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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00589 DEVELOPMENT SERVICES DATE ISSUED:. 8/22/2005 a�11� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1 S135AB - 00900 SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C - P SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT : JURISDICTION: TIG Project Description: T.I.(1) temp service, (21) branch circuits. Job # 197521. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 21 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 - 412 - 4800 Phone: 503 - 234 -6564 FEES Reg #: L1C 72942 Description Date Amount SUP 3447S ELE 37 -546C [ELPRMT] ELC Permit 8/22/2005 $246.70 [TAX] 8% State Surcharge 8/22/2005 $19.74 REQUIRED ITEMS AND REPORTS Reversal - [ELPRMT] ELC 8/22/2005 - $246.70 (additional fees not listed here) Total $223.02 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: 9 Permittee Signature: p 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. . Electrical Permit Application, " FOR`OFFICEUSE ONLY , City of Tigard DateBy a Permit No.: 0 C , 13 SW Hall Blvd., Tigard, OR 97223 5 Plan Review Phone: 503.639.4171 Fax: 503.598.19610 1 J 2008 ,��//a�n�g� al\ Date/B Other Permit: Inspection Line: 503.639.4175 . i.J. 0`I - , Date Ready/By: WM 2 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information " .6:.. °?�' =°,. '"Pai. =, l -'�.< !:i �i:u , �:rael, N'.;�:' •Us., ;%r i h.. , >; ? , W'' Fir "WQRK :; w: , > x , . ;.`P f ` ` L NiRE�?IEW s.�' ,.i� a. � .', � -< ... � ..� ,�(T.?3:;T3�`�'3 `w sr�s.:�•a1'� .. � ... ��':r'�s- :�c� „ �cag „':'�.: ;._:, ` 3'� . ,_. . ❑ New construction Addition/alteration/replacement Please check all that apply. ❑ Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other: Service over 320 amps — rating ['Bulldog over 10,000 sq. ft., ' t� e".��° , O T a E © Gd1 3'RI'JCT)a0�1,� .� ,, s . ' of 1 -and 2- f2-family dwellings 4 or more new residential , a' 4 ' ��: ?a .� %�� :,..� &:..,- �.�mat..�x�•� =� .. ``: t:,»� sxsc�s ai , .. �..� .G*w:... ❑ 1- and 2- family dwelling ommercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more ,, persons red structures or ❑Occupant load over 99 pe ['Manufactured 1 `' °t �"aP.r�la ' r0 Ofi1H.+ 4 hl O'OATTOI\t -4r _: ❑ Egress/lighting plan RV park ❑ Health -care facility Job no.: IY-J5 a Job site address: /02005' 1.17 0/d "Ce I3U ❑ abov Submit 2 sets of plans with any of the above. City /State /ZIP: P c, b e. The above are not applicable to temporary construction service. Suite/bldg. /apt. no.:(a vCtL ( Project G Description Qty. Fee. Total ^ ' ":,: „ j FEE* SGH=EDT)'L1E ; °'Wi<,°. '. ro ect name: „V Q " !" �/� l Cross street/directions to job site: ye0 V 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'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 �':r" - ;. ,,,; ;j .., .. .,e< a *^ :, te ..a s. =, N»-;�* a t�n i Nciosz*- i 5,*:� r: r i ' l Limited energy, non - residential 75.00 2 ` i * ;, _ ; ; ' t om ; „ , _ DE S, C R I w PT I O. OF;,FO '!=,--- . ;. _ , Each manufactured or modular dwelling, service and /or feeder 90.90 2 ✓ � ;� / '�,/5 �il/e!?'J ,e.....-4.--,-7/— Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 a o W,x z.g P P 201 amps to 400 amps 106.85 2 i `M r: TENANT ,a; °3:: :1` j 401 amps to 600 amps 160.60 2 Name: �, U I; 4 V b ,(4 G. 601 amps to 1,000 amps 240.60 2 '� Address: / L c ' _ nr74ra,W56/D / 24 e, Over 1,000 amps or volts_ 454.65 2 Reconnect only 66.85 2 \ V City/State/ZIP: i.�G 41C�a f 0 IL ' q 7 Temporary services or feeders installation, alteration, and /or X ( � �, Phone: F relocation i yid ax: ( 3) "a 200 amps or less / 66.85 Z 1 k Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 r) 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 ,APPLICANT "WV E n S ,❑ LON E ej,ptrSO >> A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: ecfric branch circuit (ILL k kt 'LI C ontact name: B. Fee for branch circuits w ithout s ervice or feeder fee, ,J/ 46 2 t each branch circuit �) =t ` Ad dress: C� (� s � l Each add'l.branch circuit y l �i i� 6.65 2 7 - City /State /ZIP: P ''---Uu„VIC) Oe_ C l - 72-i li Miscellaneous (service or feed‘ not included) i3 9 ,63-- ) Phone: (W3 2,3 `l (O LI Fax: : (6.1-), f? 2_ / Pump or irrigation circle 53.40 2 Sign or a) E - mail: �KL,trO( j C (WI ” . jr) i\C)C (ci•ri " Signal circuit(s) t torllimited- 53.40 2 €c. . `sue , °,,. r . TOR . ..._. 1'ryw^ ,, t k..r�; y x `r ; energy panel, alteration, or ;a. . �, :: s . „ CON�T R.4C°� . ��-;� �`. > a � , _ _ «�t' gY P S extension. Describe: Page 2 2 Business name: ( c ( ' 4 � e , (. / � J (-L� I I CO. l Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour (1 hr nun) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 031:4', .ZI I EGTRICA REERM-IT ,FEES* K�,"w rs r ` ' ; "_ . CCB Lic.: ---7.2_9 "1: 2_ Electrical Lie. 7� Supr Lie. 3 ��1. 5 , 0 ' Subtotal 2y. 76 Suprv. Electrician signature, required: `( �� 1 I Plan review (25% of permit fee) , \._�� f � 52- „ate surcharge (8% of permit fee) l Print name: Q� A-e_ Date: I • • �� 1 G 9 3 TOTAL PERMIT FEE 'Z Authorized signature: This permit application expires if a permit is not obtained within 130 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building lnrIn. cP..,;,•o R^ ,,t- ** Number of inspections per permit allowed. i:\Building\Permits\ELC- PermitAppdoc 12/03 440- 4615T(10 /02 /COM/WEB ■ Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls • ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i \ Building \Permits\ELC- PermitApp.doe 04/03 CITY OF TIGARD A BUILDING DIVISION PERMIT #: ELC2005-00589 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2005 Phone: (503) 639-4171 n aW Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 85 SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: C PROJECT NAME: NORPAC DESCRIPTION: TIP) temp service, (21) branch circuits. Job #197521. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800 CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-234-6564 Inspection Request Scheduled For: Date: 11/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020629-01 503-.201-5806 Corrections/Comments/Instructions: • PASS I I PARTIAL APPROVAL El CANCEL • El NO ACCESS FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ' I Inspector: Date: / — 5- NS Phone #: (503) 718- CITY OF TIGARD .. . . BUILDING DIVISION PERMIT #: ELC200&00589, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2005 Phone: (503) 639 -4171 , � / dkp:yu f1 Inspection Requests (24 Hrs.): (503) 639 -4175 :..�_el sAl INSPECTION WORKSHEET FOR DATE: W13/2005 TIME: 7:05AM PAGE: 78 SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: T.I.(`i) temp service, (21) branch circuits. Job # 197521. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800 CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503 -234 -5564 Inspection Request Scheduled For: Date: 9/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 13 Ceiling cover 015477 -01 503201 -5806 N Corrections /Comments /Instructions: D . }-V A,, , s LA. \40 Ca 1, i 4 Lr 6 91 ' 9 , , i \b PALL sc i0 ■__\-- V� , �� (11 1 I Gfr\I .1oi , S (AN 0 c 0 (.-\) ) b WV C 0 N ‘R A 1 4\r \ -., S t- ' '' ° k) '� \ A) 1 s '� i \ \� V \\ g J 1 l C t JO 1-6 )N : 1.-\ II ( l r - - I - Pt G riM0. -5 - , 'o z 15 13 `1 co4kfc,E b Li4LL 6z:v\- w 10\;\ 4\\ m TO -n-‘15, ►4, el"--00f\I W h � J- MA s' L hki.l a1Ii\fi a )D 1 -o/v PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C3-- - -- ' G ` Date: j i/ 3 f Phone #: (503) 718 - — I CI OFTIGARD . __ BUILDING DIVISION PERMIT #: ELC2005 -00589 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 822/2005 Phone: (503) 639 -4171 It 1 Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 8/23f2005 TIME: 7:05AM PAGE: 57 SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: T.I.(1) temp service, (21) branch circuits. Jab # 197521. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503- 412 -4800 CONTRACTOR: BROADWAY ELECTRIC - COCHRAN INC PHONE #: 503.234 -5564 Inspection Request Scheduled For: Date: 8/23/2006 Pour Time: Code # Inspection Description �onfirm Contact # Message 120 Electrical rough -in 0141 -01 503 - 201 -606# N 123- W Cs: _ ■ Corrections /Comments /Instructions: • &PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `3 T'czt N Qs L Date: S '23 ' - Phone #: (503) 718- 2RAIr