Permit CITY TIGARD ��J ELECTRICAL PERMIT --
PERMIT #: ELC2006 -00055
DEVELOPMENT SERVICES DATE ISSUED: 1/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 220 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG
Project Description: 6 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: 5 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: 503 412 4800 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: LIC 75059
[ELPRMT] ELC Permit 1/26/2006 $80.10 SUP 1965S
[TAX] 8% State Surcharge 1/26/2006 $6.41 ELE 34 -283C
Total $86.51 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-:§e-'332-2 4. �,[
Issued By: a ✓ � / Permittee Signature: t 77 (,t (adz er) -
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 ` JAN 25 2008 1 : 47PM HP LRSERJET 3200 p, 2
4, ' E ectncal Permit A. .; "I' I �Y ED OR FF USE l
,/� Q ;ICE ONL '
:. �. .. a 3. ..f . :t . rt .:, Est." e. ' i.,p4 - .� •
• Irt� , .•7 rLC ....E ..; ?
_ City of Tigard - Received I M /yy� i
Date /_ I X 10 - 0 10 a Yermn Nt C 1 w b etV65 1
13125 SW Hall Blvd., Tigard, OR 97223 c PlanRevlew ` — O � `•+�
• Fhone: 503.639.4171 Fax: 50 .598.1960 JAN 2 5 2006 r , \ } 00 er Permit:
/ ^std' r ,
Inspection Line: 503.639 4175 i{ . �f l' - Date/R ' dy /Bo -
,� : Date Ready/By: ' S 10 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGAR � Nohfean,•le,had: y,_e�
4'54 s n 1 , Fra , v t Supplemental information
:T,FR 3w r 'tU r , I n r . -- }I +, j /t's sc , l t i fti',M . R 1� iuq, tt.nn . ,.,l, it "' �': - r : s1 ; t r h •. , ",.v, ; r:;.Ic�.
'tr d.. - , e. ,,, .w P ',ra ya lIs rk. '+' iagred!`.,.v.•.;1;`..2 : 2.1. Y tsi. , .7 'fit. , r1 3 p; e : ,:r s t - r
• ❑ New construction 1 Addition/alteration /replacement Please check all that apply:
El Demolition ❑ Other: ['Service over 225 amps, camrn'I ['Hazardous location
ri• i ` tl + i t ! � �, : t � s ,, ,`; ; ;q , lyn , 4YU'{4 i R � ['Service over 320 amps - rat ❑ Buildng over 10 , sq. ft.,
'' ' sid
r a_ *r • ' l. a -ati :'s... rta� ��'�• :P ;';; ' ... ;,, i , ;11: of 1- and 2 - family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 121 CommerciaVindustrial ❑ Accessory building ['System over 600 volts r.ominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
111 Multi family ❑ Master builder ❑ Other:
�{ ` l' Ft I `fig a e t sty a ' �; y, 3 ,_ , , r „ _., ❑Occupant load over 99 persons Manufactured str uctures or
' rK 1. l ! 10 'ic utt '' , , . i Ilial''. ❑Egress lighting Plan. RV park
Job no.: J g 4, Job site address: i r), 7., CLL." f ❑health -cae facility ['Other: � 1 / ..o. Submit 3 sets of plans with any of the above.
City /State /ZIP: J
�l
i r S ••}1 The above are not applicable to temporary construction service.
Suite/bld /a t. no.: ';f rte' ' r � 'ia' i a -
g• p Project name: t y fit i j. x��a o� , al c
�Z� J � �. A..6_, i ti/.dt -t.`J �
Description -><'>.:`� .� - '. ;�.``' .. �:
Qty. Pee. Total .'
Cross street /directions to job site: tT New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
MN= tl , r a e i v .,,,.� Limited energy, non - residential 75.00 • 2
`i ! rl "" "' l € e 1lg I t gA 4t �` ' _ Each manufactured or modular
alb. �
i dwelling, service and /or feeder 90.90 2
° _/ I ' a • Y p� ' I Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
t 1 ,� , ..�. � J ' k � 4s . I i ERe� . r oa . 7 201 a s o amps
6.14;it.,,srr: a �ta s'it4k tt .r'1g ,r-..::i.:-,11!3:. ;!l l , I , mP t 400 mp ! 06.85 2
Name:
~ 401 amps to 600 amps ` 160.60 2
601 amps to 1,000 amps 240.60 2
Address: I 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: ( ) 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 s to 600
Owner signature: Date: amF amps 133.75 2
Branch circuits -new, alteration, or extension, per panel
tit fi �kl ' e a u
_ 'iE7 r r ' � .cad• 1+' �!ecn l:� Ir4 .. � L'f, � rt;rl�r ' C {l�.0 �� 1;:� r ?,. �sF � ±� A. Fee for branch circuits with
service or feeder fee, each
6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, f sr4
each bra cir cuit 1 46.85 2
Address: �•,Z
Each add'1 branch circuit 5 6,65 I ,� 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: .
Signal circuit(s) or limited -
1 1 t 1st ai 'F, °.. d D jre y:. 1� I 'a : - ; tr A tsr 'F t I: u;1 energy parei, alteration, or
extension. Describe:
Business name: f Page 2 2
(14 , [ � ►1• �r �-� 'i.� f � �`4 ry is ►� <___.
Address: �� l G' L- 1 ti [. Each additional inspection over allowable in any of the above
.k -c{ Per inspection 62.50
City /State /ZIP: r 1/1-11.4 ti '-/ -4 J . Investigation per hour (1 Iv mini 62.50
Phone: ( ) 6 7 1 - + Fax: � �) t( I4 ?d Industrial plant per hour 73.75
9
CCB Lic.: ,� -�y� �- Gr Electrical Lic_: yc�„ �-
L
� � {__ 5uprv. Lic.: (c � � c; `vtr! �''` ��
Subtotal CT 6i 1,6)
1 Suprv. Electrician signature, required: ) • Plan review (25% of permit fee)
Print name: f` � Date: � � S surcharge (8% of permit fee) 9
TOTAL PERMIT FiEE
Authorized signature:
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: " Fee methodology net by Tri County Building Industry Service Board
"` Number of inspections per permit allowed,
r \lit, ild ing\Pe HI \ELC-PemmApp.doc 12/03 440.4015T(10 /02 /CON/WEB
CITY OF TIGARD '
BUILDING DIVISION Ail;, PERMIT #:8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/200
Phone: (503) 639 -4171 /traivllt'lii
Inspection, Requests (24 Hrs.): (503) 639 -4175 L __..
INSPECTION WORKSHEET FOR DATE: /20 I TIME: 7 :03Am PAGE: 60
SITE ADDRESS: 10220 $1. GREENBURG RD 220 CLASS OF WORK:
SUBDIVISION: LINCOLN 'e NTER!T WO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CAE NORTI4 `•ST
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE. Pl q - RTIES TRUST, PHONE #: 503-412-4800
i; #
CONTRACTOR: WILLAMETTE ELEf TRILL NC PHONE #: Gm-624.363i
Inspection Request Scheduled For: ate: 2113/2006 Pour Time:
Code # nspection le ...tion Co 'rm # Contact # Message
199 Electrical final 02675: 01 503 -624 -3631 N
Corrections/ ? - _ , '.. s:
l
4 PASS .❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: O'v Date: 1 1/ .V0 Phone #: (503) 718- Z A
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2006-00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 112612006
Phone: (503) 639-4171 .4/0
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 10220 SW GREENBURG RD 220 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CAE NORTHWEST
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE. PROPERTIES TRUST, PHONE #: 603-412-4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 2/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 026220-01 603-624-3631
Corrections /Comments/ Instructions:
•
•
/4 PASS I I PARTIAL APPROVAL CANCEL fl NO ACCESS
fl FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: (iVie Date: 2.- 3 , 0.6 Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION ;N. PERMIT #: FLC2006.00055
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2V2006
Phone: (503) 639-4171 4 lit
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHEET FOR DATE: 1/31/2006 TIME: 7:01AM - PAGE: 57
SITE ADDRESS: 10220 SW GREENBURG RD 220 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CAF NORTHWEST
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800
CONTRACTOR: WI UAW I 1E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 1/31/2006 Pour Time:
Code # nspe • Description Confirm # Contact # Message
125 Wall cover 026008-01 503-624-3631
Corre • • omments tions:
•
N 1 PASS 0 PARTIAL APPROVAL fl CANCEL El NO ACCESS
0 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: N oe L Date: i 3//0 Phone #: (503) 718- VI 1 if)