Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10109
4, DEVELOPMENT SERVICES DATE ISSUED: 6/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 265 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: - FIG
Project Description: Job #260673 2 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/ 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: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
• Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 6/28/2006 $53.50 LIC 048748
[TAX] 8% State Surcharge 6/28/2006 $4.28 SUP 3132S
Total $57.78 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: � 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.
'IL FOR OFFICE USE ONLY
al Permit Application ' G
Date/By:—
Plan no.6
, i /4 F L /VG y - /d) o9
City of Tigard REC ' ;"-- '
E'V Plan Review CiL
r. Other Permit:
13125 SW HALL BLVD., TIGARD, OR 97223 ( ) ( ) �' ( Date /By:
E
Phone: 503 639 -4171 Fax (503) 598 -1960 JUN 2 7 20'
CITY OF TIGARD y D Read /B y Jur ❑ S ee Pa e 2 for
Inspection Line: 503- 639 -4175 CITY OF TIGARD Notified /Method: VV s Supplemental Information
Internet: www.ci.tigard.or.us pp''''iitt DING DIVISION
TYPE OF W6RSC PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'l ❑ Hazardous location
CATEGORY OF CONSTRUCTION ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft.
❑ 1- and 2- family dwelling H Commercial /industrial ❑ Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi- family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
JOB SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: 260673 Job site address: 10300 SW GREENBERG RD ❑ Occupant load over 99 persons El Manufactured structures or
❑ Egress /lighting plan RV park
City /State /ZIP: PORTLAND, OR 97220 -1041 ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
Suite/ bldg. /apt. no.: #265 Project name: VSP 265 The above are not applicable to temporary construction service.
FEE SCHEDULE
Cross Street/Directions to job site: Description I Qty. I Fee. I Total I "
New residential - single or multi- family dwelling unit.
Subdivision: Lot no.: Includes attached garage.
1000 sq. ft. or less $ 145.15 4
Tax map /parcel no.: Ea. Add'I 500 sq. ft or portion $ 33.40 1
DESCRIPTION OF WORK Limited energy residential $ 75.00 2
Vacant Space Prep Limited energy, non - residential S 75.00 2
Each manufactured home or modular
H PROPERTY OWNER. I ❑ TENANT dwelling, Service and /or feeder S 90.90 2
Name: Service or feeders installation, alteration, and /or relocation
•
EQUITY OFFICE PROPERTIES 200 amps or less S 80.30 2
Address: 201 amps to 400 amps S 106.85 2
10260 SW GREENBURG RD. 401 amps to 600 amps S 160.60 2
City /State /ZIP: 601 amps to 1000 amps S 240.60 2
TIGARD, OR 97223 Over 1000 amps or volts S 454.65 2
Phone: 503- 892 -2500 Fax: Reconnect only S 66.85 2
Temporary services or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less S 66.85 1
Owner signature: Date: 201 amps to 400 amps S 100.30 2
401 amps to 600 amps , S 133.75 2
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits - new, alteration, or extension, per panel
Business Name: A. Fee for branch circuits with
service or feeder fee, each
branch circuit 5 6.65 2
Contact name:
B. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit 1 $ 46.85 46.85 2
City/State/ZIP: Each additional branch circuit: 1 5 6.65 _ 6.65 2
Miscellaneous (service or feeder not included)
Phone: Fax: Pump or irrigation circle 5 53.40 2
Sign or outline lighting S 53.40 2
E -mail: Signal circuits(s) or limited -
CONTRACTOR energy panel, alteration, or
Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2
Contact name: Larry Rulien Each additional inspection over allowable in any of the above
Per inspection 5 62.50
Address: 11401 NE MARX ST. Investigation per hour (1 hr min) S 62.50
Industrial plant per hour 8 73.75, i
City /State /ZIP: PORTLAND, OR 97220 -1041 ELECTRICAL PERMIT FEES*
Subtotal 53.50
Plan review (25% of permit fee)
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121
State surcharge ( 8% of permit fee) 4.28
CCB Lie.: 48748 'Electrical Lic.: 26 -496C ISuprv. Lie.: 3132 -5 TOTAL PERMIT FEE 57.78
,...24,44,d-A� This permit application expires if a permit is not obtained s■ithin 180
Suprv. Electrician signature, required:
days after it has been accepted as complete
Print Name: DARRELL MCN Date: 06/24/06 " Fee methodology set by Tri- County Building Industry Service Board
Authorized signature: 44 44 t I f/A/C■' / " *Number of inspections per permit allowed.
Print Name: DARRELL MCNEEL /✓ .
' O
CITY OF TIGARD
C
BUILDING DIVISION PERMIT #: LL -6' a %Q//9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: _
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 - AIL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 0 0 0 SW e°P-4i � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: E 9 J kke P P•9O 1 5' f PHONE #:
CONTRACTOR: eQvi ; 4_0 I E/e c dt--r)iC.-- PHONE #:
Inspection Request Scheduled For: Date: 8 - /0 0 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/4
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /frit/62-4 Date: 6740,p_ D Phone #: (503) 718-