Permit - A CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00423
rrl�fi, DEVELOPMENT SERVICES DATE ISSUED: 8/1/2006
L
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 900 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
Project Description: (2) branch circuits for HVAC.
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 8/1/2006 $53.50 LIC 75059
[TAX] 8% State Surcharge 8/1/2006 $4.28 SUP 1965S
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: j_e R, Qt
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.
AUG 01 2006 6:51RM WILLAMETTE ELECTRIC 5036242938 p . 2
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In tem t: www ..-..-. i . li gar d . or. us . . Notificd/Mettioc. ) ti 1 Siippieinellial I n Formation
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0 New construction ri. ,',..,:i7i,PAT,ftibiTte-P3A,ciet)1\ Please check all that apply:
Li Demolition Li Other: OService over 225 amps, comml 01-lazardous Ic.)cation
.... OSenoce OM 320 amps - rating pEuitting ever 10,000 sq II,
• 1141,1" ri„14, , 41 wim ,. : . , , • , p •:, !,!-•::" ' .' . t: ..... ;. 41 ,..',
!QAVATV,VF:ga ' .' : i '. • ,::.-,.......vagn....:'.,:,.:.: :;.,. ., ',--.;:,,.......: i!.71:::'.'", of I - and 2-farrtily dwellings 4 or more new residential
Ei I - and 2 dwelling .i ommercial/industrial 0 Accessory building 11System over 600 volts nom:nal units in one SlInCillre
El Multi 0 Master builder 0 Other: DBuilding over three stories OFeeders, 400 amps or more
pOccupant o
load ver p 08/lanufacture.r structures or
, r," 1(KIWPFM. rIllriPirregM . :74M -: : -. ''1"---4" - far ` 0 RV park
.y. 2;"i j, t• Egresskighting plan 99 e:sons d st
Job no.: 0,4 ( Job site address: 0 z 4 , 0 g i.. „ . C A.44 , 4 4,4 ElHealt11-7.are facility El Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: 77 ei „„ n1_ 1 ), e/2._.3. The above are not applicable to temporary construction service
Suite/bldg./apt. no.: 90D
I Project name: / 0 /„...) . Sikiti ''.
1 s -to DeSeriptiOn I Qty. I Fee. Total I -
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
"rs-,,, C..) 1'04' 1,000 sq. ft. or less 145.15 ; 4
Subdivision: Lot no.: Ea. add'1500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: •
75.00 2
etirl k. • --• ■•.„ 1 alio*. ' - ,
itt, 17,,,,,17',V ''':•10flantailta4c,r)latAT"1-3 , Np1", .-..- tk . i ,,,kot.J.,.,,,. ART ,
iik ' ';' ai ' .., ...: • ;. , ii ,.. ". ' k ..trlai.... .., L., ji. qt:1 ... ., Each manufactured or modular
0 dwelling, service and/or feeder 90.90 2
UWC--
Services or feeders installation, alteration, and/or relocation 1
200 amps or less 80.30 I 2
.■
q& att - :.' .'', : 1 -
PP . V'•■rr %F ''':'.1 ai 201 amps to 400 amps 2 1
MA:21 . Wile,-1.10-7!4.7'ill I D6.85
401 amps to 600 amps 160.60 2 j
Name:
601 amps to 1,000 amps 240.60 2 !
Address: Over 1,000 amps or volts 454.65 2 I
Reconnect onlY 66 85 2
City/State/ZIP.
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 arnps to 400 amps • 100 301 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
. '"7 - P, VIVPIrrrill$ '
A. Fee for branch circuits with
Business name: branch circuit . 6 65 2
. B. Fee for branch circuits
Contact name: without se:-vice or feeder fee, 1 eS
., .....---
each branch circuit 46.85 2
Address:
4. ;_i--
Each add'l branch circuit
( 6.65 4 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2 1
E Signal circuit(s) or limited-
UUMatigetat-i-iistiftSgt cnu gY P anel ' alteratIon or
extension. Describe: Page 2 2
Business name: , 4446 It( Fit.414,,c, irs ,.., s ___
Each additional inspection over allowable in any of the above
Address: 0 6 ';,. 2 : 4 . ik ..
Per inspection MI 62.50
City/State/ZIP: ' - ,..;.4 ./„. , - v Investigation per hour (I hr min) 11111 62.50 ._
MI 73.75
Fax ('V) ..Z(x.- zig:1- Industrial plant per hour
.
'CROMMEMM#2404astel! ..'";1,:liA:, .7
CCB Lie.: -- •.,? -;) ... Electrical Lie.: . L. ... C, Suprv. Lie.: xel• itl-c
Subtotal c3,
Suprv. Electrician signature, required: /4
-:.•*, Plan review (25% of permit fee) '
Print name: F p Date: ?__ 3__
1_,e, State surcharge (8% of permit fee)
TOTAL PERMIT FEE _
Authorized signature:
This perniit application ey_pires if a permit is not obtained Mehl n I 0
days niter It hoe been accepted as complete
Print name: Date: , Fee methodology set by Tel-County Building Industry Service Board
•* Numbe7of inspections per permit allowed.
IA1311 i Id i ng \ Pemtits \ELC-PcirmitApo.doc 12/03 e 40 -4615T(1 0/02/C OMilifEn
CITY OF TIGARD
BUILDING DIVISION , ,
, , -. PERMIT #: ELC2006- 00423
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 811/2006
Phone: (503) 639-4171 40fitivi1 iiI\
Inspection Requests (24 Hrs.): (503) 639-4175 A.- '11.
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06Atvl PAGE: 73
SITE ADDRESS: 10260 SW GREENBURG RD 900 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: NW MORTGAGE
DESCRIPTION: (2) branch circuits for HVAC.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624•3631
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Ins ection Description Confirm # Contact # Message
199 Electrical final 034797-01 603-624-3631 Y
--.
Corrections/Comments/Instructions: • q11.21c1,0-‘13
-. N .
N.
.......N)
-......._
Yl PARTIAL APPROVAL 1 CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cr ---4 Kt(?) 1---V Date: 1 8 ti 66 Phone #: (503) 718- 2,WL__