Permit n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00076
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/15/2007
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 100 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: CHASE
Project Description: Low voltage /fire alarm
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258
Phone: Contact #:
FEES Reg #:
Description Date Amount
[ELPRMT] ELR Permit 3/15/2007 $75.00
[TAX] 8% State Surcha 3/15/2007 $6.00 REQUIRED ITEMS AND REPORTS
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 -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:, 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.
.,, .4'. .Y N
ti. Electrical Permit Application „,,R O1NICF use ONLY
city ° ti ,,,,c,..., e _i ., dRe'E6'ived - ` /1
y of Tigard DateB D / PermitN.. A ,_I/41, .(;),,,
° 13125 SW Hall Blvd., Tigard, OR 97223
O 2 Phone: 503.639.4171 Fax: 503.598.1960 i p p s ,,z f; r Other Permit:
T I G A R D Inspection Line: 503.639.4175 1' ' t % t T' °' -. dyBy: la See Page 2 for
Internet: www.tigard- or.gov Notified/Method: IiiM Supplemental Information
rg „ . . �. .. a* C - ��• tnc_.-. v .,.x. r sr,;`e,-= y,..-- ,.:s...,. .. �.�y:',.t:: g g , � Y a�� ?ry 'rs, {' Y n ar , x� •_t -� a:�z ^c:.�+.ti =�3,,,v - - �:,� -
;yf s:• . . '� 1 s; ..? ` :' fit , ” ,, : ,: � - .. •, c' . , - „ *A-
., q t t, 4 ' " Ft• TYPR OPT WO ,, „ : .; :.” .. ::.PL - .7' VIEW . '”. ^ • ,'
� . � �"��s- ,��.,'a,- tea• �: �xar�,: � /:,�,'tl�.:�s�a}�t;�:ax:,,�._, mac: �.;;, ��,;.. v �. xk. �: � , �� A ::�'i< *_�a� :�£,r. , ' :a�F ? .,, 4'' rzta�� *tC�'„��,::���n,- �,.- �:.,.�.s.: ,. :,, �,, :,c,..,., .. .� , ,. k s.� ._ :� fi� ',a �kr G:<.F�: z,;�
r i7aa m n y 't7 p r `• t a I u !k*. F fl I, Please check all that apply (submit 3 sets of plans wlitems checked below):
ID New construction ® Addition /alteration /t+�placemanh
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
-, p*y "-u"fi' ?„ . p;,yi,� a . •iyrtvm i E �. n - �i Cfi'�.3'.'' y St
'zc. ;�,,r�'�'; '�" -`,' :`�r'`�, z '� ; ,. -,z� gy p: : exceeds 10.000 amps at 150 volts or Floating buildings.
I - , /rifa CATEGORY Q ,GO,,iS! RIIGTIOIV , , ' S, s �°
�`- l.•uk. ". '° �`' „ "` less to ground, or exceeds 14,000 ❑Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KVA or
;ir „ Y e i' ;" .. , v , o- z '', ,,, ,, .,...— i, ❑ Emergency system. larger separately derived system
r _.- ritf JtQB M A� ibitW TIONri'n :� :: Y.--. y' " f'. Additio • of new motor load of separately l-3,
:ARAL�: -;., .atilt- ff YAit.` ,.,r e.a ..,., w _..,•..u:at>,, .vx..uo>., ......6.4,,, ,,a..e.s u ,,,,. t.ft a..k.. 'L. 4-3 ><3, ❑ ❑
I(IIIHP or more. occu
Job no.: Job site address:
10300 SW Greenburg Road (One Lincoln ❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: Portland, OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: .100 Project name: Chase � Service or feeder 600 amps or more.
it `r.".,, .' 'ic" ' .''> utti? talSO4,0 - .L + . ` �w 1, +' �1 1 n' 1 48
Cross street/directions to job site: Description I Qty. I Fee- I Total I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential
.,, ,F., / ut "�' '''tEMA :` - it . 7. .., <w ;:fps .: t , 75.00 2
+ llRte0,;.e N- *ae: ,ayxev t „kSCRI?(T[ON OF21WORI A: '4;d`.w^ ". "' ' , k, •z (with above sq. ft.)
limited energy, multi- family 75.00 2
fire alarm modification for tenant improvement residential (with above sq. 6.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
. J y .. y
i ".a e i s H ROPERi' NER° ' M f • I s u ",3 't El fT A... >r,.:` :: � '? ' *$ Y :t:_ _._ ; ,,,,,,. ,,,: m ...,,,_, &;, -61 - ..,. ,T - , .r 201 amps to 400 amps 106.85 2
:
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I 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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with
Owner signature: Date:
_
"' n %�, •;M,4�.. - i,,' - :s;i ^ ..�.: , Y ,...-: �,. ,.;: ...�...`..<.,.,..v.-= �,._:. , s � ,��e :., i S
',sib» `PPL` "ICANT "' < " ° above service or feeder fee,
1- § 1,�.., � .._ , ,,, ,,.<� .�,x 416 < 10 , ®. ;cor c r -_rERSOiv
each branch circuit 6.65 2
Business name: T &L Communications, Inc. B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: Ross Bushaw first branch circuit
Address: PO Box 87387 Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Vancouver, WA 98687 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( 360 ) 737 -9725 I Fax: : ( 360) 737 -9648 Reconnect only 66.85 2
E -mail: office@tl- communications.com Pump or irrigation circle 53.40 2
i v'° 5* `?:a �:x B:S,rz T .��.,,.,*. „ ;�;��. r •r. 6 '�F'� 2
. , . ;:;. �r M '' 'CONTRAGtIPAME � i' `. '0�",''" n" Sign or outline lighting 53.40
Business name: T &L Communications, Inc.
Signal panel, a) or limited- or
energy panel, alteration, or
Address: PO Box 87387 extension. Describe: 1 Page 2 2
City / State/ZIP: Vancouver, WA 98687 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 360 ) 737 -9725 I Fax: ( 360) 737 -9648 Investigation per hour (1 hr min) 62.50
CCB Lie.: 67787 Electrical Lic.: 37- 428CLE Suprv. Lic.: 684LEA Industrial plant per hour 73.75
;,'�,„r' -,"'ELEGfRIGAI ERMIT FEES? ;
Suprv. Electrician signature, required: Subtotal:
Print name: D ate: 03/15/07 Plan review (25% of p ermit fee): A Larry Bushaw
State surcharge (8% of permit fee): ( - Authorized signature: TOTAL PERMIT FEE: O ( .
Print name: Larry Bushaw Date: 03/15/07 This permit application expires if a permit is not obtained within 180
fir} days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Build 'mgWermies'EL.C- PermitApp.doc 05/23/06 450- 4615T(I 1 /05 /COM/WF.B
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2007
Phone: (503) 639 -4171 h °I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 10300 SW GREENRURC RD 100 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CHASE
DESCRIPTION: Low voltagelfire alarm
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 045870 -01 360. 737 -9725 N
Corrections /Comments /Instructions:
F;IJAL., 1 - oappKoNPL DE 1t
1 PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - be Date: 3j Or) Phone #: (503) 718 - 1/0