Permit (., h' i . CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00795
d,,F.. l DEVELOPMENT SE DATE ISSUED: 12/13/2004
f.4 �l ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD LOBBY
SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: (2) branch circuits and low voltage for bldg. fire alarm upgrade.
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 CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 11401 NE MARX ST
PORTLAND, OR 97258 PORTLAND, OR 97220 -1041
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/13/200' $128.50
[TAX] 8% State Surcharge 12/13/200' $10.28 Low Voltage Inspection
Rough -in
Total $138.78 Elect'I Final
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- 344.
Issued By: .� ` J� j _ .� 1 1 / _, � Permit Signature: d)") �� C�ti vV"
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: 5/ 3 Q - 5 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
12/13/2004 11:11 5032551966 CAPITOL ELECTRIC PAGE 02
•
OFFICE USE ONLY
• ' ° " Electrical Permit Application
pate received ,� Pernlrt no.',/�G, ■J�y- 0 ,115
( U•( i � c _ /a ro ' cctla• 1. no.: Ex irc date;
Apo- •� City of Tigard Dal:c issued: B : A Rccei•ino.:
CITY OF TIGARD Addr es s: ( 13125 639-4171 S H L Fax BLVD, G q D, OR 972 1 3 20011 Case file no.: Pa ment t .e:
Land use approval: l► L
Co a)f OF TIGARD
TNT 14 (IF VI'
❑ 1 & 2 family devilling or accessory A Commercial /industrial ) Multi- family ❑ Tenant improvement
■ New construction ■ Addition /alteration /replacement ❑ Other: ❑ Partial
JOB SI'FF INFORMATION
Job address: 10300 SW GRE RD City: TIGARD Bldg. No,: 1 Suite no,: Tax :ma 'him lot/account no.:
Lot: !Block: N /A. 1Subdivision:
Project name: FA NAC UPGRADE !Description and location of work on. premises: INSTALL FIRE ALARM CIRCUIT
Estimated date of com lotion /lets Wiwi:
• Job no: 24- 1539FA Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (en.) Total no.lnap
Address: 11401 NE MARX STREET 1--- ,..t-S f t elk) .. i New residential - single or multi-family per
City: Portland State: OR ZIP: 97220 dwelling unit. Includes attached garage.
Phone: ' 503-255-9488 IFax: IF- rnai]: Jarrell @cepdx_com Service included:
CCB no.: 48746 lElec. bu 1ie-no: 26.496C 1000 sq, ft, or less $ 148.15 4
,,C.it /metro lic,nm N/A Each additional 300 sq..ft, or portion thereof 35,40
' rr /�w 12/1312004 Limited energy residential 5 75,00 2
urc of supervising electrician rC to ��� Date Limited energy, non .residential S 45,00 2
Sup. elect name (print); Darrell McNeel License no.: 3132 -S Each manufactured home or modular dwelling
'TOFF Ill'‘' (1WNI ?it Service and /or feeder S 9090 2
Name (print): , EQUITY OFFICE PROPERTIES Services or feeders - installation,
Mailing address: ONE SW COLUMBIA, STE 300 alteration or relocation:
City: PROTLAND State: OR 'ZIP; 97258 200 amps or less S 50.30 2
Phone: Fax: E - mail: 201 am.s to 400 am.s S 106.85 2
Owner installation: The installation is being made on property J own 401 amps to 600 amps $ 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps S 240.6D ` 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2
Owner's signature: Date: Reconnect only $ 05.55 1
ENGINEER Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less S 66.85 2
City: State: ZIP: 201 amps to 400 amps 5 100,30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 1 35.75 2
I'I,AN ttm vmi: (l'h 4.p tai■cl: all lhat apply ) Branch circuits - new, alteration.
C1 Service over 225 etnps- commercial ❑ Resit-core fecility nr extension per panel:
❑ Service over 320 amps - rating of t &2 ❑ Hazardous location A. Fcc for branch circuits with purchase of
family dwollings ❑ Building over 10,000 square ft. fouror service ar feeder tee, each branch circuit S 6.65 2
❑ System over 60D volts nominal more residential units in one structure 13. Fee for branch circuits without purchase
❑ Building over three stories Q Feeders, 400 amps er more of service or feeder fee, first branch circuit: 1 S 46.65 46.85 2
❑ Occupant load over 99 persons ❑ Mnnuthcturce structures or RV Perk Each additional branch circuit: 1 S 6.65 6,65
Cl Egress/lighting plan ❑ Other: Mist. (Service or feeder not Included):
Submit sets of plans with any of the above. Each pump or irrigation circle S 53.40 2
The above are not a lien/sic to tem nra construction service. Each si • n or outline Ji_htin • S 53.40 2
Signal circuit(s) nr a limited energy panel,
alteration, or extension' 1 $ 75.00 75.00 2
"Description; FIRE ALARM CIRCUIT
Each additional inspectionover th allowable in any ache above:
Per inspection I I $ 62.50 I I
Investigation lire
Other
Cl Visa ❑ MasterCard Permit fee $ 128.50
Credit nerd number. / / Notice; this permit application Plan review ( ) $
swim, expires if a permit is not obtained State Surcharge( 8% ) $ 10.28
Name nreenluokter ne chews vs erciit cord within 180 days after It has been
$ 9 y TOTAL $ 138.78
Cordttoldersi netme Amount accepted as complete.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lille: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received • Date Requested / — 1 1 AM PM BUP
Location D 0 _41 //412.. 4 Suite MEC
�o `���
Contact Person ���� �� Ph (5_24_) � PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner L b 6 6\ ELC
Footing ELC� —D /7?
Foundation Access:
Ftg Drain
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam y /1
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
(.1
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm •
- R FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE El Please call for reinspection RE: Q Unable to inspect — no access
Fire Supply Line
ADA / Ext
Approach/Sidewalk Date" 2- J < Inspect . ce. 1 _�J �
•
Other:
Final DO NOT 7 MOVE this inspection record from the ob site.
PASS PART FAIL