Permit CIT 'O F TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES DATE IS ED: 9/20/2005 00698
3 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD PRKNG ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
Project Description: 2 br. circuits, lights and heater.
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: Phone: 503 - 624 - 3631
FEES Reg #: LIC 75059
SUP 19655
Description - Date Amount ELE 34 - 283C
[ELPRMT] ELC Permit 9/20/2005 $53.50
[TAX] 8% State Surcharge 9/20/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1 -87'32- 44.
Issued By: 46 , _d Permittee Signature: I ,I ! _ _ ,.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
•
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I;$ SEP 2005 8: 19F1M HP LFISERJET 3200 p. 2
\,. •,.
"Electrical Permit. Applicati II i FOR OFFICE USE ONLY .
City of Tigard HE IvE �>
Receive
Date/By: / / i ` - j .
3 permit NJ. 0005 ( ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev'_w D� )
Phone: 503.639.4171 Fax: 503.598.1960 t�:. ri. ii( {1 . Date/By: Other Permit:
Inspection Line: 503.639.4175 SEP 1 9 20 IL ! -!11 Date Ready/By: r 0 See Page 2 for
Internet www.citigard.or.us Notifiedmiethod
� Supplemental Information
B i t r r 1 I r r m•, ., .
ill � � ..4,i',.,' �'� � t�r>t 1e "����ii {'} � r7 �.a ,� I� 4+ °�!' 1 � { { '1 °.s�.}�•I a {,�.r .., rt..
1 ftri t"ttiiV i.' ae_lit tOi''W.Ig .,.:bfi.� r -.c °1:.7 1 u 41 .� i :ati� le,At ' !' 1 1 . :31 Ir".;. 1 � : '' '
D New construction E,Addition/alterationheplacement Please check all that apply:
El Demolition ❑Other ❑Ser/ice over 225 amps, comm'l ❑Hazardous location
Ott? tit >t a n ? + y� � , h� i �, a ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
° >> liff c � ,aTy f, )i� t� : d i + 1 1, lilt,. eP f .n,( 4lio4; .h of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
10 Multi - family ❑Master builder ❑Other: ['Building over three stories OFeeders, 400 amps or more
inert n g j t �a u a t A" ci a` tt' r ('''' 10 • T !r !' _ ❑aceupant load over 99 persons ❑Manufactured structures or •
M Pi ll2. l al .� �s ? .� ,.-., 9 ... t(3 t wd 5Fa ° r : -A3i It.i 1i' ,l r ti 1! t .'l`r�' ❑ EgresMighting plan RV park
Job no.: • Job site address: v. - <' / ❑ ealth -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: '`, r�ri_c) The above are not applicable to temporary construction service.
Suite /bldgJapt. no.: Project name: x;K�k t: ,;.;, k ,, t1 t "' ;:,;:.:tit=
': i`' `;. ,
ame: i t ocaIw/ 7 i.44.4_ /& kits
_ n1 <�. � • t _.. -..
Description Qty. . : [ Fee. [Total I , kr
Cross street/directions to job site: c j, / f - f1....., New residential single- or multi - family dwelling unit.
V _ J t, ] I ii�t
Includes attached garage.
P wt v.t ;v t ,, f.- u vt '- Loop sq. f`. or less 145.15 4
Subdivision: I Lot no.: Ea. add'1500 sq. ft. or portion 33.40 _ 1
Tax map/parcel no.: Limited energy, residential 75.00 2
i � l� a a N t� a. r a .• = „ x r r. ,, r Limited energy, non - residential 75.0C 2
i -c: .' i sal -f -! i N S E1 U ' h. t' 17 I $ir m . - 4` '� 1 r i , �`� 1 a •i�,� M�
Wit' `P :i ' ` " h t ∎ Er V >` tkg:t §rn` a , r Ifil. Each manufactured or modular
' �-- C
L-15 l� dwelling, service and/or feeder 90.90 2
lS 1,11 6 r ( - t-- - t " J �i'Z�S ic.1u Services or feeders installation, alteration, and /or relocation
C iK p/y` 200 amps or less 80.30 2
�fi h t Lif fails Imo ' d1 rIVitl" � li it , f . Y i Si „11 , 201 amps to 400 a mps 106.85 2
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, andlor
Phone: ( ) Fax: ( ) relocation
• s 200 amps or less 66.85 i
Owner installatioh: 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, =editing to ORS 447, 449, 670, and 701. 401 amps to 600 amps amp mps 133.75 2
Owner signature: Date: !Branch circuits - new, alteration, or extension, per panel
•'•:y ,u� ?t `ir ".].era +� t! ' l i t . s�yvir aim� �ysli'g k E.4f e r i tNyrit °7�f f� . -
` sr]- „r.tJ..�z<.gRI : . . �i .< &! rt fiiV Eu r6-FA 4xthili �r:.sm .aFuh H:f•i A . Fee for branch circuits with
t
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit j 46.85 y ` } 2
Each addl branch circuit I 6.65 (o b ' 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting • 53.40 2
E -mail
s ° x4�tTr� �'�t �qi i� � 1 �c�� �''rt"'"'�, °" I of � fi �_✓� • t � �}� N Signal circuit(s) or limited-
'} `"P `+ Y 1 �: J� , n a
" ATERr RIAMIw x...iWAM. 1 � ,,IC 4 r 11,2i energy panel, alteration, or
ec � extension. Describe: Page 2 2
r
Business name: u I I i_wtg• <' F I pi ; t 2 t, (' L_
Address k nL� 1- Each additional inspection over allowable in any of the above
Per inspection 62.50 '
City/State/ZIP: r -�,� C) , 9 7 Z. I Investigation per hour (1 hr min) 62.50
J p Industrial plant per ( 4,2.1.A. ` 36 3 ( Fax: (52/3) 4 - Z [ 3 E P� '�SS11 P i 73 75
.241a�'�i t ��ttt[�'tLli.ra.�:t ���uY 3J ��a l '!.'>,114 °1 fl.�il 5 J4' +„r! {Y`�":.j=a:'.'� �i
CCB Lic.: ?SO 1 ej Electrical Lic.: 3.4., 7$'3 C Suprv. Lie.: ( 6 S S Subtotal 5` '
Suprv. Electrician signature, required: t f � •, -- Plan review (25% of permit fee)
Print name: n Date: State surcharge (8% of permit fee) t( t Ze
'1 6-......, ` .. 9_,,,,,,._- - TOTAL PERMIT FEE S
Authorized signature: This permit application expires if a permit is nol obtained within 150
• Print name: days after It has been accepted as complete
Date: . Fee methodology set by TO-County Building Industry Service Board
' Number of inspections per permit allowed.
is! Building Pomdts\BLC- PermisApp.doc 12/03 447- 4615Tt10l02 /coswwa,B
- -r.a
CITY ®F TIGARD
BUILDING DIVISION PERMIT #: ELC240 0069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/20/2005
Phone: (503) 639 -4171 ` o1����ug
Inspection Requests (24 Hrs.): (503) 639 -4175 `L . •
INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 78
SITE ADDRESS: 10260 SW EENBURG RD — CLASS OF WORK:
SUBDIVISION: LINCOLN CE ER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MOT'CERa SHE R_D
DESCRIPTION: 2hir — c circu lights -nd heater.
OWNER: EQUITY OFFICE PRO' RTIES TRUST, PHONE #:
CONTRACTOR: WILLAMEI 1 E ELECTRI NC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 11/21/2005 Pour Time:
Code # Inspection Description infirm # Contact # Message
199 Electrical final 02 '.91 -02 503-624-3631 Q
Corrections/Comments/Instructions:
PASS n PARTIAL APPROVAL - n CANCEL ❑ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
AAI�
Inspector: • 'v L D a t e: IS 24 Q5 Phone #: (503) 718-