Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
T DEVELOPMENT SERVICES PERMIT #: ELR2005 -00067
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/24/2005
PARCEL: 1S135AB-01006
SITE ADDRESS: 10500 SW GREENBURG RD 100 ZONING: C -P
SUBDIVISION: LINCOLN PLAZA LOT: 002 JURISDICTION: TIG
Project Description: Voice and data cabling.
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 TELEDIGIT INC
ONE SW COLUMBIA ST #300 PO BOX 22287
PORTLAND, OR 97258 PORTLAND, OR 97269
Phone: Phone: 503 722 - 8084
Reg #: ELE 3- 414CLE
LIC 116188
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/24/2005 $75.00
[TAX] 8% State Surcharl 3/24/2005 $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 -101 -0100. You m. obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: �-_ _ Permittee Signature:
Y� I � � � g l� �L `�iL�l.�
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.
• .
Mar-23-05 12-41P P.02
. ,.4
- .: Efectrical Vera/if-Application , .
• - ..,-- III k
_ 1 1
City of Tigard L,Ellvir • Received v ,
Datemy: , ), /p ... p a 05 6 13 permit Ntoa .2 _ 66,_
13125 SW Hall Blvd. RE
, Tigard, OR 97223 — — Plan Revie
Phone: 503.639.4171 Fax: 503 a t' i1 ,N,./(1 , i , Date/By: Other Permit.
Inspection Line: 503.639.4175 — 1
D ate Ready/By: Jaw._ j a 2 See Page 2 for
Internet: www.ci.tigard.or.us V I AR 2 3 - ---
D
i 3 NotifierVMethod: / I. supplemental Information
— '
:!;!.:• : '. :. ' ' '' ' ' 'VP 1 1!it&We l itIl l ? ' ;''' ''' . '''—'Th' T.igliki4i:;::?'-',: . • ;., : .: . ' • .• .-. .' :,.:1 • .
, • .' ':: : -V.:.,_.,„ . --4 sismmstvittgatptia; , :,iil:tt:i.vS•::3 :,.. -: • ' • :, -• .., . -• .•-• .,.-' . :% . PLAN R
New construction 0 Addi I- 44/ atfiliebatkitiq Please check all that apply:
D Demolition 0 Other: ['Service over 225 amps, comm'l OHazardous location
r ,,
,,,,, ,,, 7,;ii4. ,„; s. s , =:- --s u .--e...,.4, ; 1,.. : „, 0 , • ,,, i. , ,,,,:, , ,, ,;,,:,„,.,„ ['Service over 320 amps - rating 0Buildng over 10.000 sq. ft
• .: :,, ! tsiS'.!:' s,.,..e , i'L . Pt;: - 7 - 7,;':.::::::'-:!;:;;iii] of 1- and 2-family dwellings 4 or more new residential
0 I - and 2-family dwelling M Commercial/industrial 0 Accessory building DSystem over 600 volts nominal units in one structure
D Multi-family D Master builder 0 Other: ['Building over three stories (=Weeders, 400 amps or more :
['Occupant load over 99 persons ['Manufactured structure or
,-. : ]. .. - t. i .;!. , J' '91 v , 11000041.7101.A040..RVAPN....... : DEgress/lighting plan RV park
Job no.: Job site address: 10600 S t.-t 6, r etc, bu re Rd
['
...../ Health-care facility ['Other:
Submit 2 sets of plans with any of the above. -- -
City/State/ZIP: -P /6 at / a e),,e, is' zao The above are not applicable to temporary construction service
talit Idglapt. no.: /00 I Project name: Si-e-4 .17,1.10 41;miogq,!,,.:,.4:f:i:.,:-iitgo::$0,00>,ut:E
Description I Qty. I Fee. i This'
Cross street/directions to job site: via ri 00-- f.) .
I: New residential single- or multi-family dwelling unit.
Includes attached garage.
P. 1,000 sq. ft or less 145 15 4
Subdivision: i Lot no.: Ea. add') 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
4441' .40 ( 4 '1) : i. ""
'.' 4 .F• ::"r ' :g. - Y' k;• - ,,1- - 4 -..11iciilif.074i1111:;:i ., :i11:i1•1 1 iili1Aiii1 1, 1:; 1 NfiC11it Each manufactured or modular
dwelling, service and/or feeder 90.90 2
A--t W VON V0 Ctala- ( rt c
I -....J Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
2 , - 1
• ', 401 amps to 600 amps 160.60 -.
..
Name: S4e.wa,r1 - I I . 601 amps to 1,000 amps 240.60 2 I
Address: ,;j;20 ,.-> LC) lout ave, -, iqo . Over 1,000 amps or volts 454.65 2 1
Reconnect only ' 66.85 2 ‘
City/State/ZIP: ( , ore 7 7.4")/ Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503 ) ,e,0 - 557L . I Fax: (563) c. cio - 557& 200 200 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
1
- I
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 1
401 amps to 600 amps 133.75 _
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel _._._.
1 1
.,.1 - ,s - :'"::, - .7'S: , i:,:?,s ::!,., kingtg01% A.
ervice
Fee for branch circuits with
or feeder fee, each
6.65
Business name: 1 ,ic,b;ci H- 1 ne, . branch circuit
B. Fee for branch circuits
Contact name: , j - without service or feeder fee,
46.85 -,
each branch circuit
Address: r - 604 ,2.,..z2, ,g 7
Each addl branch circuit 6.65 ,
City/State/ZIP: f --_ 3 ,46,,, / 0,2. 67 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (S(,)) 7,2 m
.2_- s.14- Fax: : (503) - 72-2_- 9c" / Al
Sign or outline lighting 53.40 2
_ . .
E-mail: f ,... r v , c flP cled-I I 4-Inc. , (Di-'I Signal circuit(s) or limited-
: ,:"..---- ' `1,'VN44 1-:" . :7, e..!;,siM' „I :1,4 :i4i • V:I1V411.01)111,6 , I;; . ..gi!; , ,i;F, energy panel, alteration, or •
extension. Describe: 1 Page 2 , 2
Business name:
j 11 me ets ethove- 1
Address: V Each additional inspection over allowable in any_of the above
.....-- Per inspection 62.50
City/State/ZIP: N.
Investigation per hour (I hr min) 62.50
Phone: ( ) I Fax: ( ‘;/:**\ / Industrial plant per hour 73.75
i=1,11F::?.l.Vni:;!!;:!!:ticA,V;Bgttgrlr.:ITES.* .
CCB Lic.: f I 64 33 I Electrical ic.:3- q qeLasu.- Lic.: 3 1 ei 2_,TLE cm'
Subtotal is --
Suprv. Electrician signature, required: • / V " Plan review (25% of permit fee)
State surcharge (8% of permit fee) 4, eLe'
Print name: - AD a ._ ,..... . 4 _ i v 4.- 0._S Date: 3 /25/
or 1
TOTAL PERMIT FEE
Authorized signature: rit,......--/' This permit application expires if a permit is not obtained %Rhin 180
days after it has been accepted as complete
Print name: j , - 5 y 0 co 6 Date: . 3123/0,5" --- • Fee methodology set by Tri-County Building Industry Service Board
•• Number of inspections per permit allowed.
i \Buildinecemits\ELC.PcrmitApp.cloc 12/03 440-4615T( I 0/07JCOM/WEB
•
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CITY OF TIGARD
I BUILDING DIVISION PERMIT ELR2005 -00057
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24/2005
Phone: (503) 639 - 4171 "�'g4puy�iiillwl
Inspection Requests (24 Hrs.): (503) 639 -4175 ' :_..
INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7:05AM PAGE: 72
SITE ADDRESS: 10500 SW GREENBURG RD 100 CLASS OF WORK:
SUBDIVISION: LINCOLN PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: STEWART TITLE
DESCRIPTION: Voice and data cabling.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: TELEDIGIT INC PHONE #: 503 - 722 -8084
Inspection Request Scheduled For: Date: 3/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 003293 -01 603-784-4100 N
Corrections /Comments /Instructions: G
C C
°4 7
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /
/V
/ Date;_' -- J ---- Phone #: (503) 718-