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Permit , CITY O F TIGARD ELECTRICAL PERMIT RESTRICTED ENERGY T6'l DEVELOPMENT SERVICES PERMIT #: ELR2004 -00336 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/26/2004 SITE ADDRESS: 10260 SW GREENBURG RD 1060 PARCEL: 1S135AB -03400 SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT: 014 JURISDICTION: TIG Project Description: Tenant Improvement - Phone & Data A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST GARNER ELECTRIC ONE SW COLUMBIA ST #300 2920 SW 247TH AVE #A PORTLAND, OR 97258 HILLSBORO, OR 97123 Phone: Phone: 503 - 591 - 1320 Reg #: L933- 64217259 SUP 3707S ELE 34 -305C FEES Required Inspections Description Date Amount Ceiling Cover [ELPRMT] ELR Permit 10/26/2004 $75.00 Wall Cover Elect'I Final [TAX] 8% State Surcharl 10/26/2004 $6.00 Total $81.00 • 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. Issued by �j�� (�� Permittee Signature_jy) 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 7:00 P.M. for an inspection needed the next business day 12/08/2002 23:21 6427925 _ �_ PAGE 01 : , %• . - ..,.._._-..--' FOR (3NFICE USE ONLY iec' Perm it Application �� / 1 Received 1'armit Na.; EJA 2 ... 33,3 rP City 'L A Tigard Hal1 ll ECEO VED paten3 : . 13125 SW Blvd., Tigard, OR 97223 Plan Review Oilier Permit: b(/lop?� y i Phone: 503.639.4 Tax: 503.598.196 I : ,- . �R.' ,4 ..,. It■• Date 2OO _ y , Ririe', $ See Page 2 for • Inspection Line: 503.639.4175 U B • '- �: DateReady/El Supplemental information Internet: www.ci.tigard.or.us P ITV n.- edge oa. r flodfi dt r:i �,I� !�A � � v s' ,-�"" its s:, u.:,'s,. ty &G.' ; °, s:iriei` .yt� r':,iys ;asst e. + ';; IPR " .a cfkiv IF ,1.. 5 $ 17 17 .9. tit! lyrtir E,� ; nillt l:iAa. i w `qt� `t �a,) i 1, !, 1 i fitlo 1,.. e u Eft ., vt , - nt. r.. i ' Please check all that aPP ❑ New construction ► ` Addztlon /alteration/replaceznent 1Scrvice over 225 amps, comm'I ['Hazardous location 0 Demolition ■Other: ❑service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., k, 5,1 ,,,; ^ pz. } €yyt S yr; ✓, tl .` ; Y , ' r G7 r 3` "� G�'s "u r : i ;1: ,I - , ' .' o f 1 and 2- family dwellings 4 or more new residential t ?�R:i W,' !t 1 J i 0. (f.ril•L.: � i � 6 . i e, r ,4a 0 a ' • te r. , ; : e 1 i +�., i£ ..� . . g units in one structure over 600 volts nominal 1 -and 2 - family dwelling ommerciaUlndustrial • ❑Accessory building ['Building over three stories . ❑Feeders, 400 amps or more © Multi- family Q Master builder 0 Other: ❑ load over 94 persons 0Manuf tuned structures „ r � a , ;s ,r. : x ,,, v >. �zt.<, sa , ' ".r: a'r.r y; =u:ra: (ta }r .a � ;a ; ; y s' + : . .t i+ l °" ets fi essni htin Ia RV p e r ;tit ti: °, f. p; J,e,:• ' ts.�, u 7 4 1 46eii •)1 ✓'uruly r i ,: ,z l i!6, o ' c6 , 1 ;.6, 0 1 1 M ,,y� , ,, [' E !b p Other gri,' 9a.' ` k.l a 'o. rk l', , z ,, - i r,4; an.. 3 itt -i: ;: !J��` n; , /.10.... : :.6 "2- tit,i'i... -• ' , tbv t; wl< i1�-=" �r.: t, t.,.,? i?? a,,. ;:c:ltl�, <, a3a 3, . . .r1.,.a . [' Health' -care facility [' . Job no.: Job site address: 02, _ • i , • .� Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service, City/State/ZIP: �. / (� I1� s 1' Q ,, ,,: 141, �s Suite/bldg. /apt. no.: Project name: Descript.nn Qty, Fee. Total lill . New residential single- or multi - family dwelling unit. Cross street/directions to job site: Includes attached garage. 1,000 sq. ft. or less 11.11 145.15 4 Ea, add'l 500 sq. £t. or portion 33.40 - Subdivision: Lot n0.: 75.00 � Limited energy, residential Tax map /parcel no.: , . . Limited energy, non - residential ill 75 -00 02.1113 :en v? p �A 'r, ?y.' .,.y rn�.t . ,� � Y� ' ,4 �- ,' ymt�'::7G ut'� ;x' =' �: t?� »�r � f G +' 1 s k , f, ; »k ., w i ,a m e tin t ail t +, w' r, . 8ach manufactu or modular � € °' 4�t1 .41 ,a� t:•,i , , P t '� ;t63. yy i; �f5,,, fag ;.e .� _JAL.. � © u4au,: tw tr::e .a ", ;:. limn. 4 <r't: cm!•: 9f ' . , ,fdx. ;i ■ dwellin_, service and /or feeder 90.90 ehJ � Q\ services or feeders Installation, alteration, and/or relocation V A 1 200 Amps or less r 80.30 O � n ..=rt groxr +:a t 'a � e S° .,r r, ,74. rz;r-, g rs r i' ¢ :,,,,, . ` , '+,1 201 amps to 400 amps 106.85 �� t. i1�; b i y' t• i 4 • r :� �. �... 1 • 5" ' `�1;1 i +`t ' ^ . 'l ' Vn i f, , t •4 A ^4 t 4a 9 iY1 li jh'. " . t i x .r u o ' W t3 '`' 1 .�u'�ti �„ r�` a�, 1', �.. e' fr., r, � , a �i „ i' r� �t' V �ny ` � : � iub��a��nl ,. ' tzuas, a:': sr ��l.u ,�' :.,,�. �� �� ; ...l�rw :'. t Cl{ 401 -amps to 600 amps MI 160.60 n A.4.i ` _, 601 amps to 1,000 amps w 240.60 © Over 1,000 amps or volts Mil 454.65 - Address: Reconnect only on 66.85 Ell City/State/ZIP: . 5 . Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Ca 2} - 3 D CQ Fax: ( ) 200 amps or less 66.85 ® Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps Ell 100.30 Min intended for salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps _ 133.75 _OM Owner signature: - Date: . _ Branch circuits - new, alteration, or extension, per panel yt, E t p - :. n , t �:. .: , • .. :t,:_ r i e ui o ' :'t '; _s i " •T ^ t' ! ;�' °� : t;^l ; „ x,'. , 'r,'.1. •` t' �.ir .1, 417 , .. . , "• A. Fee for branch circuits with . oca ' -all. i. ,4 1 . € .'�' wli w , " ,rg . .C, � ig r n:; ` •L '' , 9�g I to i ii : p! ; d itg 1 t �tin:.���' , 4' 8 ��t.?.". 1i. r` a.. nc. �'. 2!' M�: tD. �.!' �Si Pn��: e�: a. l '.�Y.t�,?adh�.�ill�ii�i.��no.. v.�X!Su �i, �5�4'��t�. ;k';t�l1 �}Y ; �� .1�`� feeder fee, each � © service or fc 6 65 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, ■ • 46.85 II Address: - each branch circuit - Each add'l branch circuit MI 6.65 - City /State/ZIP: Miscellaneous (service'or feeder not included) Phone ( ) ! Fax . ( ) Pump or irrigation circle 53.40 - - Sign or outline lighting ME 53.40 ammo E -mail: Signal circuit(s) or limited - '4 '^,; ,�..;-t ;'t `�, 'Y'''.: )';'OM a.'s' {: ','N t a °r�s x y ...,., q,,�... ta'"la'' wr 'al.. r c I "erg)/ oriel, alrcration. or h of ?1 :::(str:s_° , latiAAk5eN _ ?� ,'4 z �aF:git€ t a l M 1 gy. p _ _ extension. Describe: Page 2 Business name: � " lv -. ._ E L: ( f � / � ,_ Address: - c i 2_ G . (i / (.. 1 41' v't� tl !' i Each additional inspection over allowable In any of the above t Per inspection lin. 62.50 _ City /Statc/ZlP: t - i „-0 0 (' € a. ? Investigation per hour 1 br n,in 62.50 IIIIIII . Phone_ , r ( r f ` c ^� , i, � ' industrial plant per hour 73.75 • MI ( •�LJ %) ""\ �_,-- F es - r ) / V _ L, � r 1. ,') C. _. , r � � adla . atM s "iaidei "Yi i' 1w,.. CCH Lic.- i 1 1' 4 Electrical Lic: 7 _0, - ` S• , ' ic . • • �- Subtotal EOM Suprv. Electrician signature, required: r 7 r / Plan review (25% of permit fee) Print name: Pr 7 �, State surcharge (8% of permit fee) • ( Q I -1 C- l' fit. L .. Date: O ` " TOTAL RB T FEE • O ds Authorized signature: This perm application exp if a perm Is not obtained within 190 Print name: Date. • Fe methodology after it has been accepted se complete set by Tri- COnnty Building Industry Service Board •" Number of inspections per permit allowed. • i:\Buildhgl. errallslELC- PertlJupp.dac l3/oi 440 461Sr(10/O2ICOM(WEa CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST �a 3 BUP Received Date Requested / 1 ` AM. PM BUP Location /0 0 0 ` Imo' n,� (� Suite / 6 0 MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner - 271 ELC Footing ELC Foundation s� Ftg Drain °° SS " ELR c2% 0 3 Crawl Drain Slab I pec Notes ,41-_ / � —SIT 5 7 Post & Beam r _ 51 `t . !I Shear Anchors - Ext Sheath/Shear c - / ,/y `A Int Sheath/Shear Framing �� _)01 �: .. Insulation of Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ` °. - J Post & Beam Under Slab . 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 UG /Slab Low Voltage • � larm " Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ��� • ART FAIL SITE . ❑ Please call .r reinspection RE: Unable to inspect — no access. Fire Supply Line ADA Date 1 Z I ns ecto Ext Approach /Sidewalk P Other: Final DO NOT REMOVE this inspection record rom the . b site. PASS PART FAIL