Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00076
DEVELOPMENT SERVICES DATE ISSUED: 2/1/2006
!° I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-04500
SITE ADDRESS: 10250 SW GREENBURG RD 217 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT : 001 JURISDICTION: TIG
Project Description: 2 branch circuits.
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 ST #300 PO BOX 230547
PORTLAND, OR 97258 TIGARD, OR 97281
Phone: 503 - 412 -4800 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: LIC 75059
[ELPRMT] ELC Permit 2/1/2006 $53.50 SUP 1965S
[TAX] 8% State Surcharge 2/1/2006 $4.28 ELE 34 -283C
Total $57.78 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 or 1 - 4.40 -332 -2 44.
Issued By: ' �� Permittee Signature: > e�
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 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.
•
JAN 30 200G 3:44PM HP LASERJET 3200 p.2
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Perms, No��O
City d Of Tigard l�ate
3125 SW Hall Blvd., Tigard, OR 97223 AN 3 0 1006 Plan Rsv,c Date/ w U:iler Permit:
Phone: 503.639 4171 Fax 503.598 -19 �" = f � . 3 s'f ° i l l _B a'
l Juii Cate Ready /By: l0 See Page 2 for
Inspection Line: 503.639 -4175 Supplemental 1ntOrmation
ard.or.us 'ti • i \L �i� br Notified/Method: pp
Internet: wvvw a .rig IL/
-
ice.:, I a t.•;'' y,! ieS.. m y P! 't 3 , i ; ? ;lI ini4 ` .
�� 3 t , � .,r -. �. � .�t� s�Srs '�n�� 1'l� >� ° t��'a .. .... 'r',.� { �...." ... ; %11,.. ,. -. �" � .,`.. r .
Please check all that apply:
-
[1] New construction Addition/alteration/replacement ['Service over 225 amps, ccmm'l ['Hazardous location
❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
.: r '4 7 : 'M''"r!t• s Y' kt.' yr Up'�^lj i l A, - .r 4 : u A « 8 "' ..:^� K�.g, ?(
-%, y� , ,ie * -e$P # -_-s a . t 's•sf, ili,l{; El 46a ` w..•," :" . ..y G't <..'4 ,fi ; * �ck ti,la of 1- end 2- family dwellings 4 or more new residential
a1 ❑System over 600 volts nominal units in one structure
❑' 1- and 2-family dwelling Commercial/ industrial ❑ Accessory building ❑Building over three stories ['Feeders, 400 amps or more
❑ Multi-family 0 Master builder 0 Other ❑Occupant load over 99 persons ❑Manufactured structures or
Ff � ,� t ;'-'" S �d . �E i -'i `�+''- 7y?ja.�' fLlk t 4 d f ` "'"F! 1'"�Q` � . y fi 'T 1 i y `+L RV park
r�l a s 7 a d all gA tyr. t d 1 r = : , . 3 4 ,r.iit ❑Egress /lighting
e �tGr�� moo s ..., :.tti." a 1 ,. ❑I-Iealth -care facility ❑Other:
Job no.: Job site address: z "'6 S '- d, , , _ I e_. -. Submit 2 sets of plans with any of the above.
City /State/ZIP I\ 5 rfr. 3 GI, . above are not applicable to temporary construction service
All 17n` t i o; _.
Project ' � � � ' +, '
Suite/bldg. /apt no.:A/ ) tel ,Ck,, II is„ r cy �A. S .-( Description Qty. Fee. Total "
Cross street/directions to job site: New residential single -or multi family dwelling unit.
Includes attached garage.
4• L1 (J 2 t 3- 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'1 500 sq. ft. or portion • 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
e•, u4„ a?':,.s^ , 1rA d .31tt 1 n3 , f! �.�1 l i _ ,. ,;.
> .de:l� �,y ,,a ..r.,, ' - •:.� i l `y „ ; 4 Saeh manufactured or modular
��
gg e dwelling, service and /or feeder _ 90.90 2
I'L . (j) ai " u. rti-7 t" d (' J Services or feeders installation, alteration, and /or relocation
E a o y i ? - 200 amps or less 80.30 2
p a s >s� atim e r t u -, 201 amps to 400 amps 106.85 2
..:Mi _ 1, k i;ti l 3 ' 1�N j t : t e il'e g' c - 4 ° � a ::•4' . s > ar , ? .,' ,. 401 amps to 600 amps 160.60 2 1
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: ( ) 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
Fk' , n, :'+ r c h l M x �'' t�'M "+ °"tr° r '.1 1 '. p ` ' c l 4 liVsi r ' i4i,i } +'iK �� d " .' - A. Fee for branch circuits with
:..,.. "e i.�..• y�i4 T -,..1 '�1.1. 1SSe:wrn y- �t.,,r 1 ,��a c�'.
,�:� . ,z,4, , A..k$ , o , ". �",u?h.. i!c• .
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 ill 5• 2
each branch circuit I
Address: Each add'1 branch circuit 1 6.65
6-v 2
City /State. /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuits) or limited -
. r £a : ; *a i i ,rV t , , 4 :', i i J : :F. ° 1 energy panel, alteration, or
,, .. t ; r ,.,-� x,. u � ..i t.....h ,s .,,' ",a,...,,t.... A*R, extension. Describe: Paget 2
Business name: � ! ft . t ,_ -` 4 it.' f e.. ,,.,_
t3 z Each additional inspection over allowable in any of the above
Address: ID L' � `7 0 ' Per inspection 62.50
City /State /ZIP: r , - • - Y, ; 6 �- -/ •7 2 6' Investigation per hour (1 hr min) 62.50
• Industrial plant per hour 73.75
Phone: ( ?) 6 2'i, -- d I Fax: (57f ) lob' ... z. It rx.�Y�, ' `` . 3 vi',"i!A �. w » : :,• .
CCB Lie.: '- `',.d S' et Electrical Lic.: • ... 76-3 C_ Suprv. Lic : j'ry 6 g Subtotal 53 '''
Suprv. Electrician signature, required: / . Plan review (25% of permit fee)
State surcharge (8% of permit fee) `. ,
Date: 5 r
Print Warne: .�• �j (J� TOTAL, PERMIT FEE
Authorized signature: This permit application expires if a permit to not obtained within 180
days after it has been a ccepted as complete
Print name: Date: . Pee methodology set by Tn-: ounty Building lndustry Service Board
'• Number of inspections per permit allowed
t\auildmg\Permis\ELC- PermitApp doc 12/03 440.46 t 3T( t 0/62/C0.'WWES
CITY, AF TIGARD
BUILDING DIVISION
PERMIT #: FLC2006-00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2ii/2006
Phone: (503) 639-4171 4, 00911t
Inspection, Requests (24 Hrs.): (503) 639-4175 .-419k
INSPECTION WORKSHEET FOR DATE: 2113/2006 TIME: 7 PAGE: 60
SITE ADDRESS: 10250 SW GREEN 'n.JRG RD 217 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/L. COLN BLDG LOT #: 00i TYPE OF USE:
PROJECT NAME: CASCADE ivIORTGAC-07: •
DESCRIPTION: 2 branch circuits.
OWNER: EQUITY OFFICE PROPER IES TRUST, PHONE #: 603-412•1600
CONTRACTOR: WILLAMEITE ELECTRIC fl. #: 503..6243631
Inspection Request Scheduled For: ate: 2J13/2006 Pour Time:
Code # Ins •ection Description Co firm Contact # Message
199 Electrical fina 0269-01 603-780-3222
Correc • - e - - -
\\\ •
KA PASS I I PARTIAL APPROVAL EI CANCEL EI NO ACCESS
I I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G m ee Date: td 13 Phone #: (503) 718- vitg)