Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00713
COMMUNITY DEVELOPMENT DATE ISSUED: 12/18/2006
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT : JURISDICTION: TIG
Project Description: Electric to stairwell fans.
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: 3 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: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 12/18/200( $66.80 LIC 75059
[TAX] 8% State Surcharge 12/18/200( $5.34 SUP 1965S
Total $72.14 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: /ti.t.t&-C Permittee Signature:
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.
7 lc
DEL 8 2006 7:47AM WILLAMETTE ELECTRIC 5036242938 p . 2
fil'i1- 11 : , Trr ,- ,.. , -illgaTe.r.t.;N:lt- ,,,,,,,, , N4. ;v.. -
Diecttrica - PearrnEe AopAication iii",',24. •NLY:-1:,-,.4',,A,;...f,..1.,.,qg:.,41;:,',.:-41-,,lip,ItIjivizi:'
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C ( Tigalurd OR 9 22 79; • '% ne
' ' kerei■ed i „,, _ :1 .
Dateitly: ___/ d'''''N 1 - If fo (# Pert
. 7420 .&_77t2c7/13
1125 Sw Hall Blvd., Tigard., 173 • -N, _, ,i;,, Man Review
Phone: 503.639.4 I 71 Fax: SO3 59: tek Date/By a OtherPm
Inspection Line 036
: 5.39.4175 #1.11;:e g: ' ad Ime: lid See Page 2 fur '--
Internei: www.ci.hg-ard.or.os
n Notified/Method: ...,(- Supplemental information
F T ' - - ' ' • ' • " ' : ' - - . • : ' - irk 1
inl; ii, -1;:!.;:;'!:.a'T-;r!:;.f•.:--'...''.': , :::::: 3 ;;,:- • .::'..]:;r: . ..!'.! . ! -.',:-:. ,14, -
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i . . ... . • _ .. . ...- - - ; ... - ..-t'_! , ..,, , ,i.L. ,.---. -:'`. !. !-!:-:..:..,-.- .1-- -- ;."- - -
• El New construction [5 AdditionialterFtCori/replacement Please check all that apply:
'
[11 Demolition El Other-' ['Service over 225 amps, comm'l ['Hazardous location
nService over 320 amps - rating 0 BLI ildng over 10,00 sq. R.,
cttOOJI01..tiFF 1 , ' ' .' ' :''' - ' • - of 1- and 2-family dwellings 4 or more new residentiai
0 1- and 2-family dwelling N-Cornmercial/industrial 0 Accessory building 0Systern over 600 volts nominal units in one structure
OBuilding over three stories OFeeders, 400 amps or more
Ei Multi 0 Master builder D Other: or
.., 0 - Occupant load over 99 persons ['Manufactured structure_
- - • - -r:• , •* , - ,, ,..„,, m ,,, , '-'- 1 la:tif.-'JI'.'""'"';i .•: ,'Z'fiff9T .; i -F - -7.7....4.4.T. , G7,-,L,,, , - - .-
-.,::.j..•: i ' - ii&sliet 4 ' .,a "" 6 P: ■ DEgress/lighting plan RV park
aflealth-care facility 00ther:
Job no.: 3 9 z. Job site address: / 03 •.) -.S id. c c ci 61......, A ,./
Submit 2 sets of plans with any of the above.
City/State/ZIP: Ti , 4., j 0 f 57Z-t3 The above are not applicable to temporary construction service.
ARerifiVniintlr.4.4....44%?4. ' i
Suite/bldg./apt. no.: Project name: _S i • .•-•*- F ., , , ., .
s
Description Qty. Fee. Total " .
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. Or less 145.15 4
Subdivision: Lot no.: Ea. adcrl 500 sq. ft. 01-portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non-residential 75.00 2
-7. .. - • ..., - ,... -i ,;'i: .•• ................
:; :,..„:% Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Si - a ",,ki r a., 5
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2 ..
P P 106.85 2
,..,,,-;,,,,.-,.:-::,-,-,:;;;;,,..,:;„,%;,-,, .,t.',- 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: ( ) Fax: ( ) 200 amps or lesd 66.85 I
Owner installation: This installation is being made on property that l own which is not . 201 amp lb 400amps 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
- ,,„,,,,.., - „...„,.„,.... - .__,f , -,.,_..,,,„.,.7 ._. _1,1.1i ' - ' ; ''g ' - - - 7,:'."' "';'` • S' K '''' - ' 4 3" , e 5 k.'!'. ,
A Fee for'branch circuits with
.';. ''.:''''' ''''''''''' '''P iTLIVVdirialffg td ,', - - ;. . ,q • ,... 04 vViA ,
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, )
46.85 ili ..)-* 2
first branch circuit . ..
Address: Each add'l branch circuit 3 6.65 / f' ' 2
City/State/ZIP: Miscellaneous (service or feeder not included)
. Pump or irrigation circle 53.40 2
Phone; ( ) Fax: : ( ) Sign or outline lighting 53.4 2
E-mail: Signal circuit(s) or limited-
s?T:zipkItiifrViVii'.14;p: energy panel alteration, or
r'-
extension. Describe: Page 2 2
Business name: Lif ; I I el / et I t / t i G f-,-,, z.. , -
Each additional inspection over allowable in any of the above
Address: p 0 6 0/ , Z3 a S''-/ )
. Per inspection 62.50
0
City/State/ZIP: T t 9 / c' 0 v 9 7 2 VI Investigation per hour (1 hr min) 62.50
Phone: (SO ) if:, 'e -r- 3 6 s ' - 'i . Fax ( ) Cz v - Z 7 3 e Industrial plant per hour 73.75
fti7 PeraggP
CCB Lic.: 75 El al Lie ‘1.* El 3 -2eS C Suprv. Lie.: ‘i.i'.' a e! 6 -. . ..S'
Subtotal
...... .. .
...>
Suprv. Electrician signature, required,e-257_,......,........--....--.------ Plan review (25% of permit fee)
..... ---- - ..... •-•"
.- State surcharge (8% of permit fee) T."
Print name 1) ( 79 : GI 1 r -c- Date: i ? - , g...
TOTAL PERMIT FEE 7 e
Authorized signature: ,,./..---- This permit application expires if a permit 15 001 obtained within 180
-- days after it has been accepted as complete
Print name: Date: . Fee methodology set by Tri-County Building industry Service Board
. 4 Number of inspections per permit allowed,
elGoilditerermit stF.L.C- P moil App doe 12(03 440-461 5'r( I WO 2/1.:0 hl/WEI3 . .
CITY OF TIGARD
BUILDING DIVISION - 40114 PERMIT #: ELC2006-00713
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1012006
Phone: (503) 639-4171 14 4 A\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1125(2007 TIME: 7:03AM PAGE: 36
SITE ADDRESS: 10300 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERIONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: LINCOLN CENTER ONE
DESCRIPTION: Electric to stairwell fans.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 1125/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042490-01 • 503-624-3631
.01 5 CI _el ICI L
Corrections/Comments/Instructions: )
7 VA qt Nt
(PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I I FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Nt t L Date: 2_51 Phone #: (503) 718- 141-11)