Permit e ELECTRICAL PERMIT
CITY O F TIGARD
PERMIT #: ELC2007 -00665
°... COMMUNITY DEVELOPMENT DATE ISSUED: 9/25/2007 .
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 720 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
PROJECT: LINCOLN TOWER
Project Description: Retrofit building for HVAC controls, and low voltage.
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: PER INSPECTION:
201 - 400 amp: 1st W /.O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 12 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 9/25/2007 $201.65 LIC 75059
[TAX] 8% State Surcharge 9/25/2007 $16.13 SUP 4226S
Total $217.78 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: b(
_sateiheterdg_ 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.
ElectricalTermit Applic :E! C _ FOR OFFI
t E ONLY . .
City C1}�� g of Tigard 2 5 2007
r Received 9 f� Permit No ,� G, 6
` DateB : _ 5 J r 7 ]J
13125 SW Hall Blvd., Tigard 0; ? Plan Revi w �• "- Phone: 503.639.4171 Fax: ; . DIVISION ' Other Permit:
N Date /B
TIGARD Inspection Line: 503.63��� 9.417 lll���
: V1 Date Ready /By: rur s • 0 See Page 2 for
Internet: www.tigard- or.gov Notified /Method: r Supplemental Information
TYPE OF WORK PLAN REVIEW ,
❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY' OF CONSTRUCTION , ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
• less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ®..Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOQ SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
. ❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "I -3 ",
Job no.: 7 Z Job site address: / Z.6 J S 4- 6 r a I e. -I.d 100HP or more. occupancy.
7 ❑ Six or more residential units. ❑ Recreational vehicle parks
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: i tAd i ., l•f 9e, G „P--t ❑ Service or feeder 600 amps or more.
. FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I
New residential single or multi family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
DESCRIPTION ,OF:' WORK • (with above sq. ft.)
! J fi" hi ✓ Limited energy, multi- family
R C f
!' C G u - � .■ 4 S � residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' ' ❑ .PROPERTY' OWNER .' ' ' ❑ TENANT' . 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
g A. Fee for branch circuits with
❑ APPLICANT "; '. ' • , . ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 it6 8i 2
first branch circuit
Address: Each add'I branch circuit /2 6.65 7,9 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
. CONTRACTOR ' _ Sign or outline lighting 53.40 2
Signal panel, or limited -
Business name: Willamette Electric Inc
energy panel, alteration, or
Address: PO Box 230547 extension. Describe: I Page 2 4,.- / 2
City /State /ZIP: Tigard, OR 97281 Each additional inspection over allowable in any oft the above
Per inspection 62.50
Phone: (503) 624 -3631 Fax: (503) 624 -2938
Investigation per hour (I hr min) 62.50
CCB Lic.: 75059 Electrical Lic.: 34 -283C Suprv. Lic.: 4226S Industrial plant per hour 73.75
' ELECTRICAL PERMIT,' FEES
Suprv. Electrician signature, required: Subtotal: 5
Print name: David Fife Date: �f - c.... - 47 7 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 4 .3
Authorized signature: TOTAL PERMIT FEE: oZ/7. 78
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: \ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I I /05 /COM /WEB
, - -
CITY OF TIGARD
1 ,
BUILDING DIVISION _ 4- PERMIT #: ELC2007.00665 •
I
I( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EV25/2007
Phone: (503) 639-4171 bettlitill
Inspection Requests (24 Hrs.): (503) 639-4175 ..A- IL.
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 76
SITE ADDRESS: 10260 SW GREENBURG RD 720 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: LINCOLN TOWER 1
DESCRIPTION: Retrofit building for IIVAC controls, and low voltage.
OWNER: EOUllY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm-# Contact # Message
--..„.
199 . Electrical final 05871 971-219-0413 Y '
,) c
Corrections/Comments/Instructions:
C 'PI NO 1
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.; , -' •
C\ .
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PASS n PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6--- N 66 1 .--‹ Date: 1 Phone #: (503) 718-1144