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Permit 111 CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00560 DEVELOPMENT SERVICES DATE ISSUED: 8/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 150 ZONING: C - P SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT : JURISDICTION: TIG Project Description: TI, (1) branch circuit. Job No. 934 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: 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: 503 -293 -2745 Phone: 503 - 624 -3631 FEES Reg #: LIC 75059 SUP 1965S Description Date Amount ELE 34 - 283C [ELPRMT] ELC Permit 8/4/2005 $46.85 [TAX] 8% State Surcharge 8/4/2005 $3.75 REQUIRED ITEMS AND REPORTS Total $50.60 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 suspe for mor an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule are set forth in OA 9 -1114010 through OAR 952 - 001 -0100. You may obtain copies of these - or direct questio s'to OUNC at 503 246 -6699 or 1 -800- Iss ed By:, • 2 ' 1 " ,lI� %; / Permittee Signat - - ='��� 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. / AUG 005 8:05AM HP LASERJET 3200 p.2 Y, 7 •0 Electrical Permit Application • FOR OFFICE USE ONLY . . City of Tigard - inf ( U Lt 11 VE D Recto�ed • © -qty : Permit No.: i c""06.5 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19601 ° fj '^ "fik 't'c " DatelB Other Permit: Inspection Line: 503.639.4175 ` 3 t? �a l Date Ready/13y: furls: 0 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental information I 513• ,. # v e v;', i a i s �'4; r r ,� q • , i s -. f : :i• r*W —t �.. - • tt ,� z � �Ct r a n P 7 , 1_ a 19 i � ° , flu i , l 4.�,.'�' �, tNYf:1». : �+ i�� ?f;�z� � � s�rr , ?. rl� ' � �rt�'�a :�f nYt 16 , z, �a?,', ��.: •.�.. -) ,..p. le.vr.�:, r ., ��.•. ••�`�,• ❑ New construction ® Additi tinialferaiorilreplacement Please check all that apply: . ❑Hazardous location . El Demolition ❑Other: ❑Service over 225 amps, comm'1 - sr , , iu�{ , xii - ,,, , Service ❑ Buildng over 10,000 sq. ft., '' 1 l t )`. r r 1 vi .Y 2 , 1� t ❑ Svice over 320 amps - rating 4 ir1 n t � i ,. r 0r -, l F , r` i,3tttt..e t - , r il f -t„ r i7 *r`e , 4 , - 411. 3 3: - � , ,::i ?i;s of 1- and 2-family dwellings 4 or more new residential v .,.,..t � y�- �i.. g���.1� 'i� �`:� 5� t 'i I n 'ut t� �'�x�a,�'L`�nt;rt�lw�� = , � � Y g ❑ 1- and 2-family dwelling [7 Commercial/industrial 1=1 Accessory building ,,of over 600 volts nominal units in one structure ['Building over three stories ❑Feeders, 400 amps or more ❑ Multi- family ❑ Master builder ❑ Other ❑Manufactured structures or r � r �i � � �� _ , .;� ❑Occupant load over 99 persons i :E 14104i u i dt �r i �ci iaw 2 a a tI b ugy� �� 1 l L tip RV t . lI ! il`a air;tti :rtbiz •i1 ' 1 uatim,' ;�lESft'�� f n ++:, � tiiir ,, 2i 1.!. <' t d` s ❑Egress,2ig plan park facility ['Other: Job no.: C% ? .i Job site address: lc �? rJ St t �'; f ( 2 C Submit 2 sets of plans with any of the above. f • City /State /ZIP: T " Y J The above are not applicable to temporary construction service. l'r5t = „pfE`•3l,nYu!, ti , ,:Flt �J �ssaj i,.`.. ✓.. -,' Suite/bldg. /apt. no r ,-� Project name: 'n,„ r ('r L. Description Qty. F. Total '« Cross street/directions to job site: New residential single- or multi - family dwelling unit. 2. r Includes attached garage. L i IV cc ( I'u 1,000 sq. ft. or less • 145.15 4 Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: to �� Limited energy, non - residential 75-00 2 ' i ll 1i t � r g, a g t ` ,ao, ° , ;i ri al 1 n rt IKil J l i�g , t� , . It ila' 4ll #.�t1it'„ t tt: llil tfll 'll, Fallk�' 9 .._ a;', eitla.ai? u zar iadihrr,a aAdaf��al l,,I.J„ fu�� ..• u, i E ach manufactured or modular p dwelling, service and/or feeder 90.90 2 C„"..... 4,-, t f fh Q. 4A 4.;.-e_ #1.4-/-4-,../ Services or feeders installation, alteration, and/or relocation e ,t 1 200 amps or less , 80.30 2 ( sir gin 9 i i< o. � t •$#i?ia .V. lh l fi8i �ilr l a' g 1 . a ;7 t S i •:• t, 401 amps to 600 amps 160.60 2 Name: 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 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: �w Date: Branch circuits new, alteration, or extension, per panel l r 1 t'u kill t ai N i S °rTl t V 1 3 , Pt 1 a ' t t ' ' s f a ;u'!':ti lie A. Fee for branch circuits with ,° '' ' " � . „ t , n,, o service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 �(, 2 Address: Each add'1 branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) ' Pump or irrigation circle 53.40 2 Phone: ( ) l Fax:: ( ) Sign or outline lighting 53.40 2 E- mail: qq ::..:<!,.;:;:,,,,;/ Signal circuit(s) or limited - i�{ a "� � 1t iii,' , ' '� ll1�t y l f � u ; 4R ' il )' ' ` Z t rtt . p ; - p a . .., ..5,.. rs2.Li�l; '. r 4i. - .te n ' �� h,' iV ' S' "e : �i ca'uv"., i [1 .i,'�itl,� 41 , - II . i : i 'a 5' energy panel, alteration, or extension. Describe: Page 2 2 Business name: l o r i i Oat» f i r i C tC c in 1 c ' s r_ Address: n Each additional inspection over allowable in any of the above k C Per inspection 62.50 City/State/ZIP: 9 24 i Investigation per hour (t hr min) 62.50 T to .� Industrial plant per hour 73.75 Phone: (. 1. ) ty 2 4 - 3 b t • Fax: (S); ) (a 2'4 - 2-c i 3S It' v , yc -tea% T ,.,,� y .- i t- tT . ; : si ., n z ,�.:,_. 3 i .. = ; : K ll I ; €11�a a -! 11 *;$:..;hd� � IE�Y.:�iu;i�.�� �i1i � <. � f.. COB Lic.: 1.:1 o S'ti _. 1 Electrical Lic.: 1 4.2 �. j C... Suprv. Lic.: fs 4 j .. S' fs Subtotal i ` ec - Suety. Electrician signature, required: Ak f .... ` ' j/ / m Plan review (25% of fee) • Print name: t f I // Date: 8 _ ti ©`� State surcharge (8% of permit fee) ti TOTAL PERMIT FEE 3-4, C a Authorized signature: This permit application expires if a permit is not obtained within 160 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board " Number of inspections pet allowed. cl BuildinglPennitallELC- PemdtApp.doc 1203 440- 4615r(ID1C7/COM/wEB 11r OF TIGARD DING DIVISION PERMIT #: ELC2005 -00560 1 ` 125 SW Hall Blvd., Tigard, OR 97 DATE ISSUED: 8/4/2005 Phone: (503) 639 -4171 i � NN iiAli Inspection Requests (24,Hrs.): (503) 639 -4175 INSPECTION WORKSHEET Fe' DATE: 8/26/2006 TIME: 7 :06AM PAGE: 73 SITE ADDRESS: 10220 SW GRE• NBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENT '^/TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: TICOR TITLE DESCRIPTION: TI, (1) branch circuit. lb No. 934 OWNER: EQUITY OFFICE PROPE `TIES TRUST, PHONE #: 503 -293 -2745 CONTRACTOR: WILLAMETTE ELECTRIC I PHONE #: 503 - 624 -3631 Inspection Request Scheduled For: l ate: 8/2612006 Pour Time: Code # Inspection Des ' ion ., ' •I # Contact # Message 189 Electrical final 01 ii -0 503- 6243631 N Correc '. - . •...b. . ions: PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED p N de f ( ) II� Inspector: Date 06 Phone #: 503 718 - Z-1