Permit ,t,
,..
\ C ITY OF TI CARD ELECTRICAL RESTRICTED ENERGY PERMIT
A, DEVELOPMENT SERVICES PERMIT #: ELR2006 -00038
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/27/2006
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 220 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Limited energy for fire alarm.
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: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC
ONE SW COLUMBIA #300 PO BOX 87387
PORTLAND, OR 97258 VANCOUVER, WA 98687 -7387
Phone: 503 -412 -4800 Contact #: PRI 360 - 737 -9725
FAX 360 - 737 -9648
FEES Reg #: LIC 67787
ELE 37- 428CLE
Description Date Amount
[ELPRMT] ELR Permit 1/27/2006 $75.00
[TAX] 8% State Surchari 1/27/2006 $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 f rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
thro h OAR 95 01 0 . You may obtain copies of these rules or direct q s to O at 503 - 246 -6699.
Issu d By: � '!.� Permittee Signatur `r cS c
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.
! f4
0 .
..-
! .
lE ectrical At:- , 1) , -g) .. FOR OFFICE USE ONLY
1 .
,..
City of Tigard / f kr
Al, Received i 0 , M Permit r.
Date/By. I -. .
No.: ' A 60: ' '. 4 " •
13125 SW Hall Blvd., Tigard, OR 97223 c ., Vt% Plan Review
Phone: 503.639.4171 Fax: 503‘. Other Permit:
.4 -.4 1 50614, L '''' , • il IF • Date/B
''' Y.
Inspection Line: 503.639.4175 J" Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us IGO) m Notified/Method: FM Supplemental Information
1:1 New construction Addition/alteration/replacement Please check all that apply:
D Service over 225 amps, come! 0Hazardous location
0 Demolition 12 Other:
• SO ervice over 320 amps -rating ElBuildng over 10,000 sq. ft.,
4 ''''' W ''''WVAV" :731 ', 4 -r4egirde'• iii
of 1 and 2 dwellings 4 or more new residential
ID 1 and 2 dwelling 0 Commercial/industrial 0 Accessory building OSystem over 600 volts nominal units in one structure
ID Building over three stories ['Feeders, 400 amps or more
0 Multi 0 Master builder El Other:
VV 0 Occupant load over 99 persons 0Manufactured structures or
' ''' -W *Vgir 4 a NVr it5iegffi r if•Yfo ' aei r firogr'AV'raiei f f Tig
0 Egress/lighting plan RV park
'. , .;12-104 , 1•1, , iim, ,44.,„,,,,,,t,,,,, t(4 , ::„ '1,..,,,,,i
0Health-care facility 0 Other:
Job no.: • Job site address: / a 05- 1-J C're-. h. a.i. 7 Submit 2 sets of plans with any of the above.
City/State/ZIP: -Tk ei 4 d - - A 0-ef v—... The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 72o Project name: C4 e r..letr7fioE4r W..1 ilit.VMS1Wg fa 7:S 0 .11I WiEWSKSTY '''- '... 1St* i
Description I Qty. I Fee. I Total I ..
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
ff;,ISFt.', ItlagitV Each manufactured or modular
- dwelling, service and/or feeder 90.90 _ 2
49 rti C 1"--b11-4-_S Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
'WWI' iitiojiaritifiViiii416W-01,10VW:4,14:4 iiiql&Witilfk-WitAil, 201
amam to amps p s 400 106.85 2
1;'6, ...../th.<.-.--,-,-,/,..,,,Z „II,' ,,, -.,,,,-4;:-.:-XVIMAINIA :
p 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: ( ) 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
f4i:7nFi.Vffatkg 1 r.V.-:':: '.. :,, ilteo"M•)16 A. Fee for branch circuits with
—14 : service or feeder fee, each
6.65 2
Business name: L. Cc)(44 ii (A (4 ( Ce441- branch circuit
B. Fee for branch circuits
Contact name: 1& 5 . 1 ( without service or feeder fee,
46.85 2
A each branch circuit
Address: l o 6 0;z e 73 (f Each addl branch circuit 6.65 2
City/State/ZIP: 1.....492. Cy.) 0 Miscellaneous (service or feeder not included)
Puon circle 53.40 2
Phone: (3 kg) ) ') - ? 9 22, 3- Fax: : ("1( )) , 9,6 yr
Pump or irrigati
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
"'-<W'aa%?NMWj :n..4*.ir•71 ener panel' alteration' or
extension. Describe: Page 2 2
Business name: ' 1 j____
( C_a-) p-si y4.1 4 1/1, l Ce.t. 41....^--n...)
Address: I,l,,9 0 d 0 K_ 0 Each additional inspection over allowable in any of the above
• Per inspection 62.50
City/State/ZIP: (// (A-) IA Investigation per hour (I hr min) 62.50
Phone: (y6 6) 237 9 7a 5 - Fax: (3.Q5 ))2 7 76 yer--- Industrial plant per hour 73.75
z.,
CCB Lic.: 672k7 Electrical Lic. :3 2 y2 6'21 6Suprv. Lic.: 6,s y te-1 Subtotal
Suprv. Electrician signature, required: .a,, -Plan review (25% of permit fee)
Print name: i,pqrr E, Lc u Date: /..--;), 7-- 0 (r) State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: 7---..4 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
'Print name: c 13 , ___c Date: t•-...a 7_3 t * Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
i: \BuildingWermits \ELC-PermitApp.doc 12./03 440-4615T(10/02/COM/WEB
CITY OF TIGARD J. •
, BUILDING DIVISION PERMIT #:
1 ELR200600030
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2711006
Phone: (503) 639-4171 , aPpililti .
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTIO ORKSHEET FOR DATE: 2/24/2006 TIME: 7:03 PAGE: 06
SITE ADDRESS: • U., . SW GREENf3URG RD 220 CLASS OF WORK:
SUBDIVISION: LIND ..N CENTER/MO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CAE NO THWEST
DESCRIPTION: Limited erie ), for fire alarm.
OWNER: EQUITY OFFICE "ROPERTIES TRUST PHONE #: 603 .
CONTRACTOR: T & L COMMUNIC ' IONS INC PHONE #: 360-137-9725
Inspection Request Scheduled For: Date: 2/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0 7492-01 503-780-3222 Y
Corrections/Comments/Instructions: — ,--
,.......
E4k PASS 0 PARTIAL APPROVAL CANCEL n NO ACCESS
0 FAIL n ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
ifr
Inspector: _4.- ----' - j'.__. Date: 24-4 Phone #: (503) 718- 1.4
--;
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR7�� 6 00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -1/2712006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 „Jai- 11:.
INSPECTION WORKSHEET FOR DATE: 2/10/2008 TIME: 7:04AM PAGE:
SITE ADDRESS: 10220 SW GREENSURG RD 220 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CAE NORTHWEST
DESCRIPTION: Limited energy for fire. alarm.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 803-412-4800
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
Inspection Request Scheduled For: Date: 2/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199V Electrical final 026593 360
Corrections/Comments/Instructions:
5ALL 3
1V) 1\411c_0\_ 'N•tv (ALIT w Al C.
/7
•
t I PASS ' El PARTIAL APPROVAL El CANCEL NO ACCESS
[yr FAIL Li CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Date: Phone #: (503)-718-
CITY OF TIGARD
BUILDING DIVISION A 4 , PERMIT #: ELR2006.00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/77/200&
Phone: (503) 639-4171 hay4
Inspection Requests (24 Hrs.): (503) 639-4175 .4..- AL
i
INSPECTION WORKSHEET FOR DATE: 2/2/2006 TIME: 7:02AM PAGE: 67
SITE ADDRESS: 10220 SW GREENBURG RD 2.20 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CAE NORTHWEST
DESCRIPTION: Limited energy t?r reffi
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4000
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
Inspection Request Scheduled For: Date: 2/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Misc. inmection 026163-01 360-737-9725 V
11 5 A b Qct‘it+,1 ONI F I tof '
-------,
Corrections/Comments/Instructions:
C-C3Vre.0- I WA ‘1,45:, - C. : L:4, (■.) 0
.0.■...........• I 0.■........ %.■■■..,
--------.------
, • I A
\ V
0443UE ivNA A ki 6
If Icer-ftlio wt. ILAi
6 tw 0U i LA)
q PASS 111 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
n FAIL ' CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: &, A)6 8 LE Date: 2.• 2- 014 Phone #: (503) 718- 2-4 .
_ _