Permit CITY OF TIGARD ELECTRICAL PERMIT
�� i PERMIT #: ELC2008 -00123
COMMUNITY DEVELOPMENT " DATE ISSUED: 3/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 850 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
PROJECT: MORTGAGE EXPRESS
Project Description: Installing (2) branch circuits.
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 FOR: 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 BROADWAY ELECTRIC - COCHRAN INC
ONE SW COLUMBIA ST STE #300 626 SE MAIN
PORTLAND, OR 97258 PORTLAND, OR 97214
Phone: 503 - 412 -4800 Contact #: PR1 503 - 234 -6564
FAX 503 - 238 -2098
FEES
Description Date Amount Reg #: ELL 37-546C
[ELPRMT] ELC Permit 3/3/2008 $53.50 LIC 72942
[TAX] 12% State Surchar 3/3/2008 $6.42 SUP 3447S
Total $59.92 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: 0 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.
Electrical Permit Application Et E D - FOR OFFICE USE ONL
City of Tigard Received Permit No.: G /
' 0 08
13125 SW Hall Blvd., Tigard, OR 97223 MAR 0 2 ii i Date/B : _ , Ta erm L
p iL� t7
Plan Review Other Permit: ;p
g Phone: 503.639.4171 Fax: 503.598.1960 Date /By: 7f�ij/2 V ' ODUSL
TI G A R D inspection Line: 503.639.4175 CITY 01 t I&ARD Date Ready /By Juris: ® See Page 2 for
v
Internet: www.tigard- or.gov /gyp p Not ified/Method: Supplemental Information
Pi TYPE OF WORK PLAN REVIEW
❑ New construction ddition /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.
CAT EGORY' OF CONSTRUCT ION exceeds 10,000 amps at 150 volts or 0 buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling cmmercial /industrial cl Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: El Fire pump. ❑ Installation of 75 KVA or
' JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
El Addition of new motor load of ❑ "A ", "E ", "t -2 ", "1 -3 ",
Job no.: 17 - - Job site address: 1 Q li`�t —a 2.60 S $ 100HP or more. occupancy.
f�
�/ / ✓ ❑ ❑ Recreational vehicle arks.
Six or more residential units. P
City/State /ZIP: Q ❑ Health -care facilities. ❑ Supply voltage for more than
r ❑ Hazardous locations. 600 volts nominal.
i U
Suite/bldg. /apt. no. go Project name: I l 6 t- Q74'cp�li `!v fX
y ❑ 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
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK. . . (with above sq. ft.)
t),A.A(Ltzt.: Ic ` ,, �r yn 4 l� Limited energy, multi- family 75.00 2
\�L�'e+ t tNs�t I 1 residential (with above sq. ft.)
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
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
AP PLICANT ❑ CONTACT ' PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits /
Contact name: C � without service or feeder fee, 46.85 y
l.J TaAn aYYr1 first branch circuit I �'
Address: Each add'I branch circuit , 6.65 (j,(p) 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: 60-) 201 S$Z Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
. �. CONTRACTOR • - Sign or outline lighting 53.40 2
Business name: S) Signal circuit(s) or limited -
( (',(/(,+i, energy panel, alteration, or
Address: lid 7 St ' extension. Describe: Page 2 2
City/State /ZIP: cpj on - � aid- ' Each additional inspection over allowable in any of the above
Per v 7;51, `/1 .0 L Fax: GB ) g 9_ Investigation inspection 62.50
Phone: investigation per hour (I hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lie.:•t\(�S Industrial plant per hour 73.75
�� - ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: \( �� Subtotal: , SU
Print name: y �f Plan review (25% of permit fee):
� Z `1
�`� � , Date: State surcharge (12% of permit fee): 62, 1 -(y
Authorized signature: TOTAL PERMIT FEE: S" g
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.
1:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
{ RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
❑ Other:
[ COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ B oiler Controls
❑ C lock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n N • urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other •
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits\ELC - PermitApp.doc 03/23/06
CITY OF TIGARD _ ,
BUILDING DIVISION "`
• PERMIT #: ELC2003 00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1J&'2008
Phone: (503) 639 -4171 1, I 11iit
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 4/1/2000 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 10260 SW M GREEINBURG RD 050 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MORTGAGE EXPRESS
DESCRIPTION: Installing (2) branch circuits,
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503412-4800
CONTRACTOR: BROADWAY ELECTRIC- COCHRAN INC PHONE #: 5.032:4 -6564
Inspection Request Scheduled For: Date: 4/1 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # ■essage
109 Electrical final 06762&01 503522 -7010 \ Y
- ons • • e -• - -• ructions:
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• AN . ,
k
elk PA - n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: M t4 Date: 9 .1 ' t Phone #: (503) 718- V11/4)
- " -
CITY OF TIGARD _ • , _ --..• ,,
BUILDING DIVISION PERMIT #: .
ELC2008-00123
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 3/312008
Phone: (503) 639-4171 intlittiI#
Inspection Requests (24 Hrs.): (503) 639-4175 _.14..W 111.
INSPECTION WORKSHEET FOR DATE: 3/2712003 TIME: 7:03AM PAGE: 4
SITE ADDRESS: 10260 SW GREENBURG RD 850 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJ ECT NAME: MORTGAGE EXPRESS
DESCRIPTION: Installing (2) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-4114800
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 603-234-6EM
Inspection Request Scheduled For: Date: 3/27/2008 Pour Time:
Code # Inspection Description ( Gonfirm-# Contact # Message
- 130 Coiling cover . 067452-01 503-522-7910 \ Y
Corrections/Comments/Instructions:
•
r t PASS fl PARTIAL APPROVAL fl CANCEL fl NO ACCESS
FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Cr NW LE Date: 3' 1. . 1 Phone #: (503) 718- IA
. . . _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00123 _
.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2008
Phone: (503) 639-4171 hayikkoi f,1\
Inspection Requests (24 Hrs.): (503) 639-4175 - 4.
INSPECTION WORKSHEET FOR DATE: 3/2&2008 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 10260 SW GREENBURG RD 050 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MORTGAGE EXPRESS
DESCRIPTION: Installing (2) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.412-4800
CONTRACTOR: . BROADWAY ELECTRIC-COCHRAN INC PHONE #: 603-234-6564
Inspection Request Scheduled For: Date: 3126/2008 Pour Time:
---
Code # Inspection Description C1fir#N Contact # Message
130 - Ceiling cover 067332-01 503-780-3222 N
Corrections /Comments/ Instructions:
t•A t- cit+ 6 LIE SW, LA \ (5(.1 C. 1-:1
Criat) . 6 vibp6a ALL vY\ t cAeL.E i\(,) csi Um
1 ■ 3 20L-- KT,
1 PASS Ei PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
Inspector: ' Ob6 Lt Date: Phone #: (503) 718-
CITY OF TIGARD
• .;
BUILDING DIVISION • PERMIT #: ELC2008-00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/312008
Phone: (503) 639-4171
amitmO
Inspection Requests (24 Hrs.): (503) 639-4175 -wAh •
INSPECTION WORKSHEET FOR DATE: 3/1212008 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 10260 SW GREENBURG RD 050 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MORTGAGE EXPRESS
DESCRIPTION: Installing (2) branch circuits.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4600
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC PHONE #: 503-23
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Corr # Contact # Message
'125 VV'all cover 0653&0i 503-522-7910
Corrections /Comments/ Instructions:
•
0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
fl FAIL 111 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: G . , Obe Lig Date: 341„itt. Phone #: (503) 718- 1-31%