Permit CITY OF TIGARD ELECTRICAL PERMIT
^r PERMIT #: ELC2006 -00558
�� DEVELOPMENT SERVICES DATE ISSUED: 9/29/2006
p.- L 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB
SITE ADDRESS: 10200 SW GREENBURG RD 450 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG
Project Description: 15 branch circuits. POLLMEIER, INC.
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: 14 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 9/29/2006 $139.95 LIC 75059
[TAX] 8% State Surcharge 9/29/2006 $11.20 SUP 1965S
Total $151.15 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. ,, 99 . -
Issued By: A �4j}1 ��� �. L/y� Permittee Signature: 1 l2_ 216'_ i T rf
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.
SEP 29 2006 2:10PM WILLAMETTE ELECTRIC ' 5036242938 p.2
G�hOII'
I Cal Permit- ' _ . Hcil� OFFICE us>✓ ONLY
1 t,. ,...a.
o
A f �Y 48 Received
City O • � C Date/B ! 4 _4 gG iEt e:4 v 004
13 125 SW Hall
^ /// Pemm Nn..
Blvd., Tigard, OR 972 2 9 /006 Plan Rev'
Notified/Method: / Supplemental Information
Phone: 503. 639.4171 Fax: 503.598.1
41111 �r. a Other Permit:
_ ili�M'I�I +• Date/I3 :
■ - Date Rc YB Iu ld See Page 2 for
Inspection Line. 503.639.4175 d � N 1,_ _, „� � __,, Ready ,By: g
Internet: www.ci.tigard.or.us , ' V �V j 1'V �
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❑ New construction '' `gLAddition /alteration /replacement Please check all that apply:
❑ Demolition 0 Other: ❑Service over 225 amps, comrn'l ❑hazardous location
__- _ , _ .. : ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft„
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❑ 1 - and 2 family dwelling gl Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
DBuilding over three stories ['Feeders, 400 amps or more
❑ Multi family 0 Master builder ❑Other:
DOccupant load over 99 persons ❑Manufactured structures or
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.:_ :: t ..,,a�.�� :__st: ='e:- -=� :a �<Y - � - Yee = :• tYp.•,r: -:� '_. then
Job no.: ( I- Job site address: ❑Health - care facility ❑o •
Z., - I Q 2...4,6 �' 4S Lar FBA. ww15 � #A Submit sets of plans with any of the above.
City / State/ZIP: 'r 14-441 t & .� 3 The above are not applicable to temporary construction service.
_ M �1III Js ii , ate _g - - , ;,, ,,,_'
Suite/bldg. /apt. no.: }� , Project name: ? .;,;; ^ „ -'' -: .
�T PJ \ t� Iti Deserfpttoa r Qty. I A FFe. Total . I . _) ..
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Cross street/directions to job site: New residential single- or multi- family dwelling unit.
r� Includes attached garage.
,� j i Col-f2- S-0 I{ c V 1,000 sq. ft or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
; :an i-' a. �-.f ,: ,- 'r.' ., .ii, �,,. _ a?., )1i;i .n tI. � i Limited energy, non - residential 75:00 2
_ ,.,l.,t „- _ - „M;Fr: _.ti,�_,sn . � ; h� •• Each manufactured o "r modular
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rye dwelling, service and /or feeder 90.90 2
�1C� /,.:. n w o., „ i Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
, 5 -_ : ''''''''01/."'"'"' 10- r.. 1 amps to 400 amps
•,r.; t - - ^,. - _ . ,, , ; . b ? I~%i - -f :- �:r.:r .1_ i` ° • ` ` °``-•. t„ ai1. = - p 201 l
_t.„ :, - : r` _ �I Y' , �i,. � - ,r ; ;.L-m7 ri, -..` - .- ..i,•___ ., -. � ,- ,- . -:Ii«= i
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Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Fax:
Phone: ( ) ( ) 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 1 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
; , _r._LL ltl`l . , --a iF iii Y r - .tt r. r 3 rr„ Ys tr . » g;ty ✓ i' "•$ i, ... __ If it A. Fee for branch circuits with
" service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: _ Each add'l branch circuit J i 6.65 I a(3 t g- 2
City/State /ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
?:, -. :;: ,� +
_.., _ ;:sr, ; -- aa, 41�ij:� . " r - - : 1;• _ „ :5 :i_cn' - ' :;43i„. t.--: energy panel, alteration, or
:5 s_:iz4 �,.. tl§:,' � `�s• _ ...Siwiti:<, _ , . M _cs .�.._ ., ri.. .rirT.•=- _.__.._t_.�.,,. --
_- •��, - -3 Y �,- �i ^�•� t�'�- : ff a11 extension. Describe' Page 2 2
Business name: , ; Il a,4, et.- - z El et; f'r - r.. ‘
Address: pc) . D �y Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: T ■ g ar C) 19 he 9 7 2 2) 1 Investigation per hour (1 hr min) 62.50
Phones
( S 6 - 3 3 Fax ( J ) 6 `o - Z `) 3 e Industrial plant per hour 73,75
) � `Y :.re",W. :r_::Y .u;? SPVtu kf�l '� -. :1`.a 3 rr i __.,_.__ • CCB Lic.: 75 S y I Electrical Lic,: 3y-Zv„3 C Suprv. Lic.: a Z‘ - •S' Subtotal l Z 3
Suprv. Electrician signature, required � ,„. .,w_..- •-'"""' "'- ""- -"+ --- - _ -••
Plan review (25% of permit fee)
State surcharge (8% oat fee) //, 26
Print name: �' Date: I o - 2.,. p4 TOTAL PERMIT FEE / s' l;),..- signature: . This permit application expires if a permit is not obtained within 180
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 \pennits\ELC- PerrnitApp duo 12/03 4404elsr( I(L02/COM/WEn
• CITY OF TIGARD
A •
BUILDING DIVISION PERMIT #: ELC2006-00558
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 909/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A■ 4E.
INSPECTION WORKSHEET FOR DATE: i On eV2006 TIME: 7:03AM PAGE: 6
SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLMEIER, INC.
DESCRIPTION: 15 branch circuits. POLLMEIER, INC.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3531
Inspection Request Scheduled For: Date: 10116/2006 Pour Time:
Code # Inspection Description - o • ii # Contact # Message
I99 Electrical final 038261-02 503-624-3631 N
Corrections/Comments/Instructions:
PASS n PARTIAL APPROVAL n CANCEL El NO ACCESS
I I FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
&--
Inspector: t t\i GA (...------ Date: 16 i6 AC Phone #: (503) 718- Va__
. , .... . .
�r--� , — ---� ' .
CITY OF .
��nn w n��w TIGARD
. BUILDING DIVISION PERMIT #: ELC2006-OO668 '
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9V29/2006 `
Phone: (503) 639-4171
Inspection Reque�m(24Hm.):(5U3)G3S'4175 �- «���
INSPECTION WORKSHEET FOR DATE: 10/16/2008 TIME: 7:03AkA PAGE: 7 '
SITE ADDRESS: 10200 EWGREENB[]RGRD450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLMEIER, INC. }
DESCRIPTION: 15 branch circuits. POLLMEIER, INC. �
OWNER: EOUITY OFFICE PROPERTIES TRUST, PHONE #: i
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503'624'3651 '
.
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: ' `
Code # Inspection Description . -onfirm / Contact # Message
130 Ceiling cover 030281'01 603624-3631 N
Corrections/Comments/Instructions:
•
•
•
•
'
i(pASS .
7 PARTIAL APPROVAL 7 CANCEL I I NO ACCESS
FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
�� *� ���� K �'
Inspector: »�C �� ���� ���� Date: Phone #: (503) 718- 2-46
CITY OF TIGARD ��'
mac.
BUILDING DIO PERMIT #: ���� 7j -
13125 UILN
SW Hall Blvd TigardVISI NOR 97223
DATE ISSUED:
Phone: (503) 639 -4171 . pd 1 gm� i dl l �l
Inspection Requests (24 Hrs.): (503) 639 -4175 ! r__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 67-1,7 4041
SITE ADDRESS: ���& / 922 5 j) mil/ �'Ut // CLASS OF WORK:
SUBDIVISION: LOT #: 1 Y TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: W 4/41 1 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # /7,-5 G°V
Inspection Description Confirm # Contact # / Message
ei/ PGr�� d OP k t 3h 3/
Corrections /Comments /Instructions:
•
I gt PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6) ...4 N € L Date: 1 o 3 ob Phone #: (503) 718-1-141+10