Permit Cr
CI CITY OF /�
1 1 OI TIGARD w 1 ELECTRICAL PERMIT
PERMIT #: ELC2006 -10075
DEVELOPMENT SERVICES DATE ISSUED: 3/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB
SITE ADDRESS: 10250 SW GREENBURG RD 200 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT : 001 JURISDICTION: TIG
Project Description: Add (2) UPS to generator panel & (2) L14 - 30 receptacles. Job # 7091.
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: 1 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 JARMER ELECTRIC INC
ONE SW COLUMBIA ST #300 5105 SW 45TH AVE
PORTLAND, OR 97258 PORTLAND, OR 97221
Phone: 503 - 412 -4800 Contact #: PRI 246 -5381
FAX 244 -8037
FEES
Description Date Amount Reg #: ELE 26 -144C
[ELPRMT] ELC Permit 4/6/2006 $53.50 LIC 6924
[TAX] 8% State Surcharge 4/6/2006 $4.28 SUP 40445
Total $57,78 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: _, Permittee Signature: s e -e.,
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.
,
= • Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard MI ' ECEV I
1 - 1) - '
Received
, Permit No.: ---- 6
f
13125 SW Ball Blvd., Tigard, OR 97223 Plan Review ■
Phone: 503.639.4171 Fax: 503.598.1960 0 , 4 '. i l ,7 ' i lqklij'i Date/B : Other Permit:
Inspection Line: 503.639.4175 MAR I MAR ' 1_114.. A ' . Date Ready/By: en fff See Page 2 for
ITV OF TIGARD
Internet: www.ci.tigard.or.us Notified/Method: Supplemental information
n
' .':' ' i::' - :;!" . ` '',;•-, ' ', 1 ,: si ,- : ', _, .,:, : , ' *.*, TYPE . 0StitqW,C1G DIVISIQN'.
0 New construction Addition/alteration/replacement Please check all that apply:
0
OService over 225 amps, comml ['Hazardous location
Demolition 0 Other:
_ SO ervice over 320 amps - rating OBuildng over 10,000 sq. ft.,
. f 4 i':' - i-' - ' - •,' -- . eAtioiky OF - &iN§faucTioN . - ': ...- L of 1- and 2-family dwellings 4 or more new residential
El 1- and 2-family dwelling 4Commercial/industrial 0 Accessory building 0System over 600 volts nominal units in one structure
['Building over three stories [Weeders, 400 amps or more
El Multi-family 0 Master builder 0 Other:
DOccupant load over 99 persons OManufactured structures or
'' .:,• : ' :.' ' - '
JOB SITE -INFORMATION AND :LOCATION P 7 ' : ['Egress/lighting plan RV park
Job no.: - 7-06 - f / Job site address: jaW6 Si G q lel 0Health-care facility ElOther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: 7-7-2-3 --1 °zoo The above are not applicable to temporary construction service.
q:;'
Suite/bldg./apt. no.: Project name:
Description I Qty. I Fee. I Total I *"
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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited mited energy, non-residential 75.00 2
?,•t; ,:;.:, T ,, ': 4 .'ROTIt*'0P WORK .::',::...: -:;.,::: '...,..:'..,=: Each manufactured or modular
c (2) Itps -iv jeger4,- - teg,me 1 dwelling, service and/or feeder _ 90.90
Services or feeders installation, alteration, and/or relocation 2
(lotd (4 z (4 - 30 k'-ecep-)r,res
i 200 amps or less 80.30 2
106.85 2 . 201 amps to 400 amps : 1 ' 1 " 91.41. ' Y. 9 AN-F#':',::'' , .: -. . , E ,, ..f. .: : ,(
- ' 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
#. '■: .,, :. ...,r.,: i n.:,c:owf Ac i3:;iiiiga t ■ i gwv:L. A. Fee for branch circuits with
service or feeder fee, each
2
Business name: branch circuit 6.65
B. Fee for branch circuits
Contact name: without service or feeder fee, i
46.k.s 2
each branch circuit 46.85
Address:
Each add'l branch circuit / 6.65 6, Lsf 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
CONTRACTOR . , ;.:‘':',,'.::';'-'-:': . - '.7: 7 4: .::::-.- ': energy panel, alteration, or
extension. Describe: Page 2 2
Business name: :TA-A r`-x E.2.- Et_Eire_ i
Address: ,5, 0 q "--7'-- , s z
Each additional inspection over allowable in any of the above
s'"" Se_o ,s
Per inspection 62.50
City/State/ZIP: / 7 "9- 4 )4 0 ,, ,:;) 7 2 2 / Investigation per hour (I hr min) 62.50
Phone: (S'3) 2 q( o , - ( 53 4 / Fax: (S)S) 2-tiq - eo 3 7 Industrial plant per hour 73.75
t
CCB Lic.: ipci2.. q Electrical Lic.: 2(o / 49C- Suprv. Lie.: ziegy5 Subtotal 53,50
Suprv. Electrician signature, required: " Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: ,55-z1 4 ,2 7 - , ..),-,e.,4-1e i ate: ,..?__ 2 / .--S
TOTAL PERMIT FEE
' Authorized Zt_. —...
signature. . This permit appli ex
cation pires if a permit is not obtained within 180
‘. .'- ■"ii- isr . ,-
.„ _, _.....,-,_. —
days after it has been accepted as complete
Print name: \ /3 m ,- 0 7 7 /.../../ , ...1k (44,41 410 Date: ,5 - * Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
i: \ Building \ Permits \ ELC-PennitApp doc 12/03 440-4615T( 10/02/COWWEB
- CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006.10075
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 IL
' INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:00A1Y1 PAGE: 61
SITE ADDRESS: 10250 SW OREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME:
DESCRIPTION: Add (2) UPS to generator panel & (2) L14-30 receptacles. Job # 7091.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800
CONTRACTOR: JARMER ELECTRIC INC PHONE #: 246-5301
Inspection Request Scheduled For: Date: 4/1312006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Beth ical final 027906-01 503-246.53131
Corrections/Comments/Instructions:
PASS 7 PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS
n FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: G—fe_ko
N0d3 Date: 13(0(, Phone #: (503) 718-