Permit e " • CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00231
41 DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 135 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT : 009 JURISDICTION: TIG
Project Description: 12 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: 11 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 ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: Phone: 503 - 624 - 3631
FEES Reg #: LIC 75059
SUP 1965S
ELE 3
Description Date Amount 34 --2828
3C
[ELPRMT] ELC Permit 4/1/2005 $120.00
[TAX] 8% State Surcharge 4/1/2005 $9.60 REQUIRED ITEMS AND REPORTS
Total $129.60
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
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,. 2 -2314.
Issued By: \JP 411 Permittee Signature: c/)1 Cri
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.
•
M" r-3 2005 2:40PM HP LASER) 3200 7. 2 EV E A FOR OFFICE USE ONLY _
City of Tigard Date/B Received Permit No.: /1 f ....„,
13125 SW hall Blvd., Tigard, OR 97223 pp 1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 IAN � "7Tw+4 i 1 1'' Date/13 . Other Permit:
Inspection Line: 503.639.4175 Date Re /I3 a El See Page 2 for
1:_e ..� �y y:
Internet www ci.tigard or us rr� F �j t S `t Notified/Method Supplemental Information
il
ir n 7 , s. 5 '= °4`; " ' �rY iL I
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tt,..v;� +�_ �4; > , � C v p (�� ��,t�� t t 1 1 I . H 1 '1 , , .' M �`�' .,.,,. 4 � � ` ' q�'�: is r ,i . ". j . ..
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❑ New L construction ►s Ad.-' (7;2 Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
VW ,r � �' rv a� 9 n s 4 , } y a li�: T1rIWr� h 1 'I N IItllf' ' ,>, 0.
i t i; l 4 f �' 'il u @'Cli i d T#0 t tti'V r , ` � 9 :1:ai • d
, . o ,,.ts n ,,, e , wstl � x t ∎,, 6 =Z_W i' , r , tR i'AD. i' = it: of 1 an d 2- family dw e lli n gs 4 or more new residential
❑System over 600 volts nominal units in one structure
❑ 1- and 2-family dwellingColnnrercial/industrial ❑Accessory building ['Building over three stories ['Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑ Manufactured structures or
1 , 1 L 1: , f ter r ; tF, a; 3 , . t t 1;; -,n it nt�tnf�,, p, ilElr xi , RV park
.1 ' i h �t it i . _. I( , ! t L r •k 11'im t ie ¢� a tip -i � #� r 1,4c; lU9.k ;�1#",j ,, % tt!m i l ❑ Egressilighting plan
/ q �p ❑Health -care facility ❑Other:
Job no.:'G Job site address: t2 E Submit 2 sets of plans with any of the above. 1
City/State /ZIP: L L T above are not applicable to temporary construction service.
r i ' , 11 - , 4 -n 6 .,�- ` � pl ; =dam t ., >.
Suite/bldg. /apt. no.: j g. s- Project name: y .L CI" ' °' ' ° "'�' " -•
- 0' Descrip Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
" 3 Li ,., Lc S U t g 1,000 sq. ft. or less ' 145.15 ' 4
Subdivision: I 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
, !� let l 1 Ylti l"� Sltij[�alii'�I1i ' ifsriur st nv: �Ii4i 1 li 111 h �i [ tl €' ;' I ..-.: ' Each manufactured or modular
L. : ,I 1,,
dwelling, service and/or feeder 90.90 2
/,,e,„-. i i ,-,-. A...l.& ' Services or feeders installation, alteration, and/or relocation
� �, 200 amps or less 80.30 -2
t ifs l U x , .ta 99 O IVI P nf 774,W } 1 l ytp4 IVII �} ,, ��1yg�.ti}� ' ni ,» g i,:. i .7 ,. .,'l.4Pi E! 201 amps to 400 amps 106.85 2
# "F Li l � it MIS 401 amps to 600 amps 160.60 2
Name: +t 6 e /LO , i) /1.5 601 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
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.35 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
lii��llltr' 1. t
9 Iiunnasl�at +1 ��� �t � ��(}?� `71 `1"" r i 't A. Fee for branch circuits with
l y lu p' l ql� t, 11: � 1 :. al 1 gal €,1 k �� a r' ' . 4
. n . :�i�:l i�'" �rr�!17+' u tlVttil' j }',�-�itI'lilt,a -
,..�uc.a,.6,1d:71!G." ill!' r :�Ji31�_- ��9i+rY,trT4i��",L -,F- : A �
service ar feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits p
Contact name: without service or feeder fee, 46.85 y 2
each branch circuit
Address: Each add'l branch circuit / 1 6.65 �3 a -- 2
City /State /ZE': Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) f Fax: ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
Ei,��� / � T 4 .P i rrm
M , , ( � � ! fa. `ti `' 1 i r ' !�° 1pt,ill�N l'�' +.* f urtii x energy Panel alteration, or
_ it wff:�.,.,,. a � / ,.dt} 1 ' , � n,ih.h,' tu.� extension. Describe: Paget 2
Business name: 1 1 l 4 g -e-t t c C-'1 e, c c C_. f /t+L.
Each additional inspection over allowable in any of the above
Address: d 4 6 0 2_14 5
Per inspection 62.
City / State/ZIP: p
(9 2. e / Investigation per hour (1 hr min) 62.50
Ti 5 n
-r.++ • Industrial plant per hour 73.75
Phone: ( (5:0 ) 4 - 1 1 I Fax: (0-t V Z"'' -2 / 3 Q i 7l p ant yltl o f J I dEKty' 11 Vt1 +,ti - "e':i`. .'.',' <'.it
CCB Lic.: 7 S -e i . Electrical Lie.: '3 z{ - i',g' Suprv. Lic.: /9 5 -4 Subtotal ' 2t) - "
Suprv. Electrician signature, required: A Plan review (25% of permit fee)
L ....- L o
State surcharge (8% of permit fee) 7 --
Print name: 0 � rt Dat e: 3 _ r . - L.
s... TOTAL PERMIT FEE •S ) 2,1 IS-
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.
is\ Buitding \Pem PemutApp.doc 12/C3 440 4615T(IO/52/COM/W813
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00231
I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005
Phone: (503) 639 -4171 : 9unNhuy�i,gl�f�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/26/2005 TIME: 7:10AM PAGE: 16
SITE ADDRESS: 10220 SW GREENBURG RD 135 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: RANDSTAD
DESCRIPTION: 12 branch circuits
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEI I E ELECTRIC INC PHONE #: 503 - 6243631
Inspection Request Scheduled For: Date: 4/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
106 Underground/slab cover 005373-02 503 -624 -3631 N
Corrections /Comments /Instructio
4( P
ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,, Date: � ' 0S Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00231
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005
Phone: (503) 639- 4171„„��i�lH�1lpi1d "
Inspection Requests (24 Hrs.): (503) 639 -4175 '' �..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 23
SITE ADDRESS: 10220 SW GREENBURG RD 135 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: RANDSTAD
DESCRIPTION: 12 branch circuits
OWNER: EQUITY OFFICE PROPERTIES TRUST, C PHONE #: LA-qt-
CONTRACTOR: WI UAW. I I E ELECTRIC INC PHONE #: 503- 6243631
Inspection Request SchedulediFor: Date: 4/19/2005 Pour Time:
Code # I. - : - ion r - ° • iption Confirm # Contact # Message
130 (Ailing cover 004065.03 503.6243631 N
Corrections /Comments / Instructions:
•
120 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: PLI‘j14 Date: i f' 1 of -0 S Phone #: (503) 718 -
CITY OF TIGARD -
BUILDING DIVISION rr PERMIT #: ELC2005 -00231
1 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 4/1f2005
Phone: (503) 639 -4171 temp
Inspection Requests (24 Hrs.): (503) 639 -4175 _■.■
INSPECTION WORKSHEET FOR DATE: 4/7/2005 TIME: 7 :14AM PAGE: 74
SITE ADDRESS: 10220 SW GREENBURG RD 135 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN - TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: RANDSTAD
DESCRIPTION: 12 branch circuits
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEi IE ELECTRIC INC PHONE #: 503- 624 -3631
•
Inspection Request Scheduled For: Date: 4!7/2005 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 003971 -01 503. 624 -3631 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: I i" 7- OS Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00231
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/112005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/412005 TIME: 7:16AM PAGE: 41
SITE ADDRESS: 10220 SW GREENBURG RD 135 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: RANDSTAD
DESCRIPTION: 12 branch circuits
: EQUITY OFFICE PROPERTIES TRUST, , PHONE #:
• CONTRACTOR: WILLAMEI IE ELECTRIC INC PHONE #: 503- 6243631
Inspection Request Scheduled For: Date: 5/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006084-01 971 -219 -0413 N
. Corrections /Comments /Instructions:
•
' / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / ( Date:, Phone #: (503) 718 -