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Permit cst CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00371 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/26/2005 PARCEL: 1S135 5135 135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 ZONING: R -12 SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG Project Description: Low voltage for voice /data. Job No. J26105 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST WEST SIDE ELECTRIC CO INC ONE SW COLUMBIA ST #300 1834 SE 8TH AVE PORTLAND, OR 97258 PORTLAND, OR 97214 Phone: 503- 293 -2745 Phone: 503 -231 -1548 Reg #: LIC 13306 SUP 4654S FEES ELE 26 -135c Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/26/200E $75.00 [TAX] 8% State Surchart 10/26/200E $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 :!.1 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires yo o follow rules a• • pted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 th ough OAR 952 - 00 • b0 ou may obtain copies of these rules or dire.t..[_-stions to OUN /�,J� at 503 -246 -6699. Is. ued By: ` - Permittee Sign: ure: Jr P; OWNER INSTALLATION ONL • 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. Oct?, 24 05 02:12p West Side Electric Co. (5031736 -0677 p.2 .Electriti �itrmit A li_ <I FOR OFFICE USE ONLY . City of Tigard Permit No.: � �y� 13125 SW Hail Blvd., Tigard, OR 9 - 0�1 � _ % E "^� 3 �/ rise Review Phone: 503.639.4171 Fax: 503.59 .1960 etn(1v li;.�r`;�,0,1bipi% Date/By: Oilier rnr lerPeie Inspection Line: 503.639.4175 ((^^ G 1 ,,, . .•:}1 Date Ready/By; ,,// I ®Km Pugs 2 for Intt:nlet: www.ei.ligard.ur.us ©lr Notified/Method: fC.O- Supplemental TX ,kr.c4p �WVb 1si 00 PLAN IUCVIEW ❑ New construction .A iattAld�httiion /replacement Please check all that apply; Demolition ❑ Ot ler; ❑Service over 225 amps, coming ❑ Httcardous location - -- ❑Service over 320 amps - rating ❑13uiidng over 10,000 sq. ft„ CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential [] 1- and 2- family dwelling Conlmercial/indusirial ❑ Accessory building ❑System over 600 volts nominal units in ale structure ❑Building over three stories El Feeders, 400 amps or more • Multi- fadtlil ❑ Multi-family ❑ Master builder ❑ Other: structures or ❑ J•OD SITE INFORMATION AND LOCATION Egre s /li load over 99 persons ❑ plan pat rrti ❑Egi'ess/Iiglttingp{an P Job n ❑ Health -cart facility ❑Other: a:� j � (' Job site address: © Z ZD S� .- 1� • 49 • Submit , ,sets of plans with any of the above. • City / State/ZIP: —...---- The above arc not applicable to temporary construction service. Suite/bldg./apt. no.: 5c' 1 Project name: [ry�}-/,/�/ /_f "��y� JC �, C. FEE* SCHEDULE -• /!� 1 f ''`` i _ L. „maw,. —.L o ry: . I fi,�c. 1 Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. — Includes attached garage. _ - Subdivision: _ Ea. ad 1,000 sq. ft. or less 145.15 4 � I Lot no. _d'1 500 sq. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: -^ Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK _Each manufactured or modular I 1 dwelling service and/or feeder 90.90 , 2 \10 c (e ' e4( - CO {(J !-/A- _ Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 �I'XiQQorERx Y OWNER ❑ 1 SAN I' 201 amps to 400 amps 106.85 2 ---- J� 401 amps to 600 amps 160.60 2 Name: /- 601 amps to 1,000 amps 240.60 2 Address: C Over 1,000 amps or volts 454,65 2 Reconnect only 66.85 2 City / State/ZIP: Temporary services or feeders l ostallation, alteration, and/or Phone: (53) ) Zl - 2_52_52 t. Fax: ( ) relocation 200 amps or less _ 66.x5 j Owner installation: This installation is being made on properly that I own which is not 201 amps to 40 a mps ~ 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 0 APPLICANT t: ❑ 'CONTACT:VMS ON ' A, Fee for branch circuits with service or feeder fcc, each 6,65 2 Business name: branch circuit _ - B. Foe far branch circui is Contact name: �, withou service or feeder fee 46,85 2 Address: each branch circuit Each ndd'1 branch circuit 6.65 _ 2 City /State/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) Fax:: ) Pump or irrigation circle 53:40 2 ,.... — ._ Sign or outline lighting 53,40 2 E - mail: _ Signal circuit(s) or limited - CONTRACrOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: WEST SIDE ELECTRIC CO. _ Address: 2834 SE $ AVE Each additional ins pection over allowable in any of the above -- - Per inspection 62.50 City /State /ZIP: PORTLAND, OR 97214 _ _ Investigation per hour (1 hr min) 62.50 , Phone: (503) 231 - 1548 I Fax: (503) 736 - 0677 industrial plan[ per hour 73.75 ELECTRICAL PERMIT ,� MIT FEES* CCB Lie.: 13306 Electrical t.i : 26 -135C ( Suprv. Lic,: 651) - Subtotal • Suprv. Electrician signature, required: `� n Su El o P gnat ey , ^ C .L t �,.C�Q.e Plan review (25 / of permit fee) ‘4 r „, ,,,A I �) -Q _ - 1 �,S Date: 1 O /a (� State surcharge (8% of permit fee). Print name: (� «ctLL Lfn TOTAL PERMIT FEE Authorized signature: Tbls permit application expires Ira permit is not obtained within ISO days after It has boon accepted as complete Print name: Dote: - pee methodology act by Tri- County Building Industry Service Bound 111 "'''.''',,.,- — •- Number or i spectiuns per permit allowed. islnudding1P nnda\HLC.PemdtApp.dnc 12/03 440- 4615T(I0/02/COMM'HD CITY OF ��m n w n�pm TIGARD BUILDING DIVISION ~�~~.~~~�""°~= ~~"~"~~"~°"~ PERM|T#: ELR2005'00371 13126 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 839-4175 INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:00AM PAGE: 73 SITE ADDRESS: 10220 EWGREEWBUR0 RD 551 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREEL|NC|OLN LOT #: 003 TYPE OF USE: PROJECT NAME: APEX SYSTEMS DESCRIPTION: Low voltage for voice/data: Job No. J201O5 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603-293-2746 CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231'1548 Inspection Request Scheduled For: Date: 11/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message ��� 1�� �J Low voltage 020602-01 503-231'1548 N Corrections/Comments/Instructions: l ~/ (,)T (,)T \ \� . l » �� ( v 0 / • C C 34 7 �� PARTIAL APPROVAL CANCEL | H NO ACCESS |1 FA|L [ | CALL FOR INSPECTION [7 ADDITIONAL FEES ASSESSED • |napmctoc Date� �//(� /��� Phong #� (5O3) 718- / �' ' - ^. /'/ /� (503) ' ' / ^� � »' CITY OF TIGARD • t BUILDING DIVISION PERMIT #: ELR2005-00371 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2005 Phone: (503) 639-4171 IA Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 26 I 1 SITE ADDRESS: 10220 SW GREENBURG RD 551 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: APEX SYSTEMS DESCRIPTION: Low voltage for voice/data. Job No. ..126105 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231-1548 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Desc 'stion Confirm # Contact . # Message 135 Low voltage 020392-01 /0423 Y ' ./. .-- 4S- Corrections/Comments/Instructions: 4) / /1 L //c, °A 0 . 0 0 st 000-f C P--; // 0 Jo c si d- it— Aft i t9--/ c e- I,( 14 ,0 co v PI •S e LO 14 4-i■Ct c 1-0.r IA) j I f 4 i'LC,(41 s% 9 4 ca, >ii. , / u c , C. _0d-iv d-uig_d- if- ii g p C41 (IY1 I I PASS El PARTIAL APPROVAL pi CANCEL pi NO ACCESS -CL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /.4e- Date: //74 • Phone #: (503) 718-