Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
A DEVELOPMENT SERVICES PERMIT #: ELR2002 - 00120
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/3/02
SITE ADDRESS: 10220 SW GREENBURG RD 551 PARCEL: 1S135AB-01002
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
Project Description: Low Voltage for Security system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST CHRISTENSON ELECTRIC INC
10260 SW GREENBURG RD 1631 NW THURMAN
SUITE 100 2ND FLOOR
TIGARD, OR 97223 PORTLAND, OR 97209
Phone: Phone: 503 - 341 - 3636
Reg #: LIC 458
SUP 3289S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 7/3/02 $75.00 2720020000 Elect'I Final
5PCT CTR 7/3/02 $6.00 2720020000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by RA� Permittee Signature
� l
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: 3 a2 S
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
JUN -27 -2002 THU 08:39 AM FAX N0, P, 01/01
'Electrical 1"ermit Application
� I Dale received: Permrtno.:- ETaCB0�
RC >x rdal;9 , _(� d/
City of Tigard Prapp nn p Receipt no.:
Address: 131 SW Hall Blvd, Tigard, OR 97223 p ateissged: s-23- 02 By;
CilynfTigntd Phone: (503) 639 -4171 JUN 2 7 700)- Caseftteno•: Payment type:
Fax: (503) ap 1900 i 1 Y UIt' i 1 x` �
� rr � ric$ � PERMIT ALREADY INSPECTED FOR LINE VOLTAGE
Land use approval: - — . i =... SHOULD H.,VE `E "N R ITTED AS LOW VOLTAGE
L%.1'E- OF PERMIT •
U Muld f� Cl Tenant improvement
•
U 1 & 2 family dwelling or accessory tICommercial /industrial ❑ Pe
U New construction C1 Addition/alteration/replacement 0 Other:
,IOILSi it INFORMATION lax rmp /izx lot/account no.
Bldg. no_:
yob address: 10220 514 G E �]STJRG _1J) T ��� ^
Block: Subdivision: LINCO�',N 13UIT.nIN( R
Lot: _ IT
�' Description and location of work on premises: 1 LOW VO ,T , .CE
Esr ct name: STARBUCKS PL
EE CONTACT ROSS CROSBY 503 ` 936640
):stiinated date of corn lclion / inspection: DOOR QUESTIONS? ' l+ ;,;j, ti�'111tk)I.
;U)1t,a#(!' w t , '' ,, p , Fee M,x
Job not 62- -2(15 22 • Description
Business na_n1e:C1iR) ST N ON ELECTRIC, INC, Newresideltb flgleormutti f$nutyper
1, NW '. 2ND FLOOR dwelling unit Includes Attached prop.
Address: . -� ^� Servicehrclddcd:
State: O x1P: 9 720 9 —
City: PORTLAND - - ---
• ess
mail: E dit
Etch additional t000sq. .onal SOU sq, fr. or portion thereof
Fhone$O3 IT 8 [ax503 4 i63�1 ° 6 ^34C l
CCII no.:
5 8 V c . bus. Ito: 2 Li mited energy, residential t
L uht h r feeder
eel!' cu required) p�ae 111111
Si}tntt oCsu}ro,visilt 873S ScrvlccsorKee - instat lalion,
not BRIAN CklRI5`J 01 ?HER License no: alteration or relocation:
$ elect. name, (print); 200 mn s or less
I'lt()1'1rlt'1'ti' 01V Nl:lt 201 am ps l0 400 Wraps 1.1111111111 WI
Name (print):
T� amps Rr�
�"—• -- — -- 401 props to 600 a 01 imps to 1000 amps
Ci t y : }Y;lddress: __� — '.-IZIP: Over 1000 ampsorvTs r =� WM
G1tt::
City: - Reconnect only
Phone: Fax: E - mail: Temporary services or feeder: -
irtstallation, alteration, orreloculion:
Owner installation: The instailation is being made on property own aoo amps or less
which is not intended for sale, lease, rent, or exchange according to 20l a mpSto 4W , nlps �
ORS 447, 455, 479.670, 7(11. r
Date; , 401 to 600 am •
Owrter'3 Si • •nature; __. _— . -- -..._ - — Branch circuits - new, a lteration,
ENGINEER or extension per panel;
p,. Put forbranc:h circuits with purchase cf
Nasty:: __ _•__,.�.. —.- J~ service or feeder fee, each branch circuit
City: Address: .--- B. Fee fur branch circuits without purchase City: ,--, �� of service or feeder fee, first branch circuit:
Phone: Fax; 11-mail: _
h• tc h aditiuona1branchcir cui t :
Misc. (Service or feeder not locladed): �
1'1.AN lt1';V { htiV (Please rbctk all that apply) Gich pump orirrigationc }rr1C 1 �
}rcahll care facility Each in or outline lightin(l
l7 Service Over ling amps-commercial
( , 1ilfardouslocation energy p.
0 Scrvlcc over 320 amps ratios of I &2 ante feet four or Signal cit Cuit(g) or o limited cn*ar panel, family dwellings Q Building over 10,000 square alteration, 2
ltrration,arexlensjon� —•
[ poretcsidentialunitsin p _ - .
C-1 !ly stern over 600 volts nominal O O
f? Occupant th t load over p ree stories U Maduanura, ac tur 400 amps ca struc t o es moroe r RV park Each additional onal In pection ove the allowable In ony of the above:
C� ccpan`1 persons Q Mfmru,rus o _��
Cl Other: _ —, Per inspacLiin �.�
Q Fgrc:ss /ligllGn(tPl+ur
Submit __sets of plots with any of the Abo Ipvt%sligation}'ce ve, O ther _
The above are not applie>wble to 1etllportlry construction service. - Permit fee $ ---- — —
� P lan review (at — (8%)%,?
Nut Of jn�i�dlctiona accept er�}it c arets, please r ail j�rrisrliction for note Infunuatinn. N �` � This application
OhlOiAed S ta t e surehlrge 6 UO
ID Visa Q MasterCard / 1 u s after it 1108 bee $1.
wrlhin IRO d y TOTAL • $ = ��
Credit curd number; _- — t Ypircs accepted as complete, TOTAL
ACCOUNT DEDUCT ano abts (olc =oM',
Mem of Catdhoukr a thowo an C i c dil cud
_ �'• r � •cnr4tiulalrr +FEES ON BACK OF FORM gC7:'.2000
CITY OF TIGt RD 24 -Hour
BUILDING .�• Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received n. Date Requested 7. AM PM BUP
Location /0.7 7--C 'i) Suite e5 MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner �lL -lc- i ELC
Footing ELC
Foundation Access: m
Ftg Drain, 1902--ddb 3� t4 ° �� ELR t RVU? d/v=v
Crawl Drain
Slab Inspection Notes: IT
Post & Beam 7 �1/ -5 � • �Q /j76�J —
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
Servic
Rough -In
UG /Slab
Low Voltage
Fire Iarm
• Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
(fi PART FAIL -
TE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA P — �� Ins ector 2 a► t ; Ext
• Approach /Sidewalk Date p —
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL