Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
14* . ,,���l, ik DEVELOPMENT SERVICES PERMIT #: ELR2005 -00379
Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/31/2005
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Low voltage for voice and 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 BEST TEL LLC
ONE SW COLUMBIA ST #300 1142 WILLAGILLESPIE RD SUITE 1
PORTLAND, OR 97258 EUGENE, OR 97401
Phone: Phone: 541 688 - 5575
Reg #: LIC 148256
ELE 15- 288CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/31/200E $75.00
[TAX] 8% State Surchar€ 10/31/200E. $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 f w re : adopted by the Oregon Utility Notification Center. Those rule are set forth in OAR 952 - 001 -0010
throw OAR 952 -00 -, • 0: You may obtain copies of these rules or direct Air 'ens to OUNC at 1 03-246-6699.
Issue By: ,.'JL`�11, Permittee Signa -,.# _��_1I,� _ , i j
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.
1
'Electrical Permit Applicatilon ` E D FOR OFFICE USE ONLY
r�° r V D at eived IN 1 Permit No,: E " •
City of Tigard V 1► Date /B f D ®� /:I'i oo
13125 SW Hall Blvd., Tigard, OR 972 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 b' ' 'r''"fa'�,n rb ',4;�1 i� r e Dau/Ar
Inspection Line: 503.639.417,
U ( - ' Cl L 10� r 1 . r • 1" Doe kcady/ 8y: ' Notified/ Method: /, _ ®pliemontat Information
l y /
Internet: www.ci.tigard.or.us G A R
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❑ New construction ® Ad. e ration /replacement Please check all that apply:
['Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other ❑Service over 320 amps - rating DBuildng over 10,000 sq. ft..
r I + o 4 r v . { v ` rr ,uvw up,r q ,4 t v0" rim
r rr , .�� r � r ,� j "' : . • •' """; ` " of 1 -and 2- family dwellings 4 or more new residcntia
+1:" I r 1 J Y I + k ,. ii " /rctl.,i , aw 1 1 , ,, r ,r >,V h r 41 „y4y RR �r . . ,
y� .: a.,Y,��#i1 - j I., ,d .,5,, lac,.,.},„ r1"i,.n,m i,l nkal .a ri1nn, .,rr7 ..l �a 6rt rt:•z�.! ..' +,n r , ...,, ,.en, ww ..,........".r
❑System over 600 volts nominal units in one structure
❑ l and 2- family dwelling ®Commercial /industrial ❑ building
g []guilding over three stories [Weeders, 400 amps or more
❑ Multi- family ❑ Mastcr builder ❑ Other. ['Occupant load over 99 p ersons ❑Manurtcturc' structures or
„.1.,Arjt• .r... ,.. r,.7..}\ Ir��r ' ;J.r.,e ' '�.. &I1,. ,. �.1... YO I `I�. ; , .y. :e1 "�y�. .ni + , �/r + v � �".. til:':' 1i.a plan RV parpark r. , II , ?I. , 0 , :/ ,, ,j „ y lvtt r ■ 1\ .!,,,,n ,,� to,, E lnPfla N. P., ' .,, CI ,I,r� . • °Egresa/lightingp
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❑ ❑Other: -
Health - care facility
Job no.: Job site address: Lincoln Tower 10260 SW Greenburg Rd
Submit sets of plans with any ot' above
City /State/ZIP: Portland, OR 97223 The above arc not applicable to temporary construction service.
awwr,� .r I ,' 1 1sc;xfry , r vj ., l i1 a P 1
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Suite/bldg. /apt. no.: 1150 Project name: Obsidian Finance Group • ,,,,;.4,,',..4...„,..„„,,,,..‘4„ r 'I"'' " "' . ^ „ •.'. " , ! + r .,
� „, Description Qty. Fee. Total
Cross street/directions to job site: New residential single or multi - family dwelling unit.
Includes attached garage.
_ 1,000 sq. ft or Iraq 145.15 4
Subdivision: Lot no.: Ea. add'! 500 sq. ft. or portion 33.40
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
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a` : w 11, .ry .t r y ;\••r cl w• m .., . ,., w a vlq::mng y
fit? r F r 1 n ll a 11 h) r c, g c1 J: 5 . , I nufactured or modular
y;i, �,M ;};;<t „Sic.. .iCYI % ..,.d/ JIG, ii+ ll. �.,, A, n rRr���� , .T.rw . , .a , �rt�tr � G ,- :2nc��r ,���'�i.n4,r!r » : •,m„o. ;: , Each ma
dwelling, service and/or feeder _ 90.90 2
Wiring for voice abd data Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
u Y r'. o i,rv.u'r r rt r +1 4Q w H f + 1 kr""•"'r'n9 "' + +r 1 r 1 •irit 201 amps 10400 amps 106.115 2
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j 1 n •Al i 1 " 1 . , INN l I I
+.�.. ?IlhlsLr ;'.,l t >turaaiT$rf. ,nn,! \� �irt G,, ,1i, Vlo •fiAblra+ � ,r , nl n, ,,,, w ..v.. •� .n:.... , A,uuv..•. r..rnn�ta,hn'IJ,ai. n � mf " W,.ww,,, ,, . +.I LN 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240,60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 in 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
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s r . r + ' li., l M „a C . ewth, l . ,1 . I t a { h✓ l t l .I j0 1 .. t A. Poe for branch circuits with
+
:9.„ (K4i, i.la,nvdf. n,�raa •,1, ro xM,ervi+:.l „P1r , rc.. &., , + +•w aurcr« 1n r , Gw ' }eroM: h n...., u a .. ,.+,edl, .,,I service or feeder fee, each
Business name: Best Tel L.L,C.
branch circuit 6.6$ 2
13, Fee for branch circuits
Contact name: Gary Gonzalez without service or feeder fcc, 46.85 2
each branch circuit _
Address: 1142 Wlllapillespie Rd Suite 11 Each tidd'l branch circuit _ 6.65 2
City /Statc/ZTP: Eugene, OR 97401 miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (541) 688 -5575 Pax:: (541) 683 -9919 Sign or outline lighting 53.40 2
E -mail: signal circuit(a) or limited -
g jai r r r ` r •w I c v 1. r I1 { r ,r, iIoir + "7' -y N w•,•,'" 11'111 c ''4,9,"'::'''''''': r .."1'.::::4.‘: r lc c n "'' energy panel, alteration, or
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,extension. 17escribe: l /o /( ' P 2
Business name: Best Tel L.L.C. C b•ITA _ GA +R.6 ,
Each additional inspection over allowable In any of the above
Address: 1142 Willagillespic Rd Suite 11
Per inspection 62,50
City /State /Z1P: Eugene, OR 97401 Investigation per hour (l ill ruin) 62.50
Phone: (541) Industrial plant per hour 73.75
688 - 5575 Fax: (541) 683 , ,,, r � ro , .� w 1. ,;,;M -rrt 1 ,
• .,.G. �,, ..n... ,7rr.1.. i..,a t p.'Y�u r....i r' r VI r
CCB Lie.: 148756 . S Electrical Lie.: 15' o 2gg CL� Suprv. Lie.: 3oriA9 w Subtotal ''•},s
Suprv. Electrician signature, required: .0
..... //' Plan review (25% of permit fee)
State surcharge (8% of permit fee) (p -
Print name: i:t/. -/ : /y /'/ / C.' Date :OLVD5 TOTAL PERMIT FF,E g
Authorized signature: This permit application eapirea if a permit is not obtained within ISO
days after It h.. been accepted as complete
Print name: Date. • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
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CITY OF TIGARD ...k ,..
BUILDING DIVISION PERMIT #: ELR2005-00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2005
Phone: (503) 639-4171 - ANItiljt
Inspection Requests (24 Hrs.): (503) 639-4175 ,-,_.3.4■ II.
INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:00AM PAGE: 116
1
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: LOIN voltage for voice and data.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: BEST TEL LLC PHONE #: 541-688-5575
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description h Confirm # Contact # Message
\■
135( Low voltage
C.1 020522-01 541-688-5575 V
Corrections/Comments/Instructions:
. -
, c c 1 0 -
. .
LPASS 0 PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
FAIL I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: 7 -------- 7 7
/7
c,1/ Date:
i. 0 Phone #: (503) 718-
CITY OF TIGARD
i BUILDING DIVISION PERMIT #: ELR2005-00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2005
Phone: (503) 639 -4171 oll u�ii � �
Inspection Requests (24 Hrs.): (503) 639 -4175 - •
INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 10260 SW GREENBURG RD 10150_2 CLASS OF WORK:
SUBDIVISION: LINCOLI CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: COBSIDIA. 7
DESCRIPTION: Low voltage +r voice and data.
OWNER: EQUITY OFFIC "ROPERTIES TRUST, PHONE #:
CONTRACTOR: BEST TEL LLC PHONE #: 41- 688 -5S75
Inspection Request Scheduled For: Date: 11/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 022312 -01 541 -501 -0672 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: • , v V Date: )41/151 0j —J Phone #: (503) 718- 444