Permit 10/7/2005 $186.50
[TAX] 8% State Surcharge 10/7/2005 $14.92 REQUIRED ITEMS AND REPORTS
Total $201.42
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: -2 A 11 L Permittee Signature:
5, e
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.
, I,
Electrical Permit Appl' 1W f
OS, ',4=-,..-,-;.:!o,i‘v:vtiwt-x-,-,‘,-,w.44A,,a,:;:::44.:■Z..;
--- - af. l ', ,=-
'!:'-, : ':' .?"' " 'r';:f";,7,? 1 ;Ii.,; ,.:,, - p -' .',...,: 7; .
. City of Tigard Received A _ _. .
13125 SW Hall Blvd., Tigard, c\ A % v,,Q940‘-‘ Date/By:Hi 7 e as" /71- Permit No.66C c- 1 5
I
Plan Review
Phone: 503.639.4171 Fax: . .1960 D te/B • Other Permit:
Inspection Line: 503.639.4175 '\, ''S -A\ , - a IV D a t e I A i - a . a 4 ,,., El .
OC --k ---- ''''' ' Notified/Method: R ifiee ta • See Page 2 for
dVethOCI:
Internet: www.ci.tigard.or.us g Supplemental Information
El New construction Gi AddAn/alteration/replacement Please check all that apply:
EService over 225 amps, comml EHazardous location
0 Demolition 0 Other:
S_,,,,,, 12 ervice over 320 amps DBuildng over 10,000
41 •:, .,' detairitZl", .6
:- . -:. .*'.§ . • •,:: ' :., ""-" ,its79 -''. ' ' if4r.::""Lr. '3itZ:14,74,..*&, of 1 - and 2 dwellings 4 or more new residential
0 1- and 2-family dwelling LI ommerciallindustrial El Accessory building OSystem over 600 volts nominal units in one structure
['Building over three stories [Weeders, 400 amps or more
1=1 Multi D Master builder 0 Other:
DOccupant load over 99 persons EManufactured structures or
!L , 7ze . ow .4-0, : ,,..f i ElEgress/lighting plan RV park
/CI 7 6 1 /7 , pHealth-care facility 00ther:
Job no.: ei (., 1 Job site address:/2.5'.) 6recula,e7 :_d_
Submit 2 sets of plans with any of the above
City/State/ZIP: Q , The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: k L name: iv ot p 4-C_ .5 "'roe Total *"
Cross street/directions 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
Cirefrin47 agt. L 0 - 1.0: 'i ;.,i."0.7 Each manufactured or modular
....-...---. dwelling, service and/or feeder 90.90 2
7e - Itir e / .__. eri Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
amps to 400 amps 106.60 .85 2
k _ ,g...: - .----- -- - - -7. , .4-7- ,,, • * •'. 1- IWI-l- 1 0 3 wl 1,, %-' 44 ' 4,07 - 4 '- l-• -.'':- '''''''' 401 amps to 600 amps 160 2
Name: ‘ 4, ,, // 0 / C.- "e C---1( 0 601 601 amps to 1,000 amps 240.60 2
Address: I S IA) CG) L c..)144, a_ s--,,,Ze 306 Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: POI i r - LAA..,c1 s ale-- q 7 236 Temporary services or feeders installation, alteration, and/or
Phone: (5o3) 402 _vi I 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
7.414 '1: et tle'kW. A. Fee for branch circuits with
..ikaira.:..r.. . : - 1 142-4 ,,,rifIgrAra:,'LL.,?.-,..,--.11*.E.,=..-117,w, service or feeder fee each
Business name: 2 -)r - LA d t Elec fin c branch circuit , 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, i
, 1 each branch circuit 46.85 /‘E 2
/
Address: (03 (c LSE, fULLU,1 Each add'I branch circuit Q,/, 6.65 j S
City/State/ZIP: Fth79--11,LITICI oe_, 9 72-1 II Miscellaneous (service or feeder not included)
Phone: ( a 2). 2314 ( Li Fax: : ( ab z.,--2,_t..--11.;-, Pump or irrigation circle
Sign or outline lighting 53.40
53.40 2
2
E-mail: - 0 ii-) Coal - Yeq. 1--) 1Y1(., , C 6 Signal circuit(s) or limited-
wit energy panel, alteration, or
extension. Describe: Page 2 2
Business name: r riU Os afelicai
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Investigation per hour (1 hr mm) 62.50
Phone: ( ) F ( ,, Industrial plant per hour 73.75
4 '.''''41LI
p .!
CCB Lie.: --- 29 crz_ Electrical Lie.: 37' ' LC. Suprv. Lic.: .- Lk . l...RS
t Subtotal /94,6-c
Suprv. Electrician signature, required: q j..., ''.... Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: Y., e __ I\ „r \< ,.,.,_. Date:/0/3/G5
TOTAL PERMIT FEE .20 I, ti2._
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:\BuildingTermitsELC-PerinitApp.doc 12/03 440
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:
El Audio and Stereo Systems*
0 Burglar Alarm
0 Garage Door Opener*
0 Heating, Ventilation and Air Conditioning
System*
0 Vacuum Systems*
0 Other:
� a Id f > `* y 'C _;My.
Fee for each commercial system
$75.00
(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
0 Fire Alarm Installation
�] HVAC
0 Instrumentation
Intercom and Paging Systems
0 Landscape Irrigation Control*
0 Medical
0 Nurse Calls
Outdoor Landscape Lighting*
0 Protective Signaling
0 Other
Total number of commercial systems:
*No licenses required. Licenses are required
for all other'installations
i:\ Building\PcmitslELGPamitAPPdoc 04/03
'
CITY OF ~��
��m w m n~pn TIGARD ' �`~
BUILDING DIVISION ^ BLC�U�0���
=°~°.~..~..°~° ~�.°"~~.~°"~ PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ^ �HjInspection �
INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7 : 00 AM PAGE: 60
SITE ADDRESS: 11 SVVBREENBURG RD 500 CLASS OF WORK:
SUBDIVISION: L|NCi N CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NQRPA '
DESCRIPTION: (22) branch 'rcuito. Job #19768J-g8O35
OWNER: EQUITY OFFIC PROPERTIES TRUST, PHONE #: 503-412-4800
CONTRACTOR: BROADWAY EL ' TRIG' CACHRAN INC PHONE #: 503-2346564
Inspection Request Scheduled For: Date: 1 2J1/2005 Pour Time:
Code # " liz-- ription Confirm # Contact # Message
199 Electrical final 022688-01 503'201'5806 N
Corrections/Comments/Instructions:
.
-fc| PASS PARTIAL APPROVAL H CANCEL 0 NO ACCESS
| | FAIL pi CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: 1 ee 1 f Date: 42."1 ~~ 0 6 ~ Phone #: (503) 718- 2.0
' '
.
CITY OF TIGARD ; �_
BU G DIVISION PERMIT #: ELC2005 -00769
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005
Phone: (503) 639 -4171 Japtit
Inspection Requests (24 Hrs.): (503) 639 -4175 �__..
INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 69
SITE ADDRESS: 10200 SW GREENBUR DN 500 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCt7 N LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: (22) branch circuits. Job #197582 - 98036
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.412-4800
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503 - 234 -6564
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 022547 -01 603. 201 -6806 N
Corrections /Comments /Instructions: �
- Pk° \ log 6'FLI R3 ~✓° /IC 1.-.S OS sgi4, 05424 IPS.
(iVpRoY , u t____.)
I I PASS F ∎1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: // 1(e6 Phone #: (503) 718- -L'K.
CIXX-®F TIGARD <.
BUILDING DIVISION PERMIT #: ELC200& -00759
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2006
Phone: (503) 639 -4171 / i0
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/21/2006 TIME: 7:08AM PAGE: 114
SITE ADDRESS: 10200 SW GREENBURG RD 500 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: (22) branch circuits. Job #197682-98036
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603- 412 -4800
CONTRACTOR: BROADWAY ELECTRIC COCHRAN INC PHONE #: 503 -234-6564
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13 s Ceiling cover 018913-01 603- 201 -5806 N
Corrections /Comments /Instructions:
•
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ Phone #: (503) 718 -
' ~'. . . ' • |
~ �
CITY ������U��������
��mu n OF nw����x��� -
BUILDING DIVISION PERMIT #: B-{2005-00759 1
1a1 25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2006
Phone: (503) 639-4171 *01/4 It
Inspection Raqua�u(24Hmj:(5O3)G80'4175 a N� w��—
INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7:04Ak4 PAGE: 113
SITE ADDRESS: 10200 SW GREENBURG RD 500 CLASS OF WORK:
SUBDIVISION: LINCOLN /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: (22) branch circuits. Job #197582-98036
-
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE it: 609'412-4000
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503
^
Inspection Request Scheduled For: Date: 10U13*2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
~—�6.- Electrical rough-in 01815E-01 503-201'5806 N
Va1/45 kx) ca\>
Corrections/Comments/Instructions:
.
...
\ �PASS n PARTIAL APPROVAL EI CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: , /
Date: I �� Phone (503) 718 �41�^L-
.,,,e, 7