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Permit C ITY OF TIGARD • ELECTRICAL PERMIT PERMIT #: ELC2006 -00213 DEVELOPMENT SERVICES DATE ISSUED: 4/21/2006 eh 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 600 ZONING: C -P SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT : 014 JURISDICTION: TIG Project Description: tTl ELEC AND LOW VOLTAGE (DATA/TELECOMM.) 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: 1 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: 0 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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 BROADWAY ELECTRIC - COCHRAN INC ONE SW COLUMBIA ST #300 626 SE MAIN PORTLAND, OR 97258 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 238 -2098 PRI 503 - 234 -6564 FEES Description Date Amount Reg #: ELE 37 -546C [ELPRMT] ELC Permit 4/21/2006 $148.45 LIC 72942 [TAX] 8% State Surcharge 4/21/2006 $11.88 SUP 3447S Total $160.33 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: A j Q Permittee Signature: y\--) a 10,-Z OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: • DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �'rnn/�JI.�/gJ _(9oo4q V Electrical Permit Appl ication t oR oF��cE usE oN>LY City of Tigard, CE VED Eew p� 1Permit No:. 13125 SW Hall lvdTigard, OR,, �^ / r , R D / B Other Permit: y: Phone: 503.639.4171 Fax: 503.598.1960" i h > + � Date/By: / Insp Line: 503.639.4175 ■ •' Internet: www.ci.ti azd.or.us APR 20U6 " "� � > e _ � Date ReelM a lurs: / r, - S u See Page •Z'for. g Notified/M �'(� Supplemental Information • �St A . 'ilA: ,+r x t t4=fi s � tlA YYr.•� 1 "b+"i$'c K o. �xl - = ,<�`` ;3?• rc+, - iy ` ,,�,., .. st , w "t,K, ` ,rr. S .-rrF . � . :::.4 p,..,. --. F �.41 ' iF , • .�,,:'..' '•'"r , • ". ' ' - - .;.�s -x.'r _�tt, ., � v : �� e,r_3_ :� °. +" -a . -E-. ( � tt ails v r , ❑ New construction 1' �_jid ilr .1 I �1.1 .'. cement Please check all that apply: ' ❑Demolition ❑Other: ['Service over 225 amps, comm'l El Hazardous location 3� , "�y[Y � ❑Service over 320 amps — rating.. ❑ Buildng over 10.000 sq. ft., • �x `:uai:> Greg as ' 0- " . , `! © - ` " 3 n t ` . '" °a'' of 1- and 2-family dwellings 4 or more new residential ❑ 1 - •and 2 family dwelling: M Commercial/industrial ❑ Accessory building. ['System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more ❑ Multi family ❑..Master builder. ❑ Other: 3 w a xa r r�� ❑Occupant load over 99 persons ['Manufactured structures or • r .. t:.)A - 3 r u 1 ` e_ L.� r i ' , " ❑ Egress/lighting plan RV park OIL no.: Job site address: 1024:0 0 S(� Greeh bu.r�c ❑Health - care facility El Other: � Submit 2 sets of plans with any of the above. City /State/ZIP: 3 Q vr3 C 1Q ) The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: (UQ Project name: S r a . , " `. `j. `':;''''_,' . , . D escription Qty. I Fee. Total • Cross street/directions to job site: _' I rl I I 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'1500 sq. ft..or portion 33.40 1 Tax map /parcel no.: • Limited energy, residential 75.00 2 x , x Limited energy, non - residential 75.00 • 2 ? ��' # ' �` � ' - .� ..�:;��a� ��.0 Each manufactured or modular \,e-nafr- �� 0ci e i dwelling, service and/or feeder 90.90 2 1 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 :} •o �} t� c .'`� 1a 20 1 amps to 400 amps 106.85 2 mp mp Name: R A —CAM e�` d ""� a 401 amps to 600 amps 160.60 2 M \ CV V S 0 va-1S 601 amps to 1,000 amps 240.60 2 Address: a Iobv'e— Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City / State/LIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) 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 j ' ' t om" : g - DiVir tom . r ' '' t x s �- A. Fee for branch circuits with „_ : 4 - - t � `�'' ' "' service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, / Address: • ' 46.85 it 6g.- 2 each branch circuit Each add'l branch circuit H 6.65 l a( 6 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Fax:: ( Sign or outline lighting 53.40 2 E Signal circuit(s) or limited- . - k 1. ,,. ;. -' o(cl\•`Lt;; Eza o ..'., ,q ;. .. is , s., :.,:-, t.'•R energy panel, alteration, or extension. Describe: / Page 2 75^ 2 Business name: � ,e,o � � E w 0...1 < < ~ c .r .c 1.,}72/feelecovnvr-, Address: 2 c 5 L A " Each additional inspection over allowable in any of the above 1 \ 0 . \m Per inspection 62.50 City/State /ZIP: ?t,.4- -\ CS.� \ OE2 c k - 7 2`Li- Investigation per hour (I hr min) 62.50 Phone: (So3) 23ti "L7 co Fax: (5 Z _2o `i S Industrial plant per hour 73.75 CCB Lic.: 7 25 42, Electrical Lic.:31 -5 Liu,c Suprv. Lic.: 3` n- S ��� Subtotal i • ' JJJ- Suprv. Electrician signature, required: \ ( l.c. Plan review (25% of permit fee) Print name: l_e ,,y,��\ _ \ � ��� ---,,, c "' ��+ Date: � State surcharge (8% of permit fee) �l g. � gk ( TOTAL PERMIT FEE /taa. 3 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. l:\ Building \Perrnits \ELC- PermitApp.doe 12/03 440 - 4615x(10 /02/COM/WEB . ` CITY OF ��mm m ��m TIGARD BUILDING DIVISION - ~~~°..�~°""~~° ~~"°.~°"~~"~ � PERMIT #: ELC2008-00213 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/21/2006 Phone: (503) 639-4171 Inspection Requests (24Hmj:(G03)G3Q'417G iit INSPECTION WORKSHEET FOR DATE: 4126/2006 TIME: 7:03AM PAGE: 70 SITE ADDRESS: 10260 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: L CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: MICROSOFT DESCRIPTION: Ol ELEC AND LOW VOLTAGE /QATAJTE0ECOK0kd.\ OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-234'6564 Inspection R Pour Time: Code # Inspection Description Message 193 Electrical final N Corrections/Comments/Instructions: A PASS El PARTIAL APPROVAL 111 CANCEL | ) NO ACCESS | | FAIL I | CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED �� � |Inspector: �NO ��� Date: 1�wn * � 1 -446. � Phone #: (503) 7181-446. �� o .