Permit (a
CITY OF TIGARD ELECTRICAL PERMIT
al
PERMIT #: ELC2007 -00035
A ° COMMUNITY DEVELOPMENT
DATE ISSUED: 1/16/2007
itIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 4 b 0 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG
Project Description: CRUISE MASTER 11 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: 10 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 1/16/2007 $113.35 LIC 75059
[TAX] 8% State Surcharge 1/16/2007 $9.07 SUP 1965S
Total $122.42 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: 1 J Permittee Signature: 9 .(
OWNER INSTALLATION ONLY j � �' _
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.
1.1AN as 2007 10: 43FIN WILLAMETTE ELECTRIC INC. 5555555555
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IF, ectrrieal Permit Application . v,::g.ii:§::,:.i
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, 31 25 SW Hall Blvd., Tigard:" ' 2 E , Revia : .. 7
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['hone.: 503 639.4171 tax 74.;; 9...4, n k11 t14. Da-/BY Other Pei mit:
InSpeCtiOn Line: 503,639.417 . k --'
See Pag n
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Internet: www.ci.tigard.01.LIS ,.,1., 1 '. 10 ';'4 D N a o t tL - 1 1& c e XeThOCI . Supplemental information
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0 New construction AvddiMnS l'..= atiOrOltroe' cid Please check all that apply:
0 Demolition
3j.,.,1:3- ['Service over 225 amps, comm'l DI-lazardous location
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_ „..,„... _ , OSetNice over 320 amps - rating LIBuildng over 10,000 sq. ft.,
- - - ' ' ; •'• . : II‘ II , I :t4/444 I 6nitkfi* I 6Efti; I :: '''' . I.I. •'::'•' ' I: ‘,. ' •
• t of I- and 2-family dwellings 4 Or More few residential
0 1- and 2-fami I y dwelling IC, Commercial/industrial El Accessory building DS ystern over 600 volts nominal units in one structure
['Building over three stories OFeeders, 400 amps or more
n Multi-family n Master builder 0 Other: pOccupant load over 99 persons DManufactured structures or
1 :**ItiO ''. NrAii;', 0 Egress/lighting plan RV park
Job no.: S Job site address:/ 0Health-care facility ['Other: de lp o . ‹,.....,. / Treol 4 kV
Submit 2 sets of plans with any of the above.
City/State/ZIP: 776 The above are not applicable to temporary construction service.
iggiltia a iligiFC - ,....:,[.
Suite/bldg./apt. no.: „ Project name:
I-144Se. 0-7-.45.951? .1-
Description 1 Qty. Fee. Tatal **
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage. •
1,000 so. 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
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•,• . • .....:,:-,.,,.::. ..i. , ......- ..,,,:- ',"' ''',.,'"‘, ^ '* Aa`'.h,.5--•:-.''''',.74■IF:.4Fie:14:it:A5.0`:irt"'■.; 7 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
"Niro, .7 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
::'`..I'"I'-IIII:Ii1.i.E.RI:#44574;!-:II41-400.;AI:IiIgl iii0:0IIIII:Iffiralat*** •.F1I 2°1 a ra Ici 4 °° amPs 106.85 2
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
C i ty/Stat e/Z IP : 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] 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
..II".. I l " ": itIf=1:1T-;:z.iPIVIefiW".5,,tziiP1174&„.,tri-ei611,17a„,ifigAligAtilfiag-KiIkkItIM A. Fee for branch circuits with
ffliE.Yoti24,m service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, I
46.85 1 yd 13 42
first branch circuit
Address: Each add'l branch circuit 2F 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
II. fa:.:Ilf.ii •i: z 7: ...argiT gitlaitl yff.-77.11ot-Fig...4-5..:37,,:.-kv: energy panel, alteration, or . .
extension. Describe: Page 2 2
Business name: Le j; II .- 7 ,.... -et, t- q 6 / e6 6..., r_ 4
Each additional inspection over allowable in any at the above
Address: f 0 8 ,-.), •?....3 a s4.-/ ) Per inspection 62.50 .
City/State/ZIP: - 7" , 9 3,t e? 0 v '4 ? 2 1? ) investigation per hour (I lir tnin) 62.50
Phone: (.5 ) i 2. ' -- 3 I I 'i Fax : (5 ) t‘ `9 - 2: I I 3 e Industrial plant per hour 73.75
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CCB Lie.: 7) (- I' Electrical Lic.: .3 Li --ze3 (- Suprv. Lie.: 2 / 1 Z Z 6 --..:i 5-
Subtotal 4 3 ,--
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Suprv. Electrician signature, requirecl„.,.. ,--, ,............ -........,...----- .. • - -- - --. ' " ' • • Plea review (25% of permit fee)
State surcharge (8% of permit fee) Y 2'2-
Print name: a c. ; „I r re I Date: .
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TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after Is has been accepted as complete
Print name Date: 1 - Fee methodology sett)) Tii-County Building Industry Sel vice Bead
*. Number of inspections per permit allowed.
i.■otiilding\ Pertnit,1 ELC-YerrnitAppclot: 12/03 440-4615T(I0/02/CC) NI/WCia
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: ELC2007-00035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1612007
Phone: (503) 639-4171 tigrootottil It\
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 2/1312007 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 10220 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERirvvo LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: CRUISE MASTER 11 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAME.1 I E ELECTRIC INC PHONE #: 503-624
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043352-02 503-624-3631
Corrections/Comments/Instructions:
PASS n PARTIAL APPROVAL LII CANCEL NO ACCESS
I FAIL CALL FOR INSPECTION I. ADDITIONAL FEES ASSESSED
Inspector: Cy 'L F> S.. 1 •- CY Phone #: (503) 718-141
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00036
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2007
Phone: (503) 639-4171 a •
t
Inspection Requests (24 Hrs.): (503) 639-4175 I L
INSPECTION WORKSHEET FOR DATE: 2/13/2007 TIME: 7:02AM PAGE: .
SITE ADDRESS: 10220 SW GREENSURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: CRUISE MASTER 11 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAML11E ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 043352-01 503-6243631
Corrections/Comments/Instructions:
PASS fl PARTIAL APPROVAL n CANCEL I I NO ACCESS
0 FAIL 0 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: (\\) Date: 2 - - I - 0 Phone #: (503) 718- 2•
•
CITY OF TIGARD .,, ,•
BUILDING DIVISION A „. PERMIT #: ELC2007-00035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2007
Phone: (503) 639-4171 anopitniA 11\
Inspection Requests (24 Hrs.): (503) 639-4175 .44 l r -= '11..
INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7:02AM PAGE: 8
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 MASTER 11 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: wILLAIvihi i E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 1/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
j >03-4-io 042465-01 503-6243631 N
Corrections/Comments/Instructions:
St LOA D
Nq- .
ft F-1.. r.\\).61 4 \)E CAN NVal5e- #O 6 '
F. -ir -1\rnl Q/S0t)v1/ , 1
•
„XVSS fl PARTIAL APPROVAL I 1 CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C. N LE. Date: 1 6 Phone #: (503) 718-