Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00062
let+ DEVELOPMENT SERVICES DATE ISSUED: 2/7/2005
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 760
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT : 014 JURISDICTION: TIG
Project Description: Branch circuits (2).
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: Phone: 503 - 624 - 3631
Reg #: LIC 75059
SUP 1965S
FEES ELE 34 -283C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/7/2005 $53.50
[TAX] 8% State Surcharge 2/7/2005 $4.28 Electrical rough -in
Electrical final
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 B y:/ (/ 1 /y. J&& Permit Signature: (f)-7 4r-laiLL
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 639 -4175 by 7:00pm for an inspection the next business day
FEB 07 2005 8: 17RM HP LASERJET 3200 p . 2
• '4.. - •
11.etteical Permit A0-11,28,--IVED/\ :f.,.:,,,,, ,.• -• .. OFF.c •.:,- • ..,,,. ..,.::.„.
,. ._ _ _•.„.,-.,,,,..„.:.,.: _poR..,, -.sE...,,i, ._. •
.
.... .,,_
.(71;,of Tip ed i \ .lireccd,,i _--) _ .....-- ■ Ofr •
., \ illte':iy!.o.- / °.9 i
13125 SW Hall Biv6.. Tigard, Cli.97223 CCD g , inn5
,
0 0 Luu Plan Itev:ew ---r- TT
Ph 503.639.4171 Fax: 503.598.1960 t L /i 0, Date/By: Other Permit:
Inspection Liner 503.639.4175
CITY OF T I --- A-.
.-tiljp. 0 1 Date Ready/By: ru E g! I See Page 2 for
Internet: www.ci.tigard.or.us Nati Iethod: . J i.-- Supplemental Information
S. ir., WEEPIIIIrfitingFargfilliaitAt titIgk ' -' ' PIXV9 k S t.4:0,, . 31;, Tli:4
, . ilieelic ■ ' -111:1 ' lifizI,It i..4 . ' , ' i •:i•.la El e .i. -'..•[: ..° ,- • , . , ,.,;.,k_ , .,,,,t :" 4 4 - • ' 4-.. , ' , 44...44. 11 k."14 ,41 .-. - "i . , I
El New construction Dddition/alteration/replacement Please check all that apply:
0 Service over 225 amps, cornrn'l 0Hazardous location
El Demolition DI Other:
..„: ,, , ['Service over 320 amps -rating EBuildn over 10,000 sq. ft.,
1 '.60.1 ,l ;. • ._ 1 flp, of 1 and 2 dwellings 4 or more new residential
n I- and 2-family dwelling I;LCommercial/industrial 0 Accessory building ID System over 600 volts nominal units in one structure
OBuilding over three stories [Weeders, 400 amps or more
D Multi-family ci Master builder D Other: ['Occupant load over 99 persons CIManufactured structures or
1 .,.
isir r tiiiiirrqP I
mr,101-anowarmilpil.zztzlolfirifirfinittri torliNirnif
inn-;5F14,,i1T, in : witirami .1 90,1- .40. i - ,-,. - • 1. t-- ., -, 1, ir- • - . )1- Lt, -,-. :=. ‘ L , E pl RV park
• ;La:124,1A ,im 4111trazilawegiwerT,t,:4:ritl:fLor,-...,,IVir_,Lf% r!,-aiir-,-.1.- ag, e,,WWItZ. k
D1-lealth-care facility ['Other:
Job no.: S- , Job site address: • / 0 z4, , 5'i.1./ Gida./...... k.it Submit 2 sets of plans with any of the above.
City/State/ZIP: --.- - 0,.e:. 94 l 2.. - The above are not applicable to temporary construction service.
i 19-‘7. /1
ONtlgaggiOXIDASOEriggabglINIMMINI
Suite/bldg./apt. no.: 3-i, 0 Project name: p,..4 Al 4
Description Qty. Fee. To lot **
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: . .
Limited energy, non-residential 75.00 • 2
liftiNNElin ii flVE,.'
maillitiaaa.haxamacalaidek. la zaliniv,wakakaim ff.g Each manufactired or modular
dwelling, service and/or feeder 90.90 2
• .1 . I 4t fAr...v .
,,_,,,,,d '
e,..---t Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
ilallitINflifiiirlitVeritFiFfitiPTIRKIT v!"?..: Otrag ilatIllitt"; '''t4. 2°1 amPs ti:3 400 a m' s 106.85 2
iigkitailktiesiali itak tat/ , .•ikg Al -- fi.Y.'..de:' A; ' , w. 2;11.21.:. :4,1i, ra.414 0 -. ;'• - ' i:.:0. ■5 . 40 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 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( •
)
200 amps or less 66.85 ''qiii, 1
Owner installation: This installation is being made on property that I own which is not 201 an to 400 amps 100.30 ' ''''4 :4*
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
RitriRRAFFE - .VAIMPAP-ZjilD11 A. Fee for branch circuits with
a,. ' 11. - ilhozihiiam. q A"?4•164 tovgiiili.-:.:41wigar _ ke,,,s4wautrdsik:E1 service or feeder fee, each
6.65 2
Business name: branch circuit
• B. Fee for branch circuits
Contact name: withota service or feeder fee, i 6 V
46. yi ...
85 2
each branch circuit
Address: - . Each addl branch circuit / 6.65 6 4.,r 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 . 2
Phone: ( ) I Fax: : ( )
Sign or outline lighting . 53.40 2
E-mail: Signal circuit(s) or limited-
irniAMITEIERWIMA:112. 1k1V:41,115-'''llillSISE.J. .4 g Y P ,
'''' ' extension. Describe: Page 2 2
j3usiness name: '' 41,4
Each additional inspection over allowable In any of the above
Address: p d A 2 3 a c 7 _
Per inspection 62.50
City/State/ZIP: , ,,,, o 94-2k( Investigation per hour (i hr min) 62.50
7 Industrial plant per hour 73.75
Phone: ( STI3 ) 4,2 ti - 3' 4 • k Fax: ( 513 ) 4 7__ -
_ EIVERNISMINUMIEJIIITOTIMAIME
CCB Lie.: 3 50 5 Electrical Lic.: 74 e Suprv. Lic.: /7 c- c Subtotal
Suprv. Electrician signature, required: id - ,.._ -,, Plan review (25% of permit fee)
...e.....
State surcharge (8% of permit fee) Li ,2.1 -
Print name: ,, F 1... Date: z - ,e,, .
TOTAL PERMIT FEE
Authorized signature: This permit application expires If a permit Is not ohrtai .r4 fkithin 110
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.
,
i: \BuildingTermirtslELC-PemitApip.doc 12/03 440-46I5T( I 0/02/COM/WRI3
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line, (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re•uested AM PM BUP
Lo tion WO a. / 6 - Al` a -/ ii � _'J .# Suite 7O' MEC
t 0 -� ? _ �� PLM ontct P5rs Ph 4 �=7/ .) y
Contractor Ph ( ) 6 .)- '" .t SWR
BUILDING • Tenant/Owner ELC, DG.),S - aa■ (.--
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: — < - -
$ SIT
Post & Beam _ r
Shear Anchors I— -----St""-Al
Ext Sheath/Shear '` 0
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: cr
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab ij
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
Low olt & .eLP.
Low Voltage /Y
Fire l larm
PART FAIL
0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date .D''' b 5 Inspector ��y/ Ext
Other:. .
Final DO NOT REMOVE this inspection reco d from t e Job site.
PASS PART FAIL