Permit r CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00195
��� DEVELOPMENT SERVICES DATE ISSUED: 4/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB
SITE ADDRESS: 10250 SW GREENBURG RD 112 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT: 001 JURISDICTION: TIG
Project Description: TI 3 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: 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: 503 - 412 -4800 Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[TAX] 8% State Surcharge 4/12/2006 $4.81 LIC 75059
[ELPRMT] ELC Permit 4/12/2006 $60.15 SUP 19655
Total $64.96 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: L Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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gIl�.,s� Perm. � !! I�.i; y. ,�� Fn E I ELISE ANLY s � �
at.
City T > g v d E;/I k/- _ — Pe mu Nu OOb 12SW W Hall BlvdTigard, OR 9722 R 2 �oo � j PRevi �d !�$
Phone: 503.639.4171 Fax. 503.598.1 '0'` ^fi F Date/BY: ther Permit
Inspect Line: 503.639 -4 t 75 _ 1 :1 4 D Ready/By: Page 2 for
Internet: www.ci.[igard.or.us
CITY O} l l(x ° . -- ' —' y Noufied/ Metho Juns g
d: " � l� Pi See Pa
Supplemental Information
rd . . E , s � ,':i m t 7% ;,.. in W -, „ t. .., , ., . ... :Z ., i. , .,.. 0; :., PL R E VI', E° W 1
❑ New construction G1 Addition/alteration /replacement Please check all that apply.
❑ Demolition El Other: ['Service over 225 amps, comm'l ❑ Hazardous location
:_, s¢wti, zyO -, xFh 4q Service over 320 amps - rating ❑ Buildng over 10,000 sq ft.,
' '' a.- ` ` - 5 C T ORS OR CI ST-RfJMZNt
a ; i*Atr.,, _. 'ti , ,7 „ b, .��-„z,�:~ .. .. ,,,__ e „ .Q . ,,u.........�. �,,t_ ..,,.- _;'s of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2 family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or mote
❑ Multi family ❑Master builder ❑ Other: ❑Occupant load over 99 persons El Manufactured structures or
812,111-11...11:10. �ir.:���v - ,t��iss °,saa rates +�:�; .�s °,t.. ..��r �..::gG;:�,� Wi=t,.:
'" at - RV ark
°r E ess /li htin pl 1=I?E�.T1�1F,0�YtNI�TCOI��AN _LO.�� ®l�: ��=;'� �... 3 ❑ 8r g g P p
;•.�.:.o•�tat �.,5��=�^:sa•x :: s: zfi ',..u.<.o•,..r-.:.�:.r.�:��?i. <: -, ,�:ae,- �� =� -,_ s_,..�.�_:�,- ,.�. .�
�,, ❑Health -care facility ['Other: no.: 253 Job site address: 03 S rs` 2
Submit 2 sets of plans with any of the above.
City /State /ZIP: 7 a. I, 0. `] 47 The above are not applicable to temporary construction service.
t. no.: Project name: d / t / 1 ` n` "' "' " `- i?: F trit litP lift :, ... . **
Suite/bldg. /ap / / 2 J % + ,
Description Qty. I Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no : Ea. add'! 500 sq ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00
:.� }.�� -� - = :'s'.%e�'• 't,*a: �. a'>�..-.+%„ „xs�±N. - :as'iro3* -an _.;; r x,.aarss..::�a.:, -. p'ts s g„�yv:� _: ?:,;. a:; 3* �, a ', ; : s : q ::se:.�J>r`.- �
Y , t y°s.- se:dt ?x 4 ::= `} : : Ii f TIO OF �iUO , 4 ,:,; n A. ° c . , : •-. .
�,,, -� _���,���,�,��� •,„„�_,.�, -,�,, �,,,,�,�;�� v.� �, � , Each manufactured or modular
7 --r dwelling, service and /or feeder 90.90 2
/ J.+ Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
„._.,;., y ..�,, 4 ,,..�.,,• : „ ���. -� . -,.:._ �..t,.,,.,�.,,r.,., =:� =s:<- � °�. ;�ii" ;x�a 201 amps to 400 amps 106.85 2
'�r ?'�, .�,:.xw .ERT��"�OW}VER t �': �'� „ ° ' „ '7'E 'A'1Vc ",� � .w� � �=' '
r
� � � � �� 401 amps o 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
A. Fee or rant circuits with
.ry a° �a: k =4 ° "- ' ='° "` lifrj,=' a �” : a :
M, a .. , Fi' xr= r:; t?O A ;._, _
G f a EE . (JN_' a �" p
a.��'� ss -� IC'- - �'� ��:�` � X11; �� ,.,�..�.�.�.�.�- .�:x���:.�
d, - � ����� �.s�v� .. , � s::�a:� ��+.� ;�:�;: °. =. ,. - r f each 6.65 2
service feeder fee, e
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, /
each branch circuit 46.85 yd 8' 2
Address: Each add'l branch circuit a 6.65 /3 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or iiTigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
n1° anx.:;.^k':,;,'T%4"% Wit: +-*,, ^' sxsi: - _ k "xv,nu4:,: t' ``?:i',.'.""�" <w3!�;'i:`rt'!r:nl w ;'.'. r ' v -w.z{,� -„ F c'« '`
hx? : -,5 Ye,.' , K C iRW:OR r g t 5 n, > energy panel, alteration, or
'�.a+a tr.k. "':::lr...r ;,ra_, cK.z•,.x.. }.. ,.. i .,> » %' -•i ii �;r -
extension. Describe" Page 2 2
Business name: f y*
Address: 1" Each additional inspection over allowable in any of the above
c \,, fl �' 4—?` �. e Per inspection 62.50
City /State /ZIP: t ' Investigation per hour (1 hr nun) 62.50
3 Fax i . r Industrial plant per hour 73.75
Phone: ( li j ) rs ? t l. ` �. (03: ) n2•rt — zee 9 , , , `' .
: r , , 3' 1— fiCTRICA PER_ 1VkIT FEES* ;'
CCB Lie.: 7- ° : ; ' L 1 r: Electrical Lic.: '-..t.f. 73- 3 c Suprv.. Lic.: (G s. + Subtotal 60 ”
Suprv. Electrician signature, required:” Plan review (25% of permit fee)
State surcharge (8% of permit fee) L $ h
Print name: Date: tY - % - " /
U 04, C TOTAL PERMIT FEE 6 L/
Authorized signature: This permit application expires if a permit is not obtained within 150
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.
i:\ Building \Permits\ELC- PerntitApp.doc 12/03 440 1 0/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00195
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41112006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 „,
INSPECTION WORKSHEET FOR DATE: 4/25/2006 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 10250 SW GRC:NBURG RD 112 CLASS OF WORK:
SUBDIVISION: LINCOLN CENT: /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: KI‹ FINANCIAL
DESCRIPTION: 11 3 branch circuits.
OWNER: EQUITY OFFICE PROP& lES TRUST, PHONE #: 503-412-4800
CONTRACTOR: 't!AIILLAMEFTE ELECTRIC I PHONE #: 503-624-3631
Inspection Request Scheduled For: D:te: 4/25/2006 Pour Time:
Code # Inspection Description Confi # Contact # Message
41 1gallb Electrical final 028637-'3 503-624-3631
Corrections /Comments/ Instructions:
/
ill PASS L1 PARTIAL APPROVAL fl CANCEL fl NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: t N,66 Date: Phone #: (503) 718- 1-4146
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•00195
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 4/12)2006
Phone: (503) 639-4171 /
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE:
SITE ADDRESS: 10250 SW GREENBURG RD 112 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: KK FINANCIAL
DESCRIPTION: T1 3 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 027927-02 503-624-3631
s
Corrections/Comments/Instructions: 4 " • irt
— POotol‘i bak TO 44S p"gais0 '
PASS PARTIAL APPROVAL 1:1 CANCEL n NO ACCESS
El FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Q 1\111 Date: 4 1 1 3(04 Phone #: (503) 718-
- •
CITY OF TIGARD
BUILDING DIVISION - A PERMIT #: ELC2006- 00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006
Phone: (503) 639-4171 i 'vet9011#
Inspection Requests (24 Hrs.): (503) 639-4175 112.
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7: 00AIVI PAGE:
SITE ADDRESS: 10260 SW GREENBURG RD 112 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: KK FINANCIAL
DESCRIPTION: TI 3 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603412-4800
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 603-624-3631
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
126 Wall cover 027927-01 W3-6243631 N
Corrections/Comments/Instructions:
p t PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS
0 FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: CY -- Date: 1 1 6) Phone #: (503) 718- lift