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Permit CITY TIGARD ELECTRICAL PERMIT dik PERMIT #: ELC2005 -00234 DEVELOPMENT SERVICES DATE ISSUED: 4/4/2005 A O 67 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD " "" ZONING: C -P SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT : 014 JURISDICTION: TIG Project Description: Lobby remodel (11) branch circuits. Job # 840. 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: 1 W /SERVICE OR FEEDER: 10 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 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 1965S Description Date Amount SUP ELE 34-28 4 -283C [ELPRMT] ELC Permit 4/4/2005 $146.80 [TAX] 8% State Surcharge 4/4/2005 $11.74 REQUIRED ITEMS AND REPORTS Total $158.54 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: , ) Permittee Signature: ' (-),,n,n OWNER INSTALLATION ONLY 4 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. APR404 2005 7:24AM HP LASERJET 3200 p.2 • E Permit Application . FOR OFFICE USE ONLY City of Tigard ) �� ' - '�" Da f`�' ©'� 1 ellitlingii C , 13125 SW Hall Blvd., Tigard, OR 97223 i `. Plan Review Phone: 503.639.4171 Fax: 503.598.1960 w,.t sot , il I its Date/13 Other Permit: Inspection Line: 503,639.4175 ��� _ttI',[4 ='f I� Date Ready/By: EMEI 0 See Page 2 for Internet: www.ci.tigard -onus — -- Notified/Method: Supplemental information qq y y � + y ,�{,�^ ��( �^' ,`ay�Y K ry �va ,l!•'.., .H.'. �V Y'1l tl.- .=2 N' li�lll Y'Y'.%'� F. OY. 111 .:1 r�"�{�� tY1': .t • lb w .:a " LR } 1�" {Ir 4� N�i ,� - 1 ) to a : dr ' l �� I g:: L . a...1 1 ",,i• ,..k.,- . ::,.. ='„ ; s, l f•. }}; x i . ..j rr1 r i a ill it :d t rs5 ct> _ t . t" t ;,ir.'r., a;1� .: < ,,•': •, . ❑ New construction =i Additio e • I ■ a o + r a 0 .‘ Please check all that apply: ❑ Demolition ❑ Oth ILDIN L' - ['Service over 225 amps, comm'l ❑Hazardous location rirt t : j? 1 } d `t 4 i J utiH . w f y , „„ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., 5 ' li ' ii gglisl l � � } us: 1'e i 4 f aig. i ; l . 1 n . s' • i r * _ ' ; t''! of 1- and 2- family dwellings 4 or more new residential f. kilt ❑ 1 - and 2 - family dwelling i' Commercial/industrial ❑ Accessory building El System over 600 volts nominal units in one structure • ['Building over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ['Manufactured structures or 1 �� tN rrr>ri t i ItW�x s : mil N ds r y ,ii it `d t i t) v i l C''2 a RV. park !i',.. rziiii k�111 L:i:I:, liiii u . :i.;'.4 Iti 1 1:041, ,,14.1 n ilti ' i4 � L.Iti , { ' ' ,,: ❑Egress/lighting plan P c Job site address: ❑Health -care facility ❑Othe Job no.: U (0 C l t 'G J ,r r �� 1 t7 ' Submit 2 sets of plans with any of the above. City/State /ZIP: f C ti /l i , 0,,, e 7 7 2 " J The above are not applicable to tempo construction service. J I 1 r.�l L . dI t� M! k Lt' s r }:F .' A L � (, i3 I pti. k.Y.ai 1 n .a .,� s :e, Suite/bldg. /apt. no.: I Project name: 1 l U try' I w P'"i'"VL' L6 � Description Qty. Fee. Too{ .; Cross street/directions to job site: i_ c Yr --gam_ 1 -.1 e ` t New residential single or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75:00 2 Tax map /parcel no.: j�• �� Limited energy, non- residential 75.00 • 2 tl , .s3:.; its uTitd�• li S t iw 1 p iommo , - 6 - lefu rit l r a t ' t� li1 ��1�� - Sf - " t : a;;? Each manufactured ar modular 1 dwelling, service and /or feeder , 90.90 2 Ld Id L rt y , 0. it Services or feeders installation, alteration, and/or relocation 200 amps or less i 80.30 g'd 1'6 , 2 1 ug' 91181i �!_, li s l r,l ,. 1 l 1 . 1 L f llgkilitr ris ,I�.L'iJ ,c 7f =ir it ,, " 201 amps to 400 amps 106.85 2 1{llpli ,lll iraiti ii ni �h iiiiiiit ,ltllla,:iz iii t . fr €,i . , l a , 401 amps to 600 amps 160.60 2 Name: 0 C) ' � :I I • ! / 601 amps to 1,000 amps 240.60 2 Address: 1 / if/ / 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 Phone: ( ) I F ax: ( ) relocation 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 - {fsim't ro °gt '� itillU + F ' icg u Ip , ' ' c ,�'�7`IK : �, 'l �' T 1? t 8 I i 1 % ' °' @ +l'' l wt i {i A Fee for blanch circuits with '` • .R : iilii t t ti � -. ,,�.. .Vu.tli �i ` . �#t�l'l� kiii - . 2 1 4 ` z3tni!i.i rSF t 1 4 . §1..c, iIIJ serv or feeder fee, each 6.65 ) 2 Business name: branch circuit /0 LC B. Fee for branch, circuits Contact name: without service or feeder fee, 46.85 2 • each branch circuit Address: . - - Each add'' branch circuit 6.65 _ 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Pax: ( ) Sign or outline lighting 53.40 2 E - mail:. Signal circuit(s) or limited - � 1a t i i {uy7;µ�c- yn s3 t 7L11p�'- �F' x , �` i l;l^'�' energy anel. alteration, or ° 1l),la , , t I T t': I ' � �: -�� " iII Ai Ilill(',7 *• �' �Fti : alb p 2 .. �iil�ti.�i r extension. Describe: Page 2 Business name: t o . t i a. �/.P r M Lr / ti. C /} _ Each additional inspection over allowable in any of the above Address: • /' II be , e Z3 U Le 7- Per inspection 62.50 City / State/ZIP: • f', 1441 n .0 / L. 7-� f Investigation per hour (I hr min) 62.50 (1.61 ) Industrial plant per hour 73.75 Phone: ( ) Pax: fo 2 it - � 3 i� a5 1 7; l .� G ., 11 ..., �ez iV ^ 3 3 / liM'1 1r n l9ia e 9 . ink >,ii ie= tynT,MCLYJ! ,•:i,:'..,.:4.... : ; Y,:t CCB Lie.: y _ 2i-3 _ I Electrical Lie., )' 9 Suprv. Lic.: / ( ) ....c Subtotal Y/, c Suprv. Electrician signature, required: -7 l Plan review (25% of permit fee) -mot State surcharge (8% of permit fee) I(, }y Print name: j,� F e Date: <( _ 6 TOTAL PERMIT FEE / 5 C,% 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: • Fee methodology set by Tri County Building Industry Service Board '* Number of inspections per permit allowed. i:\ Bui ldineermits\ELC- PemdtApp.doc 12/03 4404615T(1O/02 /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00234 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2006 Phone: (503) 639 -4171 /�m.�Ipu Inspection Requests (24 Hrs.): (503) 639-4175 : 1.E. INSPECTION WORKSHEET FOR DATE: 10/60005 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 10260 SW GREENBURG RD -- CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: LINCOLN TOWER LOBBY DESCRIPTION: Lobby remodel (11) branch circuits. Job # 840. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503"624 -3631 Inspection Request Scheduled For: Date: 10/6/2005 Pour Time: de # Inspection Description Confirm # Contact # Message 199 Electrical final 017640 -01 503 -624 -3631 Y Corrections /Comments/ Instructions: C) /' ? • It PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /74.`4C" 0 Dater dam Phone #: (503) 718 -