Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
INTY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00670 Ali DEVELOPMENT SERVICES DATE ISSUED: 9/13/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 1000 ZONING: C - P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG Project Description: TI, (5) branch circuits. Job No. 965 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: 4 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 #: LIC 75059 Description Date Amount SUP 3 4 ELE 34 --2828 3C [ELPRMT] ELC Permit 9/13/2005 $73.45 [TAX] 8% State Surcharge 9/13/2005 $5.88 REQUIRED ITEMS AND REPORTS Total $79.33 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 wor. • - : in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is su .ended for more t' . 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility N otification Center. Those r es are set forth in OAR '5 - SS1 -0 0 through OAR 952 - 001 -0100. You may obtain co.. :, les or dire e, estio to 0 C at '03- 246 -6699 or 1 -800 -3 A„." I sued By: ` Permittee �, �� ".1e / �� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, ease, or rent. OWNER'S SIGNATURE: DATE: - ONTRACTOR IN TALL - TION ONLY SIGNATURE OF SUPR. ELEr LOW `/ to ` DATE: • LICENSE NO: / / &5 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. SEP 12 '005 8: 46FIM HP LASERJET 3200 P, 2 :,+ E EIec t rical Permit Ap lication ' TOR OFFICE CTSF ONLY City Of Tigard � Received j ee 13125 SW Hall Blvd., Tigard, OR 97 1 v Da e e y i � " OJ t,f� , l� Permit No r� L s 7/ Plan Review Phone: 503.639.0171 Fax: 503.598.1960 ti e''uil #mil' i Date/13 • Other Permit: P e Inspection Line: 503.639.4 ` r Date Read /B Ja 0 See Page 2 for p 1 : :ill : Ready/By: g Internet: www.ci.tigard.or.us SE Notified/Method: /C- ' Supplemental Information Pl "• 1, q -,', ti{ . i _ ' 1 rc, ,r1,-,. - . / `i. 4 - Ii• „ din fi+a' !I filth > 'r , ,, . } ,, i , i ; '!' �I F� ' }I 1 :� , r t i.i al M, , . f'' r. ri•r , ., i v? ,- -0' i, .. ;.r.�'. *. � ± i'1.. ix �'• x �,•." '. . ..1°`.' : S�F.�j. T l jt � � .t,'�::�:.� � . -.. -" u -.. �, . f '.... ..i. ,. ,, ';,„.�' ' r� :... �: "';.r ?: x . ".'c : ° - : -81 � �'::4 `r i . _ ' Please check all t hat apply: DI New construction ,N_At e ! I l i.' replacement Pp y' ['Service over 225 amps, comm'I ['Hazardous location ❑ Demolition ❑ Other . = r s 1 ; , : , i ',,N.,• i •-.c ;.it : g •.ea „ - ❑Service over 320 amps - rating ❑13uildng over 10,000 sq. ft., W ; t' ¢ ` l roa, i ti J . ' ` .i3O it 1 -: u 'r ' e r n , ,` , .i ,,, , , y a, , , ' l of 1 - and 2- family dwellings 4 or more new residential i ; .�r,,4, 11,.. r ` 61P i ii "� :vu F here. ii it :t a i ks..c ::; 3,? relt ^.... L a ❑ 1 - and 2-family dwelling gic ommercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure 1=1 Multi - family ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more z� r r ❑Occupant load over 99 persons ❑Manufactured structures or �o ri t 'la .a l.•a iel ;? + rill ��i. knell #Y1 IPAI,l rr't � ld' 44; ;4:. `W1 y '�t"b q y ``.I t�i?Ss' RV arli 10ii, . std!; D. . Iv>i_ t'w � 14it ,_t.0 v .,o r.• r a r.. i g rt of 4+ 41i i fS 'x i ❑Egress/lighting plan P Job no.: Job site address: y ❑Health -care facility ❑Other: 6 �V <aU �a � J ii.04 Submit 2 sets of plans with any of the above. City /State /ZIP: ^ ) 9 The above are not applicable to temporary construction service, Project name: �} �1 r . ' ' f � ' . ' * Suite/bldglapt. no.: t . ��tJd rJ [ ( �a ,Ai G/ c. Description I Qty. I Fee. I Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. t^+ Includes attached garage. L(io -,y f _ •�� ( 1,000 sq. ft or less 145.15 4 Subdivision: Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax trap /parcein Limited ener , non - residential 75.00 2 /11,W is R IiH Iii.1 I Fi ! e l r {1 e r ��` ut 41 '31 } l` W 1 4 �i : 1 d t liGr 7, „ .. . 3 i�xr ., e �iiae a 1111.. , r ,l` t,'21dikdd a Each manufactured or modular dwelling, service and/or feeder 90.90 2 T ae i 11 ws Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ,VaT 3 t C m is � e4 i ` � @ a 1 ''t` t s r:. rr s .{ i , 1 , 201 s to 400 a s l Ob.85 2 i ` ala t r o i 9a . ' i rrJniel :.at ijeIiliP� o £mid ii,.lY ,r �rs� 't ss :,r. : mP _ 401 amps to 6 00 amps 1 60.60 2 Name: ` S" 6 ( L , . Ces•- C yr. 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: ( ) I 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: circuits with Branch circuits - new, alteration, or extension, per panel t` I.t` l`t'iE W q F L/ V S � '; ki , a . • :C. "4�,4' { 1.1� 7 X-4 fi ;4'fij 1414 `m a .i A. for bran f , ,l ��, � d I � � y e� 1 r } y t E branch th : Fi rl rUZ( .._ 1 ° <ll; rt. .i = 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, 46.85 2 each branch circuit Address; Each add'l branch circuit 6.65 ?.L - 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) 1 Fax:: ( ) Pump or irrigation circle J 53.40 2 I Sign or outline lighting 53.40 2 • E -mail: Signal circuit(s) or limited- g f t' r f�,i�r ad p rl� +I, ]r{ . ' r �� Ti f 'ter ,t -.1! I ¢ :1,11 g Cllly: : energy , , t i�li. n4�4Y 2 Y � i II '1 •� Sts '9} , . , " : F. . ns p anel alteration or 2 I extension. Describe: Page 2 t i� nr�>� Kt Business name: ( 1 if ri Address: 4 S Each additional inspection over allowable in any of the above y Per inspection 62.50 • City / State/ZIP: Tts i�r-' o 9 y r I • Investigation per hour (1 hr min) 62,50 Industrial plant per hour 73.75 Phone: ( 54 ) 42.1 - 31,131 Fax: (5113) (®14 - 2 - d 3 ,am ip2 . , I Its �) T� '�? .� .. `> k :�i` ;' ts ;.,�, ,t n _Date' ,9:6 7.'. Llal,cc....ii ) ,t.... CCB Lie.: ' -jz S' 4 E lectrical Lie.: 3e1. 71 (- Suprv. Lic.: �. c S- S Subtotal Suprv. Electrician signature, required: Nan review (25% of permit fee) � Print name: j'1 1 Date: ,� I -�- State surcharge (8% of permit fee) -' I I I TOTAL PERMIT FEE 7C 3 Authorized signature: • This permit application expires if a permit is not obtained within 150 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. iABuildina 'Pemut\ELC- Perm'vApp.doe 12/03 440.4615T(IO /62JCO.WWEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00670 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2005 Phone: (503) 639 -4171 �� «g4�lpigld�f�hl Inspection Requests (24 Hrs.): (503) 639 -4175 . ' '__.. INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 108 SITE ADDRESS: 10260 SW GREENBURG RD 1000 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: CD FINANCIAL DESCRIPTION: TI, (5) branch circuits. Job No. 965 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503293 -2745 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631 Inspection Request Scheduled For: Date: 10/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 017837 -01 503624363/ Y • Corrections/Comments/Instructions: 4 r PASS Li PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / r f 0 -©r Phone #: (503) 718-