Permit r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00290
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/29/2006
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 485 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Low voltage for 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 T & L COMMUNICATIONS INC
ONE SW COLUMBIA ST #300 PO BOX 87387
PORTLAND, OR 97258 VANCOUVER, WA 98 687 -7 387
Phone: Contact #: PRI 360- 737 -9725
FAX 360 - 737 -9648
Reg #: ELE 37- 428CLE
FEES LIC 67787
Description Date Amount
[ELPRMT] ELR Permit 11/29/200€ $75.00
[TAX] 8% State Surcharf 11/29/200€ $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- -m.ore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those fare set forthin OA: • �, 011 -0010 through OAR 952 - 001 -0100. You may obtain codes of these rules or direct questions to OUNC at
503.24 .6699 or 1.800.332.
Issue B y: ,J. /� Per mittee Signa e: , ,.�jj r` .� ..,A. ,
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.
Electrical`'i'erislit Application FOR OFFICE USE ONLY
'r y YIY`i1 *Tigard Received m Permit No.: /gg b,9*)
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
/ /yr.:,: ,.
Phone: 503.639.4171 Fax: 503.598.1960 7.y!w' I' " Date/By. Other Permit'
Inspection Line: 503.639.4175 „ ■ . `' 1 Date ReadyBy: � (a See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
�;�'`�:- .::*;�',� --` �'fr. „= `��x °- �;� <tt- ; - .�,r,�<� -a,.�; �r�ta.��- •. yam,,::- -: �;: tf "- °,:,�_."�'. -. s ,. _ .:�� � _ _;��,. �.;,� - �;�.�r „ >• .�.,-� , .�. . ;s * '�t., zv
_ ” w ,r �4-> i �. ,( " TYPE -OF W 12K `1 L REVIE '4
s*�xr"a ,-�: � �_ Fa, .�_ .`'�e���z.- n.�T:��E�. � �_ >,cc. `,�?_. = .,, h A1�I- ba...,.,� � ” ,z °�;"
❑ New construction l� 'Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
� � z CATEGORY` OF CONSTRUCfIONg „, ,j ' t- of I- and 2-family dwellings 4 or more new residential
❑ 1- and 2- family dwelling jCommercial/industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑ Other ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
W dOB SITE IlKFORIGIATION,A ' OCATION fi ' ❑Egress/lighting plan RV park
Job site address: ; 2 l (� ❑Health -care facility ❑ other:
Job no.: • ✓ 0 0 .5 L "V ea-vi h t Submit 2 sets of plans with any of the above.
City / State/ZIP: �� G � ��„ The above are not applicable to temporary construction service.
no.: Project name: A M ' _-> E* SCHEDULE ',OOM "
Suite/bldg. /apt
�U Description I Qty. I Fee. I Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no
Limited energy, non - residential 75.00 2
ifi g .:, - t 44:16 PTION OF WORK s r " Each manufactured or modular
it (-1,.. dwelling, service and/or feeder 90.90 2
V\.,& , v ''Q-- 1 . ` 0 V1S C Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
'i°w ;; ® PROPERTI'O WNER 'r I , '� ®TE N `ANTI 201 amps to 400 amps 106.85 2
,... .-. .'. ,-,. . _ .' .. ..�. >.. �_ ' ° . ,_ .. , , ,. _ _'' : ,. -'. '' 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: 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
, - ® APPLIC - ,- � 'I ,„ Y g4 4r ❑ CONTAG°i' PERSO ; o � A Fee fo branch circuits with
"� service or feeder fee, each 6.65 2
Business name: . 1 S-, (....._ (c V1 N , C C1( yam branch circuit
Contact name: f� 5 5 ' S �t B. Fee for service circuits f
�L wit serv or feeder fee,
46.85 2
D /t 1� 7 3 �
each branch circuit
` �
Address: �"' 1 E ach add'I branch circuit 6.65 2
City/State/ZIP: V (4 Lv Ui 1i t- . 1,^'. Miscellaneous (service or feeder not included)
3 ) l 3-) % ) 1 ( 3 / - 1 37 9 (0 Pump or irrigation circle 53A0 Z
Phone: Fax: lam, Sign oroutline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
EMM M ` CONTRACTOR* 1 ' 1 , : .. energy Panel alteration, or
extensi escribe: Page 2 2
Business name: j (— (...c> IAA QV ( C � ,-S . la A,� �\
Address: r Each additional inspection over allowable in any of the above
�f Per inspection 62.50
City / State/ZIP: t JIA.yj CU V-- Investigation per hour (1 hr min) 62.50
Phone: () 9) .) ` 1 q, .) `LS" Fax: (3V). X3-7 (/6 yr Industrial plant per hour 73 75
�^ / .� ` l g -WiltICAI: PERMttalES* a M
V
CCB Lic.: 1 ) Electrical Lic.: 37 W j,(,= Suprv. Lic.: (03271,64- Subtotal Ov
Suprv. Electrician signature, required: �q s k ) - Plan review (25% of permit fee) 1) 0 0
AN State surcharge (8% of permit fee)
Print name: � 0 ��� Date ( �� U — � �
t,i/tr f TOTAL PERMIT FEE lk within , G Authorized signature: � �� ^ t ` T his permit application expires if a permit is not obtain 180
A15 J days after it has been accepted as complete
Print name: I3 Ct s (,� J Date: 1 , • (— ] " 0 ' Fee methodology set by Tri- County Building Industry Service Board
d + "* Number of inspections per permit allowed.
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440 - 46151(10/02 /COM/WEB
1 -
CITY OF TIGARD i \
BUILDING DIVISION , ..
PERMIT #: ELR2006-00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639-4171 igt#4
Inspection Requests (24 Hrs.): (503) 639-4175 „,--119k 111.
INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7 PAGE: 41
SITE ADDRESS: 10300 SW GREENBURG RD 485 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: LANDMARK
DESCRIPTION: L vo f fi a
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 366.737-972.5
Inspection Request Scheduled For: Date: 12/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040946-01 360-737-9725 N
Corrections /Comments/ Instructions:
1 (Ps L- • '-- at•ito .. 1 N 5)\ - V . S5T 6e
is . 15 j • 41)% p_o v fkL_. 6
. i0) iNSbt. '6(
4,
71PASS El PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
0 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: G ----- N66 1... Date: i I-1 minlo Phone #: (503) 718- 2 -