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Permit CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT ��.l DEVELOPMENT SERVICES PERMIT #: ELR2005 -00282 �•� 1. DATE ISSUED: 9/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -01003 SITE ADDRESS: 10300 SW GREENBURG RD 365 ZONING: C -P SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG Project Description: Voice /data. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA /TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST TELEPHONE COMPANY OF OREGON ONE SW COLUMBIA ST #300 1102 N SPRINGBROOK RD #248 PORTLAND, OR 97258 NEWBERG, OR 97132 Phone: Phone: 503 - 554 - 9492 Reg #: LIC 147820 ELE 3238LEA FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 9/15/2005 $75.00 [TAX] 8% State Surcharl 9/15/2005 $6.00 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- 0 may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: �J � �M T Permittee Signature: S,2, cspo,r 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. Sep 13 05 04:1lp p -3 08/09/2005 14:55 FAX 5035981980 CITY OF TIGARD 1001 . Electrical Permit lgaljVE® itch OIT i_ t �l: (!,'l., City of 1Tgard Remind et _ 13125 Sw Hall Blvd, Tigard, OR 9122 P 14 2005 tetalit r ' 1��,� ' Phone: 503.639.4171 Fax 503.598.1 Platt Review inspection Liao 503.639.4175 Permit; -?: •11. DzeRtatdy/By Internet www.ei.tigardor,us C )jY OF 1 I nN 1St a No�edrMethod laps e2r rm ter ormati : :: • •. : : :.. ;.II :;.` !SP.• ,Q42..... • ❑ New construction �`•.;: �._�.; �i w•s2~c, ., ..... .. : k•4;�;a :' ;^.r2; :� .e• Addition/alteration/replacement a. .t Pl ; ' eCCtrlttll cast check all that apply: . ,' • .. : E] Demolition ❑ Other: ❑Se vice over 225 amps, CUUan'l °Hazardous location : . : :. : _, ' F . . ...`a DS aver 320 amps— rating DHnildngover 10,000sq. ft, I *PION• .. •' .. : 1 ' ' of 1- and 2 -family dwellings 4 or more new residential CI 1- and 2- family dwelling "Cemm tarcial /mdnitrial ❑ A��y building ❑SYstc*nn ova 600 volts nominal Units inane structure ❑ MuIti- family ❑ Master builder 0 Otha: ❑Building over three stories ['Feeders, 400 amps or more catpprct load over 94 pepersons 171v par etUrm structures or • .. ' ..13VI 111 `3G A ETf?111: . . : " t3 ❑E Rvpark b r Job no.: Job site address: 0 S ' , , , 131•]dt� calarc facility D4tber: • J ' k —$ Submit , 7 , sets ofplans with anyof the above. City /State/ZIP: . p p Ir . 1 0 f C 7 a /� The above Ere not cable to c� - 1 T applicable Y c4n9truCtioo service. Suitc/bldg/apino.: ,� P rojccttlame: 4, �d :s : :r :a : ., ,r1a . . •;Lit i -s "' - r :?,, ,, , ; - ;,;r. , .:;, : . • • r'•. . v ow Cross street/directions to job site: Li vt, C b I IA. To l...)e, C s 3a - New residen tie/ single- or multi -Tammy dwelling unit. I 1 tta lucludes ac hed garage_ 15 10 6' l 1,000 sq. ft. or less 145,15 - 4 Subdivision.( 1 Lot no.: Ea. add 500 aq, ft or portion 31.40 1 Tax ma p/ 1 Limited energy, resideatiaE 75,00 2 —z:. � .. Limitcd energy, non .residential f 75,00 75 '2 • ` J //�� .. .. ... Errh manufactured or modular Q..• b 'LQ 'rts y 1 / b 1 4 _Q _ f i:L ,± Gcas dwelling, service mid/or feeder • 90.90 2 Services or feeders installation. a]terattoo, and/or reloestios 200 amps or less 80.30 2 d•tr .'._ , .., :•, . • .r. : "I• _ 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 Reconnect only 66.85 2 City/Stare/ZIP: _ Temporary services or feeders installatiae, alteration, eud/or Phone: ( ) • f Fax: ( ) relocation 200 orups err less 66.85 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intcndcd for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 atns,s to 600 amps 133.75 2 Owner signature: Date: Branch Circuits —new, alteration, or extension, per panel "V ? . • , .•1 _ •, D CONTA 7r' , A Fee for branch circuits with Business name: . c aervia'ex feeder fee, each 6.65 2 r I . a ri" L� 'branch circuit • Contact name: B. Fee for branch circuits wiihoui service er feeder fee. • 46.85 2 • Address each branch circuit _ Each add') bmndt circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not iaeludcd) Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E-mail: CcIY' (i e. -1- — r- 0 D Co kW Signal elrcuit(s) or Limited- . . `. ; >'• . ! `... ',CObl'lR C •.. ... _ ,': �gY. pand, aha'atim i. or Business name-Tel raams D �csam= Page 2 ' -Tel •__ e k 6n ( ✓Utect_ f • Address: 1 t 0 L N . 310 1 t b Y b o (� *a i g Ell additional inspection over allowable In any orate about • Per inspection 62,50 ' � City /Stare/21P: v\ i_,3 62_0-5_ ^ g 9 - 7 i 3 z lnve 1 gtttiotr per hour (l gamin) 62.50 1 yt Phone: o3) e • c _ - 2 Fax: 6 . 6.3) sq - �' <� Tndustrialpfeneperlratr 73.75 71Q • i •ER19 110 : ` I �CC3 Lie.: y g.: ` 1 R Z C) Electrical Lie.: $ z3g L• - Suprv. Lie.: Subtotal < Suprv. Electrician signature, �f I' �e�r _ ///') Plan review (25% of permit fix) Print names ©R \ 3 e, 0 Ce,. Date: I I 3 1 t stem mnetcarge (8% of permit fee) [ — I / TOTAL PERMIT FEE . �/ °� . Authori2ed sig 1 nalture: � � This permit ipplieigtiaq empires ita permititnot obtained solute Ise Print name .j y a r! l A_ Y Date: p r days after h has been accepted as complete 1 3 Fee methodology set by Ttifiorerty Building Industry Service Board • • Number erimpeebeaf per pe runt olloue¢ l: Th4ldngtPcmtto l.C- PemitApp,doc is)m 44446lrrnOJ sdCOMtwEB • z5=404. • I' CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005- 00282 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005 Phone: (503) 639 -4171 itiompigly ll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07Aivi PAGE: 62 SITE ADDRESS: 1030 • R RD 365 CLASS OF WORK: SUBDIVISION: LINO' N TER/ E LINCOLN LOT #: TYPE OF USE: PROJECT NAME: FAIRW.Y FOR. STPATNERS DESCRIPTION: Voiceldat -. OWNER: EQUITY OF' CE PR* "ERT1ES TRUST, PHONE #: CONTRACTOR: TELEPHONE OMPA OF`OREGON PHONE #: 503 -554 -9492 Inspection Request Scheduled For: Date: 9/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 0' 6109 -01 503 - 849.3501 Y %9a F; NfeL • ,''S Corrections /Comments /Instructions: A \ \ ', \''''' , . \ , \ \ .. \ , ■ F: PASS ❑ PARTIAL APPROVAL ❑ CANCEL (i NO ACCESS I 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G ---- ' IQ q.3 L-E Date: �? Phone #: (503) 718- -2,44 • . • CITY OF TIGARD BUILDING DIVISION PERMIT #: �L 605 -o 28Z tb 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A �i �� Inspection Requests (24 Hrs.): (503) 639 -4175 ...' °: _.. INSPECTION WORKSHEET FOR DATE: TIME:Ali/14 PAGE: SITE ADDRESS: ) 05DO 51 6r2n b vr� - 3 ,9 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: T J /� (Qvad bu - OWNER: 5D p uI 1 V PHONE #: 5 LIJJ�'Z — / Jq CONTRACTOR: 1i `t � P �ie�rY 1 PHONE #:55 L/-3403/ Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: rl %►�t�� - lam - S - 0 � 3 � f. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 10( 31(6 Phone #: (503) 718- 7 4/14