Permit . ELECTRICAL PERMIT
4 CITY OF TIGARD
PERMIT #: ELC2005 -00976
�i� DEVELOPMENT SERVICES DATE ISSUED: 12/27/2005
`--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB
SITE ADDRESS: 10300 SW GREENBURG RD 390 ZONING: C -
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT : JURISDICTION: TIG
Project Description: TI 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: 503 - 293 - 2745 Contact #: PRI 503 - 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: LIC 75059
[ELPRMT] ELC Permit 12/27/200' $66.80 SUP 19655
[TAX] 8% State Surcharge 12/27/200` $5.34 ELE 34 -283C
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 -: %∎- 332 - 344.
Issued By: �. / Permittee Signature: tht,. ` .nom
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.
DEC 27 2005 10 :1GRM HP LASERJET 3200 p.2
\t , r
lE i ectrica1 Permit Application FOR OFFICE U ONLY
City of a
$ C Daten3 Received 1/ ,a J 5.1b Permit No : 'L r 00
13125 Hall, Blvd., Tigard, OR 9722
IV E0 plan Review - ��
Phone: 503.639.4171 Fax: 503.598.1960 Mat;' }r ii ''Wi; t� IlateB ti the Permit:
Inspection Line: 503.639A175 DEC �' y1 D R ea d y /8 1. ' .
Internet: www.ci.tigard.or.us �.-- ' -1,.. Notif S El upplemental See Page 2 for
1Jlr e �oo - ^n Supplemental Information
�1�Y fo
0 . 4 j � I �u 11t 5 i' �_' 5 . fir 5 5 1 :41.1 ;'- :V{4�I1, �4 a 7' 1 > I . h . 1.. •,
�' �lR tk r ,ka: . l ti it •f`,tlttyt° i ' }Cyk ;'•:., �. " J•
i. ", tip. - :31 k. r_. - y� t ..:14- .- � M111�:J�Gx�?l \. ."' (y x� .� ..J,� ' ..S3z.. �. y45t R l� "� I r e , �+� '!9� , yy, m }� e
-�- ' � t' fl .....�Ti'tw s, w5';' � : av: r� � .M Y? + +� ;, ' s : E LF ;�: �� ?:' • i.'.l., �.. „ f !
❑ New construction j. A i ierffit cigfgb rment Please chec all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'I E] Hazardous location
� q>;K r k t ,: >s, - ri -, v i it , ❑Service over 320 amps - rating ❑Bulldog over 10,000 sq. ft:;
h $ t '.t' ' CA 1 t3 tl 7 .� r Vt` - (f, 8' tai a ; 1 '� ally',,. ""IF' ri8, ..... e. ,
s i:1 �A. +fi l l Il ir yt,s'IS'tay a { it 1,?� M _, _ , , • ,; t t' ,,, , ri of l- slid 2 - family dwellings 4 or more new residential
D 1 and 2 family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi family El Master builder ❑ Other:
a {}rr t S yt la" & t s , r v "l st n x s a mri����.7t, �. , : ;, . ❑ Occupant load over 99 persons Manufactured structures or
,., I a dl�' A 13 :1 c l R o C 1 1 i f { r t RMA le pay l i'e}y i,i '. i$:
l li `- �tiii.�t',"iiittrA r ell i ms�-a ti,. s l 3c" iaUry 9,'n Maas sir. ! 5 r�iu'!8 ' s : , I ❑ Egress/li ---" t RV park
r�•� ��ai l.._.- u.,n.,7 .l 8 g
Job no.: j 4, 3 lob site address: I O 110 f i J ❑Healthcare facility ['Other:
..1..._ r% Submit 2 sets of plans with any of the above.
City/State /ZIP: i • � �, 0 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: �.la a i I1` :° t M t , gE0 ry .i' .. R • .
U ill s✓' 5 % Desertptton Qty. Fee. Total •
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
J] Includes attacked garage.
I L I�t'Gtk-�.ti CO f rt. 7'; !J 1,000 sq. ft. or less 145.15 j 4
Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no
- Limited energy, residential 75.00 2
1�k.� n�c �9 -Y,' '0 f a i ` ,, r � �, #y''. t�y �� t.. -„ limited energy, non - residential 75.00 - 2
•.u tt'u:t i cjA14133 -4sL Zbli sa <'p, . . ' 'iE:' l s �ti uis - EtutilVinf te, Each manufactured or modular
dwelling, service and/or feeder 90.90 2
r.1"."{'1L� 1 I 1 '^ / t' ..^ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
* "
' ` '8 s i i
Pui O ii , 0,;bie 'liNi vel.(g : Y 6J, . ; , ' , 201 amps to 400 amps 106.85 2
.., I.
��" 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: • T emporary services or f eeders i nstallation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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
l ilk ;' t i i i > g e �ua , ] � y i 4a:r. " I te,, i'' I e s , E - 7' 1 .i M , ::i rtl v. ilif k v � �� ,�,
x : - win-^1 .Y., I m r f.t t� I' 2a.
.. 7 s R 5 4t,Irv } !i ,. ( f ! , . M � itfl:i t y '' l A. Fee for branch circuits with
Business name: service or feeder fee, each
branch circuit 6.65 2
Contact name: B. Fee for branch circuits v
without service or feeder fee, / 46.5 ��
each branch circuit /
Address: Each add'! branch circuit I '� 6.65 I f ! �� 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I FaX :: ( ) Pump or irrigation circle 53.40 2
I Sign or outline lighting 53.40 2
E -mail
r al ''�(1) i ' z 2 ` it i vt -L N ' 1 P a r e c er , Signal circuit(s) or limited-
silil4t:JI a�i�'t e '�I 1 '�a1fi� ' • � e , 5k . iv 1+.t ;U t: d , ' 6 - ' - extension. Describe: Page 2 2
en ergy panel, alteration, or
Business name: + /j ec II
n if kr bl Ft i. cif/ Lc (ce' i..
Address: � d ,, .2_10 _- 4f 1_ Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: T' Y c ) o t- 9 ? Z . 1 I Investigation per hour (I hr min) 62.50
Phone: (Sr*) t 2k , 1( a ,,3 ( Fax: (5v3 ) 6,2 ypl 3 s ..... Industrial plant per hour 73.75
ligiU OA I Ig l il'aY if ia3 " E 9:lara :! .Di -. yak ;
CCB Lie.: 9- j j W Electrical Lic.: i pi, 7473 L prv. Lic.: tc�� G 5- C Subtotal L ` k •
Suprv. Electrician signature, required: • A a Plan review (25% of permit fee)
4,. State surchar (8% of permit fee) S ; '� i /
Print name: 11 4 Date: { 2 -� .. 1 /
/ �. TOTAL PERMIT FEE $ 7 z a i y "((
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete
Pe e methodology set by Tri- County Building industry Service Board
" Number of inspections per permit allowed.
is\ Building\Pemucs\HLGpmnitApp.doe 12/03 440.46I5T(10/02/COMIWLa
CITY OF TIGARD , . I
4-,
BUILDING DIVISION PERMIT #: ac2006•00976
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2005
Phone: (503) 639-4171 : A
. ydu l iiI\
Inspection Requests (24 Hrs.): (503) 639-4175 -..,_,W % l.!...
INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: T1 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, ' PHONE #: 503-293-2745
,CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 1/9/2006 Pour Time:
Code # • section Description . Confirm # Contact # Message
125 Wall cover 024574-01 503-6243631 N
Corrections/Comments/Ins'• s 'ons:
N grPASS I I PARTIAL APPROVAL Eil CANCEL El NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:
....,:/_„„ Date: II t ifa i Phone #: (503) 718- itifiA
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: EL C
":dfl.f.�
1:127 / 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: , r°
Phone: (503) 639- 4171u- r al�u�� vi
Inspection Requests (24 Hrs.): (503) 639- 4175�I I�
I
INSPECTION WORKSHEET FOR DATE: •I/17/2035 TIME: 7 :0 SAIei PAGE: 30
SITE ADDRESS: 10300 SW GREFNBURC RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: TI branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, • PHONE #: 503.. 8;.2745
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 613.624.3631
Inspection Request Scheduled For: Date: 1/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 025070 -01 503-624-3631 N
Corrections/Comments/Instructions:
II T KO\Abir OPA( P 14t5/ Peg-i149 i pflOpe/441\
P(6(* 10 acv ci L t•I \
gi:• PASS ( I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n , ALL FOR INSPECTION ❑ ADDITION AL FEES ASSESSED
Inspector: !/ Date: J V/ I • Phone #: (503) 718- I.-Llg()
CITY OF TIGARD .
BUILDING DIVISION . PERMIT #: El_C200&..0097E;
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2700005
Phone: (503) 639 -4171 / i ii E ° l
•
Inspection Requests (24 Hrs.): (503) 639 -4175` 'IL
INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7 :04AM PAGE: r ,
SITE ADDRESS: 10300 SW GREENBURG RD 0 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCO N LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS ',.
DESCRIPTION: TI branch circuits.
OWNER: EQUITY OFFICE PROPERTIES T 1 '; ST, PHONE #: 503-293-2746
CONTRACTOR: WILLAML.T I E ELECTRIC INC \ PHONE #: 503.6243631
Inspection Request Scheduled For: Date: 1/23/2006 Pour Time:
Code # Inspection Description Confir # Contact # Message
195 Electrical final 025465,11 503-624,5631 ,631 N
Corrections /Comme ructions:
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . i�t% Date: 1 1 3 o Phone #: (503) 718 - UD