Permit q I� V C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00688
COMMUNITY DEVELOPMENT DATE ISSUED: 10/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 15135A6 -01002
SITE ADDRESS: 10220 SW GREENBURG RD 501 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT : 009 JURISDICTION: TIG
PROJECT: WELLS FARGO HOME MTG.
Project Description: 3 br. circuits for TI
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: 2 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 ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34-283C
[ELPRMT] ELC Permit 10/5/2007 $60.15 LIC 75059
SUP 4226S
[TAX] 8% State Surcharge 10/5/2007 $4.81 •
Total $64.96 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 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: t 1A- F ig Z 1-4tr Permittee Signature: d Y7 42.10/2-le 'cal-----..._
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.
V pCT 04 2007 1:58PM WILLAMETTE ELECTRIC INC. 5555555555 p.2
r cal Permit Application FOR OFFICE I SE ONLY
a : n
CEIVEE) D R eceived 0 ��pJ e i Of �'I�aI(� -� at i/ . 0 06' i� : -�� `0 6 15 b
's 13125 SW Hall Blvd., Tigard, OR" , Plaa Revie
' Phone: 503.639.4171 Fax: 503. 98. • .1 Date/ft : Other Permit
Inspection Line: 503.639.4175 •� 4 L 00 / Date Ready/By: rwis: NI See Page 2 for
T i t; ARD O C I
Internet: www.tigard or.gov Notised/Method Supplemental Information
, i <t 3 ; x , I „!t ar 'a §i y,,, ,l: �. i !ulp l i� I gtl � ((to {{nt °s [ us, r af t )(� i �
�'.L"1 ? :t F} is., ;., II Wl1 , iz'• ". {! 4 :x i tl �} ll, �. .. � ? �i t �, i �i �� �. ��. � d < �1 J {.� I.�; � 't s
. � v �,. ,. �, ;.�,� .I ,sw . , nt , 1 <I f t r d / / /,at a ou �:.iaaElat aui: r � t ll� i(� i1Il l
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n111Pi l ; Zq ' 14:,r per P ' ' Please check all that apply (submit a. sets of plans w /items checked below):
❑ New construction Addition/. g
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition El Other: where the available fault current ❑ Marinas and boatyards.
xt r ' ' ij ufa lirll3fO (!!t t ualt i � 1 " is ln3i & u�m a �t i S 9 g +>3 }'?I ('(E j j, < ��€ y "(( exceeds 10,000 amps at 150 volts or El Floating buildings -
���� � jl ,�,,. ',:. 18i ill t ° ar'. }st t u Ickk s ioION' tt 111 Ctitt rot I 1;t I . 1 Illt ?lE l ill41!t iildt�. �ii Ili less to ground. or exceeds 14.000 ❑ Commercial - use agricultural
❑ 1 and 2 family dwelling J] Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Ot her: ❑ Fir p um p . ❑ Installation of 75 KVA or
❑ Multi- family ❑Master builder larger separately d erived system.
} as tt s alaua ast ilia' r I rrarsatiE +t Illasyl0t �?a0m . trt t ° Ill `t w �],,{ ❑ Emergem. Ps
}d " ((1 +s 11 11 j t,� : '�j t i t l it � . 3 tlr'112 Rial ' 3ti Ziiili;sa din ❑ Addition o ncy f new syste motor bad of ❑ larger
• se rate/ , deriv
i l (�Lf.rui E�lIEie 3lulrf a is cil lntM1rtYgrttuftlf fru y usstudltlum7E t to !! f,
IOOHP or more. occupancy.
Job no.: 3 - Job site address: ,/ y^ a r - , ' ❑ Six or more residential units. ❑ Recreational vehicle parks.
J El Health-care facilities. ❑ Supply voltage for more than
CitylStste /ZIP: //R , 0 Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: 1 ,,,1++3 C 414 0 Service or feeder 600 amps or more.
.. IIIIIIIIIrtialiltllNMirtrEEL1EEIEEEIEIOENNVE
Cross street/directions to job site: nesertpdm Qty. Fee. Total •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
r a�tu� +i sus...n�a i rat uutia t a
E NINIVE X11 MITEN r iTatig}n�t 1 � �1 t fi ; ati 75.00 2 l li lE l (with above sq. ft.)
.. Limited energy, multi - family 75.00 2
+�
"' ' 7 w. ,/ - , �. �, residential (with above sq. ft) _
d�" Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
!! � to ltryrs mr t t a p tultltalai[s . . g f a l l E l - lt ( f' t3 �j g� °1j j 201 amps to 400 amps 106.85 2
3 l t 3.£w.� , R'm in'iu u � t i ts=h drt ll�€t� �> w111 i ns s�i ui t dlat ri _ P amp
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2 , Temporary City /State/ZIP: services or feeders installation, alteration, and/or
relocation
Phone: ( ) J Fax: ( ) 200 amps or less 66.85 1 I
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 4.47, 449, 670, and 701. 401 amps to 599 amps I 1 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: II NN ( (i{ ``Date: A. Fee for branch circuits with
`fl 6' arl a : t t i' ll I_I(1 I t l li i ' h l ll r�r rli: i s i t 91 � f ' r n di l ' l each branch circuit
eder fee, 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee, / 46.85 Yip 2
Contact name: first branch circuit
Address: Each add'I branch circuit ?•-- 6.65 /f Z- 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) I Fax:: ( ) Reconnect only 66,85 2
E-mail: ,p�� I, }'f t ( l�l� t€EiiI 1 iii Pump or irrigation circle 53.40 2
AEI Eal3 IREMI,+ *si if U I t hall `! ,!,' at a ii'r ,frdllie rallii i1111I hilt ti Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Willamette Electric Inc energy panel, alteration, or
Address: PO Box 230547 extension. Describe: Page 2 2
City/State /ZIP: Tigard, OR 97281 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (1 hr min) 62.50 _
CCB Lic.: 75059 Electrical Lic.: 34 - 283C Suprv. Lic.: 4226S Industrial plant per hour 73.75
.I ► MPOI NV , <`:.. ,> " ►li N,111191plIti .
Suprv. Electrician signature, required: ) a • Subtotal:
Plan review (25% of permit fee):
Print name: David Fife Date:
- - _ State surcharge (8% of permit f e e ) ' y tr-
Authorized signature: TOTAL PERMIT FEE: / y --
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
: 1: lnuilding \PermitelELC- PennitApp.doc 05/23/06 440 -46 15T(l IPo!ICOMIWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00688
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/512007
Phone: (503) 639- 4171 u�q�� ii g� l
Inspection Requests (24 Hrs.): (503) 639 -4175:
INSPECTION WORKSHEET FOR DATE: 1018/2007 TIME: 7 :00AM PAGE:
SITE ADDRESS: 10220 SW GREENBURG RD 501 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 000 TYPE OF USE:
PROJECT NAME: WELLS FARGO HOME MTG.
DESCRIPTION: 3 br. circuits for TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAIv1ETTE ELECTRIC INC PHONE #: 503-624 -3631
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
1 �0 Electrical ro : _in 057132 -01 503 -624- 363 N
M c P1 - ors ,
C ections /Comments /Instructio s:
•
1A PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: l Y Noe Date: 1 0 en Phone #: (503) 718- /t "D
. f
---7 ,,
CITY OF TIGARD
BUILDING DIVISION
A. PERMIT #: FLC2007-00688
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1035/2007
Phone: (503) 639-4171 '
Inspection Requests (24 Hrs.): (503) 639-4175 .A4- '-' 1
—.a
INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 10220 SW GREENBURG RD 501 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: WELLS FARGO HOME MTG.
DESCRIPTION: 3 br. circuits for TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 10/W2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 057132-02 503-6243631 NN- N, Y
° `111 1 11
Corrections/Comments/Instructions: --2 3 ZNAN
•
•
PASS 0 PARTIAL APPROVAL I I CANCEL 7 NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: -.---- cA 1-6 Date: 131 11 IT) Phone #: (503) 718-