Permit -.:CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00057
r_��� DEVELOPMENT SERVICES DATE ISSUED: 2/2/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB
SITE ADDRESS: 10260 SW GREENBURG RD 330
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING. C -P
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Demise space. (4) 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: 3 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
Reg #: LIC 75059
SUP 1965S
FEES ELE 34 -283C
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 2/2/2005 $66.80
[TAX] 8% State Surcharge 2/2/2005 $5.34 Electrical rough -in
Electrical final
Total $72.14
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 N otification 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: . / Permit Signature: j ,.e, Z
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 639 -4175 by 7:00pm for an inspection the next business day
FEB 02 2005 11:18AM HP LASERJET 3200 p.2
• ice- S, ® u •
• �( ! l��r 1�:�!f�
- - ` ' " FOR � rFIG� - ONLY
• City at Tigard kencived n .
m -it 140.. 2 r
13125 SW Han lsivc., Tigard, OR 9 3 2 2005 F :tea arclgy ���� Per a��J
?,hone: 503.639.4171 Fax: 503.- 98:• 960 .:iiimy l i t � '•1 i Hate Review Other Permit: . .
Inspection Line: 503.639.4175
Internet: www.ci.tigard.or.us CITY OF TIGARD v -" on Ready/By: a: 1 See Supplemental Ior
. I. . - I ®� Supplemental information
e. Y 17 r a e �'!#TrT N ,Y��il(�4t ,v ,:: -- tom. (. ;..!p 1 �c .1M �.Vi < d;'hi,�,yn
l , '. .. w . i...trk A.51 L?Ifil "� D v cli . . `' , " ' 'Y r , iP1I i IA ` , , 15 12 , 4I � ikEP te r} Mn it t ,. :
- ra.• - ,� ._a - . :.,_i<� �ilz�'�:..c^ `4.,f. �.,, M. :PX % - , : ` � : • ,
❑ New constructionddition /alteration/replacement Please check all that apply:
❑ Demolition Other:
over 225 amps, comm'l ❑Hazardous location
1y,, e i F r, s l I r t ^� y 4 �< fi p ['Service over 320 amps - racing ❑Bulking over 10,000 sq. ft.,
ii Es ='- c, : 7 + ! qq� t. `'` li h ` , I� tai t • fA3 � � 3 ( (` y ' , 'u'�' ri ',
a # 1rn . i u ts. - ks:J;i � .„ , ;, : ,,2 itil Idt 1 1 t 1 of 1 and 2- family dwellings 4 or more new residential
.0 1- and 2 - family dwelling [.Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi family ❑ Master builder Other_ ['Building over three stories ['Feeders, 400 amps or more
RPM , °( l t a {u jus to 3 �.�pp.�$ t F �� q t y �� x ❑Occupant load over 99 persons El Manufactured structures or
i An t q (! irs " R lI �1i 8 s , k e a tt4'o1'1 + 1 , 1 L 5lli ten lan park
VAL ' imarkllkira r + fiei + uretud dltk ,._ m9. ": 1,-. f ' !�Cl F, 3it. `i; ❑ ! Y S p RV rk
Job no.: gU Job site address: / t) a t, el Ct.•) �-2¢t,e. � f ,,�
01-care facility ❑ Other: • Submit j, sets of plans with any of the above.
City /State/ZIP: '7";.5 )441_ el The above are not applicable to temporary construction service.
•
Suite/bld ./a t no.: I Project S 4. ,• :i .P r+ u i �i 4 4 ,
g P g 3. ject name: t � ..
�i1'Cr Description Qty. Fee. ` Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
rl Includes attached garage.
1 -t e.✓ r .a..2.t -r. �p )4 ,..1.-4.- • 1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea, add'I 500 sq. it. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
IA
t nrr ,t „c a , :tr Li non residential 75.00 • 2
w vaxuc a r^-
<'i �V s MI, ?l t ih p - ) 4 a o 1 i 1fi�� � i ' t "r s e ,' q� 'i' Each manufactured or modular
a�ta„i.,._ - _.�I:.'l�,rt'�lsia ���r�: �. � ri�u. yt^ r� ,:��:i:��ar�c�z�kr.,�'tFllil -,a szft°,s. . �.iiix..z3ea;
dwelling, service and /or feeder 90.90 2
" '' -.e S p c' E..... Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
;":1 r M ,a ,4 , r : 4" e a u 2l y a r l� l cg s P `, -; c rim i -i 201 amps to 400 amps .. 1 06.85 2
" ° l ,..4 h1le1t, ei lit l'I s ilibitm 4 ni� y "_. ° l s i s ll t a. ' 411,
l " 401 amps to 600 amps 160.60 2
Name: ._/QI ^ T ( �` f o J �P (U� 9-r� -w 601 amps to 1,000 amps 240.60 2
Address: ( Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 I 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or •
Phone: ( ) I Fax: ( ) 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
KRECO 4� 7 , ifi l,iiil a i 14~r, - � 5 n dal; illitaryt�mW I n, A. Fee for branch circuits with
15
,'- r" r�hsi It it {
e r s. .`i ` i ' d ,i t ili d i s " R e t to i et aie.re� sd
�IT'1�'° . etS�itt l " � . -' -' ?.4 �. ` ' "e� °�' +;R`i�°rG. ' }'�" -' „ i i ' service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, I 46.85 y(,f. 2
each branch circuit
Address: Each add'l branch circuit 3 6.65 / 5
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail Signal circuits) or energY. limited
�� t `' ° 3k i ' • i l ` i t r v '10 l 4u �Q i�.ti °a � a �' on, or
tl'1; �f .S�a -u-: ili ��D' ��uma7 :Bdau'�cx�t:��}:.., ".�:�6,?�ip 'kp-` SIl:�1P`...m`. v..7, tArIL�d
Business name:
extension. alteration. Describe: Page 2 2
�n1. (r t �1t e 7t. ( c /.04.. L
Address: 0 S Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: er, 7 ofYl0 0 ,, 93 24 - I Investigation per hour (1 hr min) 62.50
Phone: (�p3 ) 6 z 4 _ 3 4 's , Fax: (5b3 ) b Z`( `ir S 4- Industrial plant per hour 73 75
L ' iii +0 i Illli ltp� r� ig„r.�. ;-s �r� :: QMI¢. -IN1"l .14,
CCB Lie.: ) Electrical Lic.: J te ed -- 3 '�-. S..rv. Lie.: /7 s
Subtotal 1,4
Suprv. Electrician signature, required: ' I Plan review (25% of permit fee) t!
� '(
r 4 _,,, F co Date :�,. -r .r c----. State surcharge (8% of permit fee) j ,
Print name:
1 � TOTAL PERMIT FEE 7 z i l t
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted at complete
Print name: Date: . Fee methodology set by Tri- County Building Industry Service Board
" Number of inspections per permit allowed.
i:\ BuildingTermitstP .LC- PermitApp.doc 12/03 440-45 15T(10/02 /COM/wEB
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested — / 4.71 AM PM BUP
Location /0 j L(J' L/r Suite :33 6 MEC
Contact Person Ph (" ) PLM
Contractor Ph ( ) �- _ 3 ! 3( SWR
BUILDING Tenant/Owner ELC g665 -- 0 S 7
Footing
ELC
Foundation
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab 171L Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
:ough-
U a•
Low Voltage Ate.
e Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
' PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line AAA, ADA Lf — J
Approach/Sidewalk Date � � 5 Inspector CAA A A, Ext
Other:
Final DO NOT REMOVE this inspection record rom the b site.
PASS PART FAIL