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Permit N pr CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00276 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2006 PARCEL: 1 S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 530 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG Project Description: Low voltage for data. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST WRIGHT 1 ELECTRIC INC ONE SW COLUMBIA ST #300 5618 SE 135TH AVE PORTLAND, OR 97258 PORTLAND, OR 97236 Phone: Contact #: PR1 503- 760 -8522 FAX 503 -762 -1823 Reg #: ELE 3 -332C FEES LIC 162368 Description Date Amount SUP 3398S [ELPRMT] ELR Permit 11/15/200€ $75.00 [TAX] 8% State Surchari 11/15/200€ $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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 dies of these rules or direct questions to OUNC at 503.246.6699 -or-1- 800.332.2 Issued �' fJ . Permittee Signaure:____- _ , 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. electrical Permit A lic ' ,\J FOR OFF:ICF,. USE ONLY City of Tigard Received s _pp 9,74, `J g q ' 006 Date /By: / I r� V 19 v permit No. V 13125 SW Hall Blvd., l'iaard, OR 97‘441 1 Plan Review _ Phone; 503,639.4171 Fax. 50 ,59 , � pRD Dnta&Rv' Other Permit: Ti Ci /1 KL� 1nSpection Line; 503,639.4175 C1"CY O. T tG Dat Ready /By: luri Sec Page 2 for • Internet: www.tigard or.guv V G D'VISIQN Not 1 Supplemental Information ,: '.s!'Y�E'.;OF'V►{O'R'.1G' ` ",, :,':,::i:.'i'i R�'V Please check all that apply (submit sets of plans wlitcros checked below]: ❑ New construction ❑ Addition /alteration /replacement ❑ Service or feeder 400 snips or more ❑ Building over three stories. ❑ Demolition ❑ Other: w the available fault aurrent ❑ Morin;, and boatyard., - .,., . ::. >. : CATEGORY '.:O1F : :CONS,TRUCTIOPV'i ::.''::.: s r 3 J1 150 vu Flouting exceeds 10 000 a Its u buildings. less in ground, or exceeds 14,000 ❑ Coa -use agricultur ❑ 1- and 2-family dwelling 0 Commercial /industrial © Accessory building amps for all otter installariuus. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. I=I Installation of KVA or ..... . .,... f0 rived system. 13: SIT `i.:iN,F) 1ATION .AND ,. 0 .., - niergenCy SySlrrn larger separately de .. . ... • : �.' .. Ka CA�TIpN ..: motor l oad of "i."2", . l ; .,........ , . ❑Addition of new ❑ ,. _ 10011P a.• aloe.. occ Job no.: Job site address: Q'.�l�J SW n Recreational s uM PA ❑ Six or more residential units. I=1 Recreational vehicle parks. Clt_ /State /ZIP: — ��� ��� n � ❑ Health -care facilities. ❑ Supply voltage for more than 17 Hazardous locations, 600 volts nominal. Suite /bldg, /apt. no. : Project n t nJ 1,0 ,q i� ❑ Service or feeder 600 amps or moray. .. . , SEE 'set><I�niuieE:' .' . 1 Cross strect/directlons to. job site: Oco ee fun I Oto. 1 Fee. I Tutnl I I ^ New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. tt. or less 145,15 _ 4 no.: Ea- ndd' l 500 sq. t2. or portion 33.40 1 ax map /parcel :. coital .. ; KPTI'.ON; h'i (with bov energy, q. ft ) 75.00 Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation . or 7 [;;PROPERT :OWNI R:: .. ..... �•;TENAN'C' °.,, to 2 amps iess 201 amps t' 400 amps l06 85 Name: 401 amps to 600 amps 160.60 2 Address: 601 amps to 1,000 amps 240,60 2 Over 1,000 amps or volts 454,65 r2ily. /State / %]p Tem puryry services or feeders installution, alteration, and /o relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 owner installation_ This installation is being mado on property that 1 own which is not 201 amps 10400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature; Date; Branch circuits— new, alteration, or extension, per a A. Foe for branch circuits with 0 CI .;�.1�r�:I'caN�f • � ' CONGA .?� , c:': . • , ,C k�1IS01►1,.', , , ;; above service or feeder fee, 6.65 2 13usinrss name: each branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.63 1 2 City/Slate/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular 90.90 2 Phone: ( ) dwelling, service and/or feeder F _ a�c: ' ( ) Reconnect only 66.85 2 E-mail: Pump or irrigation circle 53,40 2 [12 .0 U.A oR .... ©' T . � ` Sian or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - • L — It energy panel, alteration, or off' Address; metal �� extension, Describe: 1 Pape 2 '7�' 2 City /State/GIP: �j L -y Q � `R ��3� Each additional inspection over allowable in any of the above Phone. ( ,..- ( ) Pcr inspection 62.50 Fax: �+ 3 r ltoa= tS \ 7�► /Os Investigation per hour (1 hr min) 62.50 CCI3 Lie.: t7 r+-�ti � lectrical Lie.; Industrial loot per `�� - 6 _ ,,.___Suprv. Lie,: P P 73.75 Suprv. FICCtrician signalure, ralulred; Q�tab f� EK:HCTRI h:K .:yElt f�T;Iy.LIS. "' Subtotal; 75 ' a • Print ]tame: Date: 1 t Plan review (25% of permit fee) N A;' U�. u - ,4 _ 1 Li..___, (o Authorized signature: State surcharge (8% of permit fee): (p . o0 • TOTAL PERMIT FEE; 1 ,fjCl Prin name: p Aft r .T � t _"� F ��Sn -� yn_T �_ I Dsta: [) _t ,h--/..� � •]rJ This permit application aspires if a par.nit is not pbbtincd within 180 h drys after it has been accepted as urmpirte. l:\ Buil d i ng�PnrmitstELC- PermitApu.dac 0S171/n43 Number of inspections allowed per permit. 4 4c - 4615T(I :nMrwco EO /T0 39tJd DIJ10313 T 1HOIelh1 EZ8TZ9LE0S EE :ZT 90BZ /17T/TT CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006-00276 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2006 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' 4 'I � .. INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 50 SITE ADDRESS: 10260 SW GREENBURG RD 630 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: WORLD SAVINGS LOAN DESCRIPTION: Low voltage for data. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: WRIGHT 1 ELECTRIC INC PHONE #: 503 - 760 -8522 Inspection Request Scheduled For: Date: 11/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 039937 -01 503 - 760 -8522 N F . Corrections /Comments /Instructions: • IM PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS i I FAIL I I CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED Inspector: Date: /(- / 7 - 0 6 Phone #: (503) 718-