Permit CITY OF T I GAR D ELECTRICAL RESTRICTED ENERGY PERMIT
,�
° � COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00209
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/18/2007
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 417 ZONING: R -12
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: FUJITSU
Project Description: Low voltage for voice and data cabling.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
•
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST PAVELCOMM INC
ONE SW COLUMBIA ST #300 1640 NW 14TH AVE
PORTLAND, OR 97258 PORTLAND, OR 97209
Phone: Contact #: PRI 503 223 - 5008
FAX 503- 223 -0104
FEES Reg #: ELE 26- 559CLE
LIC 63963
Description Date Amount SUP 699LEA
[ELPRMT] ELR Permit 6/18/2007 $75.00
[TAX] 8% State Surcha 6/18/2007 $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 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 •uestions to OUNC at 503. 46.6699 or 11.800.332.2344.
Issued By: 4R11 Permittee Signature: fae
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.
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Electrical Permit Applic y , r • FOR OFFICE 1 SSE ONLY
City of all B B.Rd V Lill ., Straufved t r: Nogg . co IL' Pertofnft.: / ,, -,
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13125 SW FIa1181vd. Tigard- OR 97273 1 n /
Phone: 503.639.4171 Fez 503.59849g, ' ry I4 r • r. i i n txiew
pater f a • 1 P,I:r - I./ 7� J
iaspgctlon Line: 503.639.4175 t '{ / f�,` �J� - ' 1 _, Date Audy/Ey: . Page 2 far
Internet: www.ci.tigasdor.us - `° t, 'r`1 " �.,.." �� pp ATodfe J & Supplotnentat tnfvrn c.
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■ New construction r Addition/nlieridiotareplanement Pteace chock all that apply:
❑ Demolition Other DServien over 225 amen. cornm'l D14azardous location
rt I , �„� , ,'; �,it 4 .,, ? , ir4 . '-ezz 5a i ,,, a , ❑Service over 320 amps - ravine DBuildng over 10,000 at
: G'R ! ° Ir. ,u �" +`� ° it 14r ti err,, • t1 n a ' L t� I I �4' of 1- att4 2•T1=
'.�� „i* . f7r '� z l :1 :� .�ia��ntt ���� y dwellings 4 Or mare 1teW resident
U 1 - and 2- family dwelling '.4 Commereia)findnslsIn1 ❑ Accessory building psyamn over 600 volts nominal units in one structure
❑ Multi fY7u3t] Q lLRstSt builder p OBsiiding ovcr three stories DPeeders,400 amps or a
n r c u 17 '� yx �. ''•" e -ra• r rM IDOccoptmtload over 99 persona DMmsufacnrred Sm,Cmte
dz a .,'i�.�,:I�i� a ;r0.; - ;1,.ft;��l Y'k ,1k1._ ='- ;'!(,., :�vL; :d�ti a.ii 4 . �• . ,., „. „'w;�I! yi. 1`,SI �P : ,,, ]:I, C IBgroesiligh�s p vn RV park
rob po.: _ Job site adore, / /l , . l - Ellice g1 - care facility In Other:
. �. - • 'Submit 3. sr a of plans with any of the above.
City /Stns - r/ r / . f „ .. i, 'Tito above are not applicable m temporary caosRVction setVice,
��� �� "Et IY ; ctd' s1153� "j ' � O1 : . , ,It; l , . 1.' 't` '.::
Suite/bldg./apt. no.: Project n• Ag �,1� -,I � ,.� „, : ,, .. .. t: ,•.
lam Qql. Fee. Total
croael atrect/ditcctivaa to job site: r New rnddentisl single- or multi - family dwelling unit.
Includes aro:Kited garage
1,000 Sq, tl. or lass 145.15
Sub4tvltion• Lot 1sO.: Ps. add'1500 aq. tt. er portion 33.40
Limited energy, residential 15.00
rH7G �aplparCel en.:
Ta a r i l par Lf"+ :?'� IY1 i .
7 " !rN , .x +•'f Z r +i t rl Limit4d e nergy, non -ro iderdial 75.00
�L � "7 ryry9 't11 :3� . I' _ l i �f S ..
��K... 4111 , i�� i1t Pl .. `.. II1. I ,I', �T !� f i' .I F1 •'I I �'
A il i ,.. • K: .L'ias a i. :3!r.::. . ....Ca ._.nlll� .,� ,al.� ; 444 Fsctl atred fac oritwdu
dw dliiv. service vrtd /or feeder 90.90 -
- Services or readers itusalation, alteration, and/or relocation
200 antis or lest 80,30
60
YN \Ann ''5:ri I }rites- X11?, *yi ?o 7 ' : 1 rel �•� t�r1j1.' �' P+' A t,0 �I -1' 1 v 201 crops to 414 amps 106.85
�, I ` 1 1 l ,i oc 1 .2 ll r tl,'• ! I '� ,
I�'r � r { , E7 ; i : , t 1 L o , i r CS ,, +'� � ' t d0) amps W 600 amps 16+7.
�l "_��i><- {''. �".,. w'���]� �-1,.. '1�Z�Y�� � �< .�c' :i l ������'ai!nk° . p .� - _j t i i � . rMii'
Marna: _ 601 auras to 1.000 amps 240.60
Address: Ova. Lann amps or volts 450.65
Recorl11= only • 66.65
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relot:aden
200 amps or less I 66.85 _
Owner Installation: This installation is being made on property font I own which is not 201 sitars to 400 amps I 100 .30
intended for sale, lease, rent, or exchange, ewcurding to ORS 447, 449, 670, and 701 401 amps to 600 amps 1 133.75
J
Owner signatlire: Darr Branch circuits- new, alteration, or extension, per panel
_ ; 1 - •:1 7 ';,; . 71 '`r .74 . .: t I F•9 l F r,yit ll ;4 17 r . tic °" ri' :i., ,'� : "tN : , Pee ter b CirC
t r „ .. a ' I .. i , ., w ,1 � .1,1,- .'. 1411 I IT, I L' T !7 t l ,;'I' :ll ! i `1''• ';; ' ' : ' f. i . . b ? ,', II A. a rsaic c. c
r ac
.,� ..��1' - i.•.tii. ��� L - .� tom.. --•1 � 1 Jh1. J � l�„_ .t J. r.,l l ' r�t.. - �.• U' :.+�uSt'_. ti W'yt �S• rec. 1�C11
s CC or fCCd f 6.65
BueinehS 118Ine: brunch circuit
B.P eforbranchcircuits
Contact name: without service or feeder foe.,
i - eaca match circuit 44.85
Address: Path add'I branch circuit 6.65
City/State/MP: Miscellaneous (service or Ikeder not Included)
Maio; ( ) FWr :: ( ) • Pump orirrigationcircle 53.60
Sign or outline lighting 5140
E -mail: _ I Signal oirtuit(s) or tirnitnd-
pppppill •i:,.:� q'., .i'}I(j,.:IY,;_, a, , 2j1��:'9 :off ° , I{ ,] �,1 - p � I•711. ( @. j 1
' U '!'1:1 �''r111� E�II A MUM' Panel alte,,.tton. a..
�jiu k iiM:�� {`..I�+a� �Iil :. t :lf�� :I. fir . 1
"•`:" y ' ��•/� extension, Describe: Pam 2
Business Home: . �.1/•C . . o l/Y1. r t ( 11
0 Each additional inspection over allowable in any of the above
Address: 1 ` For inspcctiorl Ili 62.50
City/State/ZIP: ri InvosligaLnn par hour (1 hr tun) MI 62.50
r , �� �r�j /�5' / • (..? 3 / 0 in industrial plantper hoiir 73.75
Phenol' ZG J �V gam- V o Electrical Li Uri•' fl' Itim - RL t. It1Sd�+:: f s ° i, I. S f � -,ems `�� 1 .. ` - Subtotal 7 5,' ,.,'
• �� S pre. Li ,•
StlprV. Eleetzician signature, roquire. � , / , / / / + Plan review (25% of permit Sel Ea&
Print name 1 r r Date= / 8 6 7 ...surcharge (8°r6 od perrtait Sec)
ter, r
TOTAL YA:M1T PEE Ni p r 00
Authorized. signature: Phis permit application oiptrei if n permit it not obtained .Tiepin 130
days attar it has beep aceaoted ao enplane
Print name- Datc . pee motbodelogy sat by Tri- County Building industry Service Board
'° Number ofii>asp tt5oas parpormit allowed
iezellearaOrararra6GYanrW ,ppaler 12ma rueLacv. nugdelCDauwan ., _, - -- ..... ,--
enrcATT in T TY's
992 -d 800 /100'd 108 -I P010£ZZE09 NI VIN0013AVd -w wen: 01 200Z -8t -90
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00209
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/ 2007
Phone: (503) 639 -4171 Arrom 'l
Inspection Requests (24 Hrs.): (503) 639 -4175 J'+r
• INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7 :01AM PAGE: 83
SITE ADDRESS: 10220 SW GREENBURG RD 417 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: FUJITSU
DESCRIPTION: Low voltage for voice and data cabling.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: PAVELCOMM INC PHONE #: 503- 223 -5008
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 05/09301 503.223.5008 N
Corrections /Comments/ Instructions:
X PASS Fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: t 68 LE Date: 44• Z D� o1 Phone #: (503) 718- 21-ktb
1 - .
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: ELR2007-00209 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1812007
Phone: (503) 639-4171 .9,v
Inspection Requests (24 Hrs.): (503) 639-4175 :4
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:01AM PAGE: 48
SITE ADDRESS: 10220 SW GREENBURG RD 417 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: FUJITSU
DESCRIPTION: Low voltage for voice and data cabling.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: PAVELCOMM INC TA09 w LI-1A l'A 5 . PHONE #: 503-223-5008
Inspection Request Scheduled For: Date: 6/25/2007 Pour Time:
Code # Inspection Description C.orifirm,# Contact # Message
196 Misc. inspection 050839-0 Y
1-3 1 - 4 5k& ) vaaAc-€. --7 11.......■ ••
..
Corrections/Comments/Instructions: .--- .. _ - -'' .) 4, fit xit*,
C --------
o ..- vy\e,v
74 PASS
..., 0 PARTIAL APPROVAL 0 CANCEL. I I NO ACCESS
0 FAIL I I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: , G ---7 ' IN 4(6 (-- Date: q vi Phone #: (503) 718-.9
,... . .
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