Permit l
•
,� CITY OF TIGARD ♦. Et, ELECTRICAL PERMIT
IL
PERMIT #: ELC2007-00332
COMMUNITY DEVELOPMENT
DATE ISSUED: 5/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN • LOT : JURISDICTION: TIG
PROJECT: NORPAC
Project Description: Add "E" distribution and connect to existing egress lighting. Job No. 188495
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: 2 W /SERVICE OR FEEDER: 14 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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 BROADWAY ELECTRIC - COCHRAN INC
ONE SW COLUMBIA ST #300 626 SE MAIN
PORTLAND, OR 97258 PORTLAND, OR 97214
Phone: Contact #: PRI 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 5/15/2007 $253.70 LIC 72942
[TAX] 8% State Surcharge 5/15/2007 $20.29 SUP 3447S
Total $273.99 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 th 80 days. A - . NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth 'n
OAR 2- 001 -0010 through e ° • - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332 •
Iss d By: ! , Permittee Signature: _ --��/
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: �' 4 A . 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.
4
1
e. , , ,
s. Electrical Permit Application - L . - . FOR OFFICE USE ONLY
City of Tigard Received 5� II ,� PermitNo.: N7�5
13125 SW Hall Blvd., Tigard, OR 97223 y
g Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 hgA e � DateB :
Inspection Line: 503.639.4175 p 0 - Date Ready/By: 111M a See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
_'.cs :;:�. r:. •��� ',:a• a:.aa; °x.� °��a:r�.r�. rtazc�= ;;�.,�, . � *�•:se° ..s:s� .�.�,.•
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El New construction a�]' Addition/alteration/replacement Please check all that apply °
Demolition
EService over 225 amps, comm'l EHazardous location
❑ Demolit ion ❑Other: :4;z a.= ,; a.= : -., :. ,., ', •: «__�. r ` tF °,'i':r`. a : ;;:' i °; ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
tS ta N` `C F�GO tl O:fMWgT3CT $1,.y ww lal gt„ ,'ra,;� of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling arCommercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi family ❑ Master builder
EBuilding over three stories EFeeders, 400 amps or more
❑ Other:
['Occupant load over 99 persons EManufactured structures or
.,�;w', *�•�,�•s,:t �sa:^ �t a„:� s * : � ; �z� x a ^aN� 3 : 5 ��° ;,rs: -. _. . ; , -., g am; � •,
g47440-144, .e -C ' §:k o . >:'.,,,, da t i" • is °. � RV park
i lla 11 4 d B S" I1V ORiVLt1� =I'IO ,IND- O CAI'I(7 -°� ' , ' Sx ❑ Egress /lighting plan
- .� : °�< <�r�.a..;,..���s �> ��:..,•;;-. �z$ w• �,. ,:a- .,..J�;..- �.;:r:z�e;��.��., .H....s�i�i =.:r��:;•:...� �. ' ..
Job no.: Job site address: Q ❑ Health -care facility ❑Other:
N (�re.",64, (3,�2� (rd !S 7f() Submit 2 sets of plans with any of the above.
City /State /ZIP: T he above are not applicable to temporary construction service.
1. 6���� ���o � 9�z �� ��.,=s� ..
Suite/bldg. /apt. no.: c/ Project name: N ' ”" :. **
goo /!�(�.���(W ba ,
t��/o�Y Description Qty. Fee. Total
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 I
Tax map /parcel no.: Limited energy, residential 75.00 2
x, S u, ° .a: ta:.• •:.$. :., € . t , ,; ° Limited energy, non-residential 75.00 2
'
1rrt I.^ '� *� `�'�•„ D SCRIPTIAI , ® . 'O ` r, . ':r'< ; ''� Each manufactured or modular
/ j / ` dwelling, service and /or feeder 90.90 2
�C C e [�Ies 7"r/�.4 Y/nAI Ag A./cl �..AeJA1dwf is Services or feeders installation, alteration, and/or relocation
C Jl ��� � � L � /� ,..y 200 amps or less 1 80.30 ' b 2
,,„ ! , 7 PR°OP 'S .>
, O \'R . ENAI 'I om i,s � 201 amps to 400 amps 106.85 2
'�' .. ' „:air "n :_... � 4'' �''' 4- , ,r# . , , «v '''''e >. u.
401 amps to 600 amps 160.60 2
Name: A fo q . 601 amps to 1,000 amps 240.60 2
Address: tom' Over 1,000 amps or volts 454.65 2
j1:12.66 Al • 6(6=k 1;7 Su ok (too Reconnect only 66.85 2
City /State /ZIP: 75 G,o. eveg64. i J Temporary services or feeders installation, alteration, and /or
. _ 6 Fax: relocation
• Phone:
(� 3) Z z Cj I 3) �� ' �Z �'I / 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
g `' ., tri - APPI t," ' . `` ;: , „ eiNm. "PER . i ;'; , A. Fee for branch circuits with
' 'e service or feeder fee, each
Business name: branch circuit iv, 6.65' 94'j 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
il " . } a an I l :ff# t'i fate 'X.f - W, € energy panel, alteration, or
\ extension. Describe: Page 2 2
Business name: "?..),c.— e d w c+. \ \. a c � St
2 ( 5 (_ M a�� Each additional inspection over allowable in any of the above
Address:
Per inspection 62.50
City /State /ZIP: - p v 1 —A � „, c.l 2 \-? �.. L4 Investigation per hour (1 hr min) 62.50
Phone: (So3) 23({ —C,5 y Fax: (9 3) 2: % �2 � `t $ Industrial plant per hour 73.75
Ml�;s. _ ] TI2ICA�z�PETt1VIIT�1 !�N1ES
CCB Lic.: 7 2 2 Electrical Lic.: 3'1 -5 c Suprv. Lic.: 3 t-Et- - S Subtotal Z 5 )0
Suprv. Electrician signature, required: L. \/ �tl'� Plan review (25% of permit fee)
Print name: `._ e 1 - c - 00 �'� ��� «< JJJ Date:
State surcharge (8% of permit fee) Z(� Z 9
\ 1 � TOTAL PERMIT FEE 2 73,
Authorized signature: This permit application expires if a permit is not obtained within 180
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 permit allowed.
i:\ Building \Permits \ELC- PermitAnn.doc 12/03 440 -46I 5T(10 /02 /COM/WEB
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2007-00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2007
Phone: (503) 639-4171
1
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00A1Vi PAGE: 7
SITE ADDRESS: 10200 SW GREENE3URG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: Add "E" distribution and connect to existing egress lighting. Job No. 188495
OWNER: EQUIlY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC.COCHRAN INC PHONE #: 503-24-6554
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 059197-01 503-201-581 Y
Corrections/Comments/Instructions:
PASS LI PARTIAL APPROVAL E CANCEL fl NO ACCESS
I IL 1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: gh (n1 Phone #: (503) 718- WA'
„ ,
'
CITY OF ��nn m n.�n un���mna��
BUILDING DIVISION �
1 ~°~,.~~~°""~~= ~°"°"~°"~°"° PERMIT #: EL�2O07-0O���
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5115/2007
Phone: (503) 639-4171
Inspection Roquoa����Hmj �
Hrs.): 839'4175 _�y�~ ^�J�
INSPECTION WORKSHEET FOR DATE: 18/18/2007 TIME: 7:01Alvi PAGE: 17
SITE ADDRESS: 18200 S@VGREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LOT TYPEOFUSE
� L|W{�0LNCENTER/F�VEiJN� #: USE:
PROJECT NAME: NORPAC
DESCRIPTION: Add "E" ditribtion and connect to existing egrcss lighting. Job No. 100495
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC.COCHRAN INC PHONE #: 603.2m-056.4
Inspection Request Scheduled For: Date: 10118/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
�
1�a Electrical final 057869-01 503-201'6806 `^ Y
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Corrections/Comments/Instructions: | �`��
.
.
~__-
e,
ri FA8S fl PARTIAL APPROVAL - • EL fl NO ACCESS
Auk
FAIL [7 CALL FOR INSPECTION ^ • • w FEES ASSESSED
�- ��a��
Inspector: � 7 - - t ������� �«�� Date: I 110 01 Phone #: (503) 718'
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CITY OF TIGARD
• BUILDING DIVISION PERMIT #: ELC2007-00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2007
Phone: (503) 639-4171 1014 I
Inspection Requests (24 Hrs.): (503) 639-4175 dtfi■
INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: Add "E' distribution and connect to existing egress lighting. Job No. 188495
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-234-6564
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description onfirm Contact # Message
199 Electrical final 1 054730-02 503-201-5806
Corrections/Comments/Instructions:
Q.(N)
C_E.1 Cz\nejL,
PASS LI PARTIAL APPROVAL n CANCEL I NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 2 -' 3 J Phone #: (503) 718- tti-t-N,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C2007 -00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15,2007
Phone: (503) 639-4171 ti� g J � !��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR "= DATE: 8/2/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: Add "E" distribution and connect to existing egress lighting. Job No. 1813495
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC;, PHONE #: 503 - 6564
Inspection Request Scheduled For: Date: 8120/2007 Pour Time:
Code # Inspection Description ' onfirm Contact # Message
130 Ceiling cover
064730-01 ;; 503-201-5806 Y
Corrections /Comments /Instructions:
CD S 3 Ve(L`D s . (NN 20 (Yl1/40k,,
- 3sS . 0 Q� r
Pa,13\iic cotivi\b `C c 2 -POLE I 1 6) z F
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cot\ri) v Ok- Q0(-6k- C; 6(Z- Pat
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n PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
Kit FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cam+ N 0; 1 L Date: Zv + Phone #: (503) 718- 2-416