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Permit ELECTRICAL PERMIT - CATY OF T I GA R D RESTRICTED ENERGY IL DEVELOPMENT SERVICES PERMIT #: ELR2004 -00365 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/30/2004 SITE ADDRESS: 10260 SW GREENBURG RD 1160 PARCEL: 1 S135AB 03400 SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT: 014 JURISDICTION: TIG Project Description: Low voltage. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: 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 PAVELCOMM INC ONE SW COLUMBIA ST #300 1640 NW 14TH AVE PORTLAND, OR 97258 PORTLAND, OR 97209 Phone: Phone: 503 - 223 - 5008 Reg #: ELE 26- 559CLE LIC 00063963 • MET 00003259 • FEES SUP l$eald Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 11/30/2004 $75.00 Elect'I Final [TAX] 8% State Surchart 11/30/2004 $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 ci ; t,.(J ,,, c , 7t`��/L) Permittee Signature OK ��c ,� -(• 4 ,1„, OWNER INSTALLATION ONLY _ d' 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 A ,.. t v --. ■I; .., ,._ -1,- '1E( I VED • LO0 P 4 NJ 0961869£09 -wo)i Wdil :21 1100Z -BO -unr PeAlgagN City f T ONLY Electrical Permit Annlicatiol gJOV 3 0 1 FO it OFFICE, USE' Cit cif urd 2U ` ' > Cit SW Hail Blvd., Timm!. OR 97723 CITY OF TI 17 - i/ Petrol: Nn.: RD a�/ 0�3�5 Phone: S03.639.4171 raz: 509,993.1960 13 , it, 0 ''`"' 1. ,.'�'': , i n o r Ibspccuan Line_ 503.639.4175 s i�.+... J i." Dale 7 Internet www.ci.tigsrd.or.us d yBY: J u pa Nat 1ied/Metbodl ' I / Su gc l for T.'„1.7, T „ (..'1 8ut►1�lefnent t Informs ao, 11;•11,.. 3 ;III l".E3All' ' MOW Conti i f1 n r: ` ; i , s t, t 1I - "f ;t- a,: , ,G . ,,l, I ❑ �ditl �i ':; . nit ,. ��:r;.id :9P� I_i ": 9�'.11c1i;.�F_elrr, t pl'.' ' T , ;ru . ,�� = r.t,,,r='jq����, �dn,y:Ta�.l. `: r , '._ - . - construction nitetation/replaeameat Phase r ,...1'5","::::: ° : ❑ Demolition d ock an drat apply; =' Othe ©Ser vice ever 225 amps, carnm'1 D1 lezardous location r n 073.11.1� ��.791;4''1i1''a°,7017- jN-tVa ..,,.mv a:01 ? ! „ t, (I Stu C—r • , n ii 1 Ieli% t.i 1 - Er v } �. " L '?�j;}•�rL P •I � 6 ,11 �1 � p DIAL ©Bt1 f ma over mud RC . =� Y. .._ ..,., ,at c..,ci. �.. }•- ..w . L � � • Jl. t.ytt, d � sl r��tY:� l,'f�'1��!�� Q 1- Mid 2-family d1MCllltl&4 ¢ O r mare new mud= El 1- sad 2411mlly dwelling '11 COl7ozieJrcle1PIIId17StrIal 0 Accessory building lsysnnrn over 600 volts nominal units in auc structure Q Multi ibrilii [] Mauer Dail: r CI Other. - MEd/ding over three stories ❑ ftener% 400 amps or n "� f t J .� • rep ,h +, `t r .� ; ?;t r..r..r.�,- „'Y::^ ❑ ant load ``�� 331 �` r�f�j iii z '1 ` �� ~ u "�'f rte ?'{ o i r7i -� � 1•'� , ��' '�.�! i' m- � y t Occup over 99 axons Mantifaci i 4'J ,.5li�LJ_ i�]'��..Y9nt�iltJ J.;_i.7 ''•e �:�itrl:. r k'I ,:tTiJ�l.fj�f. ( tlb'C U d-tEd�t r �.. ry R ! ' `flIM�RE1 © 'P ❑ T'Ld structure i , 1i�< 4.;� ��::,�I•;,,�:�.G ! :�ll�' Egrrss/lightarSPLin ItV park Job no.: Job site addro (5Z__40 5, , - Ifr r - • OHue1 lh - care faellity ©o uter: � Y �s City/Sbiari 1p- '�, w w . 41 / , , I A T he above ve er of applicable a b l row of she above. c� r-�t -I ,a5 The above asn not applica to temporary to job site er�etatr,ielion service. i � Suite/bldg./apt, no.: m / ,t �F • ;� ORIII5r„ ._ Salt (d project w ;,, �11 , / i LL`r[j/� � G � t iJ1�i �� j:9� a Wty�a % -y. . � . Daatpdns Croon sereet/dircctianrt ft. total ew resldeptlal angle. or multi- frlmiiy dwelling unit, includes atiaelted ¢arag� 1,000 sq. ft Dries; 145.15 Subdiviaiost I Lot no.: En- newt 500 sq_ croon 33.40 ax map/parcel tie.: Limited energy, residential - 75.00 t ` rte ct 8Y. residential Ell I J. �;r Y1f�r; �r_�I : .1f�iJy'�j�(I.� ! /i r- ,1177 1 Z I ''ll• t I•' 1'n; `� r rt'� 1 �r' !' 1J IInrCli ACt1 QQ ' 1N1 ,_ r 6Jr(�t` � _h .;,m z; 4, ,}Jl:'+, 1. �'tJ` • 1 � ly;+ ), �,1 75_ :' l L,�.4 ���� Fach trr>mvIacfalrad or modular " ' darcllinz Service and /err fender 90.90 - Services ar feeders Installation, altervlloty and/or relonetion varr as e rr :'' ✓ ;F; v : ^r-�r T p ,,,, 200 arms or !cgs 00,30 °Atl.'.B 1t ty • t �i 4 �� ��' IL�S �'� +'” .� r,�,.- �-- i ,� y ,, P,� k �d�'r!'1` 1 ...,. �..! :�i ", li • J ]lt.' a .. 7 mt rt a• , '' 2 01 a ,,,, ��-- ,�^tJt {i]It: %it;.ds_Il1{1?�i�4Jl��; �� .. - ,:._ � �1>;�i g tapa to 43o 81x1155 � 106.85 Nana: 401 amps to MD anise 7 50,60 601 arms to 1.000 amps nno.tto _ Address: _ - Over 1.000 amps 0r valor 454 CYty1SLa!®121p; Reconnect only • 66.05 -- Temporary services alt feeders installer/no, alteration, and /or Phone: ( ) I F ( ) relocation Ow Owner• mstallattonr This installation is being made on 200 amps or lees � 66.85 n i for sal leas tea to lation p�Y that I owe Which is not 201 arts to 400 amps i 10030 cr t, exchange, according to ORS 447, 449, 670, and 701. • Owntr signature! , 1, Dare. 401 amps Branc to 600 amps � 133.75 �`O +i�+. •c i n � .=`r:�.�. i i'it, "_hi'� t ? LS'S'J4�,!Tli " :.•.,iq' 1'::'r� ?. : t° �r , . - �:- :,.; :._ -� *Cults noel • � 1 i 7 — new !il♦Je or extv�slon per L�' ' uJil 1 J 4 7 :21 it :�'1�.: r r , In 1 '1� t 'tt1}•1, ''J6i�4 } AlreeIb t/A tJd� O �P _.- .m. =il ..— � -_' ,,: I,r� �T1 11:. ��• „d r '•�' %i���� tlr� tlC =cults with Business name: 6tfTY1Cn x ceder cacti broach circuit 6.65 . Contact mane: B_ Foe for brffirch circuit without service or feeder fen, `� ■ each branch circuit 46.85 , City/State/ZIP: Miscellaneous Each add'lbr'rmch eau= 6.65 - pha Miscellaneous (service or feeder nor included) ( Fax:: ( .) rump or ii an circle 53.40 l E -mail: Sian or outline lighting 53.40 cc k'` 'N; 1 �� .y::'I�'i' � i; �E �;'R :'t l� n'.�'Ii �—� y :�!•, �P L 'Is �y.' "1 'L •l; ti'.i: Ni D Sgnnieircuit(a)orlialited•- . '1..51 _ 2 , u.":r u' :1J lt'. �.. '�,,{V r f �''' .1 .c: � 1� Y.- �.,f��'� `I �.' p - ,L � , u. ^t � �� � Ctiet'p.Y'perle1, 111fr1ti0er. or j3usiaess,lttme. � ..-. �ti il i Mort. Ihscnbe: ?size 2 3 Address: Or r 1 , Q BaClt additional inspection over allowable in any of the above Per inspection 62.50 III Phone: 22,3 . V O tic- �� ff? C illi _ Investigation per hour (7 >>t thin) 62,50 Ira7t: 23 D/ 0 A ,,...lpr�rtperhoW 73.75 CC$ , 1,1�I 5 ' i I" -Lei '.,m i 1 u'li a il ; i i' ' 3 b i ker ] Sit o aiE ,111 I` , t ° �i 1 . Stlprv. EIea>ziciali signature, rcgtiize,,�� / r JI� , R Subtotal 5, • I r v�i/� Plant review (25% of potTrtit fc) 0 Pent atone- 4 ! / Date: 75 State surcharge (8% of permit fee) ±d'! Authorized Signature: V TOTA • ?E>;tDIIT SEE V ,. ®® Thla penult application expires ifs permit is not obtained within 100 Print name: DaJsc days after it baa beet: rit:copted as cntaplato roe menlodobOY eat by Tri- County Building tndusay Smite Board ilnul:dfn .• 1''�ef artaepertlon, per permit Sowed, rtPmrniaAril.c..oermitnpp.d� Mils Ieo- ae137(1C 02/COwtvan RV TnntT - Jl VLIT .1 T .TA TTT 199 -d ZOO /ZOO'd 9t// -1 1701.0EZZE09+ ONI 11110013AVd -WOJd Wd9E:Z POOZ- OE -AO N CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 17-'-7°C5 BUP Received Date Requested AM CV PM BUP Location OZ-6,0 Suite ( ( K-v MEC Contact Person Ph ( ) 3 0 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: : . O 05 Ftg Drain � ELR L� Crawl Drain Slab Inspection Notes: SIT . Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL Post & Beam Under Slab Rough -In ('V+ 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_ ervice Rough-In UG/S ab Volt gem Fire Alarm PASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT Please call fo reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date/ In spe -*�' Ext Other: Final D i OT REMOVE this inspection recor from the ob site. PASS PART FAIL