Permit CI TY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00840
� DEVELOPMENT SERVICES DATE ISSUED: 10/28/2005
1
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB 03400
SITE ADDRESS: 10260 SW GREENBURG RD 1150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT : 014 JURISDICTION: TIG
Project Description: (6) branch circuits Job No: 112
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' 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: 5 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
FEES Reg #: LIC 75059
SUP 1965S
Description Date Amount ELE 34 - 283C
[ELPRMT] ELC Permit 10/28/200` $80.10
[TAX] 8% State Surcharge 10/28/200` $6.41 REQUIRED ITEMS AND REPORTS
Total $86.51
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 wi ne in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
sus ded for more t : 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
r es a re set forth in OAR •52- 001- 00 4)hrou. h OAR 952 - 001 -0100. You may obtain copies of thes- - es or direct question to OUNC at
03- 246 -6699 or 1 -800- 2344.
Is ed By: CQJ n
_ / , ,v, , �uyrd h '-! . Permittee Sign • ,fr,4_11f vri
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:
• ONTRACTOR INSTALLATION ONLY
SIGNATURE.OF SUPR. ELEC'N: �! ' ' 1 �17/d/ it 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.
17.CT 27 2005 7: 4519t1 HP LASERJET 3200 p.2
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2 2005 ?l n fte�icw Other Perrt r
1' o e S Hall l 4171 Tigard, 97223 ^ j , Nike,. Date/By.
Ph 503.639.4171 Fax:. 503.598.19b�Q�j 1 Date Ready/By: 1u, 13 See Page 2 for
� . ! : " - :, Supplemental Information
Inte n Line: 503.639.4175
igard r.US . " " Notifiedflyleatodr / �
Internet: vrww.ei.tigard.or.us ,. - nF TIGARD �' . �
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'a ►.' Addition/alteration/replacement Please check all that apply:
❑ New construction
❑ Demolition ❑Other ❑ m
Service over 225 amps, com'l ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
t tr" , y„t t , „ 11 4 , yli I I " 4 h 4ti ' Ok1)iV t l . of 1- and 2- family dwellings 4 or more new residential
}�,} � � �SysCem over 600 volts nominal units in one structure
❑ 1 and 2 family dwelling ®CommerciaUindustrial 0 Accessory building DBuilding over three stories ['Feeders, 400 amps or more
❑ Multi-family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufacntred structures or
r� ' RV park r ,' 5 rt' Y e '15ai'r+lf0 "�t.� is TA t) I i�" 1?�t3 , 4 1 4 ;F ' IVIVI `r ❑ E,gress/ii ghtinlan g p
r. } f., :Ht ,�1'm ' :, 4llw1'- It- ! :..�-isew _Ei;414... .''�r,_y. I. - .f i �vK?fi 1N, t .t' Itiir w ... ❑Other'
1 �'� r? Ytl -1. 1 . ❑Health -care facility :
Job no.: i 1 Z, Job site address: / tit i.0 5 C - ts..,,. Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
City /State/ZIP: "t r f) The
V1 a' v ° " , s' r
y a a t r
c ,
Suite/bldg. /apt. no.: ti i c l Project name: (J El S r 4,- _ r r nr e.f L./ t
Description (ti. Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
LA ry (PL.-- Til (Ai e rte- 1,000 sq. ft. or less 145.15 4
( Lot no.: Ea. add 'l 500 sq. ft. or portion 33.40 1
Subdivision: Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
4. T y 7 "" '� 125- 7 t� 1C . ` 4 F t 't ' " P os � E tooil " Each or modular
i;r , i a ; 1 xkt x fi.itt i ` uw ,.,._ atu id A„ t tlut_�'iyi.a t 2
i� y,3r� L t �, - ' -� v�� dwelling, service and /or feeder 90.90
_ , - ,t Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
a , r i ,�„ , a -• .. Gr,r-�r,1 201 amps to 400 amps 106.85 2
t ud! t .,t } r i i i , t r1 Efee r�t° it � t�iosr , o f e eies .� is
lI_ M t 3 � � .. -' � iNt, 2. •e 0 -. -4i.
... 160 60 2
1� � 1� ��1�- _,�.::,a,��: ,�am �r'._• , _�.^,�vnn Wit., , . A_.s,.:.�s� -� �:: 401 amps to 600 amps
Name: 601 amps to 1,000 amps 240.60 2
•
Over :,000 amps or volts 454.65 2
Address: Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 1 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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. 4p) amps rc to 600 amps 1 33 75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
1 r i , -1• ,-.. it x t. 17 ��, i , t+ u, P 1/ , 1 1P §' 1 ∎ ' A. Fee for branch circuits with
, ,,; �r t, ,. r4fi_ , s t 1!1 �.?tl �`s � ' 4' a' i4a.- lz' ?111V. i�.. rte.lak ALtirkiiit ,_
s f1.s 3 + �r .,..s� .. �, -,.., ,�� t.e1,..,z< --a ! : '? � ht service or feeder fee, each 6.65 2
' branch circuit
Business name: B. Fee for branch circuits
Contact name:
without service or feeder fee, ( 45.85 LI /F C
each branch circuit ga: 2
Address: Each add'l branch circuit s 6.65 ??
City/StatelZiP:
Miscellaneous (service or feeder not included)
• Pump or irrigation circle 53.40 2
Phone: ( ) ` Fax: : ( ) Sign or outline lighting 53 40 2
E-mail: Signal circuit(s) or limited -
��1i#:'m4's ' �' 1 's� alt ` :ggii a `. m9' ��t t i ffm �`�•,i : energy Panel, alteration, or 2
"tw s... t ;. r ae� rJ_..,�t_e.A,�' t extension. Describe: Page 2
Business name:
Each additional inspection over allowable in any of the above
Address: 'r f) 0_ 'Z?, ' S't Per inspection 62. 50
�.1 t� - Investigation per hour (1 br min) 62.50 •
City/State/ZIP: Investigation 0.J 73.75
. I Indusnial plant per hour
Phone: ( s
j) 2t1 "3 f<x" 1 I ( �') �' i ` L e tranal � i .`� A T -t _ ' ..�. �;
Fax: 5'6' .2.' Z S w n r t , , ;....' ,
CCB Lie.: 9-c4) , Electrical Lic.: pi.. x6 .f Suprv- Lic.: (9 4 5 - c Subtotal
/dV.� "i� Plan review (25% of permit fee)
Suprv. Electrician signature, required:
State surcharge (8% of permit fee) 4,14 /'
Print name: � A i t • f Date: �0 `r3 TOTAL PERMIT FEE l et 5-1
Authorized signature: This permit application expires if a permit is not obtained ,tiithin 150
days after it has been accepted as complete
* F ee methodology set by Tri- County Building industry Service Board
Print name: Date:
*� Number of in sp actions per permit allowed
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a 4 0.4 515r(10/02/COM/ W EB
CITY OF TIGARD . _• - , .,
BUILDING DIVISION PERMIT #: ELC2005-00840
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/28/2005
Phone: (503) 639-4171 7,011( it
Inspection Requests (24 Hrs.): (503) 639-4175 ....„.. ---..,
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 77
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: (6) branch circuits Job No: 112
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # i • - tion Description Confirm # Contact # Message
125 Wall cover 019971-01 503-624-3631 N
Corrections/Comments/Instructions:
•
X PASS 7 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: N 408 L Date: 11 'Co Phone #: (503) 718-14 1-114)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00840
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/28/2005
1 Phone: (503) 639-4171 :
Inspection Requests (24 Hrs.): (503) 639-4175 L.
INSPECTION WORKSHEET FOR DATE: 11/10/2006 TIME: 7:02AM PAGE: 10
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 • TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: (6) branch circuits Job No: 112
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624-3631
Inspection Request Scheduled For: • Date: 11/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 020976-01 503-624-3631 N
1
Corrections/Comments/Instructions:
•
0 rr
c ci bfes co “cto i Is
h q e k I e- --o je, -e_ s t p 614-4,1( sec u
o co Li
Ai- poi a p ; I( awl - 7(c)cv 4 r - i ,c4ce i
I I PASS XPARTIAL APPROVAL n CANCEL n NO ACCESS
Re -
fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
b e 4.0-4
co 0-a-C
Inspector: AQ f/ 4 Date: /1" /0 — S Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00040
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/28/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :_...
INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:12AM PAGE: 140
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: (6) branch circuits Job No: 112
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503. 6243631
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceding cover 021051 -01 503- 624 -3631 N
Corrections /Comments/ Instructions:
ASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f f — /C f , Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2005-00840
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/28/2005
Phone: (503) 639-4171
..,_
Inspection:Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 148
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: (6) braiith circuits. Job No: 112
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAML I J E ELECTRIC INC' PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 021051-01 5036243631
Corrections/Comments/Instructions:
PASS I I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone- #: (503) 718-
CITY OF TIGARD
, BUILDING DIVISION PERMIT #: ELC2005-00840
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10128/200 •
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 87
SITE ADDRESS: 10260 SW GREENBURG RD 11 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ___
DESCRIPTION: (6) branch circuits Job No: 112
OWNER: EQUITY OF - - PROPERTIES TRUST, PHONE #:
CONTRACTOR: WILLAMETTE E CTRIC INC PHONE #: 503 - 624 -3631
•
Inspection Request Scheduled For: Date: 11/22/2005 Pour Time:
Code # - - : ° - - !• - scription Confirm # Contact # Message
199 Electrical final 022230.01 503-624-3631 N
Correctio - • al el - I Si m - ions:
•
KI,PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 1 AIL ❑ CA FOR IN 'E -T I I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-