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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00854 ik A D EVELOPMENT SERVICES D ATE ISSUED: 11/1/2005 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C - P SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG Project Description: Service for generator. 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: 1 1st W/O SRVC OR FDR: 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 BROADWAY ELECTRIC - COCHRAN INC ONE SW COLUMBIA ST #300 626 SE MAIN PORTLAND, OR 97258 PORTLAND, OR 97214 Phone: 503 - 293 -2745 Phone: 503 - 234 -6564 • FEES Reg #: LIC 72942 tion Date Amount SUP 3447S Descript • ion ELE 37 -546C [ELPRMT] ELC Permit 11/1/2005 $106.85 [TAX] 8% State Surcharge 11/1/2005 $8.54 REQUIRED ITEMS AND REPORTS Total $115.39 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- 2 Iyc Issued By: . c4,11&Li Permittee Signature: y, _____ - 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. 199460,5— 2 38 t r[n , +- ?"., . r I r si, s f a z ,. , ` w ,: X 2 -i 4 `K '1'' Electrical Permit Appli ? , r K l FOR O FFICE USE ONL q z ' S ? Aie t , y d e.,.. �a "City of Tigard 3 "' t�F/ Dateiv ^ 6 / PeratttNo. (31 g Ala 13125 SW Hall Tigard, OR 97223 Plan Revie • // , (,FV Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 f 'G( I Date OCT aa � � qr Date Ready/By: luris El Se Page 2 for Inspection Line: 503.639.4175 67 L „, 7 { , ' ! ill .t., , g Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information �a, j,�3 eYri ` a -°' " ..$$`w`�i;:- �n7a�;�"tr :d �z> a a 5_;,, ait p. «'9 > :v ,i r' e; , � a ; ;;': r�= „ ��.. Y .... ^ RF?” .....s..:. k .. ,? gl ,;:oU , t ` ,'' :., "ki° s � , t � a ; r :,:,i- es A - 1' 141giai ..V ., Additiori/alt a$", °? ;_e' + ,;. °' `• ;1 ar. . ',� , N , : : - , ❑ New construction GI er' dn, l INC Please check all that apply ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l EHazardous location • Ft �t �, � � r „ ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., 4 - t :6 ' r 0 , , C0 1 TJ` T�O W.� ; ,�V :' s y g of 1- and 2-family dwellings 4 or more new residential ,»i,'5 : .. YS�s. . r.. .71: : :: ... � a z 4 ,.. szw •, _ • vos.^ � axa..a._._ ... t:7"f:31'17a . .,.r - »..r,. i .= ❑ I- and 2- family dwelling II_ " ommercial/industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure ❑Multi - family ❑ Master builder ['Building over three stories ['Feeders, 400 amps or more ❑ Other ['Occupant load over 99 persons ❑ Manufactured structures or - i -k ©B, - It art 4 ;` 0 •• '� ` t i � . " t ' r ❑ Egress /l i ghtingplan RV park d eg^ - , . . ... „ert. :;-.t rte .,• ' ,„., ...,, .n,. _ _ � a , ' t':� 90 G O ❑Health -care facility ❑Other: Job no.: Job site address: nn __ � /2 J 4 93 �t ��� Sits IrYL° L'ti Submit 2 sets of plans with any of the above. City /State /ZIP: G 2, f'L Q (2. r The above are not applicable to temporary construction service. • Suite/bldg. /apt. no. s Project name: A p74'.. " Description t S "' °' SGHI T� LE`_ i`.. ption Qty. Fee. Total Cross street/directions to job site: �+ 7 New residential single- or multi - family dwelling unit. Z___ C Includ attached garage. 1,000 sq. e. ft. or r less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ``ee r "�`f „R•, _ , ,, Limited energy, non- residential 75.00 2 4 Y .. :, . _ e � o; ,a - x 41 'pti al Each manufactured or modular J 4.17� /�L 'Wile/94e dwelling, service and/or feeder _ 90.90 2 Services or feeders installation, alteration, and/or relocation 1 200 amps or less 80.30 2 . 4 y s Y , . §I , ;�,, , 201 amps to 400 amps / 106.85 /06, 52 ' • � ' �''° ' w *' tv.._. � `'"�-' ° ^"`'” 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 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 ). a f =+ ,. "� i mss` 7 y Fee for branch circuits with •k A. ix.~+a - -v).04, •: ' .•^, �� , �,�' - -' '3 �� '. .'1, it iY"? .. _.��k. a _ .. .ra. .a. �z.. .... '. �^ serv or feeder fee, each 6.65 2 Business name: (A d la-, L 0 eC I Y c branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, t each branch circuit 46.85 2 Address: ���C�� '7 Each add'l.branch circuit 6.65 . 2 City /State/ZIP: (, 4/).C1 C0 r/.4 CI ' i Miscellaneous (service or feeder not included) t Pump or irrigation circle 53.40 2 (a)?--) L3 (o • I I (,5r 2 ._ c_, v Phone: L Fax: : Sign or outline lighting 53.40 2 E - mail: / - • 0 6- l) C(, • t va v-) 'YC .0 Mon Signal circuit(s) or limited - fa {�. ;'' '' ,F.ieis;,c br ° i';,ea _ 1 ,,, r •'n e energy panel, alteration, or extension. Describe: Page 2 2 Business name: (Salt` 1 Ci S C I I eQ �' Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour (i hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 CCB Lic.: 7 221 co__ Electrical Lic.: 37 bc Suprv. Lic.: L - s Subtotal /46,, gs Suprv. Electrician signature, required: �� Plan review (25% of permit fee) State surcharge (8% of permit fee) 59 Print name: es A-e.. --, Date: TOTAL PERMIT FEE e753 Authorized signature: This permit application expires if a permit is not obtained within 18 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board "" Number of inspections per permit allowed. i:\ Building \Permits\ELC- PeemitApp.doc 12/03 440 - 46151•(10 /02./C OM/WEB Electrical. Permit Application - City of Tigard Page 2 - Supplemental Information i LIMITED ENERGY PERMIT FEES: F • • for all residential systems combined ... $75.00 Che • Type of Work. Involved: ❑ • udio and Stereo Systems* ❑ B . :Jar Alarm ❑ Gara: - Door Opener* 0 Heating, ' entilation and Air Conditioning System* ❑ Vacuum Syste ' s* ❑ Other: Fee for each commercial system.. (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication In- • llation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and / Paging Systems • ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑�putdoor Landscape Lighting* • ❑ Protective Signaling ❑ Other Total number, of commercial systems: *No licenses are required. Licenses are required for all other installations • i. \BuildinePemuLS\ELC- PamitApp.doc 04/03 { 1 CITY OF TIGARD . BUILDING DIVISION ' ? A PERMIT #: ELC2005-00854 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111/2005 Phone: (503) 639-4171 Jai Inspection Requests (24 Hrs.): (503) 639-4175 us■ --.. INSPECTION WORKSHEET FOR DATE: 12/112006 TIME: 7:00AM PAGE: 83 SITE ADDRESS: 10200 SW GREENBURG RD 500 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: Sell/ice for generator. OWNER: EQUITY OFFICE PROPER nEs TRUST, PHONE #: 503-293-2745 CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-234-6564 Inspection Request Scheduled For: Date: 12/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 023061-01 503-201-5606 N Corrections /Comments/ Instructions: PRVARCNa V I LAf■) RfiVI'ZI/0 Ten- OA SA, C I I i • XMC- ' IVA . • (r 60 k C S3P6 cy-(4h71.00 a Gufv 6'11 . Nu. sl.-41t.1-4 teatz;gir 6tA4lials"6 Ek_ Si f■c Q) ( I Cr& • 5176 iN/‘ v a 6t,ro Lo wiltA Wir crwz.. .--_,.. • Li PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS fl FAIL ALL FOR NSPECTION El ADDITIONAL FEES ASSESSED ,/ - , / Inspector: Date: 12.- ¶1 Or Phone #: (503) 718-24/6 • CITY OF TIGARD BUILDING DIVISION PERMIT #: w"-C 0 o`SY 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171 �rnNN�ii� ,I Inspection Requests (24 Hrs.): (503) 639 -4175 -D.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 02®® SITE ADDRES . Aii1 _ CLASS OF WORK: g:. ` ON: LOT #: I TYPE OF USE: PROJECT NAME:, 5 DESCRIPTION: OWNER: \ PHONE #: CONTRACTOR: ATQSii PHONE #: Inspection Request Scheduled For: Date:3 Pour Time: Code # Ins tion D cription Confirm # Contact # Message ol - s FO Corrections /Comments /Instructions: • A PASS El PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l 1 �° i\ic) &LE' Date: 3 2. 6 ,6 Phone #: (503) 718- 2144 CITY OF TIGARD BUILDING DIVISION PERMIT #p14 `2„a 6 ' 562 5 f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 40 , 44 11100/Iii Inspection Requests (24 Hrs.): (503) 639 -4175 I_� INSPECTION WORKSHEET FOR DATE: D /1.4./ 0 10 TIME: PAGE: SITE ADDRESS: 1 0n o v 0 (,� r � CLASS OF WORK: SUBDIVISION: G Le TYPE OF USE: jaz PROJECT NAME: DESCRIPTION: OWNER: /v_vu PHONE #: ‘?, 5 CONTRACTOR: . PHONE #: / _ %---6 G Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message /9q 6' Corrections /Comments /Ins ruction • tb %(50 S QM i nfl A 6 ACX _V IP -- L6 - 1 - 42,-- , -),'AIL.-- ,I.itgat'i\ . - P., Pk 4 Lk. 1 A.1 L. ---------------- IriThatIMMTagg W WM! 11 II% M %0NZ P va, (Rap J 6) 6kmiN C t)T' 25 ©,ckl. 4 . . 1 I PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS `c FAIL j'4 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: -fie N6 ••k Date: 2 Ok) Phone #: (503) 718- 744