Permit • CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10092
DEVELOPMENT SERVICES DATE ISSUED: 3/30/2006
A' V I I ' 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 530 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
Project Description: (2) 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: 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: Contact #: PRI 503 - 624 -3631
FAX 503- 624 -2938
FEES
Description Date Amount Reg #: ELE 34 -283C
[ELPRMT] ELC Permit 4/6/2006 $53.50 LIC 75059
[TAX] 8% State Surcharge 4/6/2006 $4.28 SUP 19655
Total $57.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: .� Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAR 29 2006 3:58PM WILLFIMETTE ELECTRIC 5036242938 p.2
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P::$'� Ye�k� e1Z °fllli$ $� ?a L� I . fit .< F� QIrFI�E USE ONLY'
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City of Tigard ([�� 2006 Datrt3 d ^ 3 �D [/ / (l { / :.n` i' C mtilNo �VpZ6VC /U O / tR 2 2006 y
13125 SW Half Blvd., Tigard, OR 97223 Pla nRevieu
Phone: 503.633.41-/ i I Fax: 503.598.1960 Date/By: OtS: r Permit .
e
Inspection Line: 503.639.4175 CITY OF TIGARD ■ '+Yi p ' ,A.l - + ‘ ::?: DafeReady/By: knit Il P1 See Page 2 for
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Internet: ww.cl.tig rd.or.us BUILDING DIVISI • N Notifietvmethod: � l (' Supplemental Information
gf.: •� - .^2ka :fLl:i - - :,Y:.�•. "k }l.F'iY "'._ �i l��,s 1pi, .. ';t .d --
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s t„ - r ;,i t 4 Iv i te' I . a E'�- ',, r l t { t .. _ y .
�. '. S f'tr i ' ' i�" "S , - r ,.- ,.) s __ _ �T,.p u .fill 7 4'} ASRn `"� � 1 t p. ". �1•�� t, I 1 c 6: r: " ,' '.. I i-� � _ y�,�=z .
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❑ New construction !i. Addition /alteratior>/replacement Please check all that apply:
['Service over 225 amps, comm'i ['Hazardous location
❑
ii mion ❑ Other . „ ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
,� .. i re Fir r- ` tttm-4 1� � +v Fk I " R t ?,k Y!'_ :,,' ^,' , _ 2.;:. e ;. : F - ',, - . ias�atiat rifrZt `,i2;i::::NIE.Tl + .n. _. . {':v... . ••:•... : .�•,.:. ' :.1 F. :,s1
❑ 1 and 2- family dwelling 14 Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in cne structure
❑Building over three stories [Weeders, 400 amps or more •
❑ Multi ❑ Master builder ❑Other. ❑Occupant load over 99 persons ❑Manufactured structures or •
`^l ."r s.� 'r' f , il I s -r a,' •' P:iiI [ �fi " '� 1,71 �2 ; s - ° i;�F„h it, RV park
rj� l �l:,:a a ��- i s Izs ,,' A ,' r ii I
` ' a te -r1 ', sl ' ' • WI, ,1 1 , , ' ;;;,..a+.• .), ❑Egressighting plan ,n p
❑Health -care facility ❑Other:
Job no.: Z� Job site address: Q z f C) (,;,pia„.,,,, � � Submit 2 sets of plans with any of the above.
City/State/ZIP: �, , h _ R 0 6,e,‘... The above are not applicable to temporary construction service.
`'f`,�.'tin "�'}.������? i i .. A t3F .wit' I
Suite/bldg. /apt. no.: pu I Project name: STA -1Z / e c K ( -^
Description Qty. Fee, Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
S Includes attached garage.
L f ✓U c ,,J, ry _ 1 d W , t ,_ S o ()C9 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75.00 • 2
s7 p i s -r a Fs s s r* r - . � f r s 74: - .+
t� 1 i , 4 ai �t h -Y , l y h > it a , e p •p s' . , .'n= ' a Each manufactured or modular
si lyre ,Mfilrtl�� dt.. b 1L ,
dwelling, service and/or feeder 90.90 2
i 1._. � Services or feeders installation, alteration, and /or relocation .
200 amps or less 80.30 2 •
1 } ° fir. is, ss l k riwct''l, x I ( V ,. ,, � i r . ` n ' , R.. 201 amps to 400 amps 106.85 _ 2
4 .,x � 1➢ Vii. iStM ' li ;i(,. iiialll .,{1. , -a a ° .... :i 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 j - 2 l
Address. Over 1,000 amps or volts 454.65 ' 1 2
• Reconnect only 66.85 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ) 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
r , �, , k x t - ,r} rr r w C5,_ ,xp'ri aye , �7t I in>:TR kl 'rt ' A. Fee for branch circuits with
ke ' .,,s ` Est ttg it =s 'ta,: s 1 Melt E'x �t,tnl i d f +:4 1� r s k
��:a���'� �i�•� �^,.- ,idle^ � r, �:. I� ,�S�h•..:.5,{`�it�a�r�. _�.:,Ir�l:�..,zL,y "�t�i� Fa..,. k a'�taL;gjti;rts�� ..,
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits ��
Contact name: without service or feeder fee, i,j -"
each branch circuit 46 ! 6 C . 2
Address: '
Each add'1 branch circuit i 6.65 6 " 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone ( ) 1 Fax: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
�' t e a � �� N. 0v =4 a , t " en er gy panel, alteration, or
:M 3gR, iii! .° 1': "'!`D :L ' t'r at;'wwi �•�I;,t�, 3 . ,., , ,,: t!.. .:.. .. .,.,
extension. Describe: Page 2 2
Business name: c''
:I - 4.... is -
Each additional inspection over allowable in any of the above
Address: 1) 0 .2 0 cf 11 Per inspection 62.50 -4
City/State/ZIP: � Y ,, . Y, U l'.-- 9? Z6-" I Investigation per hour (I hr rain) 62.50
Industrial plant per hour 73.75
Phone: (Ai5 ) taa _it, - 3.6ao ( Fax: (5 6.2.'4. 7...‘i ' 8-' t ,z11 � reLq ara,-r 3 , x " ... a
CCB Lie.: ~ '�-,6 j u d lElectrical Lic.: 3.4, 2 c Suprv. Lie.: f9 4 -- c Subtotal 5^ t St)
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: i, I • Date: _ z el �, TOTAL PERMIT FEE V 9',
Authorized signature: / This permit application expires if a permit is not obtained Within 180
d ays after it has been accepted as complete
Print name: Date: " Fee methodology set by TO-County Building Industry Service Board
"* Number of inspections per permit allowed.
,:\Suil ding \ Permits \sa x pm jtApp.dnc 12/03 440- 4615Tt10 /01 /CCMfWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20i)£�• 0W2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006 Phone: (503) 639 -4171 A It�� @ i � l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_
INSPECTION WORKSHEET FOR DATE: 4/25/2006 TIME: 7 :00AM PAGE: 61
SITE ADDRESS: 10260 'W GREENBURG RD 530 . CLASS OF WORK:
SUBDIVISION: LINCOLN :`-NTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: (2) branch circus-
OWNER: EQUITY OFFICE PR ERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTR ..• INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 4/25/2006 Pour Time:
Cos- • Inspection Description Co • irm # Contact # Message
flaV Electrical final 0206 " -02 503.624 -3631 N
Corrections /Comments/ Instructions:
S
q PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -'es, 1" ®`-� Date: LiI Phone #: (503) 718 -Z
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•10092
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639-4171 A
(
Inspection Requests (24 Hrs.): (503) 639-4175 J. 112.
INSPECTION WORKSHEET FOR DATE: 4/2512006 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 10260 SW GREENBURG RD 630 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ST ARBUCKS
DESCRIPTION: (2) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 4/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 028637-01 503-624-3631
Corrections/Comments/InStructions:
PASS 7 PARTIAL APPROVAL 7 CANCEL NO ACCESS
ffi FAIL 7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: N L Date: 1 4 Ob Phone #: (503) 718- 100
CITY OF TIGARD
BUILDING DIVISION PERMIT #: — 1 p °q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Joh roq�u�u4��ll
Inspection Requests (24 Hrs.): (503) 639 -4175
I NSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: (0)—00 0 6y- e- -e-J9+� 5 k_d S 7 �' p CLASS OF WORK:
SUBDIVISION: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: r �� PHONE #�- 2)624-363 1
CONTRACTOR: V� CC C/vL -G✓1 C PHONE #:
Inspection Request Scheduled For: Date: 3 '" 3/ ' Pour Time:
Ins• - • ! - _ 'en Confirm # Contact # Message
0—C c/62-C_ 00
CoveI
Cor - •ns /Comments /Instruction M
� c-tN
ASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cy-kat ri Date: '5 6 6 Phone #: (503) 718 - 1446