Permit •
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00088
-,,11. DATE ISSUED: 4/20/2006
" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 550 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Voice /Data. Job # 60 - 0706.
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 BROADWAY ELECTRIC - COCHRAN INC
ONE SW COLUMBIA ST #300 626 SE MAIN
PORTLAND, OR 97258 PORTLAND, OR 97214
Phone: Contact #: FAX 503- 238 -2098
PRI 503- 234 -6564
FEES Reg #: ELE 37 -546C
LIC 72942
Description Date Amount SUP 3447S
[ELPRMT] ELR Permit 4/20/2006 $75.00
[TAX] 8% State Surcha 4/20/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Ap : • _ L 1 _ Permittee Signature: fix T
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
�1 rl riE � En 'Electrical Permit Applic � FOR OFFICE USE ONLY ' - .
'
II
U
City of Tigard Received / --6 PermitNo.:,L, f at. A t -/d D ` fl 4
'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 APR 19 20Pt'sgiHllN�pip�l li f Date/B : Other Permit:
Inspection Line: 503.639.4175 � Date Ready/By: ® See Page 2 for
Internet: www ci.ti ard.or.us
�tx l (� 7 A , f+ AKI Notified/Method: : Supplemental lemental Information
g It . I y� �Y `I
.:,�� .,�fi r 4 �"+ra. �°'n � -�i. .,��',•"1 F rx"x�,�S - ", r ¢' �^'+,���"?;& 3a: <y ,��Ex�a. -..: v,. �� �� «.,ro:.s,.i; -„
5 , . ��...,�,_ i� .¢$ ,p`, ( F '` 4 u '-.. • r r i el. s u u� . ':2+., r a z,,�.'`: t �'
': �G;d�' - .� "gyp €l�syz.. d1�4., .�'� , .. , g - �z � rst �� :. -�a µ� '�. -`�.� .. -.. -..
❑ New construction !! Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ❑Hazardous location
Er vaf 1 _ . ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
� ; - V of 1 -arid 2-family dwellings 4 or more new residential
❑ 1 and 2 family dwelling ommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi 3 004 Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
��w �_� ['Occupant load over 99 persons ❑Manufactured structures or
"� , ; O]3 4 . 4 , E'�T'Oltl 0� OGt1TYO l s ❑Egress lan RV park
sE: c�r�,�K .� 1
,r �.��`«�s�r�,a� , an'$.:� - - P
Job no.i ) Job site address: _L, • ` D35 O l � p� c p il } )N , ❑Health -care facility ['Other:
y ---1 ", :, -V G The 2 ar any ofth construction service.
above.
City/State/ZIP: 1
( _J 1 1 � L. J The above are not applicable to temporary c
Suite/bldg. /apt. no.: r � Project name: �/� �1 (� T Ego .. 1 � 7 : 7 ', . ..� ' r ° 4 ' ::'_ . ..
Y \ l ,l / s' . Description Qty. Fee. 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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: •
3 r erg .. p , Limited energy, non - residential 75.00 2
c , .,,z` IN : 1 `' . •3 ; 400 ...4 '? ;E:;. Mftr l Each manufactured or modular
((��// dwelling, service and /or feeder 90.90 2
I c g+ l� �at� eta( Voles I Vl NJ Services or feeders installation, alteration, and/or relocation
nJfia Uk VikW 1/kt 1�L, I lary ` a 11 200 amps or less 80.30 2
y _ r is k, ' ' vi ° m - k, etielow ii 201 amps to 400 amps 1 06.85 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
Phone: ( ) I F ax: ( ) 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
t a . ❑ OWI "� N IV ' - -4 ' - `I P) RS A. Fee for branch circuits with
.y . 4-: v ,s e x . a
., - ..*3. z.,m.�m3 ro ± ±. w 3R ` . �..,..."sn�br -v-� x�t. -.... .,�.^:. '" x ,>
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add'I branch circuit I 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
ia t y "� ."°'�"" `i'7 r y e° 1 �' energy �:�., ,x - - .. . ,,.4 � �c'��r.���. �� +;,gyp° P
anel, alteration, or
` extension. Describe: Page 2 5 2
Business name: < e. a w Q`) \e e..\ .1
Address: Z Each additional inspection over allowable in any of the above
5 � M c
Per inspection 62.50
City/State /ZIP: "p -r - 0- ,,,... Q c9..... 17 2-1' Investigation per hour (1 hr min) 62.50
Phone .3) 23L -(...5-c., y Fa (5�3 ) Z ^2c�`t $ I p lant p e r h our 73.75
: o Yry y'k',aYf. , f ,1 _
E� ?'FfiI2 G P EIS £ a :: , , .
CCB Lic.: 2 a t C z, Electrical Lic.: 31-5 Moe. Suprv. Lic.: 3�{ �-S Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: \G e „ ���\, - �. Date: State surcharge (8% of permit fee) I I �
TOTAL PERMIT FEE i 'J
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: ” Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
isBuilding \Permits\ELC- PermitApp.doc 17/03 440- 4615r(10/02/COM/WEB
• CITY OF TIGARD .. . .
. A
BUILDING DIVISION PERMIT #: ELR200600086
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2006
Phone: (503) 639-4171 a soploitilif
Inspection Requests (24 Hrs.): (503) 639-4175 A - -u-
INSPECTION WORKSHEET FOR DATE: 4/24/2006 TIME: 7:02AM PAGE: 61
SITE ADDRESS: 10300 SW GREENBURG. RD 550 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE - ..iNCOLN LOT #: TYPE OF USE:
PROJECT NAME: NCCI
DESCRIPTION: Voice/Data. Job it 60-0706.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC-COCH N INC PHONE #: 503-234-6564
• Inspection Request Scheduled For: Dat,-: 4/24/2006 Pour Time:
Code # Inspection Description Confi 1 # Contact # Message
135 I.ow voltage 028505-11 503-250-39f31 V
1 1/4
Corrections /Comments/ Instructions:
___.\...
V PASS El PARTIAL APPROVAL r] CANCEL n NO ACCESS
FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
•
Inspector: Ikg--kO* 1\1% Le Date: (1 '6 Phone #: (503) 718-0
... ..