Permit , p7 } CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00632
DEVELOPMENT SERVICES DATE ISSUED: 8/29/2005
°7I I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AB -03400
_ SITE ADDRESS: 10260 SW GREENBURG RD 350 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: T.I. (4) 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: 3 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 - 293 -2745 Phone: 503 - 624 -3631
FEES Reg #: LTC 75059
SUP I965S
Description Date Amount ELF 34 -283C
[ELPRMT] ELC Permit 8/29/2005 $66.80
[TAX] 8% State Surcharge 8/29/2005 $5.34 REQUIRED ITEMS AND REPORTS
Total $72.14
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: % , 7.6) Pe rmittee Signature: ,3;42,-ft.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RUG 29 2005 8:04RM HP LRSERJET 3200 p -2
• .
-S+ ieCtrica1 Permit App1i6'at tio v E .- \� F'OR UFFICE USE Ol1`LV -
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City Ti alyd
y Date!B m
?erat N 6 'j o.: " , - ;
13125 SW Hall Blvd., Tigard, OR 9 2 P!anRevie V ✓ �
Phone: 503.639.4171 Fax: 503.598.1960 y ,(� r'�-''t"ril,i Date/B•: Other Permit.
Inspection Line: 503.639.4175 • MU17 V U ■
2 ,„ -1.L. Date Re fM el h o p See Page for
Internet: www.ci.tigard.or.us
NotifiedlMethod:
r nF �'IGARU Supplemental Information
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'alut E „w�iTSili,}.1:. 3�'�$ci- E4'.Y�,..�qq': ?� .s �S' i t''.' p"P�!1� 7 .d ":j - ,. , . ;E�• tt ; 1; • kTM!"e�5d.•i - -� :5'. ! sbh.,'... • c,.! � . , t +..uk�:. :ir,. i o-�T °"�tL�.b ie.) ^.:,•• .,.i a �.,+ '•'•'. ;d� *��. . •
❑ New construction A 'titon/atterationIreplacement Please check all that apply:
❑ Demolition ❑ Other: ['Service over 225 amps, comm'I ['Hazardous location
` 1 ; y[�a j "� ' I ['Service over 320 amps - rating ❑Buildngover10,000sq.ft,
a It : ;.75511, .. 1,'0).A.at ,2 st�.a 'a, : ?n' "? 1 ` ' ? ,i F<:r'.' rl aif_ o 1- a 2 -famil dwellin 4 or more new residential
r_�.e- xaF,ht .t�s� _�..� Y Prs
❑ 1 - and 2 family dwelling Commercial /industrial ❑ Accessory building _of
over 600 volts nominal units in one structure
❑Building over three stories [Weeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
r� i +Srt�"r t' t > r xyawa 7 3 s t I N ❑Occupant load over 99 persons ❑Manufactured structures or
r t 4 ,. N- M t . 74Fr ? i �a > 07 3[ , trs F " { : WI N ` I ❑Egress/lighting plan RV park
i4-
Job no .: Job site address: 1 6 Z w td f
DHealth-care facility DOther:
�~'�""` ix( ,ts t 7 Submit 2 sets of plans with any of the above.
City/State/ZIP: 7; S 41 0 ek 9 7.-24. - J The above are not licable to temporary mporary construction service.
Suite/bldg./apt. no.: c 1� x'c ��.,a ta • -l' tsit t;�
3S!/ P roject name: l _ � 4t.. I Le Ar ��•°�, . ,.
De scription Qty. Fee. Total
Cross street/directions to job site: L E w ra,i--_ �� sv 3 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'l 500 sq. ft. or portion 33.40 1'
Limited energy, residential 75.00 2
Tax map /parcel no.: •
i 1PM, ,rt,ai $M1 l,„ :49 V , F1 i *'It . i a {tmr
I i t r i Fi r 'a 3 i " fi?' ! , ` 4FP a, Limited energy, non residential 75.00 • 2
12i :4111 > v, -,r-2. •:xt. .,s. l' A. t � . v,1 .r da ctM1i} ii2 :_ t # Fr y _l Each manufactured or modular
• dwelling, service and/or feeder 90.90 2
-Q' i" 1 " Services or feeders installation, alteration, and /or relocation
. 200 amps or less 80.30 2
,p r ge n r 4 � 9 t ' ? � r o'" �rA a 201 amps to 400 amps 106.85 2
k o • ° l `. �.`l C.. n � .,,;:5''. � � ..,, 401 amps to 600 amps 160.60 2
Name: g,�'/ La .• t"' 601 amps to 1,000 amps 240.60 2
Address: • Over 1,000 amps or volts 454.65 2
• Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) , Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
vs',c' �a Iii Ar g lea, : t' �4,Y� Lv 44.4! '$. xsk"_. t- Et i 5 ; w,T Iv 4
' r 1i1 I t 4iu
<, `4 .4 3 1 116ig pFe f..":hi i .f;,t't ;`4, • �ti t• g aa11� ;l mau i``. '`''.>... ..�` ' e 1t, 4i A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits C'
without service or feeder fee, /
Address: each branch circuit ( 46.85 .�" 2
Each add '1 branch circuit 1 6.65"'x 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: ; ( ) Pump or irrigation circle 53 2
Sign or outline lighting 53.40 2
E-mail: ,,�y p Signal circuit(s) or limited -
i I [ �t 1ftii r'ti•4��Y,i iII B" RdN ` ,t I�iiw v- ,n "'
t.n��t'I�Uk,ti�'�:a�,�,x':L.�E e,';ii.s.:., tt E�� a �r�figsn z "�.��'•� ���. � -„ _f• energy panel, alteration, or
extension. Describe: Page 2 2
Business name: r 1.14, er
Address: z_ _ 1- Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: riC 1�LF� l (J 9'r 'to Investigation per hour (I hr min) 62.50
Phone (�) 4 - (� I Fax (7j3 Z�(� k - Industrial plant per hour 73,75
i'r4 (i w y.:,.., ^l Er.� a. _ ii `a"'Fi+Ilaigg irn ns::'
CCS Lie.: }- L1 'etl I Electrical Lie.: 3,4. 7r3 C Suprv. Lie.: (r s- c Subtotal 6 b r,0
Suprv. Electrician signature, required: /U Plan review (25% of permit fee)
!V State surcharge (8% of permit fee) f,.3
Print name: 'i ti -•. Dale: S), x� �
TOTAL PERMIT FEE - 2, 1 i.
Authorized signature: {
This permit application expires if a permit is not obtained within so
Print name: - days after it has been accepted as complete
Date: • Fee methodology set by Tri County Building Industry Service Board
•
"" Number of inspections per permit allowed.
i:\ Building1PermitstELC- PermitApp.doc 12/03 440- 4615T(I0IO2/COM/Wnn
•
CIW-OF TIGARD .
BUILDING DIVISION PERMIT #: ELC200500632
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2006
Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 .1.0-
INSPECTION WORKSHEET` FOR DATE: 99/1 /2005 TIME: 7:14AM PAGE: 63
SITE ADDRESS: 10260 SW t. `EENBURG RD 360 CLASS OF WORK:
SUBDIVISION: LINCOLN C , /LINCOLN TOWER LOT #: 0.14 TYPE OF USE:
PROJECT NAME: FIRST PACIFI i. LENDERS
DESCRIPTION: T.I. (4) branch cir' uits.
OWNER: EQUITY OFFICE P "OPERTIE S TRUST, PHONE #: 503 - 293 -27455
CONTRACTOR: WILLAME.r I E ELEC' 7 I INC PHONE #: 503.624 -3631
Inspection Request Scheduled For: Date: 9/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 014768 -01 503- 6243631 N
Corrections /Com -1 - uctions:
\ -:
\ .
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ' " " D ate: - 1 -1 " ob Phone #: (503) 718 - 1-Li'yt