Permit C ITY OF TIGARD' ELECTRICAL PERMIT
PERMIT #: ELC2005 -00433
DEVELOPMENT SERVICES DATE ISSUED: 6/20/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-04500
SITE ADDRESS: 10250 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN BUILDING PP1991 - 055 LOT : 001 JURISDICTION: TIG
Project Description: (10) 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: 9 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: Phone: 503 - 624 -3631
FEES Reg #: LIC 75059
Description Date Amount SUP 1965S
ELE 34 -283C
[ELPRMT] ELC Permit 6/20/2005 $106.70
[TAX] 8% State Surcharge 6/20/2005 $8.54 REQUIRED ITEMS AND REPORTS
Total $115.24
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: �1/60 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.
• JUN 20 2005 11:35F1M HP LRSERJET 3200 p.2
Electrical Permit Ap 1� (� V ® ` FOR OFFICE USE ONLY •
City of Tigard Il Received / 0 � ,rs/�i PermitNo.: L= ^ ` 2/ /t & 03 --- jydr /
13125 SW Hall Blvd., Tigard, OR 97223 JUN 20 20o � 1T , P lan Review
y Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ''ti 1U11'x` Dateat :
inspection Line: 503.639.4175 ` E i Date Ready/By: I= El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
t T i. R• ,: �7, l3 "i '^,hr. _ " C's- ; k t T t i . e ' rri, 0 , n ., Tn.;., :r ? .,, ; .. r; . • ,s,,. m :F°' ,., t ','91.!`; .
- . � x' l- ' r '1 !1 , yak . 1. . i• : 7 . 4 -4t i-- i; . . , .. ,� , .�, l v? Il!a '..---....7. .
ri , .. � ndf (; '' ? 7. r dt Uk 4 }2,. 1- - %i* . :. 4 i f R!"x� - r T•. r,. #:!.1� itt' {e.,., ,. aa'• _
❑ New construction Addition/alteration/replacement Please check all that apply:
Service over 225 amps, comm'l ['Hazardous location
❑ Demolition ❑ Other yy�� ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq, ft.,
i4F : 1�i r �v ,7 rP' t $'' 494.= 1 1mA'^ t t ,.r W' _. k ,.
l+ j {{,'''r���i r` _ ° r € r ,, 4 LL t t� i e, L � r °? U ` P Q ; . A,-;.„ ''it of 1- and 24arruly dwellings 4 or more new residential
... hl. I�t �fu'°,# °r� hIY..7 �'� Y�il,t. i 4�,� A ...a.iuk „��?: "t�i(,;dl 1a£.i~�i�.ti�i.ati. k'�sa j. n Qt i .,. � RtetPd .. �.
❑ 1- and 2- family dwelling Q}`Cotnmercial /industrial a Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi - family 0 Master builder ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or
;1$ 1p r '” y -s r ,f �+ny- y • 3' s�, i f .t ' iii -4. y 'L a I ti a�6`, 5 4. - 1t G ra '{ ���i ' i'q
� u t i : i z 1� � i 1 '" � , t a it'g4.1r i' ' '1'r� TM d al, 1,g .i' ,, ' d - i iii .; i s � % ❑Egress/lighting plan RV park
ss .� txPrlll�� ��l�r, i6?�,,,. i; {, I,.�e. xm la!� . _,�s.. a� �trar:,.. Inal'nl��t�.iti >.n..,r 1 r �t1_trl
yid
❑Health -care facility ❑Other:
Job no.: 9O Job site address: �� , .L L14 J Submit 2 sets of plans with any of the above.
City/State/ZIP:
J The above a not applicable to temporary construction service.
�@ i1,t 'l ^;. �T
re
, g; gglifi 13 ✓lM.'.r�l I II G a-,i '. .`•,.;
Suite/bld J t. no.: ````o e9 h Project name: E C. � t Sc r: .•
WV I Fa dc � Description Qty. Fee. Total
g ''
Cross street/directions to job site: y Cr w �� New residential single- or multi - family dwelling unit. •
Includes attached garage.
1,000 sq. ft. or less 145.15 4 • Subdivision: I Lot no.: Ea- add'1500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75,00 2
t i "{ gy p+ �.. ro l f i ii .e,2r�5,1e� b- ..tcf f4 YT : : p i to 77t :b `i, r'Y� tn
^ . r'1a � . `/ li�zi3saQ5 ],. lgli itOs €. a `icLiel..;. � Ems;. tliteutriq ' hill` 1 f.a .it . I2/_ to Each manufactured or modular
dwelling, service and /or feeder 90,90 2
T-,----,...--5 . h., p Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
l ':= 1 , S ,�4 ! . i a is x lttl l rtit * -11 r = 'ja sj�� I F 4.4 : 201 amps to 400 amps 106,85 2
401 amps to 600 amps 160.60 2
Name: Eo f L1 ,%, 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 alteration, and/or
relocation •
Phone: ( ) l Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 an 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
rr�
1 ' r `` Ir S y. a'. sn 1, � i -4 }3 4 m it I i , iIA ,rI ''�t,.t, r k. , ai A. Fee for branch circuits with 1.
' 4 ' : C4 ' ikriA, ff, ` rill service or feeder fee, each
6.65 2 .
Business name:
branch circuit
B. Fee for branch circuits U
Contact name: without service or feeder fee, I 46.85 i t C 2
each branch circuit
Address: ,
Each add'l branch circuit 9 6.65 j , ° 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
I_
E -mail: Signal circuits) or limited -
i4 w ,e*1 "l: Itt k 1N i$•+i r r ,111''j <s°i'� t -R, I 11 7' .) r I " I(I ener panel' alteration, or
1 rt,, ° , j ;i �r rh i ` . .. gY P
., k;h �gliJ' C��'+rz3a <e�.� � t..� .�_?!�iA� cis �iur��ivrF.r�`� - -� �i#�I 17ll., k st � rr -
extension. Describe: Page 2 2
Business name: t ,, 1 t A a .«1.4-14 t i (C. -C-1 I w C.
Address: Each additional inspection over allowable in any of the above
PO R Ox T,30 s 7 - Per inspection 62.50
City / State/ZIP: ' ei>rie- J .7 / Investigation per hour (1 hr nun) 62.50
S t � Industrial plant per hour 73.75
Phone: ( ) e Fax (g63) 6Z'L Z.fi rt > v r::a+ fi
�!3 62,4 -- 3G Y � n lad! I +�Idi .l�lae �- �, - -,£ �r uli. aid.'$ X1. �';
` rliek� �1��i4P. i'SL�ta„x''fiutiL,w®,tacln�t' -.. ,+c� w13.iu. ,� •�l'.:: ;• "f,
CCB Lic.: -y Electrical Lic.: 34 - z43•(___ Suprv. Lic.: /96 s---f Subtotal 16
Suprv. Electrician signature, required: J Plan review (2.5% of permit fee)
� State surcharge (8% of permit fee) ' t y
Print name: Date: y
4-n/ t. — —�° TOTAL PERMIT FEE j 1 , 2�
Authorized signature: Thla 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\ Building \Perroita\ELC- PermitApp.doc 12/03 440461 Sr(10/02.'COM/wE8
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2005 -00433
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20 /2005
Phone: (503) 639- 4171 , 4�uyp,gl�J�h'
Inspection Requests (24 Hrs.): (503) 639- 4175
INSPECTION WORKSHEET FOR DATE: 8/15/2005 TIME: 7 PAGE: 62
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: • FOREST CITY TRADING
DESCRIPTION: (10) branch circuits:
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEI I E ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspe on Description - e • i # Contact # Message
199 Electrical final 013504 -01 603 -6243631 N
Corrections /Com _ • - •ctio
p sc Ljc I,
(\IA i
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL .• ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` 66 LAG. Date: c a - 5 05 Phone #: (503) 718- 21 %