Permit % w-
C1TY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00361
t�l'I DATE ISSUED: 10/20/2005
13125 SW Hall Blvd., Tigard, O R 97223 503 - 639 -4171
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1000 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Data /tele
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A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST SHARP ELECTRIC
ONE SW COLUMBIA ST #300 2856 NE 65TH AVE # E
PORTLAND, OR 97258 VANCOUVER, WA 98661
Phone: Phone: 360 - 695 - 8015
Reg #: LIC 156982
ELE 37-1011C
FEES SUP 4893S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/20/200E $75.00
[TAX] 8% State Surchart 10/20/200E $6.00
Total $81.00
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 - e. Yo may obtain copies of these rules or direct questions to OUNC at 503 - 246 - 6699.
Issued By: Permittee Si natur 1 I
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.
`" '10/L0/2005 09:35 FAX 5035981960 •'CI OF TIGARD
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Electrical Permit Apt c ' on sort Orr ICE I L ON1_1
City of Tigard p �� C Rem /0 ao ' 0 ,; i itNo. � 2. 0036/
13125 SW /lull B1vrL,'1;gard, Ok 9;'X23 2 - " � -J , r P 13
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Phone_ 503.639.4171 Fax: 503598.1960 /K.ra> ." I ' netda , YrSd °t '
inspection Line: 503.639.417q . "gg TIGARD 1!i' �- � � � I Pme 1LcsdyB) Aid*: 8i Sac Page 2 fur
Internet Wwa- ci_tiSertLorus '` t OF 11�Ca1 ���-e, � , NobfledMaod: Supplomc9iallfarontrAdob
'• •, .... •• : • . - • „ , : rat aN : : ;. ': t_. . .
in Now cat,trnction ❑ ,A 4dition/alterai on/rcplacenlc st Please check all that apply:
[her_ °Set'vice over 225 amps, evinnt'l 013nzardous location
Demolition ❑ °Service over 320 amps - rating [] Buildng ovcr110,000 sq. ii,
- - :.CATEGORY: OF C0115 • • • • . ` • , ; . . of t- and 2- family dwellings 4 or more new residential
❑ 7 - and 2- family dwelling 0 CommereiaVinduEtrial ❑ Accessory building ❑system over 600 volts nominal airs in one strucnue
s ❑
❑Oc 99 persons over three ea )]Feeders, 400 gim to
ps or o
❑ Multi-family ❑ Master builder •
ant load over persons annfse structures or r
•:.. SOD SITE . ThI ORMA'IION`: AND LOC'ATIO1*T`_ . - ggresn'h hting plan 99 R P r
J An..:
_lob Ion site addre / CJZ ('p0 •(�� OHtalth cant: inanity ❑O cr:
� q- U .._ 6 vPc Abr.-A(9 a l . Submit _', Set i of ptens With any of the abovc•
City /State /ZIP: l (t ) 1 ` Ilse above are not applicable to temporary construction sender,- Snite/b1d /apt. ll0_:1190 ) ct GEIIn - fi b ',:-, , A-. i'Q1h.cS nncripriou i Qty. j R«- I I Tao; I t '
Cross street/directions to job site: S V New rend=ntial single- or multi.famlly d..-elliug unit.
Include attacked gars fe. I _
1,000 sq. a. or less 145.15 I a
Subdivisio'rs Lot no- adell 500 sq_ ft. or portion 33.40 I 1
Tax moplPa�el no.: — Limited energy, residential 75.00 j 2
Limited energy. non-residential 75.00 I 2
• , ' ' .DESCRIPTION OT WOK . , P;- , F�ch martnfacturod or-modular
L _ V. (� - L �` service dwelling. seee and/or feeder 90.90 2
— _ ` A. - Services or feeders installation, alteration, aed /ark[eiosa'tion
200 amps or less 80.30 I 2
0 201 amps to 400 amps 100.85 I • 2 • PR
0 OPE&TY . OWNEk; I I. A?5T • . ' • ' . • 401 amps to 600 amps I 160.60 I 2
Name; '' A N . VI c�1.t� • • --. (2_\./ t LQ . 601 amps to 1.000 amps 240.60 I I _ 2
• Address: 1 p 2 �D C r .• y \ L., , ,�c b 1,000 snips or volts 454.65 I 2
}- — rr Reconnect only I 66.85 i I 3
City/Store/ZIP: d _r . � v-v_ vl� 2- Temporary services or feeders installation, alteration, and /or
-
Phone; ( ) rat: ( ) relocation I
200 amps or less 66.85 I 1
Owner installation: This installation is being made on property that I own which is not ' 201 amps m 4110 amps 100.30 I 2
intended for sal; lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I _ 133.75 I I 2
Owner signature! Date: Branch circuits - new, alteration, or rrontlou, per panel
. p , Z , . • A. rce for branch circuits with
Service or feeder f cosh
Business name: � ',P 1• QSk�tL`1 1 C ,
— hn,och circuit 6.65 2
B. Fee for brahcb circuits
Contact orates'
without service or feeder fee,
'Address; r each branch circuit 46.85 2
1M 4� - `f17 . Each edd'l branch circuit 6.65 I 2
City/State/ : V c_C ;..
. Miscellaneous (service or feeder not Included) I imp at irrigation circle 53.40 I j 2
Phnnc• (3 tap Ce -' 90 1c s ex• : (a6 )
7q` 71 l tp ,.__ Si or4otlilfe lightit 53.40 I 2
E -Mail; Signal circuit(s) or limited-
' • • : . • . , ,.• • • a . - :.., energy panel, alteration. or
extension. Describe: Page 2 2
Business name: '
Address: 914 ' Each Additional Inspection over allo in Any orthe above
Per inspection I 62.50 I
City /State/ZIP: '\� _ lnvestitionperhour(1 [irinip) _ 6250
phone: ( ) � { Fars: ( ) Tndust plant per hoar 13.75 I
... . • FliigCMCAL PErtNtI't I'EF.S* I : :
CC.B Lic_: , ( i i Electrical Lic_: - .y . Liic- tL t
Subtotal I li5 _--
Suprv. Electrician signat ue, re uicad; / C �- - Plan review (25% of permit fee)
• Site surcharge (8% of permit fee) I LP
Print male: AA ( 4" L _ c...,, .. f a D ote: /e. i g 6 _- '�
TOTAL PERMIT FEE 4- t .---
Authorized si • i..‘4__.. --- This pinnit application emitter mit if a per is nor ubesieed'rtthin I Bo
dt,ys tr has been acnepted as complex
Print name: Dates ( 6 ) ` .. Fat mcthodolon se by Tri- County Building Industry Se vice Board
nit Number ofRnpecsiona perperndr allowed. .
lAgiaidinb ienE_GPmMIPpn4ce 12/00 eao- adiSriIa;a2(Criadiw R
Z00 Ej XVd ZT :TT 5002 /OZ /OT
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71
It OF TIGARD
BUILDING DIVISION
Art\ PERMIT #: ELR2006-00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 6394175 r11.
INSPECTION WORKSHEET FOR DATE: 10/21/2006 TIME: 7:08AM PAGE: 25
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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: Data/tele
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: SHARP ELECTRIC PHONE #: 360-695-8015
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135N Low voltage 119016-01 503-309-0614
Corrections /Comments/ Instructions:
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, PASS 7 PARTIAL APPROVAL LI CANCEL NO ACCESS
I I FAIL I I CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
Inspector: LX-- Zt
Date: /Op-11/4" Phone #: (503) 718-