Permit ELECTRICAL PERMIT -
CITY TIGARD RESTRICTED ENERGY
�y DEVELOPMENT SERVICES PERMIT #: ELR2004 -00276
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/31/2004
SITE ADDRESS: 10220 SW GREENBURG RD 201 PARCEL: 1S135AB-01002
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
Proiect Description: Fire alarm circuit.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST
ONE W COLUMBIA #300
PORTLAND, OR 97202
Phone: 503 412 - 4800 Phone:
Reg #:
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 8/31/2004 $75.00 Elect'I Final
[TAX] 8% State Surcharl 8/31/2004 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questio to OUNC at ( 3) 246 -6699.
Issued by Ai � 47:../.J Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
La Li -111 3 1�A
� ^ % OFFICE USE O► ,,
\ ,1 App l Permit lication Date receive. 1,1 py Permit no.I2'U2/*- —12°
Project/appl. I.: % Expire date: .
' ai AU G GJty t , Tigard Date issued: B - 0IReceipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, OR 97223 Case file no.: Payment type:
639 -4171 Fax (503) 598 -1960
C' „�_ P$�n
BUILD fdval:
TYPE OF PERMIT
❑ I & 2 family dewlling or accessory II Commercial /industrial ❑ Multi- family ■ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
• JOB SITE INFORMATION
Job address: 10220 SW GREENBURG RD City: TIGARD Bldg. No.: 3 Suite no.: 201 Tax map /tax lot/account no.:
Lot: 'Block: N/A ISubdivision:
Project name: KNOWLEDGE POINTS 'Description and location of work on premises: INSTALL FIRE ALARM CIRCUIT
Estimated date of completion/inspection: Sep -04
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 11401 NE MARX STREET New residential - single or multi - family per
City: Portland State: OR ZIP: 97220 dwelling unit. Includes attached garage.
Phone: 503 - 255 -9488 'Fax: 255 -9488 IE -mail: darrell @cepdx.com Service included:
CCB no.: 48748 'Elec. bus. lic.no: 26 -496C 1000 sq, ft, or less $ 145.15 4
City/metro lic.nq.: N/A Each additional 500 sq. ft. or portion thereof 5 33.40
0"14- 8/27/2004 Limited energy residential $ 75.00 2
nature of supervising electrician (required) Date Limited energy, non - residential $ 45.00 2
Sup. elect. name (print): Darrell McNeel License no.: 3132 - Each manufactured home or modular dwelling
• PROPERTY OWNER Service and/or feeder $ 90.90 2
Name (print): EQUITY OFFICE PROPERTIES Services or feeders - installation,
Mailing address: alteration or relocation:
City: I State: 'ZIP: 200 amps or less $ 80.30 2
Phone: Fax: IE -mail: 201 amps to 400 amps $ 106.85 2
Owner installation: The installation is being made on property I own 401 amps to 600 amps $ 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2
Owner's signature: Date: Reconnect only $ 66.85 1
ENGINEER Temporary services or feeders -
Nanie: installation, alterations, or relocation:
Address: 200 amps or less $ 66.85 2
City: State: ZIP: 201 amps to 400 amps $ 100.30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2
• PLAN REVIEW (Please check all that apply) • Branch circuits - new, alteration,
❑ Service over 225 amps - commercial ❑ Health -care facility or extension per panel:
❑ Service over 320 amps - rating of l &2 ❑ Hazardous location A. Fee for branch circuits with purchase of
family dwellings ❑ Building over 10,000 square ft. four or service or feeder fee, each branch circuit $ 6.65 2
❑ System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase
❑ Building over three stories ❑ Feeders, 400 amps or more of service or feeder fee, first branch circuit: $ 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: $ 6.65
❑ Egress/lighting plan ❑ Other: Misc. (Service or feeder not included):
Submit sets of plans with any of the above. Each pump or irrigation circle $ 53.40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 2
Signal circuit(s) or a limited energy panel,
alteration, or extension* 1 $ 75.00 75.00 2
*Description: FIRE ALARM CIRCUIT
Each additional inspectionover th allowable in any of the above:
Per inspection I I $ 62.50' I
Investigation fee
Other
❑ Visa ❑ MasterCard Permit fee $ 75.00
Credit card number: / / Notice: this permit application Plan review ( ) $
Expires expires if a permit is not obtained State Surcharge( 8% ) $ 6.00
Name of cardholder as shown on credit card withing 180 days after it has been
$ TOTAL $ 81.00
Cardholder signature Amount accepted as complete.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Lane: `(503) 639 - 4171 MST
_
BUP
Received Date Requested 9 AM PM BUP
Location *- a i I S 1 J Suite v C MEC
Contact Person 0 Ph( ?7() .5J(.' 9c PLM
Contractor ! Y Ph ( ) SWR
BUILDING Tenant/Owner 1-1IV - L/I 3 ELC
Footing ELC
Foundation Access:
Ftg Drain ELRC!'60`?`
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling I
Roof
- Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
•
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
F _ PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S Please call for reinspection RE: El Unable to inspect — no access 9 Fire Supply Line
ADA /U, kei°12eX D ate ` L b J 0 Ins ector
Approach /Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL