Permit ELECTRICAL PERMIT
CITY OF TIGA PERMIT #: ELC2006 -00239
/I. DEVELOPMENT SERVICES DATE ISSUED: 5/3/2006
'% 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 4-�`1
A6'SW GREENBURG RD SEISZONMO9 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT : JURISDICTION: TIG
Project Description: Elec. work for mezznine.
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: Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 5/3/2006 $53.50 LIC 75059
[TAX] 8% State Surcharge 5/3/2006 $4.28 SUP 19655
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- 800 - 332 -2344.
Issued By: Y --)(tn ,N- Permittee Signature: e-y%
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.
03 2006 7:02AM WILLAMETTE ELECTRIC 5036242938 p.2
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W t�l! r%! ,d. Ti 'urd, OR. 97223 Pun •
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hone. 5U .r.63`J .4171 rat 303.598.1960 (} nC t l�J�' 1ll s • , - --
Inspection Line: 503.639.4 ! 75 960K Ay Y v t ' �OV U , 1 1`.a t, , -;air Rcaelyt)3y : 7 r.s R1 See Page : (or
Internet: www.ci.tigard.or -us LNotified/Methudi ___ . Suppiementallntormatimn i
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❑ New construction 14 Addition/alteration/replacement Please check all that apply:
❑ Demolition 121 Other:
['Service over 225 amps, comm'1 ❑Hazardous location
DService over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
2 t§ t a
;tfr Vi: 't- -I a :ttl4 t , ' ,r. , l i 6 - - r " r , - */ fr Ot i ® n, r .. ` µ ' 4 . fik of 1 and 2 farrul dwellings 4 or more new residential
❑ 1- and 2- family dwelling ti Cornmercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Building over three stories [Weeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured sn uctures or
uv� � r. e o r r , - ,aa'� 1 r ad L r i 3 ` r' ` 4 �' ' t-1 E es s/li htin la n RV park
' }€ .,t . -€ ,S. ,..., s 3 ° .- f i .. i 6 .1 v ., .i 6' .. e' a +5 a ' ai .., to ❑ ! g g p ['Other: site address: /° ❑Health -care facility
Job no.. Z U - SL Czea . _ $ /24 Submit 2 sets of plans with any of the above.
City/State /ZIP: t? Z z 2, The above are not applicable to temporary construction service.
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Suite/bldg./apt. no.: Z s -- U Pro name: L,,,,, v - L v r 2-z 4/411k/. D p ti, n Qty. Fee. Total •-
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
` Includes attached garage.
L I i „ cc --, 1 4.1. S'u Z 1,000 sq. ft. or less 145.15 I 4
Subdivision: • Lot no. Ea. add'I 500 sq. ft or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: 4 r Limited energy, non - residential 75.00 2
y I #.} zr . -14• i t 18. -ar. .u
', , , a6 y -t , , e t � .�,.', : ., iku [i i- E ach manufactured or modular
I atsvoiy, / h dwelling, service and /or feeder 90.90 2
C o s.� t / / f' Z Z t .n.'r v' Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30 2
s z tt ' `11it 5 ll l „ g lS ,7 ? tt
" M - 4rr: lkif tr l 201 amps to 400 amps 106.85 2
rk' ; ` �r 1 . -. � 1' rn. ,' .. •� #r.r . -vz , .sue :. 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
• Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps er 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 70L_ 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
t y , +'r Ta't +w f^t . °E `t 7" aG A for branch circuits with
r xs• .3 � 1 ' t , ii '1 ae, ,la s art. e A. .#,.
? sl t, ;y p ^"° Y - service or feeder fee, each
6,65 2
Business name: n ;
brah circuit
- B. Fee or branch circuits
Contact name: without service or feeder fee, i 46.85 i, I fr C 2
each branch circuit
Address: Each add'l branch circuit i 6,65 �, L-;- 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax:: ( ) Sign or cutline lighting 53.40 2
E -mail: • Signal circuit(s) or limited-
r "n4tt'" `. y:1, "':• j ^cf hi "' ' >`t1 �att.e •� y „ � 4pv t;w ; . 4I ) :; t , t `" i energy panel, alteration, or
t€ X,' s 'wk+. r , "tear a . . ., t .. 1.,<ltlu W. 2
- extension. Describe: Page 2
Business name: i ., tw'r , : Y - , { te:. foe,'
. Each additional inspection over allowable in any of the above
Address: ,y .4 f G.�:r?.1, ,L' ?, � _ 9. c v
i f Per inspection III 62.50
City /State /ZIP: r' , •0 _f� y ,;J /.a,._ 91 . Z..6 i Investigation per hour (1 hr min) 62.50 III
�' �, Industrial plant per hour 73.75 _.
Phone: ( re ?) .it, ' -';'..6.--?..: Z Pax: (.570 ?) 2. wi ° -v e _i i rr; i t ` a t .. "` ' 7";:
CCB Lie.: -. 6 4 ) ` =' Electrical Lic.: l'.. , ..t ; j -3 {,_ Suprv. Lie.: fy 4 s ,;-", Subtotal S- ?, 5
Suprv. Electrician signature, required: A - . � Plan review (25% of permit fee)
{ ,� State surcharge (8% of permit fee)
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Print name: i / i, ,.,.. I 'a.- "t'‹... Date: s - 2 -
TOT.. PERMIT FEE - , 7 e
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: A' Fee methodology set by Tri- County Building Industry Service Board
`° Number of inspections per permit allowed. •
i:\ Building \P ermit;VELC - P emit App. dot i 2/03 440- 45151iioN2./COiVWEB
CITY OF TIGARD - ``
BUILDING DIVISION PERMIT #: ELC2006.00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7 :02AM PAGE: 50
10260 S
0260 !�! UREENaURC RD SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:. LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MEZZANINE
DESCRIPTION: Elec. work for menine.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 624 - 3631
Inspection Request Scheduled For: Date: 6/0/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031451 -01 503. 6243631 N
Corrections /Comments/ Instructions:
•
!!!PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ki bk, Phone #: (503) 718 - 1 - p
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC 00G 00239
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5f3/2006
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 fa9111
..
INSPECTION WORKSHEET FOR DATE: 5/23/2006 TIME: 7:03AI PAGE: 'I
SITE ADDRESS: 10260 SW GREENC3URG RD """ CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MEZZANINE
DESCRIPTION: Elec. work for me?.znine.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 5/23/2006 Pour Time:
• • = Inspection Description Confirm # Contact # Message
130 Ceiling cover 030432-02 503- 378.032 Y
Corrections /Comments /Instructions: < LL ACZN!
a PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 6 N t Q L-L Date: 42 3f C) 6 Phone #: (503) 718- 240
CITY OF TIGARD - A _--
BUILDING DIVISION
411111,w PERMIT #: ELC2006-00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006
Phone: (503) 639-4171 4,4 014011 11
Inspection Requests (24 Hrs.): (503) 639-4175 ,..4 t-.4- 1.
INSPECTION WORKSHEET FOR DATE: 5/22/2006 TIME: 7:29AM PAGE: 30
i ON:if)
SITE ADDRESS: 102235W GREENSURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN cENTERawo LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: MEZZANINE
DESCRIPTION: Elec. work for mezznine.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 624
Inspection Request Scheduled For: Date: 5/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 030265-01 503-624-3631 N
---.
Co - • • ns/Comments/Instructions:
n l
No %.) *1• 0 11A1 3 b I 1--$1
cUf\E" WW-11 i 5 13Eit Lor\4
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. 11 \:4\ I 1-VAt •
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--....,
PARTIAL APPROVAL 0 CANCEL [I] NO ACCESS
FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: E 4 Date: 61 .2 1 () Phone #: (503) 718-14°-