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Permit C ITY OF TIGARD ELECTRICAL PERMIT K PERMIT #: ELC2006 -00138 ,1II4, DEVELOPMENT SERVICES DATE ISSUED: 2/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 310 ZONING: C -P SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG Project Description: Demo cleanup. Job No. 7371 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: 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 Contact #: PRI 503 - 624 -3631 FAX 503- 624 -2938 FEES Description Date Amount Reg #: LIC 75059 [ELPRMT] ELC Permit 2/21/2006 $46.85 SUP 1965S [TAX] 8% State Surcharge 2/21/2006 $3.75 ELE 34 -283C Total $50.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. •k33 " Issued B Y• 1 � _, i�. i _ Permittee Signature;,/, .. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � --�— / ia��v DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FE'S 2008 1:55PM HP LFISERJET 3200 p. 2 r 2 � 4' _y � r 1t n ` i? r RiDFFtCE U5E`ONL' { ,. r �' � t11°lR `a� 1 Pe L _ ..�.ez l> .. - , .,� - ..ft__;_ z_ _ '.:: r / ., Data/ •: Permit No.: sad oev3 City Of Tiga c1 ' n, Plan Review l nate/r ! 7 � (e_ — .! I ✓ 13125 SW Hall Blvd., Tigard, OR 97223 p y E, Other Permit. FFFF ,..i. WI fl `L Date/ Phone: 503.639.4171 Fax 503.598.196 "' mt 8 See Page z (or Inspection Line: 503.639.4175 ::-'�� T' DateReady /By: �� megeal tot Internet www.ci.tigard.or.us C� 1 � � 1 1 � Noti fied/Method: l " Supple .� I `F� t ':.$.a,.g - AU ' i1,i,I •F° t? ,:'IM,' ': n - - F "�{ Yt� !' s tY7'M : .iii '�xI'9 !'� ' , �1'- - :.5 . 1'i�a _.. �, s��. �� ;tlaL _ > `t ,a.�:t� ' - .a . .:, •.r G ' " '� . ' - " .,, y RAdditio h'O - li \ ° eft Please che:k all that apply ❑ New construction 0 I � ' ['Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition CI Other:BUILDI ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., n ,. z l a , ,,, - %r''r 1 t � >i -� ��° Fs w> t�e' .,..�< x:,j �' -' ' <�. of 1 -and 2- family dwellings 4 or more new residential . 1?+r1 . �',��1, �r,�•it:l� 'L�+Sat�Sitl��`ie -n to ,. 4•.'.it.: �,. ,..�aM,ns..»a'xv::.;,..� . ❑ 1- and 2-family dwelling [ Comrnerciallindustrial ❑ ['System over 600 volts nominal units in one structure building ['Building over three stories ['Feeders, 400 amps or more M aster builder ❑ Other Manufactured structures or ❑ Multi-family 1:1 Master O ccupan . load over 99 persons ❑ �, x '� Ja °r''�" �-F� �� r: �,r< ��� 73 -3� - , k rq�t" 4 r�r " R� park „•at' i ti 7 1k � ,s4 :lit.ly 1 rs nct;l hi Y 1 - ;1, 1 , '%*lp { t , .,{f1 � ) x r x t tl n � ❑ Egress/lighting plan �"r'' W,,.. , s �, ,.• , ti 'a" " t ' T e P z a.. 3 j.. . d si, I,. • ,;, "' c'r' su a ..' =' a. /� ❑ Health -care facility ❑ Other: Affimi Job no.: Job site address: pZZG ■ , . - is - •, _ !t, • Submit 2 sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary construction service. I ,5 'OA P w y .. I,in ri I r. u.� • - r ; '' [ Suite/bldg. /apt, no.: ( G Projectttame: l r. , `d _ S) Description ( Qty. I F j l Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 2_ Lt w c.�tiQn,—_, SU a 6 1,000 sq. ft. or less 145.15 4 Lot no Ea. add'I 500 sq. ft. or portion 33.40 1 Subdivision: Limited energy, residential 75.00 2 I1 Tax map /parcel no.: ru v,„ Limited energy,non- residential 75.00 2 H s r llwatts?rFS ' > 4_ w nrt© <Il�a s " � r � t �r<'" { , # 1 PI M 1 ` `t> l x r elige ' ..)°.ae { r ?. -aai_ a „ r. dx9 6 , Each manufactured or modular �� �"� * dwelling, service and /or feeder _ 90.90 2 t 1 . � a Services or feeders installation, alteration, and /or relocation • 200 amps or less 80.30 2 � "Ton, t 7 et 201 arms to 400 amps 106.85 2 tF L g. ri , f+ r `4 ` k r 0 ,, . } „ .. � k i ': r .., s:;' 160.60 2 r,„ a ;� ��`�,., tr= y .t�z��.,a f >tsi :,��ik�i!'� '? 401 amps to 600 am Name: 601 amps to 1,000 amps 240.60 2 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: ( ) I 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 amps 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 p r t{ pp, �- '1',= '�tta” 7 r?t' �"° dt A. Fee for branch circuits with ,n iLigil k t i is v i ; 7�'ta ° rgiti it ka I 'Fid� s'St sl I ?. t ;_1 .a.L.na t. ?b'3 4 ,a k st a aa: i.: ���et =� _ service or feeder fee, each 2 ��Y�� . �:t. �r�s,�� -��. 6.65 Business name: branch circuit . R Fee for branch circuits Contact name: without service or feeder fee, ( 46.65 t ", , .. i 2 each branch circuit Address: Each add'I branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) F ' ( Sign or outline lighting 53.40 2 E-mail: Signal circuit(s) or limited - t'�F 1 �,.� rr � "" energy panel, alteration, or r :i 1' 3 M, fl it { 1 t a i) ' a* .i' ,. . )` ,` ' 1 Pt : t fi r Pa t .,, extension. Describe: Page 2 2 g Business name: r l t t2 LC (#°^' ,---- - Each additional inspection over allowable in any of the above Address: p e C ' „"" 0 cf $ Per inspection 62.50 I City/State/ZIP: NS, I , L. 0 C �_ 1 9? 6' Investigation per hour (1 hr nun) 62.50 73' Industrial plant per hour 73.75 Phone ( ;y) to 2.t 7 Fax: ( 6,•14 - Z.' 3 W a L E CCB Lie.: -1 1- j j 's/ I Electrical Lin.: '3.‘1.. 4'3 CI Suprv. Lie.: (' 5 Subtotal t oas — Suprv. Electrician signature, required: Plan review (25% of permit fee) State surcharge (8% of permit fee) 3 t "?.' Print name: Date: z_— (..?_a6. TOTAL PERMIT FEE S y 6 r Authorized signature: !' This permit application expires if a permit is not obtained within I tO days after it has been accepted as complete Print name: l Date: * Fee methodology in by Tri- County Building industry Service Board ** Number of inspeeitio per permit allowed. i.\ Building \PermilS\ELC - PerrnitApp.doc 121 )3 440- 4615T(10102 / GOM/WEB . CITY OF TIGARD BUILDING DIVISION ._ w PERMIT #: bD 1 IF 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 41400 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 0.23_0 G.e.:e44 -a pc./ X 31 � J D CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: t OWNER: PHONE #:93 - 67 7- 4 -36; I CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: .D-© Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: �) • boo 'w 6a, v.. to , 4-.,<;)67s-) PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v -At/ V V g 1..,6 Date: 3 1 1 - )3 /Q6 Phone #: (503) 718- 1.7 k CITY OF TIGARD ez-C BUILDING DIVISION A• _ PERMIT #: 2OO6— 0° 13F 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i "woop� j i l Inspection Requests (24 Hrs.): (503) 639 -4175 ;... INSPECTION WORKSHEET FOR DATE: - TIIME: PAGE: SITE ADDRESS: / 0 Z 2 U �'C 'f �P/r/ �� t 3/D CLASS OF WORK: SUBDIVISION: tOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 g-- O t° Pour Time: Code # Inspection Description Confirm # Contact # Message / 1 l 36 3/ C erect - ions /Comm /Instructans: S V i KL L y C. IN ) Gs. in Pte. z) • n PASS PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL I LL OR INSPECTION [ I ° DDITIONAL FEES ASSESSED / 6 Inspector: ! Date: D no Phone #: (503) 718- 2-11-16