Permit C ITY OF TIGARD ELECTRICAL PERMIT
r PERMIT #: ELC2004 -00485
n DEVELOPMENT SERVICES DATE ISSUED: 8/4/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171 PARCEL: 1S135AB
SITE ADDRESS: 10220 SW GREENBURG RD 201
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R-12
BLOCK: LOT : 009 JURISDICTION: TIG
Project Description: Branch circuits (16).
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: 15 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 W COLUM BIA #300 11401 NE MARX ST
PORTLAND, OR 97202 PORTLAND, OR 97220 -1041
Phone: 503 -412 -4800 Phone: 255 -9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/4/2004 $146.60
[TAX] 8% State Surcharge 8/4/2004 $11.73 Rough -in
Elect'I Final
Total $158.33
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: jLe Permit Signature: _3_6 ,4 -. P.s
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 7:00pm for an inspection the next business day
IVE® ° OFFICE USE ONLY
'
�` Electrical Perm t A ' Re- 4 Datereceived:`I '-(/ Permit no.: OOy ao y ;,S
a I O 4 2OO4 Project/appl. no.: "h a Expire date:
� � AUG 1 City of Tigard Date issued: By: Receipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIG CAk Case file no.: Payment type:
Phone: (503) 639 -4171 Fax (503) 5 B � ING DIVISION
Land use approval:
TYPE OF-PERMIT -
❑ 1 & 2 family dewlling or accessory le Commercial/industrial • ❑ Multi - family ❑ Tenant improvement
❑ New construction li:A Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE, INFORMATION _ ` ' '
Job address: 10220 SW GREENBURG RD City: TIGARD Bldg. No.: Suite no.: 201 Tax map /tax lot/account no.:
Lot: Block: N/A 'Subdivision:
Project name: KNOWLEDGE POINTS 'Description and location of work on premises: TENANT IMPROVEMENT
Estimated date of completion/inspection:
-, - ', ="CONTRACTORAPPLICATION' -.._- — -. :; - F. >> 7 ,„ : ^ FEE'SCHEDULE _ _-,.
Job no: 24 -1113 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 11401 NE MARX New residential - single or multi - family per
City: Portland State: OR ZIP: 97220 - 1041 dwelling unit. Includes attached garage.
Phone: 503 - 255 -9488 'Fax: 257 -7121 'E -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.no.: - ' / Each additional 500 sq. ft. or portion thereof $ 33.40
I 1 /Ai ` I r 4 8/2/2004 Limited energy residential $ 75.00 2
Si t e 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: 10260 SW Greenburg Rd alteration or relocation:
City: Tigard State: OR 'ZIP: 97223 200 amps or less 5 80.30 2
Phone: 503 892 - 2500 {Fax: 'E -mail: 201 amps to 400 amps 5 106.85 2
Owner installation : The installation is being made on property I own 401 amps to 600 amps $ 160.60 2
which is not intended fo•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 5 66.85 1
ENGINEER, •. - . Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less S 66.85 2
City: State: ZIP: 201 amps to 400 amps 5 100.30 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 I &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: 1 $ 46.85 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: 15 S 6.65 99.75
❑ Egress /lighting plan ❑ Other: Misc. (Service or feeder not included):
Submit sets of plans with any of the above. Each pump or irrigation circle S 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* $ 75.00 2
*Description:
Each additional inspectionover th allowable in any of the above:
t Per inspection ' ' $ 62.50' '
Investigation fee
Other •
❑ Visa ❑ MasterCard Permit fee $ 146.60
Credit card number: / / Notice: this permit application Plan review ( ) $
Expires expires if a permit is not obtained State Surcharge( 8% ) $ 11.73
Name of cardholder as shown on credit card withing 180 days after it has been
$ TOTAL $ 158.33
Cardholder signature Amount accepted as complete.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
G� �) BUP
Received Date Requested / Z'd - AM PM BUP
Location b bi Suite mod/ MEC
Contact Person c � Ph ( / 7O 536 - O 7 3,5 T PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC o2.0b ( 1 J d v C
Footing
Foundation Access: ELC
Ftg Drain ELR
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 (
Roof Ceiling
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
S S PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITS Please call for reinspection RE: El Unable to inspect — no access
Fire
ADASupply Line f jI A^ i ,/+
9 -- le Approach/Sidewalk Date c/ Inspector G /Ul' - ! �EXt
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL