Permit r I! CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00920
DEVELOPMENT SERVICES DATE ISSUED: 11/29/2005
°I 'l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 310 ZONING: C -
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT : JURISDICTION: - FIG
Project Description: (4) 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: 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: Phone: 503 - 624 -3631
FEES Reg #: LIC 75059
Description Date Amount SUP 1965S
ELE 34 -283C
[ELPRMT] ELC Permit 11/29/200' $66.80
[TAX] 8% State Surcharge 11/29/200' $5.34 REQUIRED ITEMS AND REPORTS
Total $72.14
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: r,)- Permittee Signature: c;_jz,e, A\p
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.
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"hone: 503.639.4171 Fax' 5(.1 i 598.19(1(1 (r <)tir :: Pcrnnc
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inspection Line: 503.619 4175 , pate Ready /By: lures BI See Paget for
Internet: www.ei- tigard,or.us CITY OF I Nunficd/Me �I ( 1 Supplemental Information
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❑ New corstruction .Addition /allcraiion /replacement P lease check all that a PP Y:
❑Service over 225 amps, contrit'1 DHazardous location
❑ Demolition ❑ Other.
a :..t... y < •,., : : a ., p : : '}'•.:. ; : , - amps rating ❑B dngo sq. ,
5 <I Irlly,' : 1' 4 .. y
Service over 320 a fat ui] over 10 Q00 t.
i - � I ' " x ° i i '= i EtL :3 Ol' STfZifi ` , Z i of 1 and dwellings 4 or mare new resident
'i�'.�= : :�te5t;i4.,;�1 }� ,. < : :,ta. ,_ ..•a.. r..: i :. :�w� •;! ,., . , .�..J = ..;',.,. • ., i, f�p4 : : , _ .. .. ' .: � ....•,. .....:... ,... -., y g tai
❑ I- and 2- family dwelling li,Comrnercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
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Multi - family ,' q; ,'i .r... t, s. 1 ;t . 7 ; . ❑Occupant load over 99 persons ❑Manufactured structures or
.M i �6r 4t 4 13� S l , >i !• 't �.,:? ry'rt+ 1 4 9F. 't"7 k„.c 7R '
r.:., 1 ', 1 , y t tf g : 5 ' Q t a,,`Iq 11 ,� 4 g fe t i N - �y �t 4;iii i ❑ Egress/lighting plan RV park
L: - �9F d =. ?e'"i?: tl < ,.. MUm Z. =.S)�,pyy . 3 7 .. .0 �Yx �7a1r.' �71
y t.4 IOb site address: ❑l-Iea:th -cart facility ❑Other:
Jab no.:
I C Z e)(:r �- L.I (:2 ,"?.a.-1,1-, 11.41 -t-1
Submit 2 sets of plans with any of the above.
City /State/ZIP: �-� {I/ The above arc not applicable to temporary construction service.
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Suite/bldg. /apt. no.: ( ✓, Project name / 1 i ) e .. to r > :
V Descripti.n Qty. Fee, i Total I ""
Cross street /directions to job site 1 t. / t u cct. 7 ` 72 New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15: 4
Subdivision: i Lot no.: Ba. add'I 500 sq. ft. or portion , 33.40 I
- - - Limited energy, residential 75.00 i 2
Tax map/parcel no.:
Limited energy, non - resident:a.
•: rau .<:ix�g art },. k < .lY ,�. a - ` '}}-.,� y -v i!7 i( i . ? at ; ; ' , x(17; r `;t +'- - , V . A " I t,tt'.} ii Lt l 75.00 2
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rT. t 1 dwelling, service and /or feeder 90.90 1 2
1'�a°...",. 1 ►^- G`Lti-;+.. Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
',;s: }_ ps, ; .q+ :'..M a : ,rte : ; a i - •<,t; - • .-„:? •.;.:,t ' ato , - .(tii,v !,ih,V• i.,'•Fpf�or tt,,.,; u 4;ai'tiwetttN;tat'c 201 amps to 400 amps 106.85 2 ^
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401 raps t 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,006 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
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A' . 5 4 ,f J g e , . . ^ t . ,∎!r t A. Fee A' t is ; pr, service ofeeder a c h
, A.- �����. 1 � .1'I. ^ .rW.: 1' i� ] t. r i a.� `t�"
service or feeder fee, eac 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, u
each branch circuit i 46.85 / 2
Address: Each add'i branch circuit 3 6.65 1 94 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.4C 2
Sign or cuthne lighting 53.40 2
E -mail: Signal circuit(s) or limited -
, ,' `r %LF;tk - ^" }i'n.. »ii3 « �., , u ." , - - .8-. .yi - energy pare!, alteration, or
;sib- �, y :. y .. iz:t y< , a ' . � 0.4: : : :s ,.,s-, y : s� . :�f *. i >dy :y:i r:= 4:r ::;1x:1
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extension. Describe: ( Page 2 2
Business name: t , raw
IAil a l k'" e c' t (t', i'ri to -- -
Address: ,� +t Each additional inspection over allowable in any of the above
r a,+ t- �<.r:' x. L- ? o 2 4 r P er i nspection 62.50
City /State /ZIP: t "->, o ' y Investigation per hour 0 lv nun) 62.50
`' Industrial plant per hour 73 75
Phone: ( +, *) i - ilk - 2,6.3 - ( rFax: (,.')&3 ) `` - '�' "l _ <' :� k � `� . ,..
. � 4'�i� .1, B :,� ' 'l:,l•' - i i..i::P• , T+ ` �y,t �1 y . '.: :
CCB Lie.: .i rl . e .' Electrical Lie.: Fo.. - • *... St •rv. Lic • -i.-,2.,/,.; Y 11 / 1 4) t Subtotal S
L
Suprv. Electrician signature, required: / y Ilan review (25% of permit fee)
Print name: !, Date - 7 t',
State surcharge (8% of permit fee) raj , 3 4f
, • e c� C �c -... ° ■ _ TOTAL PERMIT FEE i t . 7 , 1
Authorized signature: This permit application expires If a permit is not obtained within 180
- - - -- days after it has been accepted as comple
Print name. Dale: . Fee methodology set by Tri -County Building Industry Service Board
-- " -- "' Number of inspections per pen allowed.
i\ riu,( ding\PcrmitsdELC- PerrnitApp.doc 12/73 446 -461 ST(10))2 :UoMJWE.B
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00920
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639 -4171 ed ! � ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: /2/22/2005 TIME: 7:03AM PAGE: 40
SITE ADDRESS: 10300 SW GREENBURG RD 310 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: (4) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 12/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 023919.01 503 - 6243631 N
Corrections /Comments /Instructions:
•
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL • I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 12-2:1-s Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00920
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639 -4171 / A W y @A A
Inspection Requests (24 Hrs.): (503) 639 -4175 A- AL
INSPECTION WORKSHEET FOR DATE: 12/8/2005 TIME: 7 :00AM PAGE: 31
SITE ADDRESS: 10300 SW GREENI3URG RD 310 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: (4) branch circuits.
OWNER: EOUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAME I E ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 12/0/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Walt cover 023153-01 503.624 -3631 N
Corrections /Comments /Instructions:
•
PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ❑ C ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� / Date: "" Phone #: (503) 718- 2d
•