Permit I ,
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CITY ®F ® ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2001 - 00319
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/24/01
SITE ADDRESS: 10260 SW GREENBURG RD * ** PARCEL: 1S135AB-03400
SUBDIVISION: LINCOLN TOWER - TOWN OF METZGER ZONING: C - P
BLOCK: LOT: 014 JURISDICTION: TIG
Project Description: Fire alarm pull stations.
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: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EOP LINCOLN, LLC CHRISTENSON ELECTRIC INC
10260 SW GREENBURG RD 111 SW COLUMBIA
SUITE # 100 STE 480
PORTLAND, OR 97223 PORTLAND, OR 97201
Phone: 892 -2500 Phone: 241 -4812
Reg #: LIC 458
SUP 3289S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 12/24/01 $75.00 2720010000 Elect'l Final
5PCT CTR 12/24/01 $6.00 2720010000
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 rd :f7 t Permittee Signature ,')/✓ /7 »4 / e''977o
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 7:00 P.M. for an inspection needed the next business day
Sent by: •,•HRISTEII,'�0N ELECTRIC 5032056721; 12/20/01 3:01 PM; JetFax #42; Page 2/2
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Electrical Permit Application
Datereceived: 4,71.20 0/ Permit no -: ,/Z 2001-.
4 ' I it City of Ti �� �® Projcct/appLno.: Expire date:
CiryofTigrrrd Address: 13125 SW Hall Blvd, Tigard OR 97223 bate issued: By: Receipt no.:
Phone: (503) 639- 171DEC 2 0 2001
Fax: (503) 598 -1960 C Case file no.: Payment type:
Land use apprqY - 1 r1�TARAD DIVIZON
TYPE OF I'LR J 1I'1
•
LI I & 2 family dwelling or accessory CI Commercial/industrial U Multi- family CI Tenant improvement
O New construction 0 Addition /alteration/replacement 0 Other: ❑ Partial
J.OB 5[I F. INIORN1ATi )N
•• address: 10260 SW GREENBURG RD Bldg. no.: s • • • •
Lot: Block: Subdivision:
:Project name:LINCOLN TOWER Description and location of work on premises: LOW VOLTAGE WIRING FOR ADDED
Estimated date of completion/ins. • Lion! 1 •.\ S . ROSS C . 503)9366409 SIMPLEX — GRINNELL FIRE ALARM
: tt )iVXltAA 'TOR - AIT.1,I('A'1'ION , — FEE SC H INUI.E .,, - . • ,
` • t . 1 Fee Max
Description + no. imp
Businessnaine:CHRISTENSON
New rrsideedial -same or natld- fatNly Per
Address: dwilinganit .Includesttttscbcdtame.
• / I - • :: • senic•TinclpdetL•
Phone503 2414812 Fax50 324 105 l'Ell too° sq. ft or less 4
Each additional 500 sq. ft, or • • pion thereof __
CCB • .
2
Limited energy, residential ___ 2
City/metro - 0.: 5 46 umke:clenergy, non-residential 111111111. 2
�
i �
Signat r of 5upervisina • ea C : Date' .. ��
2
Sup. elect name (print.) BRIAN CHRISTOPHER License S 73S �rvievsor feeders— instaElatlotr
na ...
alteration or releestkm
PRO run Y OWNER 200 amps wless
Name (print):
201 amps to 400 amps ��� 2 El .
6 01 amps to 1 00 am p �..
Mailing address: 601 anlpstol000amps
City: State: IESI Over 1000 amps or volts 0111111111111. 2
Owner installation: The installation is being made on property I own Temporary arnica Or feeders - . .
Installatioa, alteration, or relocation:
which is not intende,d for sale, lease. rent, or exchange according to
11 amps or less 2
• • • 1 1 2 01 amps to 400 amps II
Owner's _ D: 401 to 600am.s
EN G 111:112 Brrtttch circuits - new, alteration,
or extension per panel:
A . Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit
City: Stiat; Zip: B. Fee forcunch fes ,fitrbr purchase ■
s ■
�
of service r or feeder fee, first branch circuit:
• • Each additional branch circuit: MIMI
" 1'1.:1N REV It;11' (Please check all that appE!') me, (Sarriceorfeeder not induded)r .���
O Service over 225 amps -commercial Cl Health -care facility Each pump or inigntion circle
O Service over 320 amps - rating of I &2 O Hazardous location Each sign or outline lighting
family dwellings to Building over 10 ,000 square feet four or 11111111
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders, 400 amps or more
Cl Occupant food ov er 99 persons 0 Manufactured structures or RV part Each additional taspection over the allowable in any of tbc above:
CI Egress/lightingpion 0 Other. Per inspection
Submit _ sets of plans with any of the above. Investigation fee
The above arc not applicable to temporary construction service. Other
Not all iorin4imiats accept credit trade, ply ta iatismct re for more information, Notice: This permit application
Permit fee $ / -
O Visa CI MasterCard expires if a permit is not obtained Plan review (at _ %) $
c fait cant wieber: / / within 180 days after it has been State surcharge (8%) .... $ 6 - .
.
Ex pires TOTAL $ 81 - 00
accepted as complete.
Name ef cardholder as shown onetoditcard S TRUST ACCOUNT DEDUCT* * ** *
Cardholder xi Amount 440-4615 (6/00/COM)
OCT.2000 +FEES ON BACK OF FORM
-CITY ( A TIGARD BUILDING INSPECTION DIVISION
24 -Hour I sp ection Line: 639 -4175 Business Line: 639 -4171 MST -
/1-- BUP
Date Requested — " , )'7 AM PM BLD
Location /6 2 _ - 0 t .0 ' / Suite MEC
Contact Person 6,,,,..,. 4 Ph '. (al PLM
Contractor Ph - Ch.r', sins �,., �� f /���,� � `�l ` 4 /8/1,„7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR , -6,6 1 / l 30
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: (, " I f' i57711 Sdk �
Slab 4$'1.a �(
�' SIT
Post & Beam
Ext Sheath /Shear Py cods-- p)9ss_L--.
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler — at _ / C _, � ' . '
Fire Alarm
. Susp'd Ceiling
Roof
Misc: �� �`
Final
PASS PART FAIL cedi rA Pv i{_- -� te).-1 pt
En
PLUMBING L-.r i.- -
Post & Beam - :
Under Slab ( II ` li - •
im
AV
Top Out
Water Service A`1
Sanitary Sewer
Rain Drains 0 I _ , �,L ,� �� , _ �, ` _
Final r ��
PASS PART FAIL 1 . _ _
MECHANICAL
Post & Beam
Rough In A a 1, - , i /A • . ��1
Gas Line -- - -
Smoke Dampers C o y✓y3v Gaff � % (Z,' r')1 e - •
Final / �""1 °`-,
PASS PART FAIL FA-CP a / ■ l S�< ,�+�/ q
ELECTRICAL _ 1. � �� /
Service <a p 5c i...?/ t ( rrYl/� PA-1
Rough In r•
UG /Slab L 1 ■ a. h % r .i AL. A/ . . . //
.w 'o a. _ .
Fire Alarm i , I. _ f ca ....(///4/-
AS PART FAIL e a le; of "CO A'l. 7 5 Cy r' r Y -_`
S L • . ►.I
Sanitary Sewer ewwer r ` ES' ) /t . . �/ �� .►...6
Sanee / / S r .) t ars ,n7-- � G q
Storm Drain [ ] Reinspection fee of $ requifed before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk �00 (;)/,.,
Other Date lo. —� 7-0/ Inspector � i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.