Permit CITY OF TIGARD PERMIT
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PERMIT #: ELC2006 -00240
DEVELOPMENT SERVICES DATE ISSUED: 5/4/2006
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� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 650 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
Project Description: (1) 200 amp service, relocate panel to electric rm. Work done in 740. Job # 275.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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
[TAX] 8% State Surcharge 5/4/2006 $6.42 LIC 75059
[ELPRMT] ELC Permit 5/4/2006 $80.30 SUP 19655
Total $86.72 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: _ J pL� �P -. c=511
C 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.
MAY 03 2006 12:02PM WILLAMETTE ELECTRIC 5036242938 p.
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1 3125 S1V.i , °frill Blvd., Tigard, OR 97223 'flan Review D { — � �� �'
P`e: 563.639.4171 Fax: 503.598 -1960 l d sts I no.. ernut
ct 4 Inspection Line: 503.639.4175 MA , rl 3 � , ` i. Dale B.eadv/ey: — I 1 „ E1 Sec Pag< 2 for
Internet: ww'N.ci [-` Notified/M / ,1 5, Supplemental Information
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Ys v P lease check all that apply.
❑ New construction Z Ad�i �1��/ �> replacement PP Y
3t, ['Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other:
of 1- and 2- family dwellings 4 or more new ❑Service over 320 amps - rating ❑ Buildng over 10, residential
s ft.,
'1 4 ff 11. 3 -"ta ,..lei rr' ; , 5 ,' t � ;• ? 3 M. , , -. : y v _ o�+ Q'
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r i �..,, ' ". ` r'tr•' ar_YdJ:» ^. �„ - •>l. =Mill � a ( ><' , .,c.�.'iS;'3' enhal
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ u Acc + essory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi-family 1=1 Master builder ❑Other' ❑occupant load over 99 persons ❑Manufactured structures or
Y i y + '+— xS tg 's n z r , a[3� -��' � � °... JC'3" .' , ,.c v s'T'., �v }ir
' ti r� .:;. u ,ti� ; te=lir ``ri tra , . 'v tgittr s.i'- .: a e t ` ❑E gressIlighting p RV park
❑Health care facility [(Other:
Job no.: Z 4_ '- Job site address: / p Z w C'
i, 6 s , .Q.4-� , L ""^� e _ Submit 2 sets of plans with any of the above.
City /State /ZIP: " if The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: .{ G I Project name: &,.) r" fe e f e� ai tl t ill =
L._ Description Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
_ Includes attached garage.
L i w (C "v— l di.J-e.4..' Sv 7 Y 1,000 sc. ft. or less ( 145.15 4 '
Subdivision: 1 Lot no.:, Ea. add'I 500 sq. ft. or portion 33.40 i
Limited energy, residential 75.00 2
Tax map /parcel ao.
u p a � 3 t Limited energy, non - residential 75.00 L
• a 7�.., , ' s .t Yi [ M tit? • is.� ;: ' + 1 a i ' Each manufactured or modular
/ dwelling, service and /or feeder 90.90 2
16 _ c , 6�....a� '•.. G 0.12C '/t IC Services or feeders installation, alteration, and /or relocatio
ki.2.T/" "- 200 amps or less / 80.30 I St) ±. 2
•
x r K a ` pgm. i: ri r `� .,r r rt r : ,,i 201 am to 400 amps 106.85 2
t fntr l tt't 9 r . p '• `'' t.' 6i rla t , �': "x"'. ' `.'5a: .r `' .
`• � t nm ,. -t * � ''' ` 401 amps to 600 amps 160.60 2
Name: 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/LLP: 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 1 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
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; � 4 . � "��,ry� l �r . ry �} r d , si' . ,, i "r. � �� t7 1 � ��' 1 A. Fee for branch circuits with
?xis ulg s'� ~ `.. ."Tall'+: ril4N14.41.,. `: Y: d .9 .Y 3 d$ � tizt,it �t_'S..01. � , a.,Z'F � Y [ %S
service or feeder fee, each 1 6.65 2
Business name: branch circuit -
B. Fee for branch circuits
Contact name: wiihcu: service or feeder fee,
46.85 2
each branch circuit
Address: Bach add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) ( ) Pump or irrigation circle J 53.40 2
Fax::
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
' x t '" r 1 �'?5r ;1sT r v('` �li,^1<, '" energy panel, alteration, or
l:' = > '�t � ��r ,�� ,` >'1 e �F'i �'f4d..:k;" , T: t• �� aV:.y �����"'• :�' gY P
_ extension. Describe: Page 2 2
Business name: n.;a. +, (� vn, ea .� r,..1.:67 itB -„, w'--
Address: ; �r Each additional inspection over allowable in any of the above
i''' I �
"' `, 2 -- ,• ? 1 Per inspection 62.50
City /State/ZIP: il"s,; v e''� t� yj,__ i'- 'f ,, 6" ,i Inv per hour (1 hr min) 62.50
, • _
Industrial plant per hour 73.'5
Phone: ( rd_i ) :S l.t� 6 ,, 7 Fax: (5 ) '2'`'; '1,-'i _a : -;; +ft9' r�:�!; > M ,.,,, " >"';,;I,k.,.,n,�v. (.` °: '�?
't`aY�,�'.a :;.rkt�L�r` ��:r�' '�. .:. . .... ..
CCB Lic.: 1 y"e : - / Electrical Lie.: . 3;41... -j:',!,- f_,. Suprv. Lic,: (v.? - w Subtotal r 5 ----
Suprv. Electrician signature, required: /l Plan review (25% of permit fee)
f
Print name: ' . .£ Date: -f....64 J State surcharge (8% of permit fee) ( t c
t f i u 4 s,., ' ' ' r W �C t 7 Z
TOTAL PERMIT FEE
Authorized signature: This permit application expires it a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: . Fee nvethodology set by Tri- County Building Industry Service Board
• "" Numaer inspections per permit allowed
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20061)0240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 514/2006
Phone: (503) 639-4171 "el (
Inspection Requests (24 Hrs.): (503) 639-4175 ..„..„....1.0■ ...
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7:04AM PAGE: 65
SITE ADDRESS: 10260 SW GREENBURG RD 650 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: gm TYPE OF USE:
PROJECT NAME: NEW YORK LIFE
DESCRIPTION: (1) 200 amp service, relocate panel to electric rm. Work done in 740. Job # 275.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: NUM& I I E ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 814/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034388-01 503-624-3631 Y
,
Corrections/Comments/Instructions: <( N 1 : q 1 3
PASS
fl PARTIAL APPROVAL El CANCEL F I NO ACCESS
I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: N46 4_, Date: i• '4' 0( Phone #: (503) 718- 1-fl_________
. -.. '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008- 002'10
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/11/2006 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 10260 SW CREEN8URC RD 660 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: NEW YORK LIFE
DESCRIPTION: (1) 200 arm service, relocate panel to electric rm. Work done in 740. Job # 275.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 5/11/2006 Pour Time:
Code # Inspection Description Confirm #. Contact # Message
199 Electric :aI final 028704 -01 503 - 624.3631 Y
Corrections /Comments /Instructions: C-M \ '(i)
Q 1 C/0 b y 1 ES (35 E- Azi
. J -
(Lo6t. AIL oe s �� �o� tF Fkakek
114,4\ VtiLI •
❑ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
Inspector: GTh `r " ve LE Date: 6 -1 11 0,10 Phone #: (503) 718- 2411
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/412006
Phone: (503) 639-4171 italt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/10/2006 TIME: 7:02AM PAGE: 36
SITE ADDRESS: 10260 SW GREENBURG RD 650 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCt.)LN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: NEW YORK LIFE
DESCRIPTION: (1) 200 amp seivice, relocate panel to electric mi. Work done in 740. Job #1/5.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 029626 503-624-3631
Corrections/Comments/Instructions: c) \ - 2 -1 1- "\\
cAt.)1k,F t4,55Lb 6e qt\ini .
czr'Y Tr.)
I I PASS n PARTIAL APPROVAL LII CANCEL X10 ACCESS
*IL A CALL FOR INSPECTION L ADDITIONAL FEES ASSESSED
Inspector: 9— Date: I I I , Phone #: (503) 718-