Permit UFA CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00312
DEVELOPMENT SERVICES DATE ISSUED: 6/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 650 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: (2) 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: 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 WILLAMETTE ELECTRIC INC
ONE SW COLUMBIA ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: Contact #: PRI 503- 624 -3631
FAX 503- 624 -2938
FEES -
Description Date Amount Reg #: ELE 34 -283C
[TAX] 8% State Surcharge 6/1/2006 $4.28 LIC 75059
[ELPRMT] ELC Permit 6/1/2006 $53.50 SUP 1965S
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: rJ0 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.
, .. , 01 2006 7: 01FIM WILLAMETTE ELECTRIC 5036242938 p . 2
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3125 SW Ball 31vd., Tigard, OR 97223
Plan Rrview
Phone: 503.6:39.4171 Fax: 503.598 1960 juN
hio, Date/1; y-
--- --- ---- Other l'errnit
Inspection Line: 503.639 4175 1 201,,,Almwlia,,,, Date Rcady/By Jr
, uns El See Page 2 fur
Internet ww • NotificdAlethod. ,f/ (r- I Supplemental'informotion
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. - 4 ..e.f.i I 4 1 314;:g E1 . -1' , '■ -'.'. , , ': ..q. ;:.,'),-; • '.,!1:• , : . ". ::. ' ' , ',' :, - j. .: t'' ,:. M.., ,,,,' . , ,,,'.'.. - ' , .. ', .
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11 New construction El Addition/alteration/rep ace ent Please check all that apply. •
Demolition E] Other: EService over 225 amps, comm'l 0 Hazardous location
El
EService over 320 amps - rating DBut ldng over 10,000 sq. h.,
BE of I- and 2-family dwellings 4 or more new residential
.... ./..
0 1 and 2 dwelling [Zporranereial/industrial 0 Accessory building li System over 600 volts nominal units in one structure
0 Multi 0 Master builder 0 Other: ['Building over three stories OFceders, 400 amps or more
. ,. DOccupant load over 99 persons 0Manufactured structures or
1„,,, 9 71 1,INF W V , 241; 1* MKTATRAMIK154, 2 4SitYPIff,„,. a .. _,,,i•W 0
ti ` ' ttlgi a. ‘'failr-14'..6.2:21itrie"'11 iicalgr '.` Q, Egress/lighting plan RV park
011eakh-care facility 1=10ther:
Job no.: 2_4 (,, Job site address: /6 2 L c ,,
w4..ar....11-1 Submit 2 sets of plans with any of the above.
City/State/ZIP: - .0 "..... 9' - z. 7._ 3• The above are not applicable to temporary construction service.
i ifer-rtu
Suite/bldg./apt. no.: & r Project name:
t --e
Description 1 Qty. Fee. Total "`"
Cross street/directions to job site: 7" ,..4., )
New residential single- or multi-family dwelling unit.
.2 •E' ,r 51./ 4
Includes attached garage.
1,000 sq. ft. or less 145.15 ' 4
Subdivision: Lot no.: Ea. add'1500 sq. ft. or portion 33.40 I -
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 7500 . 2
: 1:1•:7,7011 2-MOVIRVIRAFTIMM; ; .-1 ' ,f;,1/4?-74;7 1 i .W1111 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
I - 1- f °'- p--twit-k.--f--, .1-- Services or feeders installation, alterat and/or relocation
200 amps or less 80_30 2
FO•' . i, --- 774 - A. 1 EirMITIMMVM .41 ''',;1.'"'. '4':J,..: 2°1
am ' 4°° amps amP' 106.35 2 '
amps to 600 160.60 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: ( ) I 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 10 400 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
1 91 . 1rAtiitiVALTITF: +.42,45,532LRILI4”14.31 Jiktitil A. F fo o b r ran fe c ed h er cir i c e u e it e s a w ch ith
6.65 2
Business name: branch circuit
. . B. Fee for branch circuits
Contact name:
without service or feeder fee,
46.85 kit , k 1 2
I each branch circuit
Address:
Each add'l branch circuit
I 6.65 ( / r 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 Signal circuit(s) or limited
_
k tion, .. ,',., energy panel, alteration, or
extension. Describe: . Page 2 2
Business name: •
-• ...e• .".• - .- Z. ' ikl ,(....-
Each additional inspection over allowablein any of the above
Address: i i' - 4 .., -
Per inspection 62.50
City/State/ZIP: TtyltHe_y/3 0 0..._ 114( Investigation per hour (1 hr min) 62.50
Industrial nt er hour 73.71'
Phone: ( Ai; )6zi.i 3 43 ( Fax: ( ) 6zit - 2.1 ?
pla
1
CCB Lie.: 7-rej c" - Electrical Lie.: 33.4 ,,_. z 8 ,-, ? . Suprv. Lie.: 5) 4 s - .-
Subtotal
Suprv. Electrician signature, required.
4.,A,... .. - 5447..,a Plan review (25% of permit fee)
State surcharge (8% of permit fee) 9 , 2 .1/
Print name: D loc.46.,/, b I. ..c , Date:_ 3 1 _ 6
TOTAL PERMIT FEE
Authorized signature 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
..- Number of inspections per permit allowed.
CU2uildingx.Peonits\ZLC-PerrrinApp.doe 12/D3 440.4615m 0/oz/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00312
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611/2006
Phone: (503) 639 -4171 4 1hit lil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7 PAGE: 56
SITE ADDRESS: 10260 SW GREENBURG RD 650 - }-- CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: NEW YORK LIFE
DESCRIPTION: (2) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 6/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
a. Ceiling cover 031879 -01 503-780-3222 Y
7 Corre - - omments /Instructions: e (ZN
•
4 PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` v " � Date: 6 ' Phone #: (503) 718- �'a