Permit ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC2002 -00234
i
DEVELOPMENT r o
SERVICES (503) 639-4171
DATE ISSUED: 5/23/02
13125 SW Hall
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 551
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT : 009 JURISDICTION: TIG
Project Description: Tenant Improvement - circuit for security door
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 CHRISTENSON ELECTRIC INC
10260 SW GREENBURG RD 1631 NW THURMAN
SUITE 100 2ND FLOOR
TIGARD, OR 97223 PORTLAND, OR 97209
Phone: Phone: 503 - 341 -3636
Reg #: LIC 458
SUP 3289S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 5/23/02 $46.85 2720020000( Elect'I Final
5PCT CTR 5/23/02 $3.75 2720020000(
Total $50.60
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 -0080. You may obtain copies of these rules or direct questions to
Permit Signature: Issued By:
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
MAY -21 - 2002 TUE 08:45 AM FAX NO P. 01/01
Electrical Permit Application
D ate received: Permit :.a 2-002,.-- 23 4 (
< � rY' City of Tigard
.,,k, Projccl/appl Expire date:
City of Tigard Address: 13125 SW Hall Blvc1, , a I OR c,..223/ED Date issued: By: Receipt no.:
Phone: (503) 639 -4171 Ii
Fax: (503) 598 Casc file no.: Payment type:
Land use approval: -
MAY 9.1 ?II"
(NR 3 !. , NY, n •x,f: A Io
+--.
O 1 & 2 family dwelling or accessory XICComtllercial/industrial 0 Multifamily 0 Tenant improvement
1 New construction ❑ Addition/alteration/replacement 0 Other: _ 0 Partial
Job address: 10220 SW GREENBURG RD (T) Bldg no 3 Suite no.: 500 Tax map/tax IoUaccount no.: W _
1,or Block; 'Subdivision: LINCOLN BUILDING LINCOLN III
Project name: S 1 7 gliTIOCKS I Description and location of work on premises: (1) CIRCUIT FOR SECURITY DOOR
Estimated date of completion/inspection:
QUA` ION S'7C1ONTACT ROSS CROSBY (503 M:6-640 9
1, r(�Nu�t. - '. i'1'.int AIir'Jl,ll.(' A'fl( :N ti a, , •t ),. • . .1:L,4;,SCI1r,DLl:1� !�+ „ c ,
Joh nos �62 -28522 Fee Max
Description Q (cg.) Total n . imp
Business n ELEC "l- "RIC, INC. Newrsidential slide orinuiti intnilyper
Address: I THURMAN 2ND FLOOR dwelWtgulit ,inctudesottachedWaage.
_
City: PORTLANF) sta te: 0 I ZIP: 97209 Sc ftinctudcd:
Phone503 4 3608 Fax503 419363 -mail' 100o s q. f t . orless 4
Each national 500 s9 ft, or poi lion thereof
CO3 no.45 c. bus, lie. no: 26 - 34C -- 2_^
_ Limited energy, residential
City /Il10LiU iFI1P,: 46 I ,imitedenrrgy,tlnn- residarltial „_2
Each mane factored home or modular dwelling
—� —5-/-21. / 02 Service and/or feeder 2
Signals o supervisin _ ecir r: , required) _ hale
Services or 1 installation,
Sup. elect, name (print): BRIAN CHRISTOPHER License no: 8735
alteration orrelocation:
200 amps or less 2
201 amps to 400 amps 2
Name (print): .,
401 amps to 600 amps 2
Mailing address: _ 401 amps 10 1000 amps 2
City: address:_ Z1 P: Over 1000 amps or volts 1
l�horie: tl F aX: V 1 1 E -mail: Reconnect only _ .
Temporary services or feeders -
Owner installation: The installation is being made, on property I own Installation ,olleration,orrelocation;
which is not intended for sale. lease, rent, or exchange according to qoo amps or less _ 2
ORS 447, 455, 479, 670, 701. 201 amps to 400 amps - 2
Owner's signature: _ _ _ __ • Date: 401.0 600 amps 2
Bratroh circuits - new, ilteration,
or extension per panel:
Name: A. Fee fcr branch circuits with purchase of
Address: or feeder fee, each branch circuit 2 ,
r
City: 1 State: • ZIP: .�R B. Fee for branch circuits without purchase 1 . 4 6.
of service or feeder fee, first branch circuit: � M 2 •
Phone: Fax: E rrnchadditionalbrancl:Circtiir;
PLAN I11IN)1 v (Please check all that apply) Misc. (Service orfeederiiot included): 2
o Service over 225 amps commercial CI Health -core facility Each pump or irrigation circle
c llgh[ing 2 l
can gn oroutlin
U Service over 320 amps - rating of 1&2 O Knot dou Signal Each s orou in a limited energy panel, -
rlgc —
familydwelli . CI Building over 10,000 square feel four or 6 2
Li Sysicin over 600 volts nominal none residential units in Oile Siiucture alteration, orexiensinn M
C1 Building over three Storks Li Feeders, 400 amps or more +DescriLon: _ - -•- ..
O Occupant load over 99 persons 0 Manufactured structures or RV park F.14 ell additional Inspection over the allowable in any of the above:
O Fgressllighting Cl Other. Pc/inspection _ I
Submit _ - - „,., sets of plans with any of the above. tnvesti ion fcc
lire Above are not applicable to temporary construction service. Other
Penult fcc $ _.46 ._
Not a il Junsdi - IniU t oasis cart:, Aare call Jurisdiction for more inrnnnIdop7' Notice: •this permit application Plan review (at %) $
C] Visa U MasterCard expires if a permit is not obtained y j . /,5
I / e within 180 days after it has been State surcharge (8%) $+
Credit emu numhrr; _,M ” ._ �_^ ..• Expires TOTAL $ 50. 60 !V
accepted as complete.
Na .or cardholder al shown on credit card S A.S.A.P. TRUST ACCOUNT DEDUCT * * * **
C;i,ctholdcr ripnnture -• Amount , RUSH! 440 - 4615 (6/00/COM)
OCT.2000 +FEES ON BACK OF FORM
CITY OF TIGARD 24 -Hour
',BUILDING Inspection Line: (503) 639 -4175
•
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested ( "5 AM PM BUP
Location w -L Z b ifil S . e S� ( MEC
Contact Person l e g 4 . Ph ( g PLM
Contractor Ph ( SWR
BUILDING Tenant/Owner "fiA l s/ ELC 2 — U 0 a-3 4 /
Footing
Foundation ELC
Access:
l Ftg Drain
Drain ELR
Crawl Drain It 9-11 --,
Slab Inspection Notes: , SIT
Post & Beam ./ W -Q-- 7Zi
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Dry at 11 Nailing ii/ • o ` II Ii. EZOO irr — Ji /LJ _ l i
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - ---
Other: ----
Final r r . "AO a
PASS PART FAIL _ ------ r
PLUMBING _ q
Post & Beam `'�j
Under Slab
Rough -In ,./ `"
� -6
Water Service
Sanitary Sewer I ) V 6171
Rain Drains , /
Catch Basin / Manhole U
Storm Drain I
Shower Pan l/
Other: V
Final V
P PART FAIL Al v
MECHANICAL (1
Post & Beam `
Rough -In
' c
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL • _
Service .-- r'
Rough -In % d
• �� ,a C 111___'
UG /Slab
ow Volta
Fi re Alarm
g � El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA '� '
Approach/Sidewalk Date _ Inspector _. . < Ext
• Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•. .A - a '
. .. . ,
...
/ . _
. ,6 /-36 ‘ , /9.2, — C. . .
P .: 2-5c., vv.1. pko . _ .
IR c6 5 eft 4 b — - E ef-r ap, - - -,...,01
Z_2# LI 0 i''ci /IA-cal ),/.2v/ 0 1 ;()__ - .
t _ . r C bi 0� 1 - 1 /L--- , -) . `" . \ _
•