Permit Fir CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00018
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/18/2007
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: CRUISE MASTERS. HVAC.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST AMERICAN HEATING
ONE SW COLUMBIA #300 1339 SW GIDEON ST
PORTLAND, OR 97258 PORTLAND, OR 97202
Phone: Contact #: PRI 503 239 - 4600
FAX 503- 239 -7038
FEES Reg #: ELE 26- 993CRE
LIC 33135
Description Date Amount
[ELPRMT] ELR Permit 1/18/2007 $75.00
[TAX] 8% State Surcha 1/18/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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: Permittee Signature: r� 4 CS
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.
Electrical Permit' y e 1t� �, s ° .. . : FOR. OFFICE USE ONLY
C
u Received / \ r G i t l
City of Tigard Dateiv : , r r v ) Permit No L . // i96 p J i
13125 SW Hall Blvd., Tigard, OR 97223: h 141 1 c 2007 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.194N1 4/i,� �;; � il Date/B :
Inspection Line: 503.639.4175 �_ ' I' Date Ready/By: H See Page 2 for
Internet: www.ci.tigard.or.us �( 'lI y I• I. iULi `.- Notified/Method: Supplemental Information
h . him.% " y - `�Y - , tcg w , 1- ti 3 2 >j'r" y 1 ;Yzvfxt .,. •.,•a, -.;� ,*..a''Oi fri'» s ��" ar+ 1
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� Ad dition/alteration/re lacement Please check all that apply:
El New construction p
❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other: ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
TM k of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2 family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
T ;s „71fiw � , 4 1 m <i 4r�'o ® N E ess/li htin plan
RV park
' 0 �d 6 (ice b ,/l ❑Health -care facility ❑Other:
Job no.: Job site address: , n l 1`� Submit 2 sets of plans with any of the above.
City /State /ZIP: The above are not applicable to temporary construction service.
g p no.: AO l ru in �s. i,'a.:;:-. ,
./a t. no. Project name: ( L
\/` � � S ' � Descriptlon l Qt y. I Fee. Total . .�� I . 4.
Suite/bldg./apt. `
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
,,,`1 „' T � r , - � a f� � r , , a � , �?? E ach manufactured or modular
��-� 1 --64 dwelling, service and /or feeder 90.90 2
l �i/� ( SdIJ.JC I " , �^'� J Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
1530:4M-492 e �.� �» a ° 4'-ti' q �-, , V° „ - / �r -u ir, i art, � , 201 amps to 400 amps 106.85 2
' • 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
relocation
Phone: ( ) I Fax: ( ) 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
^�� - ,� �, Fin� x "� i'°� �' � , �y� '”- '"� � n, A: Fee for branch circuits with - - - -
' {-- ---- 11 ' '' ' - , ' service or feeder fee, each
6.65 2
Business name: circuit
ro (l Lk- f � Ct ,-i n i n branch circui 1`tc .� ` B. Fee for branch circuits
Contact name: f C.�l without service or feeder fee, 46.85 2
- 39 � 6_` � (l-Ql) ► 1
each a dd bra br r a n chc circuit Address: � Each a'1 bach ircuit 6.65 2
City/State /ZIP: 1 Y* t 046 0(2_ rz q' O- a Q Miscellaneous (service or feeder not included)
t a/�, Pump or irrigation circle 53.40 2
Phone: 1 � ) c>l�v l _ q ( Goo I Fax: : ( . J ( j) 1 6�g Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
P 7 a a prf panel, alteration, or
�s a r - 0t ,, , a t Y rE energy gYP
extension. Describe: i Page 2 2
Business name: 4 - rni2 ; (i ( t nc _DA C .
Each additional inspection over allowable in any of the above
Address t � �� t d� Per inspection 62.50
City/State /ZIP: - L f 0 4 q- -30 Investigation per hour (1 hr min) 62.50
�y �/` Industrial plant per. hour 73.75
Phone:() 1-(4 I , U I Fax ( ) a ” J - D�� use ' s �;ga n n . irt 1 I F . 8431
CCB Lic.: 33 t 35 Electrical Lie.: 9c T (..4?j Sup . Lic.: ato ti (j LE Subtotal
Suprv. Electrician signature, required: f t , �� (//JI Plan review (25% of permit fee)
Q/ �� `� State surcharge (8% of permit fee)
Print name: Date:
7 —]
I t �-' t � v Q.(� U ikn (� 1 1 TOTAL PERMIT FEE ?) eAJ
Authorized signature: 6 16, 2 This permit application expires if a permit is not obtained within 180
� � � - days after it has been accepted as complete
• Print name: . m (Yi a 3 s C 0, o n Date: / ,,l 1 __Cr/ ' Fee methodology set by Tri- County Building Industry Service Board
!t " Number of inspections per permit allowed.
i \ Building \Permits\ELC- PcrmitApp.doc 12/03 440- 4615T(10/02/COM/WEB •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1t18/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .41911-
INSPECTION WORKSHEET FOR DATE: 211212007 TIME: 7:05AM PAGE:
SITE ADDRESS: 10220 SW GREENBURG RD 200 CLASS OF WORK:
•
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: CRUISE MASTERS. HVAC.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 2/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 043225-01 503-572-6338
Corrections/Comments/Instructions:
PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: % Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1012007
Phone: (503) 639-4171 63 2,41fivit I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7:05y1 PAGE: 42
SITE ADDRESS: 10220 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LIN6ULN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: CRUISE MASTERS. HVAC.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 1/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 042624-01 503-793-2240
Corrections/Comments/Instructions:
4:1 I I
FA! \ PASS I I PARTIAL APPROVAL fl CANCEL NO ACCESS
EI FAIL r7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: _ L Oa_ Date: 2 ts / 1 Phone #: (503) 718_9)41
•