Permit u
'CITY O F T I CAA R® ELECTRICAL PERMIT
PERMIT #: ELC2003 -00644
DEVELOPMENT SERVICES DATE ISSUED: 10/21/03
`--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 540
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING. C -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Job #23 - 1225 Install (5) branch cicuits.
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: 4. 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:
EOP LINCOLN, LLC CAPITOL ELECTRIC CO INC
10260 SW GREENBURG RD 11401 NE MARX ST
SUITE 100 PORTLAND, OR 97220 -1041
PORTLAND, OR 97223
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[TAX] 8% State Tax 10/21/03 $5.88
[ELPRMT] ELC Permit 10/21/03 $73.45 Rough -in
Elect'l Final
Total $79.33
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: 6 % Permit Signature: YL 0.12 ,� ,
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: I 3
Call 639 -4175 by 7:00pm for an inspection the next business day
.a: , A
Electrical Permit Application OFFICE USE ONLY v 3 ��
EC (V �_._ received: Expi no.:
Oh _ .-ct/appl. no.: Expire date:
Ilj City of Tigard Date issued: By Receipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, OR 97223 2 O 2OO ase file no.: Payment type: •
Phone: (503) 639-4171 Fax (503) 598 -1960 OCT U
Land use approval: OITY Of TIGARD
TYPE OF PERMIT
❑ I & 2 family dewlling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ Tenant improvement
O New construction ❑ Addition/alteration /replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION '
Job address: 10220 SW GREENBURG RD City: TIGARD Bldg. No.: Suite no. 540 Tax map /tax lot/account no.:
Lot: (Block: N/A (Subdivision:
Project name PAXTON & MILLER (Description and location of work on premises: NEW LIGHTING AND OUTLETS FOR TENANT IMPROVEMENT
Estimated date of completion/inspection:
CONTRACTOR.APPLICATIO_N FEE SCHEDULE
Job no: 23 -1225 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 11401 NE MARX New residential - single or multi - family per --
City: Portland State: OR ZIP: 97220 - 1041 dwelling unit. Includes attached garage.
Phone: 503 - 255 -9488 (Fax: 257 -7121 (E -mail: darrell @cepdx.com Service included:
CCB no.: 48748 g"-- aav7 (Elec. bus. lic.no: 26 - 496C .1000 sq, ft, or less $ 145.15 4
City /metro lic.no.: N/A le) — / t L `Each additional 500 sq. ft. or portion thereof $ 33.40
/ /� ` i L ,- " /J 10/17/03 Limited energy residential $ 75.00 2
Signature of sup tsi n (require•) + Date Limited energy, non - residential $ 45.00 2
Sup. elect. name (print): Darrell McNeel License no.: 3132 -S Each manufactured home or modular dwelling
PROPERTY OWNER Service and/or feeder • $ 90.90 2
Name (print): Equity Office Properties Services or feeders - installation,
Mailing address: 10260 SW Greenburg Rd alteration or relocation:
City: Tigard State: OR (ZIP: 97223 200 amps or less $ 80.30 2
Phone: 503- 892 -2500 Fax: (E - mail: 201 amps to 400 amps $ 106.85 2
Owner installation: The installation is being made on property I own 401 amps to 600.amps $ 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2
Owner's signature: Date: Reconnect only $ 66.85 1
• ENGINEER Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less $ 66.85 2
City: State: ZIP: 201 amps to 400 amps $ 100.30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2
PLAN REVIEW (Please check all that apply) Branch circuits - new, alteration,
❑ Service over 225 amps ❑ Health facility or extension per panel:
❑ Service over 320 amps - rating of 1 &2 ❑ Hazardous location A. Fee for branch circuits with purchase of
family dwellings ❑ Building over 10,000 square ft. four or 0 service or feeder fee, each branch circuit $ 6.65 2
❑ System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase
❑ Building over three stories ❑ Feeders, 400 amps or more of service or feeder fee, first branch circuit: 1 $ 46.85 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: 4 $ 6.65 26.60
❑ Egress /lighting plan ❑ Other: Misc. (Service or feeder not included):
Submit sets of plans with any of the above. Each pump or irrigation circle $ 53.40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 2
Signal circuit(s) or a limited energy panel,
alteration, or extension* I $ 75.00 I 2
*Description:
Each additional inspectionover th allowable in any of the above:
Per inspection ( ( 5 62.50 ( (
Investigation fee
Other
❑ Visa ❑ MasterCard Permit fee S 73.45
Credit card number: / / Notice: this permit application Plan review ( ) $
Expires expires if a permit is not obtained State Surcharge 8% ) 5 5.88
Name of cardholder as shown on credit card
$ withing 180 days after it has been TOTAL $ 79.33
Cardholder signature Amount accepted as complete.
CITY OFTIGARD • 24 -Hour.
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received 1 //3 3 % Date Requested 2 AM PM BUP
Location l() a Z0 C� ( Suite ���� MEC
Contact Person e L-ou t) K. P h — 5 —3 Z 74CpLM
Contractor — i L Ph ( ) . SWR //__
BUILDING Tenant/Owner ELC c� 3 — 6() e.„,k
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
)
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
-
Post & Beam
Rough -In
Gas Line
Smoke Dampers
. Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire-., .
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date AIL / Inspector < 2: Q l � Ext
Other:
Final - DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL