Permit �, ,J" . ELECTRICAL PERMIT
�1 �` Y O F TIGARD :, PERMIT #: ELC2005 -00149
Al DEVELOPMENT SERVICES DATE ISSUED: 3/14/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 350 ZONING: C -P
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT : 014 JURISDICTION: TIG
Project Description: Electrical TI, (3) branch circuits. Job No. 5949
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: 6014-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 - 892 -2500 Phone: 503 -624 -3631
FEES Reg #: LIC 75059
SUP 1965S
Description Date Amount ELE 34 - 283C
[ELPRMT] ELC Permit 3/14/2005 $60.15
[TAX] 8% State Surcharge 3/14/2005 $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set fort OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 -246 -6 or 1 -80 3 4
Issued Permittee Signature cert.—)
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
. CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: �� ' // / : • c , DATE:
LICENSE NO: l 9Cp �S
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAR 14 20.. ";" 8:38AM HP LASERJET 3200 y, p.2
Electrical Permit Application �� ' FOR OFFICE USE ONLY
Red /� /`� �� ��
13125 SW Hal,t*Blvd., Tigard, OR 97223
City of Tigard Dat ._ �O _ �i���/
a Plan Review other Permit:
Phont<: 503.639.4171 Fax: 503.598.1960 Ai :$ .1(.1: Daten3 ,
■ h i ' Date R Jur ® See Page 2 for
Inspection Line: 503.639.4175
ig rd.or.us Internet: ww•w'.ci.tigard.or.us -- Notified'Method: t (1 . Supplemental Information
� f - of ,4,1;, -i r 4'.na� ,� ,�.r ; gale K r - .y� �i: ,
°yti3attA ,.. i � + , s .,i�w
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(,1F,., 'S11�Iki I . €; s� .i � „ �+5 d `a :nz:... ntta�3,:.:<.
Please check all that apply:
❑ New construction 16: Addition/alteration / replacement ❑Service over 225 amps, comm'l El Hazardous location
['Demolition ❑ Other: . over 320 amps - rating ❑ Buildng over 10,000 sq. it.,
a''xt via figrt d fir' fi gF i Tas a T At a t iPil` 1' d` ill!' o ;. = 1t
u , � � I i lI���� , '��4� a tt � � � ���� `j' � '� of 1 -and 2- family dwellings • 4 or more new residential
I" ; . 1 ti' l u 1` At k,l 3,. slri.t�•. "• ig' f :, i J � e E'ha i °l •,; � ,._ `I. 'li • { lin 4 �I., ,.`.r .. 2 Y.,_ ,
1 , 1 n ° ❑System over 600 volts nominal units in one structure
❑ 1 and 2-family dwelling Commercial/industrial 0 Accessory building OBuilding over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
#IF i9 ' tt 1 q 'i u ih 41 i$ # yl a r i r /VE i, YI } l of ' �';'a ❑ Elpess/iighting plan RV park
. 1,61 ...:t.. x ,,.,_ ,:I.�t � 4 x ❑Other:
CI facility
Job no.: 9 1 ct Job site address: U Z Ste' .9.7 e c „ 5 w� it, Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
City/State/ZIP: T� , ar ...4 - I r t * 1 5 ' },r:,;,- e '
Suite/bldg. /apt. no.: y .s-0 I Project name: Tr 0 S °f Description Qty, Fce Total *'
Cross street/directions to job site: L.`.i s•-•/`t .ro ,,..• . 6 i New residential single- or multi- family dwelling unit.
Includes attached garage. _
1,000 sq. ft. or less 145.15 4 -
•
Subdivision:
I Lot no.: Es. add'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no Limited energy, non - residential 75 2
y x r,n a { u n r t 1"11 '1
i1 8 i`�' ; ,fl z � � 5 i1 5' i a 'a ,1 I ro � ZiPau Yt: � } t3�! l t` �! 11 1.; 51111 Each manufactured or nodular
• dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation .
200 amps or less 80.30 2
ya m ?l, lR n 7 ly ,7 201 amps to 400 amps
106.85
�I X 1 , 1 ' { �}I}� r i � � � tl i x t l � t iN ' , tt, ,.., % a t dill' j1f1 t 61'-'-'i". ' k p i t ..1 Lt.�.�t I� ... 401 amps to 600 amps 160.60 2
kiri t; rsu�li .4,iti a�..si, I. i, 1 Ii . I .11-7'
Name: �� .. -L........, - GL .. - "1.4 ! - 601 amps to 1,000 amps 240.60 2
% Or / �' Over 1,000 amps or volts 454.65 2
Address: •D a .-. .. Reconnect only 66.85 2
City /State!ZiP: 7- 0 L9/f..- / 722 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 3) p2 - �,v 0 I Fax: ($5) 9719. 4 - jb 200 amps or less 66.85 I
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 40I amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
i 1 iM Y
iW ak kr �,t r2. IV;MI s NI � MIall r i ` ud it , i �1 ter„ r . .. A.Pee for
service or branch circuits
fee
a��•.±�1,�� a^.Y.�Lu,,udn._ 6.65 2
branch name: ranch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, ) 4 f4 y6.85 � 2
each branch circuit f
Address: Each add'l branch circuit Z 6.65 13 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
Email: Signal circuit(s) or limited -
, P i � s a ' v as pm: m>ry•� i �Rw i r i.` + +'t tai 'I's ' xi 1 1 3` ou t': energy Panel alteration, Or
vi�l1 yMtsr1L'r,E #�t'1.! � Page 2 2
extension. Describe: P
Business name: IA ' I f a M c 1-- c.. II/ cs-/.. -.. L- +
Each additional inspection over allowable in any of the above
° Z
Address: i a /g b ? 7 o 4 - 1 ) Per inspection 62.50
T
City/State/ZIP: ; , . T i m / s i 0 4- '7 2 / Investigation per 'hour ( 1 r ton) 62.50
htdustnal plant per hour 73.75
Phone: (� �3 ) 6 Z y+- 7(31 I Fax: (.5 ) 62 t/ - L 3 3 , iiNill iif ,: , 3i u i71 TIENS ` ate` zEMP. i;.Vrsr'-'5 ```. '
CCB Lie.: 07Fo j ', I Electrical Lie.: 3 Y- Z i'3 C I Suprv. Lic.: / 96 3'' s Subtotal 6 0 `-
•
Plan review (25% of permit fee)
Suprv. Electrician signature, required:
State surcharge (8% of permit fee) I.
Print name: /92, f C Date:, - / y .. u J.- TOTAL PERMIT FEE 4 / 9d
Authorized signature: This 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
`a Number of inspections per permit allowed.
i,\ Buildag\PemASIELC- PermitApp.dec 12/03 440A615T(10/O2.'COM/WEB
CITY OF TIGARD • ,
BUILDING DIVISION PERMIT #: ELC2005 -00149
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2005
Phone: (503) 639 -4171 ioe4lu�iii� t4‘);
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/25/2005 TIME: 7:07AM PAGE: 79
SITE ADDRESS: 10260 SW GREENBURG RD 350 CLASS OF WORK:
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT #: 014 TYPE OF USE:
PROJECT NAME: TROELLEBERG
DESCRIPTION: Electrical TI, (3) branch circuits. Job No. 5949
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 - 892.2500
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 3/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 002842 -01 503`624 -3631 N
Corrections /Comments /Instructions:
•
4
•
* ASS f l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
f; .
Inspector: 1 ti %/► Date's Phone #: (503) 718-