Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00366
DEVELOPMENT SERVICES DATE ISSUED: 5/31/2005
r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1200 ZONING: C -P
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT : 014 JURISDICTION: TIG
Project Description: 8 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/ FOR: 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: 7 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: Phone: 503 -624 -3631
FEES Reg #: L1C 75059
Description Date Amount SUP 3 4
ELE 34 --2828
3C
[ELPRMT] ELC Permit 5/31/2005 $93.40
[TAX] 8% State Surcharge 5/31/2005 $7.47 REQUIRED ITEMS AND REPORTS
Total $100.87
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 1-44 +- 332 -2344.
Issued By: / / Permittee Si nature:
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.
4C �i C `�° I tl E® t ^. h Y i c s }. r .5 4-v :4 i q , $7:i
Elect. x 1 Permit Applic .. i ce, i e . FOR OFFICE USE ONLY '!:'7:, ' ' . , `2;
City of Tigard MAY 31 i �y� Received l / �� Permit No.:$//I ,0,-�7t1Cf �/(J�a
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie r� v!J
Phone: 503.639.4171 Fax: 503.598 1960 D at eB y : Other Permit.
Inspection Line: 503.639.4175 C OF TI _ , .:, ' Date Ready/By: Juris .. 0 See Page 2 for
Internet: www.ci.tigard.or.us BUILDING .w.. Notified/Method: Supplemental Information
x.: "`- « = ;<:
« �__ r , 1 Y: ;=: . .. t: j ,w;:F ;e±a*,.rsz:..� s.: - -- S *u .,4. ° .s?e - . .t . .ig z .r :;; t r "�, ;4 ¢ .
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❑ New construction AA. ddition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: EService over 225 amps, comm'l ❑ Hazardous location
S
� ,, _ 1sr „ OR . ,„ „,, ❑ervice over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
��` a'
of 1 -and 2- family dwellings 4 or more new residential
,'� .-; 4.. :� .°4. , u ... _ .n ,,;.in.. ,�;s4:: ,-c xx[�ssc+ , ;. .,.s. .: :v
❑ 1- and 2- family dwelling 21...Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑Other: ❑Building over three stones ['Feeders, 400 amps or more
:_ _y. - fer mi _ ,err .,i: e- ,, x �, #ter ,,” _# Y _ ,, , ❑Occupant load over 99 persons ❑Manufactured structures or
ilig BI'SITE I tFORlYlATIONrAN1A) drrZ 4 t , t , ❑Egress /lighting plan RV park
Job no.: u — Job site address: I OZ.I, p S Z,/ ❑Health facility ❑Other:
°-.( �' ` Submit 2 sets of plans with any of the above.
City/State /ZIP: Tl 4 0 ✓ The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: j Project name: C M 11 ~:=µ a EE*rS*CHEDUL i ... .
e Description Qty. Fee. Total
Cross street/directions to job site: New residential single - or multi - family dwelling unit.
// Includes attached garage.
�- w ti --- l iwbLA.. 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
R K Limited energy, non - residential 75.00 • 2
N ga '� 0 a - CR ' I®N w O 'l Y 9 . „ „ 3 ' A Each manufactured or modular
dwelling, service and /or feeder 90.90 2
i.4 C / " . Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
a �: ” = H" x ti tepTa°r..,r _ . s 4 e ,: . ,` s ..*� �..,,.... .14 : ;, : v m 201 a s to 400 amps 106.85 2
, •t r P ,,,.,, , O4W}VE , .m a �� ',1. , tsy am T ' 0 401 amps to 600 amps 160.60 2
Name: EV P 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: ( ) 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
,;;;7:. ;a en fir.= � °g= �9w >, �� ; >�- .x`-
6 � e t1 ' T , w 1 { r ® COI g Y g C T RSON y , A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, j 46.85 y/ S ' 2
Address: each branch circuit f
Each add'! branch circuit `. 6.65 r 4 YS 2
City /State /ZIP: Miscellaneous (service or feeder not included) r
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
> :;- t 1 R . , .f r as ,.F :. ;;rr j energy €
1 .a Y� .:sue r��:" s�-1 ' >«, e^'t� "1` VOWitO e � ,; . �r,, �,,- z � 'a .v sir s � .� t gy P anel alteration or
Business name: !� / extension. Describe: Page 2 2
Address: l� v fi 1 Each additional inspection over allowable in any of the above
A. Z t" 7 Per inspection 62.50
City /State /ZIP: j S /... A 9 7. 2f / Investigation per hour (1 hr nun) 62.50
Phone: (5 ) 6z 1 _ 3 4 7 I Fax: ( ) c z x .. 2,t/ Industrial plant per hour 73.75
g nEMRICA PFMIT OEEYR. ` ` V. .
CCB Lic.: 7sas- Electrical Lie.: ?:( -2, tc C Suprv. Lic.: /9 (j S Subtotal 93, y D
Suprv. Electrician signature, required: Plan review (25% of permit fee) •
S tate surcharge (8% of permit fee) . y "I
Print name: — Date: 5/ CT ) '' Ti
TOTAL PERMIT FEE /D 4 , 4
A uthori zed 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.
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
•
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2005-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2005
Phone: (503) 639 -4171
A�
Inspection Requests (24 Hrs.): (503) 639 -4175 •
INSPECTION WORKSHEET FOR DATE: 7/13/2005 TIME: 7:10AM PAGE: 70
SITE ADDRESS: 10260 SW GREENBURG RD 1200 CLASS OF WORK:
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT #: 014 TYPE OF USE:
PROJECT NAME: REAL NET
DESCRIPTION: 6 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAME.I I E ELECTRIC INC PHONE #: 503.624 -3631
•
Inspection Request Scheduled For: Date: 7/13/2005 Pour Time:
Code # Inspection Description Co. ' •• • Contact # Message
199 Electrical final - 011 -01 603-624-3631 Y
Corrections /Comments / Instructions:
(4 �Rovi �� P � u "T E) a c Lkty i ' s .
Fray\V Csz-afOr:TICYA
N o (L — v TT •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: T li Iv 68 LE Date: Phone #: (503) 718-