Permit ti
CITY OF TIGARD ELECTRICAL PERMIT
�� PERMIT #: ELC2005 -00270
11, DEVELOPMENT SERVICES DATE ISSUED: 4/21/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 415 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: (9) branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0.00 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: 8 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 CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 11401 NE MARX ST
PORTLAND, OR 97258 PORTLAND, OR 97220 -1041
Phone: Phone: 503 - 255 -9488
FEES Reg #: LIC 048748
3132S
Description Date Amount SUP 26.49
ELE 26 -496C
[ELPRMT] ELC Permit 4/21/2005 $100.05
[TAX] 8% State Surcharge 4/21/2005 $8.00 REQUIRED ITEMS AND REPORTS
• Total $108.05
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: .g--Z) cji L7t(✓( Permittee Signature: e A \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.
FOR O FF U ....4... S
Electrical Permit Applicatio -- ( � Received p ermit ICE no.:
EIS - .. ,,
Date /By: ye v-5 ✓ 6f . _ - E , lONLY am 2:24,2 � `�
City of Tigard 11 Plan Review
fi Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 " " 4 Atli Date /By:
Phone: (503) 639 -4171 Fax (503) 598 -1960 APR 2 O , . i
I, D a te R B Juris: ❑ See Page 2 for
I n . F TIGA y y' /
Inspection Line: 503- 639 -4175 Notified /Method: ) )( Supplemental Information
Internet: www.ci.tigard.or.us CITY OF TICAfl
TYPE OF WE, :,, _ D1R4C Iry ;S10,N1 PLAN REVIEW
1
New construction U Addition /alteration replacemen Please check all that apply:
❑ Demolition ❑ Other: ❑ Service over225 amps, comm'l ❑ Hazardous location
– u I CATEGORY OF CONSTRUCTION CI Service over 320 amps - rating El Building over 10,000 sq.ft.
1- and 2- family dwelling H Commercial /industrial ❑ Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
JOB SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: 250584 Job site address: 10220 GREENBURG RD
CI Occupant load over 99 persons 111 Manufactured structures or
❑ Egress /lighting plan RV park
City /State /ZIP: TIGARD OR CI Health-care facility ❑ Other:
Submit 2 sets of plans with any of the above.
Suite/bldg. /apt. no.: 415 Project name: FORD MOTOR CREDIT The above are not applicable to temporary construction service.
FEE SCHEDULE .
Cross Street/Directions to job site: . Description I Qty. I Fee. I Total I **
New residential - single or multi - family dwelling unit.
Subdivision: Lot no.: Includes attached garage.
1000 sq. ft. or less $ 145.15 4
Tax map /parcel no.: Ea. Add'I 500 sq. ft or portion $ 33.40 1
DESCRIPTION OF WORK Limited energy residential $ 75.00 2
TENANT IMPROVEMENT Limited energy, non - residential $ 75.00 2
Each manufactured home or modular
❑ PROPERTY OWNER I ❑ TENANT dwelling, Service and /or feeder $ 90.90 2
Name: Service or feeders installation, alteration, and /or relocation
EQUITY OFFICE PROPERTIES 200 amps or less $ 80.30 2
Address: 10260 SW GREENBURG RD 201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
City /State /ZIP: TIGARD,OR 97223 601 amps to 1000 amps $ 240.60 2
Over 1000 amps or volts $ 454.65 2
Phone: Fax: Reconnect only $ 66.85 2
503 892 - 2500 Temporary services or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1
Owner signature: Date: 201 amps to 400 amps $ 100.30 2
401 amps to 600 amps $ 133.75 2
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits - new, alteration, or extension, per panel
Business Name: A. Fee for branch circuits with
service or feeder fee, each
Contact name: _ branch circuit $ 6.65 2
_
B. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit 1 5 46.85 46.85 2
City/State /ZIP: Each additional branch circuit: 8 _ $ 6.65 53.20 2
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 circuits(s) or limited -
CONTRACTOR energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2
Contact name: Each additional inspection over allowable in any of the above
Per inspection $ 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) . $ 62.50
Industrial plant per hour $ 73.75
-
City /State /ZIP: PORTLAND, OR 97220 -1041 — ELECTRICAL PERMIT FEES*
Subtotal 100.05
Phone: 503- 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 8.00
CCB Lie.: 48748 'Electrical Lie.: 26 -496C ISuprv. Lie.: 3132 -S TOTAL PERMIT FEE 108.05
This permit application expires if a permit is not obtained within ISO
Suprv. Electrician signature, required: 1 , , !f s �LJ FV�C� , /A i, ► / p I e t e
s'L i l days after it has been accepted as
Print Name: DARRELL MCNEEL Date: 04/19/05 * Fee methodology set by Tri -County Building Industry Service Board
,. * *Number of inspections per permit allowed.
Authorized signature: / ! )`- ' t °4 /Vied ��� t� /i,� /
Print Name: DARRELL MCNEEL
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00270
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/9/2005 TIME: 7:09AM PAGE: 65
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: (9) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255.9488
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 008841 -01 971 - 606.0735 N
Corrections /Comments/ Instructions:
.PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `!� e.� �- -�--� Date: ' / r Phone #: (503) 718 -
J
' CITY OF TIGARD . z
BUILDING DIVISION PERMIT #: ELC200S -00270
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2005
Phone: (503) 639 -4171 Atlivi i�p�l�"
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :12AM PAGE: 77
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: (9) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255.9488
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 007294 -01 971- 506 -0735 Y
Corrections /Comments /Instructions:
u NI C \ -IN I 5 W
t..--,vi C.. �p 0 l A C.\ ) Cif t3 LU IQ ND
N D E� \ l.: ' . • `10.-
; i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,i
P � _
Inspector: � u Date: ; � )7 � Phone #: ° (503) 718 -
•
'CITY OF TIGARD J� Qtc, 97/ - so 6 3s-
BUILDING DIVISION PERMIT #: ELC200S-00270
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2305
Phone: (503) 639 -4171
Ai
Inspection Requests (24 Hrs.): (503) 639 -4175 111,4411111
...
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7 :12AM PAGE: 57
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: (9) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 255 -9488
Inspection Request Scheduled For: Date: 55/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 006824 -01 971- 506.0735 N
Corrections /Comments/ Instructions:
R 0 e s- ct c r__A, 4 /1/4e4
1/1 0014% Li L M a. ✓`e e ety
- A p - /`- ✓t c_e4 I FyL3
❑ PASS JARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S "13 Phone #: (503) 718-
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2005.00270 po
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2005
Phone: (503) 639 -4171 I :iailli llti
- Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 90
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: (9) branch circuits.
EOUITY OFFICE PROPERTIES TRUST,
OWNER: PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 -256 -9488
Inspection Request Scheduled For: Date: 5/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
125 Wall cover 005923 -01 503- 255.9488 N
Corrections /Comments /Instructions:
N
'% PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
■ Inspector � �'� o - 7 Date��. - (� Phone #: (503) 718 -