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CITY OF TIGARD ELECTRICALPERMIT
DEVELOPMENT SERVICES PERMIT#: ELC2003-00049
DATE ISSUED: 2/4/03
13125 SW ;call Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003
SITE ADDRr.SS: 10300 SW GREENBURG RD 560
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P
BLOCK: LOT . JURISDICTION: TIG
Project Description: I n s t al (3)
_ — RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF-6R LESS 0 - 200 amp: i PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE I.TG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVCi FDR: 601+amps -1000 volts, MINOR LABEL (10):
SERVICE(FEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS_
0 20U 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: 2 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:
EOP LINCOLN,LLC CHRISTENSON El ECTRIC INC
10260 SW GREENBURG RD 1631 NW THURMAN
SUITE 100 2ND FLOOR
PORTLAND,OR 97223 PORTLAND,OR 97209
Phone: Phone: 503-419-3608 permit
Reg #: 60-341-36M
FEES – SUP 3289;
_---_ BL.F.. 26-34('
Description Date An,ount
Required Inspections
jI LI'11NITI I-J.('Permit 2/4/03 - --- — $1 io .1'S -- -----------
ITAXI 8° Stale Tax 2/4/03 $4,81 Rough-in
Elect', Final
Total $64.96— -
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 ropier of these rules or direct questions to OUNC at(503)24"699 or
1-800-332-2344.
Issued By: Permit Signature: 071/
_ 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 7:00prn for an inspection the next I)LlSine3s day
JAN-31-2003 FRI 03:42 PM CHRISTENSON CORPORATION FAX NO. 503 419 3636 F, 1
electrical�'e�r�nit A 'cation
-- ._ � r Date racelved: r 3 r 0 Pmudt no.:�t_,�'��? -0()10 q17
city of Tigard Fru)ewappl.no.: Expue date:
CiryufTipurd Address: 13125 SW Hall Blvd,Tigard.OR 97223 prstl
atcisau � �Y:�_ Receipt no.:
_ —
Phone: (503) 4391171 Case file no.: Payment tytx:
Fax: (503) 598 1960 „ITY OF i'IGARD
Land use approval:
U 1 &,, family dwelling or accessory X)CI Commercial/industrial U Multi-family U"tenant improvement
0 New corksuucuon U Addili(mn/aiteration/replacement U(mer. —_-- U Partial
Job address: 10300 S41 GREENBL'RG RD 97113 Bid .no.: Sdi►e no.: 560 Tax ria last lot/ru ctxiat nu.:
Lot: Block: Subdivision: _ __ LINCOLN ONE._____
Project name.: TECHNOLOGIES Description and location of work on tetnises:(3)� CKTS ADD FOR TENANT 1M1'kOVEM N'f
F.atimnted data of cant letion/ins on: S 0 TACT HENRY (503)705-5000
Fee Max
Joboot 63-33543 pew fell TOW no.Imp
Business tame: C11111STENSON ELECTRIC, INC. Ne- rrnrttl-�yPe_
Andreas: RMS 2ND FL dwetwR,,,;t.tnrl�;..aartKaarr:�•
City: PUKTLAND stale 2,II'�209'25 servt inctu"-
1 OW 14.ft-m leas —
Phone503 419 3600 Pax: 419 3636 E-mail: _ had Won o►tWnthereor _
CCD no.: 06458 c.bits.He.no: 2ti-34C LimhedenergY trsldevniLl 2 _
City/metro ne.: _ _ limiudrner4y ton-ies�ei nasi 2
` — Euh manufw,iurcd horroe or modulu dwel ing
-- pile ySr} 3 Service ancuoc fealc: 2
Suet o su rviscpA of _ -�, 3 cKrrlce*arfraMtr •lista flop,
Sup.o1MLmill(pnrwf !AN IIRISTOPHER Uwilano:. O as alter]lloa0Iretnn111oa:
_2W amps or less 0 2
201 une to 400 unps —— - 2
Name(print): 40i amps w uav a�np.
Mailing addrt•.ss: _ bpl a+npi to 10(io u.p. 1
City: t�te:� �21P: Over tlklo amps nr volts _ x
�' Reconnect old t
Piwnt: Fax: &•mail: �•�,�,�,�,a kedera-
()caner installation:The installadon is beinf made on property 1 own „llanosr,.ltaafk�,orr�lor.tt,,:�,
which is not intended for sale,lease,rent,ur exchanlle according to 200 amp,or
ORS 447,455,419,670,701. -io us%Lo 4ilo r,mps _ 2
Date. 4111 to(DO acct s 2
Owners signature: --
Broach circolu-oew,alteration,
or exletuMn per panel:
Nam: A Fee for br•ru:h circuits with p irchwe of � 1
Addrtas—_ — i — service or feeler vas.each brunch circuit
_�—tate ZIP Fes for branch efroaiwithout pnr
hase
H. circ 1 6, ` 46 852 ,
1 30
City: � ,�� of servtee tx foeder fx,fast branch circuit;
phone. pgx; E-mail: Each aAdluond branch eircuu:
Nihtc.(Sarrh a orgooder not taco ): 2
7
Each pump or utigadon circle 2
O ssMa Over 225 amm coramemial O Health-cae facility _Lisch sign oroutline liphung
U service over 320 ampr•rating of 102 U Haxatdous location 9i nal s it or ou)in a ialydnd energy Purel,
fattilydwellings UBuildin over I0,t100squenPoetfour or g 5. 2
La System over 1500 volts nominal more restalenual units In one swctutr alters iun,or extension.
,
a Building over three stones U Feedesv.400-nips or more •[kscri don~
Cl Occupant load over 99 persons 0 Msnufaetura !rsveNrrs or RV poc+ Each aid111ottal tttayectioa o•ar the al oxo .In flit,at the 1btK:
O figress/lighungplan Cl 00W _.— --- fertns
Submit__IL-14 of pubs with troy of tlw above. _Invesu on fee,—
--
INe above are trot applimbleto temporm construction sawtce. other —
Permit fee.............. $
Nd all Iurldictim"►zxp crdtt ca*.pkm crit 1�wkwo�^ox'°� anossim
Notice- a permit application permit is not obtained Pian review(at — %) S -
LN Visa U MostrWrd expState
a State surch a(11%) ....$ _—g
Credit card nombtr 4 7_�01 770A1.0-1-42-9-U2 within I go days after it has been � 4.9
BONNIE S 0 S t N1 ' accepted as complete. TOTAL ......... .............$
***,R'k**VISA****
Nom- a n ne credit a 64.96_
r � Asigaa 41U�615(dtItIPCpM1
OCTOBER 2000 +FEE ON BACK OF FORM
ELECTRICAL PERMIT-
CITY OF TIGARD '
RESTKIC i ED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00041
13125 SJV Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/11/03
PARCEL: 1 S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 560
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: I F` l91 Cr-- tDAan I NcaA. RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: x, NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_ TUTAL# OF SYSTEMS: 1
Owner: _-- - -- - Contract.or: �-
EOP LINCOLN, LLC PROCOM COMMUNICATIONS INC
10260 SW GREENBURG RD P O BOX 22288
SUITE 100 PORTLAND, OR 97269
PORTLAND, OR 97223
Phone: Phone: 233-8037
Reg #: MET 4756
LIC 109929
SUP 2933LEA
FEES rLF. ke*714*Inspections
Description Date Amount _ Low Voltage Inspection
[ELPRMT] ELR Permit 2/11/03 $75.00 Elecl'I Final
[TAX] 8%State Tax 2/11/03 $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 b;the Oregon Utility Notification Center. -chose 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 ___-_._---_--------_------_-__-- Permittee Signature_�`
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 7:00 P.M. for an inspection needed the next business day
Feb 10 03 10: 43a procom comm 503 233 8052 p. 2
06/06/2001 15:43 FAX 5038$47297 city o4 Tigard vi 002
Flechical Perdu
- ---- — Due ceeeivsd: - / o3 Pc4rnit nor-./?'2q& Owl//
City of Tigard Projocdappl.po: Doe
CiryefTlgord Address- 13125 SW Hall Nlvd,Tigard,OR 9'1223 003Dateiawod: -- By:✓ Rheeiptna:
Phwir.: (503) 63913171
Fax: (503) 598-1960 (A I Y OF rIGARE) Can file no.: P.ytnenttype;
Land use approval: BUILDING DIVISION
lJ 1 &2(tumly dwelling or accessory U Cummetcial/indsstnal impiovemcA
U New cunstiuctlun U/.ddiu�dal(erarion/replscenll nt I -k�(Jther.n O PatUal
I �
Job address: p 3n ) (�k.'P I z bldg.no.: Suttc nu_,,,)D Tax tn�tax 101/accOuflt n0.'
nG� • S.L. . _ _...
Block: Subdivision;
Project name- j j�.fo d scli and location of work on premises: r°"d Ll]P� c t_.
l?slincerW datr of cuntpletion%inspeclion: --
1 e l
dU)uo: f-. M1tu
--r-- hoetl�j(on :J.ea) lvu,t I nv uu
pnakness naris 1 �4 :l,r1lt..� K K —` 1
Nee.n wlry+iii ru+p}t or mulct-trsmily pat
Ad,lress: - �_► V 47,0ji /;wit larledesatachd0MUCT.
City. 1 State;0 ZIP�q OZ S«riexi+eJ,eiorl
Phone JVFJ t C-mail: .� IOW a .rL or leu
Eloc.bus.Ile.no: F!ch eddid.Ni4 500 sq.(t.or potionaw th
CCB nu.:
�(a4f-il�,i._._. .�" Ur tilcna ,naldenuJ 2
City/mettu lie nv.: J _ Unniledu>,r non residential _ __ 1
r / r Emit mortuttiewrl hone or modular dwcWng
!1 cusum or )sin Jecvi irN( uirnd) ---� Date7 Swig Ind/or For-W 1
Sup.flea twin(ptint): LJrsrlse no-2 ScrrIM or Icederl-rota t oa,
alknUeh or Mloarttsn:
200&Mel or Ices 1
Name(ptiu(): +� 10I unpam40011nps 2
- 401 Imps to 600 wr
Matling address:_ 601 +to Ow + 2
Uty: 5talc: ZIP: Over 1000 ne volts
Moot: —=ax: 6 trail: �••ra+�_ 1
Owltet ulatalla don-The installabon ig being trade tit property I own •64ormW"ireas
which is not Intended for sale,lease,rent,or exchange Ac ording to Inabanatietdna„rwn.rib snant
y00 r or less 2
ORS 447.455,479,670.701.
201 trt�to 100" s _ _ _--
Owners sifpbnturc. Date: 401 No 00"t 2
arnmcb Orrialts-am,aher+rtfoa,
or exter ri•s POT pand:
Name: � /c Ftc for brwich citwiu with purchato of
/►dllresA: .Cruise or(vuia foe.,earn bru+rh citwtt
71Y:
H. hm tut btanch walnut port
circuits hud
0q: ---- � �of navies or ft""toes fires brinrJr eircutL• 1
Ph C". 3 Fa I' 13 Rlal l' —---- Fuh addlnoual brloch cu—•Jl -- -
im.(Sento or feeder set incladed):! -
USovicrM-C.I.,17panism"2W (jMtal,hc Mfr:diry laehpull wuli adoaeht:lo -- —
*Snviec ova 320 uttpa ming or I Ata U Flu tudovs locauon perch at n w uulllne lighun
fatrrly dw11in11 U Ponding ovu 10,000 square fret hwr ex Signal ciccua(t)ora Iltdwi enmity pmel,
0Syctrroovst6Wvolttnominal MMmsdcntwuruuinMWstructure 111MUon,oramuion•
U SoUdMg ova lhret stories U V. Ie ,40(1 amps Of ntore •Dosai eon: _
(]Oearpartt load over 99 pam- 'J ManulacnrreW rrtuc rsuo rx R V pLY "Z=
CI .Hr d.a AW-04e in any Int Ihova
U Gfte"Vbuhong plan U(�11hT —
Sebalt__--.aro of platys with nmy of flat dteve. lovesd admtier
71te above an mot applicable to tespnry consitntflus wvlct.. -
- - -- ............
PeMlif fee
Nin W laudk6aw swr ravfs radk ntM"caU)Unadledoa ver eon YllWWWt%a. Notice,T1tls permit sppliution
Q'1Im O M"WCud capires if■permit it not nbuleed Plan review(ht 46) $
r.•an cad wal.n _ _ -- __L.. L_._ within 110 days.flu it hu been Stm mrtmgc(8961.,..s
o-aepwd as complete TMA.1. .... ............ ..:
Ness•d.rA1K der u 1Yo+7 at seal u)
f
- _..-_-_i .,ae.r„n --A,w�at aaD101l tfa0Yl:OM1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 &3� ' �
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP) 3-Oo4d
Received —DateRequested—t �Z� AM— , PM �Z' BUP
Location _ _w"" Suites _ MEC
Contact Person h( ) 2 OS 0 PLM
Contractor _ Ph SWR
ILDIN Tenant/Owner
7-7e-617') ELC
� N a --_
Footing — ELC
FoundationAccess: N�
Fig Drain /` , ti,. s ELR
Crawl Dmin ---
Slab Inspection Notes: SIT
Post 8 Beam
Shear Anchors _---
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- -- -
Insulation
Drywall Nailing - - - --
Firewall
Fire Sprinkler — -- - �-
Fire Alarm
Susp'd Ceiling -- - T--- -
Roof •
0.thar: JLP
PART _FAIL
PLUMBiNG �
Post S Beam— -
Under Slab - --------- --------- -
Rough-In
Water Service -----_.----- __ - _ - -- -
Sanitary Sewer
Rain Drains -- -- - ----
Catch Basin/Manhole
Storm Drain ------- - -
Shower Pan
Other: --
Final -
PASS PART FAIL --- -------------� - —
MECHANICAL _-
Post&Beam -T
Rough-In --- - ---- --- - - --
Gas Line
Smoke Dampers --A --- -- - - - -
Final
PASS PART FAIL -
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage —
Fire Alarm
Finai Reinspection fee of$-__ required before next Inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA �
Approach/Sidewalk Data_ A _ Inapactor
Other:
Final — DO NOT REMOVE this inspection reoord hom the fob sits.
PASS PART FAIL
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 ST�Bm
P iLdQU _
Received ^— __ Date R uested 2 fi r_-_ AM_ 12 PM —_ BUP
Location d _ Suite- szvQ MEC
Contact Person — — �— h( -) �� �Ct'3 PLM -- --
Contractor -__— Ph(__-_--_) — SWR
BUILDING_ _ Tenan'/Owner (�� � _ 1C����(� ELC
Footing ELC
Foundation Access: r
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes - T -.
Post a Beam _ _— �!�_.L _
Shear Anchors TI: --
Ext Sheath/Shear _—
Int Sheath/Shear - -
Framing - -- ��-` r —
Insulation
Drywall Nailing
Firewall -Z ���c L,
Fire Sprinkler --�
Fire Alarm
Susp'd Ceiling `� -
Root CS.
Ot
in As Lih
S FAIL
ALbBING_i
Post 6 Beam
Under Slab ---
Rough-In
Water Service —
Sanitary Sewer
Rain Drains — — ---Catch Basin Basin/Manhole
Storm Drain -- — -
Shower Pan
Other: _ ---- — - -- -
Final --�
PASS_PART FAIL -- `
MECHANICAL _—
Post& Beam
Rough-In
Gas tine
Smoke Dampers —
Final
PASS PART FAIL — — -
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final F] Reinspection fee of$_—__ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS MAT FAIL
SITE �j Please call for reinspection RE:_ n Unable to Inspect-no access
Fire Supply Line
ADA J� 6
Approach/Sidewalk p —L�� — In�+IPActor_ fL" Ext _--
Other:
------------------
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
GITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP
Received _Date Requested _ AM PM— BLIP _
Location _ L' -�C U ' Suite MEC
Contact Person P ) 3 3 P9 PLM
Contractor_ _ Pt,( ) SWR
BUILDING Tenant/Owner __ _— � ELC
Footing
ELG —
Foundation Access:
Ftg Drain EUR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - ---- ------
Ext Sheath/Shear
Int Sheath/Shear
Framing --- --- --
insulation
Drywall Nailing --- --- -- --
Firewall
Fire Sprinkler — --- - - -- ------
Fire Alarm
Susp'd Ceiling — ----- ---- -
Roof
Other. -
Fina!
PASS PART FAIL --�- — ^—
PLUMBING _
Post& Beam-
Under Slab --- ---------
Rough-In
Water Service --- — --
Sanitary Sewer
Rain Drains — -- —
Catch Basin/Manhole
Storm Drain ----- ------- --
Shower Pen
Other - — - -- — -
Final - --- - _-
PASS PART FAIL - - _-- -- --- u
MECHANICAL
Post& Beam
Rough-In ---- --- -- -- -. -- - ----..-- -- -
Gas Line
Smoke Dampers -- --- -- - --- - - - - --- --- -- -
Final
PASS PART FAIL -� - - --- - --------- -- — -
ELECTRICAL
Service
Rough-In —
UG/Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of$____-_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
IS1 ❑ Please call for reinspection RE:__-__- — Unable to inspect- no access
Fire Supply Line
ADA --A.-_�.,2_- __ InsMataF" -- Ext_
Approach/Sidewalk
Other:
Final - DO NOT REMOVE this Inspiration rs from th dols site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Lire: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP -- --- -
Received Date Requested- AM PM BLIP
Location _ _ �' �'C �rJ _- ___ Suite U - MEC
Contact Person Ph( _) _ L' '7L+✓'& PLM
Contractor - Ph( —_ SWR
r BUILDING ienant/Ownr�r _�.,dd C��-'� _ . _ ELC
Footing - - --- -_ EI_C
--- ---
Foundation Access:
Ftg Drain ELH
Crawl Drain
Slab Inspection Notes: SIT -
Post&Beam --__-
Shear Anchors -- -
Ext Sheath/Shear _.�.
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing --
Firewr:l
Fire Sprinkler -- - - - -
Fire Alarm
Susp'd Ceiling -
Root /
Other: -
Final —
PASS _PART FAIL —
_PLUMB INQ-
Post&Beam
Under Slab -- - _ -- ---_
Rough-In
Water Service - - - --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ---- -- - - - ----- - --
Shower Pan
Other: —_-
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampe,rs -
Final
_PASS PART FAIL. -
ELECTRICAL
Service _ -
Rough-In -- ----- ---_
UG/Slab
Low Voltage
Fire Alarm
PASS PART_ FAIL_
U Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE*
I --' Please call for reinspection RE:.—._ _.— ❑ Unable to inspect-no acces,;
Fire Supply Line
ADA
Approach/Sidewalk Date __1�L_ _._ Inpaelp Ext
Other:
Find DO NOT REMOVE this inspection record irom the Job site,
PASS PART FAIL