Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00660
COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: 1 branch circuit for HVAC
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: SIGNAUPANEL:
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: 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 SUNSET HEATING & COOLING
ONE SW COLUMBIA ST #300 0607 SE IDAHO
PORTLAND, OR 97258 PORTLAND, OR 97239
Phone: Contact #: PRI 503 - 234 -0611
FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE C 117
[ELPRMT] ELC Permit 1 1/15/200( $46.85 LIC 161085
[TAX] 8% State Surcharge 11/15/200( $3.74 SUP 4638S
Total $50.59 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 1.800.332.2344.
Issued By: Permittee Signature: l pa
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.
Nov 15 06 01:45p p.2
• .� c'clQi' ✓ It)ItUFI It l: �I:O�1.1
Electrical Permit 11 atio
City of Tigard 5 20Q6 B l l Iff p i fiiiiiYYi��_ o(- O„ - Received
13125 SW Hall Blvd., Tigard, OR 974a \I Plan Review
u..-e
Phone: 503.639.4171 Fax: 503.598.1960 i iOARO e I i, Date/By: Other Permit:
Inspection Line: 503.639.4175 - CIO O� 0 r el � Dare Ready/By: luris• El See Page 2 for
Internet: www.ci.tigard.or.trs ��1Q.l�`b
O ®�� Notified/Method: / Supplementalloformation
7"7. x f ^ �•• "�,. i y '� H 5'-ti z �. '�ca [ '3� i � _ r T }'k .... `- ,, ' 7,�r'.•-��fi°� � ■ '.*1., .J[ :'P .. Tv
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1 . .. - "ry '�:. tail. B .. � ^ - 1 - -- b1Z,?•L...:: -.d �.n,a:S..: '!�riu?' i'r , ._ - s
❑ New construction ® 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.,
:1 N ...- 5?�`sn g n u • -,rv- 4 .r , t . K .F s- z F =-.",n can(- ,,-. .,tom s
y ; � ' ," ,4i -taW "` :• r � - - A ,.. ,- t ; n:h:.: � ' E4 • s t 2 :;:' Lt':�.� . r`� . r ' - of 1- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling ►'d Commercial /industrial � Accessory building ['System over 600 volts nominal units in one structure
Multi-family 0 builder 0 ['Building over three stories ❑Feeders, 400 amps or more
❑ Y Occu ant load over 99 persons anu red structures
k ... '" r .--4:-. ^I : •' -a - r '�-�. �.�* s"" .�s: RV D t ❑Egre ss/li g htin g p lan
�W!f M ctu ructu res or
u:.�4. " ?., �• iAf b '3'.3��.6;J - .u... Z ...�F ' �.. .4'. .. i. .r'Z� .. R
no.:Si � ❑Health -care facility ['Other: no.:.� �j'� Job site address: I L? �; (; S Lk t I N l�llr)i 1 { 1, Lt Submit 2 sets of plans with any of the above.
7 u The above are not applicable to temporary construction service.
.�
City /State /Z1P: � /- j' ?,).� h,. . _. f,`
Suite/bldg. /apt. no.:�p I Project name: f -ktijr1t1 WTI
::;
Description I Qn. I F ee. I Total I ..
Cross strect/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: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: t
_ _ Limited energy, non - residential 75.0) 2
'3"'�R „;.;::2;ik ;�`a't� SNIA t 4 t1lfl!i (1, 45,Y� = �:,: Ti s. ,. � y' .. r 'w .. Each manufactured or modular
.. .,� s., ♦r -[14.. T.��1rr.rntq t0• c:
dwelling, service and/or feeder _ 90.90 2
I C. ft -- h, - ( Lt(,i I:+- IL N2 1 ' Services or feeders installation. alteration, and /or relocation
200 amps or less 80.30 2
+�,�,�i' t-• :. r � ..v iv_ E3 t r w :r • . _ n, ... ,.:..... -s k ;at; ; 201 amps to 400 amps 106.85 2
S» s ' 3 H l... a, . ?,- ,fi - - '' ; ' .,.441% +v :� '* 't`
� � :i . . ..... : ; z :_ : .:r,: - ..r_,;z.[+° , - .� >• �• _'�-' 401 amps to 600 amps 160.60 2
• Name: '. .A...;L i, ( i 1th 601 amps to 1,000 amps 240.60 2
Address: ' Q' V r'/j n 1 Over 1,000 amps or volts 454.65 2
" • r n Y9G(Y 1 ){ . Reconnect only 66.85 2
City/ State/ZIP: I - & 1 ` 2 " j Temporary services or feeders installation, alteration, and /or
_ relocation
Phone: (`_:) )L� 7c r: , - , lCi _ f ' "� L I 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
,�;' :... ig:fi'�r.` _:.;u_,,... 7;i •.;: . s• it . Fgi Fo.... V':"7.'". ... �: -. A. Fee for branch circuits with
service or feeder '= '•.: =' £' s` c s tt ,:? te `fa r f each
�`° " fee, ca
Business name: 6.65 2
branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit I 46.85 ritA 2
Address: Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone' ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
s4,. r V i` si`. 4 ? -i -� : - -c. "V i ;d ap" i f-.`;z = a ;` • energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Sunset Heating and Cooling
Address: 0607 SE Idaho Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97239 Investigation per hour (I hr min) 62.50
Phone: (503) 234 - 0611 I Fax: (503) 234 Industrial plant per hour 73.75
&L': . . X i t%+: e' !('-.. . L Y' > t, ;A:Y•y}}pe:p.Si*cri :F
CCB Lie.: 161085 I Electrical Lic.: C117 I Suprv. Lie.: 4638S Subtotal 1.46., <4'
Suprv. Electrician signature, required: ` - "-- 1 4.,, Plan review (25% of permit fee)
Print name: ess ✓ Date: III 14,)1B 6 State surcharge (8% of permit fee) 3.14
TOTAL PERMIT FEE 3G j
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: 910 pl i A.,,- e li-l'l »o ` ' - I Date: [ t i 111 Ole. • Fee methodology set by Tri-County Building Industry Service Board
• • Number of inspections per permit allowed.
i:\BuildingP mits\E].C-PermitApp.doe 12/03 440- 4615T(10/ll7/COM/wED