Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00737
- - - ��� DEVELOPMENT SERVICES DATE ISSUED: 10/4/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 551 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT : 009 JURISDICTION: TIG
Project Description: 5 branch circuits.
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:
EQUITY OFFICE PROPERTIES TRUST BROADWAY ELECTRIC - COCHRAN INC
ONE SW COLUMBIA ST #300 626 SE MAIN
PORTLAND, OR 97258 PORTLAND, OR 97214
Phone: 503 - 293 -2745 Phone: 503 - 234 -6564
FEES Reg #: LIC 72942
tion Date Amount SUP 37
Description ELE 37 -546C
[ELPRMT] ELC Permit 10/3/2005 $73.45
[TAX] 8% State Surcharge 10/3/2005 $5.88 REQUIRED ITEMS AND REPORTS
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- 2 -23
Issued By: Permittee Signature: ork7 Ce.p Cc
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.
t..
Electrical Perm '. _ ! r i '4 FOR OFFICE USE ONLY � 1` ,� ,
lof
City of Tigard DateB r i y Permit No.: , 5 _
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.5 L 0 2U a�mc, „ Ot
Inspection Line: 503.639.4175 `, $'' ^ • • Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us CITY Of - TIGARD Notified/Method: I /1 Supplemental Information
a_ R IS ''
I '`: ' { :••.::.•:: az r,* t , fp - . ,i1 2i cW + .., .<V,^r ,r ,• `.�- a, . 'M„ 4,4 ; _S i•v: :c *tea �. I.: .
_.,. �: � ... - ib �-.: -; ^ 4. .T.- .'4s ,.r' =e; a:e °'t'.:��4k ,'a" „Y�.i"�?�tit`+.' -� ,:.'3 4 3 `3."��.;�'"i%: ,.1G.K^=i"': , , s..'....., ��` � -
❑ New construction [' Addition/alteration/replacement Please check all that apply:
Service over 225 amps, comm'l EHazardous location
❑ Demolition ❑ Other:
-� . _ ��, t � ,.� , Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
Y . � '' s a '� • C ® p �t 1 ON 3 s ... „ vt of I -and 2- family dwellings 4 or more new resldental •
❑ 1- and 2- family dwelling aC ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi - family ❑Master builder ❑ Other:
Building over three stories ❑Feeders, 400 amps or more
Occupant load o ver 99 p ersons EManufactured structures or
i $tom W t i,- „x „ w, RV park
�,� t - ❑ Egress /li hrin plan P
c;.x�a .: � ,t...fi .,_ '"� m., a.. � . � �',� .'%°_ - , � :^ ss�e. c - -. d� a �r -'e �t �, - .., g g P
�''jWos EHealth-care facility ['Other:
Job no.. Job site addres - .7
C�� Cf2 �+ � Q G � - s W � r e t � � i..9 � c / Submit 2 sets of plans with any of the above
City /State /ZIP: y 4' Ll t 0/2.., f The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: S C5 1 Project name: )4 , �
� Description Qty. Fee. Total I „
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
11 tC 'e L / ,,.t) t_' G-L- 1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
e J , , Limited energy, non - residential 75.00 2
''' - ? D is. p ®)'_O, , , .,- . , t om ; Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
t,-;�r _. . ;� . 14 - ' ,,� M1 ,4 �,w ti : N ? 1 ..? 201 amps to 400 amps 106.85 2
t�- i,_,..- t `" o =, .~ •1. 7,, ±
," ,.T :, :`:,-w= : " �:,� 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( )
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
41/47. 767474 niT � i• r <� 7 : f - rj A. Fee for branch circuits with
"=' " °` service or feeder fee, each
Business name: Sr V� l I E t - f C , branch circuit 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, U/G
I each branch circuit 46.85 /ViO 1J' 2
Address: (f)0,± .� Each add'l.branch circuit / 6 -65 I l.�js (01 2
City /State /ZIP: Lv1CI oc. c1 r ( J . I
1 1 Miscellaneous (service or feeder not included)
Phone: W- 2-34 t9 tl.l) `I Fax: : (aTL1 ', 2-01 i Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: - 'rn 6t-) C. 00 '1 "v' &. iYIG ' C dm Signal circuit(s) or limited -
1? • ii0 s a a, 'ate_ m energy k --
k n r r `�� ` � 4 �` �� �. -�; � 4 i :�, �� ener panel, a terahon, or
d" .a. ..:'• .�. .. . tt.�,,}�..'.. ,,.,,ii' ''3?,i`r.... $'w; -s .or..;a.�`.: < :;ir'"a�,a"5v"
Business name: r a ,,,,,,,, c C I I Ca ` , 3 � extension. Describ Page 2 2
Address: 6 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
CCB Lie.: ''7 2_9 y -Z Electrical Lic.: 37' . Suprv. Lic.: 3`E�n.S Subtotal -73 4
Suprv. Electrician signature, required: -.1,,..... Plan review (25% of permit fee)
a1•
State surcharge (8% of permit fee) .5 • O
Print name: \4. e4\ 4\ Date: TOTAL PERMITTEE --- (C( . 3 3
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.
is\ Bui lding\Permies\ELC- PermitApp.doc 12103 440- 4615T(10/02/C0M/WEB
Electrical Permit Application City of Tigard r
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
VIV V'N'✓ki
Fee for all residential systems combined ...
$75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems * -
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
(1) AEgiataRitWa_
Fee for each commercial system
$75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
L Instrumentation
❑ Intercom and Paging Systems
•
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling •
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i: \ Building\Pemuts\ELC- PemutApp.doc 04/03
r�.
Y-OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00737
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/412005
Phone: (503) 639- 4171a4p�u�p
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' '�I I..
INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7 :00AIVi PAGE: 86
SITE ADDRESS: 10220 SW GREENBURG RD 551 CLASS OF WORK:
SUBDIVISION: LINCOLN CEN TER/Tt•IREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: APEX SYSTEMS
DESCRIPTION: 5 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603.293.2745
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503 -234 -6564
Inspection Request Scheduled For: Date: 10/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
12 • -r 017455-01 603 - 522 -7910 Y
Co - - - - = - -- - structions: GjO
PASS ❑ PARTIAL •PROVAL n CANCEL ❑ NO ACCESS
Li FAIL CALL F. " NSPECTION n ADDITIONAL FEES ASSESSED
Inspector: -/ V�.r �s- Date: 0 �`' Phone #: (503) 718-
_
.
5035981960
10/04/2005 07:09 FAX 5035981960 CITY OF TIGARD Z 001
7�
ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC2005 -00737
All14,,kpeiii..?, DEVELOPMENT SERVICES DATE ISSUED: 10/4/2005
'.. t 13125 SW Hall Blvd., Tigard, OR 97223 503. 639 -4171 PARCEL: 15135AB - 01002
ZONING: R - 12
SITE ADDRESS: 10220 SW GREENBURG RD 551 LOT ; 009 JURISDICTION: R
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN
Project Description: 5 branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: SS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
401 - 600 amp: SIGNAL/PANEL:
LIMITED ENERGY:
MANF HMI 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:
EQUITY OFFICE PROPERTIES TRUST BROADWAY ELECTRIC - COCHRAN INC
ONE SW COLUMBIA ST #300 626 SE MAIN
PORTLAND, OR 97258 PORTLAND, OR 97214 •
Phone: 503 -293 -2745 Phone: 503- 234 -6564
• FEES Reg #: LIC 72942
SUP 3447S.
Description Date Amount ELE 37 - 546C
[ELPR1viT] ELC Permit 10/3;2005 $73.45
(TAX] 8% State Surchargc 10/3/2005 $5.88 _ REQUIRED ITEMS AND REPORTS
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 r
503- 24 or 1 -800- 2 -2
Issued By: ) t Permittee Signature: J>7 Lf"_
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.
Case Activity Listing 10/19/2005
7:51:57AM
TIDEMARK Case #: ELC2005-00737
COMPUTER SYSTEMS, INC.
AS 1 Il
ism Done = � e:�U 'da" "fed-.-° -- ..
>< n Date.1. Date2: Date..3 Holds ,,. Dis � irTo .B' "' �u % "- ;�.�';.,• -:r %;�.,.;.;_;..;,, -:;
vi Descri t o � B " ';Notes'
ELC1010 Application received 9/30/2005 None RECD FAX 9/30/2005
BB
ELC1020 Permit created 9/30/2005 None DONE BB 9/30/2005
BB
ELC1030 Check for parcel tags 9/30/2005 None DONE BB 9/30/2005
BB
ELC1250 ELC signature on 9/30/2005 None DONE BB 9/30/2005
application BB
ELC1270 Ready to issue permit 9/30/2005 None REDY BB 9/30/2005 R
BB
ELC1280 Issue permit 10/4/2005 None DONE BB 10/4/2005
BB
ELC2125 Wall cover 10/4/2005 10/5/2005 10/5/2005 None PASS HFY 10/5/2005 0
STI
ELC2130 Ceiling cover 10/18/2005 10/19/2005 None STI 10/18/2005 0
STI
•
Page 1 of 1 CaseActivity..rpt
� 9OF TIGARD
.
BUILDING DIVISION PERMIT #: O07;;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: C. 11200g',
Phone: (503) 639 -4171 i ; .x,� .1 + (
Inspection Requests. (24 Hrs.): (503) 639 -4175 ' . , f_I I
INSPECTION WORKSHEET FOR DATE: 1 O Ali) 5 TIME: PAGE: #t.
SITE ADDRESS: ? 2213 ; :';'v. !` -'r' LE Ntkii -;( RD 651 CLASS OF WORK:
_
SUBDIVISION: ._I t'.:C >LI~•; L,`d ?i ?-s? ,- h° ' +C :r') L. LOT #: ;;l : ? = TYPE OF USE
_I:_ t.i S f.fv
' PROJECT NAME: AP .;:(.
DESCRIPTION: p..` t
I t T �" f. - .f t 'q f... �t j ' } ' �"f P. �i,�'Y'
OWNER: `_ :; ?., i j f ,:c. 'I ii,. ;., .. PHONE #:
i; ' Vv"'A i_f.. "j !: ,:b• wJ:1; 1NC 60$-
CONTRACTOR: �� ,c: a: �. `� °;_' �. -•' PHONE #:
Inspection Request Scheduled For: Date: i0::11::?it.r; Pour Time:
Code # Inspection Description Confirm # Contact # Message
Y 25 �•`d .: :.iY�: }? 1 ; f. i: ,Et- ciI "AI:. 6d.2 7 :. :1
Corrections /Comments /Instructions:
•
•
•
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 7 + -i?f' �.'c.� -` " "` Date: /�' f Phone #: (503) 718 -
.�. _ /, / i
bewf
CITY • F TI ARD
•
a
® C;
BUILDING DIVISION PERMIT #: EI_C200 -00737
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1014/2006
Phone: (503) 639 -4171 :��, ,, f
Inspection Requests (24 Hrs.): (503) 639 -4175 ...&W
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 74
SITE ADDRESS: 10220 SW GREENBURG RD 561 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: APEX SYSTEMS 1
DESCRIPTION: 5 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603 -293 -2746
CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503 - 23465564
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13� Ceiling cover 018661.01 503- -52 2 -7910 Y
Corrections /Comments /Instructions:
- X
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �� -'L1,2 C.-3 — Date: c ` - Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2005-00737
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/412005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 I
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 81
SITE ADDRESS: 10220 SW GREENBURG RD/55L) CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: PEXSTST
DESCRIPTION: 1N mutts.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-234-6561
.1, bOo(..)
Inspection Request Scheduled For: Date: 11/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
19KI
Electrical final 021392-01 503-201-5806
Corrections/Comments/Instructions:
Dt PASS fl PARTIAL APPROVAL 7 CANCEL [ NO ACCESS
FAIL l I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: p
7 , 7 Date: ///4: r Phone #: (503) 718-