Permit C ITY OF TIGARD ELECTRICAL PERMIT
111 i '` PERMIT #: ELC2006 -00647
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG
Project Description: Electrical TI, (70) branch circuits. Job No. 461
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 69 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: Contact #: PRI 503 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 11/13/200( $505.73 LIC 75059
[TAX] 8% State Surcharge 11/13/200( $40.46 SUP 19655
Total $546.19 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 ru�s 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
503.24(.6699 or 1.80 r 3 _
Issue ( 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
f�
SIGNATURE OF SUPR. ELEC'N: c'� C'__—_ -,: j %f°r / Cj -- 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.
NOV3 2006 8: 35AM WILLAMETTE t/ p� �l ELECTRIC 5038242938 p 2
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Date /B / � fir/ eV 7/0 X" Permit N. f4LA6 - / --1
131 25 ;-;W f lull Blvd., Tiga +'d, OR 9'7223 3 2U , j, Plan Revtaw Othe 1'ei
Phone: 503.630.4171 far 503.598.1960 C „..,,, i i 1 IA, Date/By: - - --
s t D Read /}3 turf° g Sec Page 2 for
inspection line: 503.639 -4175 � �� � ?T �: ate Ready /By: . Supplemental Information In ternet: www.ci tigard.or.us BUILDING DIVIgI(M Notdled/Metho .
Please check all that apply: .
El New construction ' Addition /alteration /rep {acement ❑Service over 225 amps, comni'I ❑Hazardous location
❑ Demolition ❑ Other: ,
r, n dwellings more new enual
Service over 320 amps -- rating w rig o sy.
,. of 1- and family dwell rigs 4 or mor ew iesid
❑System over 600 volts nominal units m one sti ucture
❑ 1 and 2 family dwelling Commercial /industrial ❑ Accessory building ❑Building over three stories ❑Feeders, 400 amps or inure
Master builder ❑
❑ Multi family El Master lo ad Duet' 9 p ❑Manufac trod sttucnues of
. �. �" �-::: 'a, :.., ..;: ....: •.� �` ~� r 'k~'�?E�r'- �.� " w�',�„- - _ aS�'.'��ii ? =�
� ,ta °; ❑ Egress /lighting plan
::.. .. i t--..:. •. ,:c: _�::...__.. ['Other: ;.. ._. = ' ... - . ".. ['Health-care facility --- --
fob no.: Vs‘ I Job site address: /OZ .5 qi t ear b y Submit 2 sets of plans with any of the above.
D I The above are not applicable to temporary construction service.
City /State /ZIP: Ti y ziJ � ' 7 L t3 _ r i. „• _.. _
i1� : Fi 3 ? �- : , i '�_ : = - ` ¢.$' . *ra y „i =' ''
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Suite/bldg./apt. no.: Z Project name: p 8+ "+'i �� t Description Qly. 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'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no. w ..,., _, Limited energy, non - residential 75.00' 2
'•`iy "'•` `'s: `n ``' - 4.wsr a::r', Each manufactured or modular
T Z dwelling, service and /or feeder 90,90
Services or feeders installation, alteration, and%or relocation
200 amps or less 80.30 2
. •, -..- .3 - r� � e n fir- .....�..�.). .4''.l `.I: --E. _ . li 4i:s�v :
.:.... ... _ - . :�� �...; r :r - h..._._< ... , .- _.._ _- ��s` -: .. _ -� to 600 a s 160.60
" :- 40l taps trip 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect unly i 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
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
--
_ - - - rt» - - -e. � ` " =�; = �``i•' -' A. Fee for branch circuits with
- �g� _. -. � -�1.'+_ _ _� 5 •`'�,^i'��..,::5� :- �.rc'j•�',- y �rHx -.: . " ;�. �^
3 `W S'' .$:. - .3r;= 'Anr_o idet, _ it :tat -41: &e "Ih= _...,t?; =:G] •r-_,- ...._ 1,,t`' -t -i: service o f fee each
,'..., .. ..:.�.. _i i.:' i tt, x'.1 .. 3'i. h - �. , 6.65 2
Business name: branch circuit _
B. Fee for branch circuits _
Contact name: without service or feeder fee, r 46.85 yd 2
first branch circuit .
g� 6.65 ''S8 �'1 2
Address: Each add'l branch circuit 6F
City /State /ZIP' Miscellaneous (service or feeder not included)
Pump or irrigation circle 53,40 2
Phone: ( ) Fax: : ( ) Signor outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
,- c sr_ s= . - ::4Ntwr. +_ •-,"--kil ' ''iss :: energy panel, alteration, or
Y < G=_:`� - ^' i;,. c ., ! }- - .,..., - , ._ —F e2 2
..__..- •-- ,.,� =;:w.: .�._- __:.,�_.. _.1 • -. - ... -.. =_: ex Describe: Pag
Business name: , •, L H a,' M > frf—'e 6, / e fr .r— z
Each additional inspection over allowable in any of the above
Address: Q .Oic �ti j Per inspection 62.50 .
City /State /ZIP: T i 9 a.. c ) Ct ie '1 Z ") Investigation per hour (1 hr min) 62.50
e Industrial plant per hour 73.75
Phone: (J� ) L`V ° G 3d I Fax: ( �d ) ° re.. .rrrc'i r „? : ` set;: ta: -4 t=''*`,'.r Q.: tti;: ..- , r . ; -
CCB Lie.: o Electrical Lic.:.S - Z Y ., 5 't I Suprv. Lie.: 4 .'2 Z 6 '- ..
7. S `/ -j Subtotal o9— 73
„� Plan review (25% of permit fee )
Suprv. Electrician signature, requind ° ~': -. -- --�
, State surcharge (8% of permit fee) , L / 9 - 6
Print Hanle: I) ii-) Uare: fr -(7 -o t•" TOTAL PERMIT FEE ..S —_
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Date: 's Fee met'mdology set by Tri- County Building Industry Service Board
Print name: , ''. Number of inspections per permit allowed.
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BUILDING DIVISION PERMIT #: ELC2006-00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11113/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/30/2007 TIME: 7 PAGE: 2
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Electrical TI, (70) branch circuits. Job No. 461
•
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETFE ELECTRIC INC PHONE #: 503-534'3631
Inspection Request Scheduled For: Date: 1/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042706'01 603-624'3831 N
Corrections/Comments/Instructions:
��1 ~AS | | PARTIAL APPROVAL 111 CANCEL NO ACCESS
|| FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �� v ��\��� / ]�� Date: \ in Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1'1/13/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7:05AM PAGE: 16
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Electrical TI, (70) branch circuits. Job No. 461
OWNER: EQUITY OFFICE PROPERTIES TRUST #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 1/29/2007. • • Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042642-01 503-624-3631
Corrections/Comments/Instructions:
C) (4 M C_ 'N\ik‘f R-E51 01\J ‘ 1 1
G .
•
PASS H PARTIAL APPROVAL 0 CANCEL n NO ACCESS
FAIL \ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 6—e (b Li2 Date: (1_, 31 Phone #: (503) 718- 2...1 •
_ _
CITY OF ,TIGARD �.
BUILDING DIVISION J PERMIT #: ELC2006 -00647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639- 4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/15/2006 TIME: 7 :04AM PAGE: 48
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Electrical TI, (70) branch circuits. Job No. 461
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WWLLAMEITE ELECTRIC INC PHONE #: 503 --624 -3631
Inspection Request Scheduled For: Date: 12/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 041133 -01 503- 624 -3631 N
Corrections /Comments /Instructions:
■A) \ a t.`Q (k5 c t vr. _
Wk PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: p WW) Date: Phone #: (503) 718 - 2.,1 (46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639- 4171 u�h�6 'ii
Inspection Requests (24 Hrs.): (503) 639 -4175 1 : _..
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7 :03AM PAGE: 23
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Electrical 11, (70) branch circuits. Job No. 461
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAML I I E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 11/2212006 Pour Time:
Code # Inspection Description . - ' # Contact # Message
1) 040181 -01 503 -624 -3631 N
1. 25 - v4AU.- Go\Va.01•1..�0.
Corrections /Comments /Instructions:
L tart R F-t.oza.
•
•
P ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS
I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ` tV W B Le
Date: 11 4. bib Phone #: (503) 718- VIVO