Permit •
CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00100
���� DEVELOPMENT SERVICES DATE ISSUED: 2/22/2005
�' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AB-01006
SITE ADDRESS: 10500 SW GREENBURG RD 100
SUBDIVISION: LINCOLN PLAZA ZONING. C -
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: 11 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 3 4
ELE 34 --2828
3C
[TAX] 8% State Surcharge 2/22/2005 $9.07
[ELPRMT] ELC Permit 2/22/2005 $113.35 REQUIRED ITEMS AND REPORTS
Total $122.42
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 1-800-33 2344. '
Issued By: /� - ��� � , Permit Signature: �—� C`�c ,.,,_.)
U
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 639 -4175 by 7:00pm for an inspection the next business day
FE,F , , 2 1 2005 4:47PM HP LASERJET 3200 p.2 VEr
- R r4":-E • • .Ele t ' cal Permit Appi E n- ' ' FOR OFFICE USE ONLY
Page 2 for
Received
City of Tigard FEB 005 ' )1 , r • 5 - 00 / ')
` g Date,B � �' � Permit No.: 41 Phone: 503.639.4171 Fax: 503.598.1960
13125 SW Hall Blvd., Tigard, OR 9722 plan Review
/rm 10. '' wl :a
JI � Date.B Other Permit:
Inspection Line: 503.639.4175 r [ _ -al .. _ ' . Date Read so g,7 See Pa
Internet: www.ci.tig,ard.or.us
CITY �v r �� N atified/Niethad: g
��yy,, � � � T Supplemental information
.
" `� :'heft° fl t � d'tl i Ai', .t+ i t01 t r _ , „.xi a, gt,l t"' , ✓ � . t.i _Rii .
, i � t f, 9 Ltx x $ Sl 1 � }/ g1� 1 , , 1 ' Sq tix • I 1. 1 , 11 # � �� �?l g ! c . ,. ='',.'1 111e.....1--r: " r ; i .v...4 o ld'..... , . _ 2134 � .
x,;m.1u7(ta �. �l -. 040 k1.,.,}r.ya ., l, .. rH�t�iii 3t$$9t'tuWl .ta; i.�,�� _, .0 �d -t � `.'<at�^� ,. rC � G� ll� � .v...4 +: ?..» to i
❑ New construction lEt Addition /alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
,, - r a s ry1aa1 u1 �° s 5 x t a t u y e s , , r a , ;; ❑Service over 320 amps - rating El Bulking over 10,000 sq. ft.,
Ilei� P� t }2' i r °'� ili�ld 31� ca se^ Q ¢3 ,V .t tilaat ell it C R M r
s N w, t - e1; dol_ I - 5 t Akt ,,,, 4 .„ Ar , z e , ,, :� of 1 arid 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi -family ❑ Master builder E1 Other: ['Building over three stories ['Feeders, 400 amps or more
era t ii I t poi r� any pa i3 r y ['Occupant load over 99 persons ❑Manufactured strictures or
r t�hn lr R IOLVI r� �.i��F3p , I d J Ji � u li '4 ,F t I x �'l v' ! q �Ti f 1 §i tt' i i t # RV/ ark
L „,„.., , , , -... , _ r P nE. aku11 Rt,;, ,�[� , ' S a in g ,,, ❑Egress /lighting plan P
Job site address: ❑Health -care facility ❑OmS'.
Job no.:
� 1 Q ' G i' S L C.'tett . c4_ Submit 2 sets of plans with any of the above.
City /State/ZIP: I The above are not applicable to temporary construction service.
S P 1 vtrrl Project name: '�t ( .I N� , : R1ati i -
Suite/bld /a t. no.: SI .4..9a.,t.� -It l` 1 ..e . .
Description Qty. Fee. T otal ,
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. tl. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no
1. !4 wx j M 1 #E li 141 i,l 1 t I iii! q Limited ever
� i r, m w,1m Asa � ..„ am a i u n �m BY , ran- residential 75,00 2
., ���fila e, � ,, r ' �at#:�;snt �� r4:: ::_, ' ;uiati,tig, Each manufactured or modular
dwelling, service and /or feeder 90.90 2
I ...eii^ - .e4.... - i h.+ e4/4.4.4,..... L+-- Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
°Iii r '� a y; * a 1 1 3 q �" 1 t 201 a s to 400 s 106.85 2
f r 3 P 1 AW r t WAR IRRE F b 1 4116 "' I . p_ �# I ; d
, w ti 1 ,x:,�..s its c..r ttLatI xellul, i!#r It ,l.a .,_ us i ,nr.:a it% 1 . 401 amps to 600 amps 160.60 2
Name: E c ) f 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 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:
p Date: Branch circuits - new, alteration, or extension, per panel
t ro �' i ll}(. Its z . Q a t r 1l � l :f , , . ' ' l l a l tlL 111 d n i r ' t, l A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit _
Contact name: B. Fee for branch circuits
without service or feeder fee, S -
Address: each branch circuit 1 46.85 tIL 2
Each add'l branch circuit /0 6.65 L 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I F es; ; ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: • Signal circuit(s) or limited - •
q 69 tN, ��T���'�1 "t� i � 9
Pl� �,(tx#e� U11 ! Ut 1 t r � lt& ''� f � 4�?; ,� 1 c 'l `" b energy Panel, alteration, or
sr:e �. t� +r� r>�•r n extension Describe: Page 2 2
Business name: tj, (t.tA i,,��'ttti r . , , TA,i f c.-..
Address: r, _ Each additional inspection over allowable in any of the above
�� Per inspection 62.50
City /State /ZIP: 1 e,5 fart 0 6"- 974-1-g 1 Investigation per hour (l hr min) 62.50 '
52 -. Fax ( ) Z.4 _ Vi
Industrial plant per hour 7� 75
Phone: ( 5g)
b t. a 4; ltim as 'x =` i Grit; w„ra. ::> af _,, ;fur,, -:
CCB Lie.: 4 5-.0 c c ; I Electrical Lie.: 3 _ ? t Suprv. Lie.: fq L J S Subtotal
(IT 35
Suprv. Electrician signature, required: { '
/
Plan review (25% of permit fee)
6 r_ State surcharge (8% of permit fee) 9 j 7- _
Print name: A a+ a �._ c ,-L.... Date: Z _
. TOTAL PERMIT FEE J.,..17/ 4 t'_ I
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been eccepled as complete
Print name: Date: • Fee -methodology sot by Tri- County Building lndusty Service Board
*� Number of inspections per permit allowed. / /a d1
i:\auiluinglPerrn6slBLC - Pe mitApp.dac 12/03 , 440 4615T(10!02!t.W1
CO8B o ^ f O�
CITY OF TIGARD - . • .4 ...,
BUILDING DIVISION PERMIT #: ELC2006-00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2122/2005
Phone: (503) 639 -4171 Alk l H �ii�i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'
I 64
INSPECTION WORKSHEET FOR DATE: 3/22/2005 TIME: 7:13AM PAGE:
SITE ADDRESS: 10600 SW GREENBURG RD 100 CLASS OF WORK:
SUBDIVISION: LINCOLN PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: STEWART TITLE
DESCRIPTION: 11 branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST; PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 603 - 6243631
Inspection Request Scheduled For: Date: 3/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0024184)1 603 - 6243631 N
Corrections /Comments/ Instructions:
i
C�
/A
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A4.4 •.. r------ Date: j — 0 - 0,5 Phone #: (503) 718 -
-