Permit ^ r. CITY OF TIGARD ELECTRICAL PERMIT
CITY '` PERMIT #: ELC2006 -10045
Av - { DEVELOPMENT SERVICES DATE ISSUED: 3/14/2006
• 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1020 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: (1) branch circuit. Job # 2494.
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: 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 - 412 -4800 Contact #: PRI 503- 624 -3631
FAX 503 -624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 4/3/2006 $46.85 LIC 75059
[TAX] 8% State Surcharge 4/3/2006 $3.75 SUP 1965S
Total $50.60 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: jJ j �C 7 Permittee Signature:
OWNER INSTALLATION ONLY VV
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.
MAR 13 2006 2:02PM HP LASERJET 3200 p 2
.1 ' - , it ' :- I ED - . tIng OFFICE USE OP1 , .
City of Tigard Receive . 7 i '� /! C
Y Tigard OR 97223
LIAR 13 2006 Date/By.3 I / I P erin i ! tvu� V / fJ CI 7 ,
13125 SW Hall Blvd., , Plan Review !! --
Phone: 503.639.4171 Fa.x: 503.598.196 k nr . I {u) W K'If r Date/By: Ot herPerrtut:
inspection line: 503.639.4175 � (\�L -fill : i 1 -, Date ReadyBy: Inns. See Page 2 for
Internet: www.ci.tigard.or . us ���� VI �A� �' Not 1 I6- Supplemental Information
`If,� 5 t9t�%i "�'�xtCi3 I�StpS 7= a ; _kt:,. � :•p ; �; t ' , J
r 4 t. ,Ji "c , I t '] 7T. itli f °�'c3 ° %' � 4t ,"1•i.:i i"Hw,' Y *:: ° i,'lt ?,.t, `_ 3/ l, . . .a�.
�����1' t' l Yn %d�;{P:t��..t,+s - �i�� r l' .iP. ,i ,..a r•.L � �� ? '• L �� . :.'�'T y�� r<�lt; .
Jy l{ � � i" rills ?L` 4'.. '' • i' , T.J ` •} Pi "�.' i ,
❑ New construction !; Addition /alteration/replacement Please check all that apply:
(11 Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location
;tl"?N Y�� l��y!" 1r�rs ri yea t :•,r : a� . ❑s ervice over 320 amps - rating ❑Bulldog over 10,000 ft,
,� t. r".' r �lt Pt�i ,: ss "l )o .'.1. tn+w1i, „ , ,,:; ,, =" ; ,,,„ ?f , •., l,,d of 1- and 2 -famil dwellings 4 or more new residential
..«e 3� .r J :t i[ 1 ? . `.2 ,,• : :: 3, .ir r' i?.. x . - ..' � .a:"..sr :-•, o ..i: • Y g
❑ 1 and 2 family dwelling R Corrunercial/industrial ❑ Accessory building ❑System ov er 600 volts norninal units in one structure
❑ Multi builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
�, „�Ar rx �, er r £ ` _ , ❑Occupant load over 99 persons Manufactured structures or
q t ,. i � i � i4�, i h of G 1Rli , iill (€ u°tFi w i ..v, `t,A} „m itt ,ri't
d' t.t u ti ra! r ' air•#,•.lr, RV ark
try 4te � ..r - ` �? � ' �;r_.,.�k ;}� �t. � if ' .. rr�� ❑Egress /lighting plan p
Job no.: 741 t / Job site address: to .z...4 a cl✓ cam ►! 2t / ❑H ealth - care facility ❑Other:
r It (/j Submit 2 sets of plans with any of the above.
City /State/ZIP: f tt 4 0 C�� S The above are not applicable to temporary construction service.
Suite/bldg. /apt.no.: U 0/0 Project name: 4.. I,t �' j EP .. `r:
(_` Description Qty. Fee. Total
Cross street/directions to job site: New residential single -or multi - family dwelling unit.
/J y. Includes attached garage.
L, i e^e -If�'- t Od.U•+".A2 Co i O 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft• or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.:
iL' �, „ , F y v ,, t t ". ,, �� ,, t , a , Limited energy, non - residential 75.00 2 firliam . , Ila r. - " {e IF ig i VS'.^,a.1.7" 4 : ;:i :i �: 'tics /l a'�'„C ',s'a ? + tj t � !': LIVi '' r e�' k.
U e , Each manufactured or modular
-7� dwelling, service and /or feeder 90.90 2
/ ,' -^^ ^.^ A I2it4 Services or feeders installation, alteration, and /or relocation
200 arms or less 80.30 2 _
x3 e to i e 1 r9,1• , t r.s ' b i ,ti; , . 201 amps to 400 amps _ 106.85 2
ill ; ,_ ,; '. .` 7Ta. [apt - I ' ,'• ' 0 -. , f,, s .: r i �..iv.''''' 3 .."-” r t l •401 amps to 600 amps 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 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
t + R"4 k a ttkN, ? I$sxtya r r xtt , orcfR ( Ktnnot tyr,- " � s A. Fee for branch circuits with
: "_a'' C'',.,.., 'iLP":1` "'"' .3;1., r <',1 :i''' i•�P:"' O..E 'jll..� tl`116:1 -tr' . : we #,'a: ' --- - - '''''' t I'+
service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee,
each branch circuit 46.85 lit---- 2
Address: Each add'I branch circuit • 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circult(s) or limited -
� i l 1 �tE++' � 1 ;��1( r , t if s � x sl y € '�� ar • 14 '° energy anal, alteration, or
ii,tii'ft• 9' #. k t._,i.. Y 4 .. `'.4,, s E t t tl P v' f ".,. "'''' " , '' ..• siP
Business name: r extension. Describe: Page 2 2
\
Address: p � Each additional inspection over allowable in any of the above
(...\ TIC°• �' - Per inspection 62.50
City / State/ZIP: t r a t` -ca_iN } _ 9 7 is- 9 Investigation per hour (1 hr thin) 62.50
Phone: ( ) 6'Z 1k, -- 1I(, ( I Fax• (-5V3) 47 wl _ 2.-6/
Industrial plant per hour 73 75
S72,
t 'p1S10, :T",' ^3r'�� '
CCB Lie.: y l,'t) :/ I Electrical Lic.: 3,4._ , 2 , ..7 tv_ Suprv. Li C yJ 6 S #� Subtotal t(4 r fc
Suprv. Electrician signature, required: A L Plan review (25% of permit fee)
Print name: a Date: �^ / _�/ State surcharge (8% of permit fee) 3, •i- 3
�` `" TOTAL PERMIT FEE 3-4, 6 s)
Authorized signattilre. 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.
i•\ Building \Perinns\Ptf,PermitApp.doc 12/03 440 - 46 1 5T(10/02/COM11VE6
ti
CITY OF TIGARD E----z--C
BUILDING DIVISION PERMIT #:gfjv6 - (40675---- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 !��Npifi A ,,,, ' I i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 0 D._ (, V 4 / / % # il OF WORK:
SUBDIVISION: Lei #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: q---( 0 6 Pour Time:
Code # Inspection Desc '.„;, � ;.. Confirm # Contact # Message
(i Lam d - 6a y - `34 , 3/
Corrections /Comme is /Instructions:
•
S ❑ PARTIAL APPROVAL n CANCEL _ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: q 6 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION' PERMIT #: tic 2 . 1004 . 5—
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 411 0 1, 0 TIME: PAGE:
SITE ADDRESS:) 02.40 S L r U0. 4 '10 20 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: cA L
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: LI I pI 0 b Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
if/ .e/
�A1
7
$ PASS I I PARTIAL APPROVAL I I CANCEL I I NO ACCESS
I I FAIL _ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ( 0- Noe. . Date: M(i c /'b Phone #: (503) 718-