Permit •
CITY; OF TIGARD ELECTRICAL PERMIT
PE RMIT #: ELC2005 -00482
DEVELOPMENT SERVICES DATE ISSUED: 7/6/2005
,'• I • 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S135AB
SITE ADDRESS: 10220 SW GREENBURG RD 210 ZONING: C -P
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT : JURISDICTION: TIG
Project Description: (1) branch circuit. Job # 6356.
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: 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: Phone: 503 - 624 -3631
FEES Reg #: LIC 75059
Description Date Amount SUP I965S
ELE 34 -283C
[ELPRMT] ELC Permit 7/6/2005 $46.85
[TAX] 8% State Surcharge 7/6/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
•
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 - 332 -2344.
Issued By: sGC_7T‹ Permittee Signature: tue-
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.
JUL 06 2005 8:03F1M HP LASERJET 3200 p.2
Electrical Permit . f.`pplication,- FOR OFFICE USE ONLY
City of Tigard -
Review :,/ Received 7 _ ,�-y� d II 0 Permit No.:
13125 SW Hall Blvd., Tigard, O d -
R `/ LL co
Phone: 503.639.4171 Fax: 50 %% "` "�N i kf lt Da
'" ' Pi= :
OtherPezntit:
Inspection Line: 503.639.4175 p L :t ,,! ' Date Ready/By: See Page 2 for
Internet: www.ci.tigard.or.us `�� G �� , � Nohfied/Method. Supplemental Information
,:'t ' ?F., 1 Zi i Lf. ft S: .. i . i ., a '?; i;a.....' ii.Ll "iS.ta .. 'a _ .
- T" 14 Sn' (' ' R -s - } n, pal:
irf t< � <C" ."Sgt4llil, ?,. �'ii . � ' " q - ..;�'n4:,:
�",�� ;;lia -a'S II''''{uttt}} ,` 1 _ � . t S . 8 T tt • � ,. S.1 � ^ a e a' �� . �s+ - . . •
yH'H�� dtl . l � � �1.v�.:,a. i'�f[l�.i1!'�n °e N4 � n. +3� , .�.. � 1� ? �i1jY�f a ' N.sE . � . � ° vde�k... ` :1 �T .. w86i �� f ,. . -r.�4 A'.... �; :� � '.
❑ New construction U Ad !iio 't -ration/replacement Please check all that apply:
El Demolition ❑ 01
\
V ❑Service over 225 amps, comm'I DHazardous location
2� ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
k ;pit 1Pyr I b ' fit amt ` e 1 '° i ° i° tt „ LIP 4'.i •46.1. X of 1- and 2 -famil dwellings 4 or more new residential
[1 1 - and 2 - family dwelling [ ❑ Accessory building ID System over 600 volts norrmlal units in one structure
OBuilding over three stories ['Feeders, 400 amps or more
❑ Multi - family rj�� - ❑ Master builder 1:1 Other:
❑ Occup a nt lo aver 49 persons ❑Manufactured structures or
I� f #1� " t I '�'`" } L`4 uI n .1,`4 }- +!'i �ClMON41. u { Y l t' i '
4 1141 1 ' li r a ti,i� s , "._u.�i lf. . tt � 8 � x � p r; II.R r, R ti ❑ li ghti n g plan RV park
t r,, l 'r!4'itt r Pother:
Job no.: Job site address: _ ,_. - ❑Health-care facility
�+ Z ( r r2 Zt� L41 ___;_. ,;• cV Submit Z sell of plans with any of the above.
City / State/ZIP: 'j C (.4_44 4 The above are not applicable to temporary construction service.
S ;. ��+ li�} ¢(alf pw
r a t .y.
si
�fl[�1ti llc +_a +tl� � acc�"J i.: .:..
Suite/bldg. /apt no z, Project name: 7 PIA,. 44,-.. 41 Description Qty. Fee. Total
Cross street/directions to job site: etaltk New residential single- or multi - family dwelling unit.
Includes attached garage.
,a;: d 1,000 sq. ft. or less 145.15 4
Subdivision: i Lot no.: Ea. add'l 500 sq. R. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no Limited energy, non - residential 75.00 2
dal a I.n r ; a :AMEN ,l rm 10 r m t , ,,„ , 1ars, r,, � 1' t C, , +c+ l � r
t1i �' �.. l i ���ita x3H i� „ta itt a- llhitl�ilget+i ' it ' PS- ilL -' ;my; ,41,,, ' rt il 1 . 11-U ` Each manufactured or modular
dwelling, service and /or feeder - 90.90 , 2
1.. - e., ,... ,,i ("`^ t-- - � Services or feeders installation, alteration, and /or relocation
's 200 amps or less 80.30 2 • i
I. mi tt ,i ' ; ` n ' l � � si � ii E 1;' , t , il k i t 4 '2 1 u4 4 ' ' �1 ' I - 4 01 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
Phone: ( ) • I F ax: ( ) 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 amps to 600 amps 133.75 2
Owner signature: ' Date: Branch circuits - new, alteration, or extension, per panel.
y y r
il vu i , il� V S n ! 1 l i "° 1 i�T I 1 p i
` ' w t t - M� � 9 4 r 1 i i 13 ''. t 4'^�tk tt . i ` A. Fee for branch circuits with
{ { , t't I, i tr / ''li . ,�� 1. �����11111 } 0 AI, �1 l j [ j ' j91 i�!�'.Qp; _ ,rtujr. �iY 1J P . n t; �
1 }1Y1N1�� +�lll }UG6.�P�cvvsP�4.4rRi'AUL' =.".t q+� Y.:��J�lffiiLll}JI��WI �I 1 li>�zk.l] Vl ln:m'til lil�i3fiViir� t l �?p , �
service or feeder fee, each 6.65 2
Business name: branch circuit _
B. Fee for branch circuits
Contact name: without service or feeder fee, c 46.85 l \^ 2
each branch circuit r y
Address:
Each add'1 branch circuit 6.65 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 -
ilz ..I rt%, i� j u 11 M 1x1 3 rrri ih 3,,t h .n�{ f 141-19 . .' 't energy panel, alteration, or
iii;# {if i ri r1i �S 1 'kV:C it i'f>cu�iiNlrl jm i Lent o ...4. ... . a :1 t ."t gY P
extension. Describe: Page 2 2
Business name: i,� , ((q va e pi fie..,„ /''Yt 4 e- 4, <,
Address: �� $ ; y r Each additional inspection over allowable in any of the above
- e Per inspection 62.50
City /State/ZIP: T 15 IRA n (y ?). 2 / Investigation per hour (1 hr min) 62.50
F ax: Industrial plant per hour 73.75
Phone: (S fi3 ) (w2 - 3. (St ) `22 Y Z . e i 7 Lr 'r , i t• 1't v ~; ,• 4 , ^ >.,- *�x
�1 �✓f/ �� 0 � I,l ^l 1! tt�� t�� ��„� � ;'i�rl:.k�(;,:.i,;::: . .
CCB Lic.: 5-.. S 1 Electrical Lie.: • Y. 2f.3 L - _ S prv. Lic.: J5' Subtotal t{ , 6C
Suprv. Electrician signature, required: Plan review (25% of permit fee)
a
1.)64 t , F . Date: o r.
State surcharge (8% of permit fee) 5 ) 1
Print name:
b - TOTAL PERMTT FEE 14-4 1 ( 0
Authorized signature: This permit application expires if a permit is riot obtained within 150
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 pemutaliowed.
i:\ Building \Permits\ELC- Pn-mitApp.dce 12/03 440- 4615Tt10/02/COM/WEB
CITY -OF TIGARD L .
BUILDING DIVISION PERMIT #: ELC2005-00482
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2005
Phone: (503) 639 -4171 "'ror'' lifi'\
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_..
INSPECTION WORKSHEET FOR DATE: 7/13/2005 TIME: 7:10AM PAGE: 69
SITE ADDRESS: 10220 SW GREENBURG RD 210 CLASS OF WORK:
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED ASSET MANAGEMENT
DESCRIPTION: (1) branch circuit. Job # 6356.
OWNER: EOUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: W ILLAMtJ I E ELECTRIC INC PHONE #: 503- 6243631
Inspection Request Scheduled For: Date: 7/13/2005 Pour Time:
Code # spection I - ription Confirm # Contact # Message
199 Electrical final I 95-01 503-6243631 Y
Corrections/ . - 4- is structions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �r / Date: / 0 Phone #: (503) 718 - Z-'N Cj