Permit Y - .,:i CITY OF TIGARD ELECTRICAL PERMIT
" PERMIT #: ELC2007-00437
COMMUNITY DEVELOPMENT DATE ISSUED: 6/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
PROJECT: ASCENTIUM
Project Description: TI - Install (6) branch circuits. Job NO. 660.
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: 5 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: Contact #: PRI 503 624 - 3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 - 283C
[ELPRMT] ELC Permit 6/27/2007 $80.10 LIC 75059
[TAX] 8% State Surcharge 6/27/2007 $6.41 SUP 4226S
Total $86.51 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued +: 4� L' / Permittee Signature: _ Jr g I/ rt Az
I OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
U�. 27 2007 7:31AM WILLAMETTE ELECTRIC INC. 5555555555 p.2
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h1s )cet-icm •.me. 50.639.417i r� IJ:ac Read.a; iv uu ( wi Sec Paw fs:r
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^i i''lcw construction xi Addition/al teration /replacernent Please check all that apply:
❑Service over 225 amps, comin'l E l I-lazardous location
i
L Demolition LJ Other: -
-- __ _ __ -- -. _ - -. --- ❑Service over 320 amps • rating ❑i3uildug over I0.000 sq. it .
C ol -7.G f$&'t`, -,,. ,.' • �'�.. .: - ifL_J.! . d ' of 1- and 2- family dwellings 4 or more new residential
F ( i - 2-family d welinn • -�.— • i I ❑ System over 600 volts nominal units in one structure
I J an y g 4 Comrrrercial /indusirira _ Aroasnry building
i ['Buildin over three stories ❑Peecters, 4"00 amps or more
Multi- fart+( D M aster builder U - Y r _ ° _ ' ❑Occupant load over 99 persons t structures CS o,
ner' ❑Mamiact ured si
" " i ` 6t ' ? ` - i-'• Egress/lighting htin plan RV park
:3 s ' . k ,4 ; ... Y ,- ❑Egress/ g g U a
:.ter_: -�; ,: ; ....
loi) no.: e address: •
Ell-care f - '' 00 ther:
6 0 / 60 s + e'trerl rifrf . r , 4 =` Submit 2 sets of plans with any of the above.
City /State/ZIP: Pede ',err f i 1 F The above are not applicable to temporary construction service.
Suite/bldgiapt, no.: g� Project name: 411 4 / i ; : , Description I Qty. l Fee, Total `"
Cross street /directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l500 sq. ft. orportion 33.40 1
- Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non-residential 75.00 2
.. ;. �� : : �; , . .:: _ -... : � � t ;i � : ;i - i:a;:i ` - ?'AC;;�; Each manufactured or modular
_ dwelling, service and /or feeder 90.90 2
na7: 7 ;w .'
ate"I1 #1I 4+' . Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
_�._:�_: �,7 r +- ::'s .jai` ^ =•il" jlir 'Sr: : "' ` :,,:, 201 amps to 400 amps 106,85 2
«f •- .o`t'.^.'cs mow•: ,:. s Y "4 % ".` "
. ";;'''- :,F+'�•w . .� : X 76 ...._.... ._... .._w_... , n
° ' ` ' "' =• '� "" 401 amps to 600 amps 160.60 2
Name: 60! 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, andior
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66,85 I
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
'': r "_ n(.rGc r„+. 5 s P r , ,, 6 ?•" ,were #„ � I xa �- i,• A. Fee' for branch circuits with
t --e. s_'iit '. , _ l' sj 4:- :.:' „ S. - n - 1 . , -%. _ _...3 • lair service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46S5 /( 2
I Address: Each add'( branch circuit l ri 6.65 3 1 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 circuit(s) or limited -
^o := :_ .4~- - ; =� - ii " „ f:= 't' = ,.�«,:` - °` = energy panel, alteration, or
..,�:.,:�:.: � '��.. - _�� it - _ ��. r.n a ,
: .... - ;_ extension. Describe: Pag 2 2
Business name: H ...., e �'f'�''e g ✓ eG t fry r..c —
Each additional inspection over allowable in any of the above
Address:
0 6o) Z 8- V) Per inspection 62.50
City /State/ZIP: i ay 1 rT '? J' Z i Investigation per hour (I hr coin) 62.50
Phone: (5 ' ) 6 t-- f 3 T '' Fax: (.5%. ) 1. '_ Z. ''s T industrial plant per hour r 73.75
CCB Lic_: t,, x * -> _",:. • ,
+� �, {,; h - c� El ectrical Lic...,� i `�•�� , c Suprv. Lie.: ,y �' � : ".i,” Subtotal gd
„
Suprv. Electrician signature, requn' eta ;,'_..,,,..:. _ _•�� •-
,,.._ -- -• -' '" "' Plan review of fee)
,..- •--- '-�
-- - -- — — State surcharge (8rioo of permit fee )
Print name: l)i- ,,1 j f Y- r I Date:
v - — --
�— TOTAL 8'EIRMIT F E — 1
—
{ Authorized signature. - -- - ------ - - - - -- - -- - •_ -- _ __. -_- - -__ -_ 'nobs permit application expires if a permit is nut abiai etre] , 1 - i thin 180
_ _ _ � days utter ii his ben accepted as eo,nplrie
Print name: (late: ' RC a cthodulogy by Ili -County Building Indus'.+y Service Board
-- —_ - -.--_— — s' Number 0r iuspecbons per permit ailnwed.
. Sauilticg \Poi miti'Ei.0 Pcrmil A 1 qr doe 12103 =460.461 51 IO;P'-/r'r)M /wOD
CITY OF TIGARD
... _ ... UtLDING DIVISION = PERMIT #: ELC2007 -00437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE:
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: TI - Install (6) branch circuits. Job NO. 660.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: W ILLAME i I E ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 8/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 053409 -01 503 - 780.3222 N
Corrections /Comments /Instructions:
t
PAS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: ( ' N v L Date: 1' ' O Phone #: (503) 718- 2.9 "
•
�.�
CITY OF TIGARD , ..
BUILDING DIVISION s, . PERMIT #: ELC2007- 0(.437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 //nroi�jp
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 89
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: TI - Install (6) branch circuits. Job NO. 660.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Co # Contact # Message
130 Ceiling cover 052828.01 503.624 -3631 N
Corrections /Comments/ Instructions:
►A PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
lT Y N Q € L ' Date: 1 '21 Phone #: (503) 718- ' '
CITY OF TIGARD .: _ w
BUILDING DIVISION PERMIT #: ELC2007 -00437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 0 41up "
Inspection Requests (24 Hrs.): (503) 639 -4175 �' �..
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: TI - Install (6) branch circuits. Job NO. 660.
OWNER: EQUITY OFFICE PROPERTIES TRUST, V PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 6243631
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 051958 41 503 -624 -3631 N
Corrections /Comments /Instructions:
� t 1/ /A ® - -/ / / /1 /,
,J4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
l FAIL ❑ CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: L /�= Date: 7b/67 67 Phone #: (503) 718-