Permit 1 OF TIGARD ELECTRICAL PERMIT
3/ A PERMIT #: ELC2004 -00814
� DEVELOPMENT SERVICES DATE ISSUED: 12/23/2004
Aj ' -- •' 13125 SW Hall Blvd., Tigard. OR 97223 (5031 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 61)49-- ( l,>
SUBDIVISION: --TIN-9 LINCOLN - TOWN OF METZGER ZONING. C -
BLOCKT{>ZEr LOT : JURISDICTION: TIG
Project Description: (1) feeder & (40) 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: 1 W /SERVICE OR FEEDER: 40 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: Phone: 503 - 624 - 3631
Reg #: LIC 75059
SUP 1965S
FEES ELE 34 -283C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/23/200 $346.30
[TAX] 8% State Surcharge 12/23/2002 . $27.70 Rough -in
Elect'I Final
Total $374.00
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Issued By: ,/ -J Permit Signature: S p —e__ ?) %r
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 639 -4175 by 7:00pm for an inspection the next business day
DEC 22 2004 1:07PM HP LFISERJET 3200 p , 2
• ,,E 'v%t •
Electrictti E'ermit A t . VE® ' • . . FOR OFFICE, USE ONLY
City .of Tigard Ret eiv / , : 3 dy ��) Permit lso.: �l)'� Ord , cy
13125 SIX/ Hall B,lvd., Tigard, OR 97223 Plan _
�r 2 2 200 ` • R eview
: R
Phone: 503.639.4171 Fax: 503.598.196 r %E:arni�l4t � I \ �g : Other Permit.
Inspecti Line: 503'.639.4175 L t j . Date Ready/By: 0 See Page 2 for
Internet: www.chtigard.or.us • TIG Notified/Method: OM
Supplemental Information
i� '�,.� i � i£ � . ,�� j " Ai , ' ti �•- m j , •�_
! 1rl i ^ .�' fl �i T4 � t tFt' :♦<.yr' s �3ail _ :.CCi.,a ktW h•,E xa`:
' i ' i ,C� i ,.',,J., i p' 1. " �'%i 7 !Is l 7M' -rF,t � r x.'f! „ J, !`}'' ' L. � t �Gi ;t"'i!F' ;j,'��d'�Il� -, .:itss ! 1),i, °-
r. ft?N a.ta.. ° iat?i{ ! 4ia :3.a„1.L4.� • 1 , � ,��.i ,�'h.., ,.. ,,.. ' �' " '°' � . .iW ,'i!`�•�rrr4:r:.n .e «V'Jiw� x t
>. ::,.s... a a z M"its -'i at � : �'f . ull tom,
I
❑New construction � P lease check all that a A .dition/altetation/replacement PP y
❑ Demolition ❑Other ['Service over 225 amps, comm'i ❑Hazardous location
'li3krF410 4rtr 1 r 1t r ; �`ti ,�u ,mo y ; 4 r ['Service over 320 amps — rating DBuildng ever 10,000 sq. it.,
mac f 7� I of e a a tit , � . ,vin I, .a t I l'� , ,, g, , ' ' + r of I and 2 farrnl dwelhn s 4 or more new residential
I:: I- and 2 familydwelling 11 Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more
r r 1 r � r zx s ; , ^^x�� 1T mss* r s m ❑Occupant load over 99 persons ❑Manufactured structures or
w : rl r MTt W W a m t' r a iFy. t'� ' ,w.a4i o-� d 3 ° sit : 1YM K - j t ,. ❑E s /li htin plan RV park
"tPLI' , "z i g gP
Job no.: 4. - 0 lob site address: I(3tZ0 seJ Caia,... ❑Health - care facility DOther:
,�( Submit 2 sets of plans with any of the above.
City/ State/ZIP: T, 5 6 6YL De
. q z 2 - The above are not applicable to temporary construction service.
Suite/bldg./apt no.: Project name: F l t ! 4. +' � /-i ', t 1� ,,�gr� sY 91r �!fY. rtp I tton NTI I � Q _ -0 ra. tr. Fee. Total .. .
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
3 +L t GC"'e...v` S u b CO 1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel n0 Limited energy, residential 75.00 2
} r e ', c �, , Yw n n Limited energy, ran residential 75.00 2
It
tt •rOg 7 f t P:11 3 .r r ' iii it S°"Pl�d:lo o�1 s ? d i i X � I sl � 1l " F,
Fllod c 6:11.1 atill.,k. befi6t Ali%l ., s 3 ∎ .ha. -:�., .en.7ul .,, 1 � l .ii i tt , ". �) r� . � Each manufactured or modular
t dwelling, service and/or feeder 90.90 2
1.G 1�•*v... -�k t $ . O �i.e,ri'e9+^ Services or feeders installation, alteration, and /or relocation
I 200 amps or less I 80.30 z fj 2
iRT i 1 _ . I `E . ^� � 1 G } /' - — 1'' t" ll ' st ll t wi, ' - �. ' ' 201 artTps tti 400 amps 106.85 2
' 40i amps to 600 amps 160.60 2
Name: f '. 0 f C t r ti -. 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
Phone: ( ) I Fax: ( ) relocation
• 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 an 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
',4 x s tp t( , cloy, .- t f S S't XJhli �,;'�� sir s t r Pi r
'E II't� t °'i t Yi 4�' 1 t'�` t l i rl: , ` 3 # ii+'1'„� g 1 �`' -� lti�t�t � � �sw'• °�" � }c'�'� �t a � f i A. Fee for branch circuits wifh
�
u r.1,.�si h. ::��> 1 : -21 t,..,.''R 1#f 1 '` sATil. ;. �.,tl. t ,,m: 1 .a _§, : i . r,.,:1._ �
service circuit feeder fee, each lid 6.65 a c -- 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 . 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited - •
i �' sk i:3.fs •'l!r.' $- : #t.a..�`iiltnl, t �! � Ir 4aT £1 r$t . ,t u 7 3'..;+ a Iii it " � . , V - ener anel, alteration, or
/ extension. Descnbe: Page 2 2
Business name: t s ( 0...,,, e l`(.. c• ix (c. /.--- t
Address: ySt 2.3 O -i__ Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: 1 - 4 7 e t . 0 _ n 0 ti 94- ' ( g p ( ) 62.50 ,
lnvesh aUon per hour t hr ruin 62 0
Industrial plant per hour 73 5 j
Phone: (�J3 ) b 2 4 `- - s t Fax (i7i3 ) ( Z - L c f S ti
„ , r, : > a ; ,:
q�l, ��Ei`.. t. 4oe�LRiMn�ni .�K�'h��iifiil,`w�Td- .�-R^.il� crt#m.unl'f.:�if .'iY: R-f•.:.ScN 3�' ' .,
CCB Lic.: 750 c 1 Electrical Lie.: 74 f-rL Suprv. Lic.: l — • S' Subtotal 3 it ,
To
Suprv. Electrician signature, required: . Plan review (25% of permit fee)
�+ State surcharge (8% of permit fee) 2. a/
7
Print name: a ,. r ( Date: Iz zr.� y
TOTAL PERMIT FEE (
Authorized signature: This permit application expires if a permit is not obtained wi thin 180
days after it has been accepted as complete •
Print name: Date: • Fee methodology set byTri- County Building industry Service Board
*• Number of inspections per permit allowed.
i:\ BuildingiPermits \ELC- PetmitApp.doc 12/03 440461,5T( te/02/COM/WES
CITY OF TIGARD
J '
BUILDING DIVISION PERMIT #: ELC2004- 00814
13125 SW Hall Blvd., Tigard, OR 97223 p � DATE ISSUED: /2/23/2004
Phone: (503) 639 -4171 4l�iii1111\
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 4/1/2006 TIME: 7:10AIV1 PAGE: 77
SITE ADDRESS: 10220 SW GREENBURG RD 616 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN-TOWN OF MET,ZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FIRST FRANKLIN i
DESCRIPTION: (1) feeder & (40) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 4/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 003600 -01 603-6243631 N
Corrections /Comments /Instructions:
C
'11/
J
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector. ' l/
1 - .��. Date: "/ ' ; Phone #: (503) 718-