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Permit A- CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2005 -00167 /1(14.. DEVELOPMENT SERVICES DATE ISSUED: 3/21/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 250 ZONING: C - P SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT : JURISDICTION: TIG Project Description: Electrical TI, (2) branch circuits. Job No. 836 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: 1 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 #300 PO BOX 230547 PORTLAND, OR 97258 TIGARD, OR 97281 Phone: 503 - 293 -2745 Phone: 503 - 624 -3631 FEES Reg #: LIC 75059 SUP 1965S Description Date Amount ELE 34 - 28 - 28 3C [ELPRMT] ELC Permit 3/21 /2005 $53.50 [TAX] 8% State Surcharge 3/21 /2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 or 1- 8. 33 Issued y : . Permittee Signature ss of i lite.0-? / 0- 11 ".. - '-- 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: - . �AT��' - � DATE: LICENSE NO: /96,5 S . 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. MRR 2,1 2005 8:14AM HP LASERJET 3200 p.2 >_'I- .. • Electrical Permi AppiXicatfi ice- '� ' , O. . FOR OFFICE USE ONLY lll "� � R i Permit No.: DO - /A l City of Tigard ec ei v e ' 13125 SW Hall Blvd., Tigard, OR 97223 1 I' 2 1 z oos Plan Review Other Permit: rr ' n h , ti�° il'1 Date/By: Phone: 503,639.4171 Fax: 503.598.1960 b�' � � Date Ready/By: 1 ES See Page 2 for Inspection Line: 503.639.4175 Oil Qt C `uA W Dat Ready /13y:: I ES See Pa 2 for Internet: www.ci.tigard.or . us VISION `' .- ,,.a • :. + .. e ve ' a �., .�; t ., '.ytt�ayy��'r.`q . 'y �' �{ N� lq ' T . If" "i�K'i` " "4: .;�,'?5: i. 'u ,pp�y �P UJ4 �j..,� .. �! I N $ " -a`A iAr „., � , - i Pik S q'', p .t � t'si 0 't 4 ,: i It 6. 400 `1 ' F k' a t kw i �l s i p,. 4'i 4 s +ti5 1- � „ I .. .N?I :k:S Fs,�, •z, i•uA' ��. - sv t '�t't�ti`�11'. 'itwt.e".'att�e. r� ,.�:., :, a .� s t Please check all that apply: ❑ New construction © Addition /alteration replacement ❑ Service over 225 amps, comm'l ❑Hazardous location ❑ Demolition ❑ Other: ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ,t , l , DI l �,� Psr r T, �, ' ; " !f e :, a'r , 1, ; .'; ' of 1 and 2-family '' : o- any dwellings 4 or more new residential eVit', . i S� � t i A V t t,k ra�gitoa l a ��� :, ry e i, , 4 „w ? s . ,--11 units in ono structur ❑ System over 600 volts nominal e ❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ['Building over three stories ❑ Feeders, ne amps a or more ❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or ro. i h �, 4;a s�� 3 1l1, t jIl et� lxli�tr> r , , +�u1 4 p I ';'t ' i nrijite Ida �'k 1 .di?. ri� r, (� l ❑Egress li plan park S-- 1 '1 �r c - -' sib ''1i r RV. ar Illttui!?! [h� sdlu ivt4t.taaixs y ❑Health -care facility ['Other: Job no.: g , Y Job site address: /oj2 v S ) ate,........._ � Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service. City / State/ZIP: 4144). n a �°f Z Z 1� : � �ee F .,, „ -' , . ' + n ' 3 x �. � ila"rvf.:m aaL�c" x Suite/bldg./apt. no.: ' 7 S(1 Project name: I ` tP d a p Ha i ri tti ra 1 - c Description Qty. Fee. Total Cross street/directions to job site: 1, New residential single- or multi family dwelling unit. Includes attached garage. 2- L s t S ir! -2.,s -) 1,000 sq. ft. or less 145.15 4 Lot no.: Ea. add'I 500 sq. ft. or portion 33. 1 Subdivision: Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75.00 2 J�1i .y, ,f (+�, t , y (� ) €aaN g j a t efgep,T I n ,C,'7 ,« + R q r �s• + " Each manufactured or modular llil ' � ?! 1. NII t+ 1 .Q ' .# ` t' 3 f .�0 i 1 ] 1i I '�, u1 i e X14 l ll .isl .{ illbdigl� ,� d 2 1t ..ikus.�tsL �Y6ulft;i !!. l,Ivt,a`., �t&ti.- fit111'RIpK•iAYd.3=a.lii is dwelling, service and/or feeder 90.90 , T E IV Pr 1 ( i. 4 n Al. 6 a .p f. Services or feeders installation, alteration, and/or relocation f` 200 amps or less 80.30 2 +YA t ' 11t' ' :," ;F k / Fnt F rp �; , i ,. t, , l V l i �• I 201 amps to 400 amps 106.85 2 � ;��. - 1.,'�?,l_nl..�cta f_IliNht'�� its ,ail �I, l !� ",li 401 amps to 600 amps 160.60 2 e,, 240.60 Name: F w �� , R � 1 -Ti 601 amps to 1,000 amps , 2 jf Over 1,000 amps or volts 454.65 2 Address: Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) f Fax: ( ) 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 amp 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 ' 1116 1 'IV -" i , 4 '' ' i t l ' ii jai 31 , t 4k � a it s', ;d A. Fee for branch circuits with �� � ° service or feeder fee, each 6.b5 2 Business name: branch circuit B. Fee for branch circuits Contact nariie: without service or feeder fee, /' 46.85 2 each branch circuit 6 y Address: Each add'1 branch citt uit I 6.65 - City/State/ZIP: Miscellaneous (service or feeder not included) • . Phone: ( ) I Fax: Pump or irrigation circle 53.40 2 ( ) • Sign or outline lighting 53.40 2 Email: Signal circuit(s) or limited - 1 1 y 7e 'i tr . t S OVER tti . n a b M N I 'f .1 r ) ` ' ' . 1 1 "" ez Panel, Describe: etion, or Page 2 2 Business name: L�i ilzw �. e r '(.ee`r- 4 t r- /t4 . C., Each additional inspection over allowable in any of the above Address: i d i i)-- Z10 S 4 }- Per inspection 62.50 City/ State/ZIP: gip. c 0 1 - 4 zg I Investigation per hour (1 hr olio) 62.50 �l �} Y Industrial plant per hour 73.75 _ ` i Phone (r,`Q3) 6 2 �, C�/ j '4^2y c / t W ` � " E`=M„ # r k:,.,. Fax: (5'p ) ^ 2 t. ` la p Gld=u a tom!« til,s 3 i t, CCB Lie.: d ( 3 i Electrical Lie.: 4 ,. 2e'r `'-1 Suprv. Lie.: 14 a l - -4' Subtotal Cl. )• - 0 Svc r • Plan review (25% of permit fee) Suprv. Electrician signature, required: e1 State surcharge (8% of permit fee) r C) i Z r Print name: e I `4 Fl Date: ti 2 1 , E TOTAL PERMIT FEE 37- Authorized signature: This permit application expires If a permit is not obtained within 180 days after II has been accepted as complete Print name: Date: . roc methodology setbyTri- County Building Industry Service Board '• Number of inspections per permit allowed. \ BufdingtPenniln ELGpermitAyp tine 12103 440 -4615T(10 /02 /COWvEB CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2005-00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2006 Phone: (503) 639 -4171 n��uym�����1 l „JAI' Inspection Requests (24 Hrs.): (503) 639 -4175 iiti INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:11AM PAGE: 49 SITE ADDRESS: 10220 SW GREENBURG RD 250 CLASS OF WORK: SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE: PROJECT NAME: ACADEMY MORTGAGE DESCRIPTION: Electrical TI, (2) branch circuits. Job No. 836 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603.293 -2745 CONTRACTOR: WLLAME.I r ELECTRIC INC PHONE #: 503 -624 -3631 Inspection Request Scheduled For: Date: 3/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 003203-01 503 -624 -3631 N orrections /Comments/ Instructions: rA PASS c ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: kl--,, / Date:5 J6. Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005.00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2005 Phone: (503) 639 -4171 dil l � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:11AM PAGE: 48 SITE ADDRESS: 10220 SW GREENBURG RD 250 CLASS OF WORK: SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE: PROJECT NAME: ACADEMY MORTGAGE DESCRIPTION: Electrical TI, (2) branch circuits. Job No. 836 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.203 -2745 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3631 Inspection Request Scheduled For: Date: 3/30/2005 Pour Time: Code # e Inspection Description Confirm # Contact # Message p 5 130 Ceiling cover 003203 -02 503.624 -3631 N Corrections /Comments /Instructions: ��PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date Phone #: (503) 718- , CITY OF TIGARD ti it BUILDING DIVISION PERMIT #: ELC2006 -00167 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21 /2005 Phone: (503) 639 -4171 4 Inspection Requests (24 Hrs.): (503) 639 -4175 :_ INSPECTION WORKSHEET FOR DATE: 3/31/2006 TIME: 7:05AM PAGE: 52 SITE ADDRESS: 10220 SW GREENBURG RD 250 CLASS OF WORK: SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE: PROJECT NAME: ACADEMY MORTGAGE DESCRIPTION: Electrical TI, (2) branch circuits. Job No. 836 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603 - 293-2745 CONTRACTOR: WILLAMEI I E ELECTRIC INC PHONE #: 503 - 624 -3631 Inspection Request Scheduled For: Date: 3/31/2006 Pour Time: Code # Inspection Description • Confirm # Contact # Message 199 Electrical final 003360 -01 503-624-3631 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: IL,Ikide Date 7.?/ 1 - w Phone #: (503) 718 -