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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00454 �, DEVELOPMENT SERVICES DATE ISSUED: 8/15/2006 ° �'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 340 ZONING: C - P SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG Project Description: 5 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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 CAPITOL ELECTRIC CO INC ONE SW COLUMBIA ST #300 11401 NE MARX ST PORTLAND, OR 97258 PORTLAND, OR 97220 -1041 Phone: 503 - 412 -4800 Contact #: PRI 503- 255 -9488 FAX 503 - 257 -7121 FEES Description Date Amount Reg #: ELE 26 -496C [ELPRMT] ELC Permit 8/15/2006 $73.45 LIC 48748 [TAX] 8% State Surcharge 8/15/2006 $5.88 SUP 3132S Total $79,33 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: ji ,� \ Alt Permittee Signature: e-27 / - c . CediediCI 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. 1' I FOR OFFICE USE ONLY Electrical Permit Applitaitio Receives , 44_ ; Date /B! Permit Peit no. �.GHi6 _uJ 5. City of Tigard �� A 44. Other Permit: 13125 SW HALL BLVD., TIGARD, OR 97(� j G 1 �J 2uO6 L Ai ja Phone: (503) 639 -4171 Fax (503) 598 -1960 ?C OF TIGARD Date Ready /By: Juris /� See Page 2 for Inspection Line: 503- 639 -4175 �. k . fir t llky � Notified /Method: / Supplemental Information Internet: www.ci.tigard.or.us - ,.,. - -r(' Te; TITIVin k. - ` t ^ !, Mk OF':WORK PLAN REVIEW Li New construction ❑ Addition/alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: Cl Service over 225 amps, comm'I ❑ Hazardous location _ CATEGORY OF CONSTRUCTION CI Service over 320 amps - rating El Building over 10,000 sq.ft. ❑ 1- and 2- family dwelling H Commercial /industrial ❑ Accessory building of 1- and 2- family dwellings 4 or more new residential ❑ Multi - family • ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure JOB SITE INFORMATION AND LOCATION Cl Building over three stories ❑ Feeders, 400 amps or more Job no.: 261235 Job site address: 10200 SWGREENBURG RD # 340 ❑Occupant load over 99 persons CI Manufactured structures or ❑ Egress /lighting plan RV park City /State /ZIP: TIGARD, OR 97223 CI Health-care facility CI Other: Submit 2 sets of plans with any of the above. Suite /bldg. /apt. no.: LINCOLN 5 Project name: PNW TELCO The above are not applicable to temporary construction service. FEE SCHEDULE Cross Street/Directions to job site: Description I Qty. I Fee. I Total I " New residential - single or multi- family dwelling unit. Subdivision: Lot no.: Includes attached garage. 1000 sq. ft. or less $ 145.15 4 Tax map /parcel no.: Ea. Add'I 500 sq. ft or portion S 33.40 1 DESCRIPTION OF WORK • Limited energy residential $ 75.00 2 TENANT IMPROVEMENT Limited energy, non - residential 5 75.00 2 Each manufactured home or modular H PROPERTY OWNER .I ❑ TENANT dwelling, Service and /or feeder $ 90.90 2 Name: Service or feeders installation, alteration, and /or relocation EQUITY OFFICE PROPERTIES 200 amps or less 5 80.30 2 Address: 201 amps to 400 amps $ 106.85 2 10260 SW GREENBURG RD. 401 amps to 600 amps $ 160.60 2 City /State /ZIP: 601 amps to 1000 amps $ 240.60 2 TIGARD, OR 97223 Over 1000 amps or volts $ 454.65 2 • Phone: 503 - 892 -2500 Fax: Reconnect only $ 66.85 2 Temporary services or feeders installation, alteration, and /or Owner installation: This installation is being made on property that I own which is not relocation intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less $ 66.85 1 Owner signature: Date: 201 amps to 400 amps $ 100.30 2 401 amps to 600 amps $ 133.75 2 ❑ APPLICANT I ❑ CONTACT'PERSON Branch circuits - new, alteration, or extension, per panel Business Name: A. Fee for branch circuits with I service or feeder fee, each Contact name: branch circuit $ 6.65 2 B. Fee for branch circuits Address: without service or feeder fee, each branch circuit 1 $ 46.85 46.85 2 City /State /ZIP: Each additional branch circuit: 4 $ 6.65 26.60 2 Miscellaneous (service or feeder not included) Phone: Fax: Pump or irrigation circle $ 53.40 2 Sign or outline lighting $ 53.40 2 E -mail: Signal circuits(s) or limited - CONTRACTOR energy panel, alteration, or Business Name: CAPITOL ELECTRIC CO., INC. extension. Describe: Page 2 2 Contact name: Each additional inspection over allowable in any of the above Per inspection $ 62.50 Address: 11401 NE MARX ST. Investigation per hour (1 hr min) $ 62.50 Industrial plant per hour $ 73.75 City /State /ZIP: PORTLAND, OR 97220 -1041 ELECTRICAL PERMIT FEES* Subtotal 73.45 Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee) State surcharge ( 8% of permit fee) 5.88 CCB Lie.: 48748 'Electrical Lie.: 26 -496C ISuprv. Lie.: 3132 -S I TOTAL PERMIT FEE 79.33 r- This permit application expires if a permit is not obtained within 180 Suprv. Electrician signature, required: ) 44/4 440 A r / rL days after it has been accepted as complete Print Name: DARRELL MCNEE Date: 08/10/06 * Fee methodology set by Tri- County Building Industry Service Board * *Number of inspections per permit allowed. Authorized signature: /..1 Print Name: DARR LL MCNEEL • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00454 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2006 , Phone: (503) 639 -4171 fit " Inspection Requests (24 Hrs.): (503) 639 -4175 1L. INSPECTION WORKSHEET FOR DATE: 9/28/2006 TIME: 7:02AM PAGE: 30 SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK: • SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: PNW TELCO DESCRIPTION: 5 b anch circuits. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503412 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 255 -9488 Inspection Request Scheduled For: Date: 9/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrica I 037304 -01 971 -227 -4267 N Corrections /Comments/ i . : XRASS I l PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL l I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED 0 e°L Inspector: v Date: 841_106 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00454 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 80160006 Phone: (503) 639 -4171 d1A lt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/2712006 TIME: 7:07AM PAGE: 36 SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: PNWTELCO DESCRIPTION: 5 branch circuits. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603 -412 -4800 CONTRACTOR: CAPITOL ELECTRIC CC) INC PHONE #: 503 - 255 -9488 Inspection Request Scheduled For: Date: .9/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 037218.01 971 -227 -4267 N Corrections /Comments /Instructions: ? OV CP kft c.c..1,6 lAriti4 NJ Pr ❑ PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL AI CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: V 1468 Le Date: I. 0 Phone #: (503) 718- *101_ CITY OF TIGARD _ - BUILDING DIVISION PERMIT #: ELC7006-00454 13125. SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1 12006 Phone: (503) 639 -4171 Ah,.. ry Inspection Requests (24 Hrs.): (503) 639 -4175 -_ INSPECTION WORKSHEET FOR DATE: 9/15/2906 TIME: 7:06AM PAGE: 40 , SITE ADDRESS: '102Q0 SW GREENBURG RD 340 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: PNW TELCO DESCRIPTION: 5 branch circuits. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 - 412 -4800 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503 - 255 - 9488 Inspection Request Scheduled For: Date: 9/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 036598 -01 971 - 227 -4267 N Corrections /Comments/ Instructions: • I. / ►_. PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I F' I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: , 1V 0P L Date: 9, do Phone #: (503) 718 - 1A42_____ CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC200 00454. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2006 Phone: (503) 639 -4171 n �� Ql�f�l�� Inspection Requests (24 Hrs.): (503) 639 -4175 ...,10 INSPECTION WORKSHEET FOR DATE: 8131/ 2006 TIME: 7:00AM PAGE: 32 SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: PNW TELCO , DESCRIPTION: 5 branch circuits. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503. 412 -4800 CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503- 255 -3488 Inspection Request Scheduled For: Date: 8/31/2006 Pour Time: Cod- . - _ ..n Description Confirm # Contact # Message . 125 Wall cover 035875 -01 971-227-4267 Y Corrections /Comments /Instructions: ' r" ? n , PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: T'. IA 6"' Date: S 6 '1 " 0' Phone #: (503) 718- *q Ilii__