Permit •
ti _ .
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
41
DEVELOPMENT SERVICES PERMIT #: ELR2006-00001
DATE ISSUED: 1/4/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 390 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Limited energy for data telecommunications. Job No. 38 -00918
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 CHRISTENSON VELAGIO, INC.
ONE SW COLUMBIA ST #300 1631 NW THURMAN ST. STE 200
PORTLAND, OR 97258 PORTLAND, OR 97209
Phone: 503- 293 -2745 Contact #: PRI 503- 419 -3600
FAX 503 -419 -3636
FEES Reg #: LIC 64137
ELE 26 -1174C
Description Date Amount SUP 1994S
[TAX] 8% State Surchart 1/4/2006 $6.00
[ELPRMT] ELR Permit 1/4/2006 $75.00 REQUIRED ITEMS AND REPORTS
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 e • • -- ado. -. •y e Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
thr• gh OAR 952 -0S -0101. •u may obtain copies of these rules or dire• • u-stions to OUNC ..t 503- 46 -6699.
Iss . ed By: 1 r = i , I , _ / Permittee Sign : -� -- , = �%L�4 ,
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.
j JA x"'2006 TUE 03:14 PM CHRISTENSON VELAGI0 FAX N0, 95034193695 P. 01
llckllloll ' t c :• n ft)Ii C)I:�''I('ld iisE ON1.1'
Electrical Permit A .
Received O PonnitNo.: Ei4 , , - ,/ /IIf
City of Tigard Received
: /AI
13125 SW Hall Blvd., Tigard, OR 97223 qq AN n Plan Revie Other Permit:
Phone: 503.639 -4171 Fax: 503.596,1960 ®3 2 J95 'a'� °''yip' f'. Date/H :
Dale R cn d y /Ciy- RI Sea Pace Z for
Inspection Line: 503.639.4175 , T` 97223 „ Plan
Da ti Read /ny: �, Supplemental Information
Internet: www- ci,tigard.or.us �i l P' �1� � I' .P, l � t a ` -ti � y " y
, „ ,. ti w , "(; pa rr , y i�r�� " °y ti�" � ' F',� � S `� ' . . �Jie ��y� ,, v � �,' i ill
i. r ' , ; ,W :shy 1 .- N�n Y;+gi� , ,�,r -. � ' i'+f► p�pq 44"1, !"r� . i . re t 3, : 7 ,1'� 7 ' .t - , 'g ,�"'. • n, tVa '."
G �, 'r ,: iy40:„. P ',ow. : Arts ,;- ka � T',:.e .A• u}t,w t ic. .'F £g :`.' pleas. check all that apply:
0 New construction Addition /alteration /replacement °Service over 225 amps, comrri l ❑Hazardous location
❑ Demolition 0 Other: v ❑Service over 320 amps - rating 013uildng over 10,000 sq. ft.,
�p�uw a, ,� „ :r :' °:,:� l
00 : '.. - )' ,'s, . ,"' , " t 4 ", �4. of i- and 2- family dwellings 4 or more new residential
s• tir;dp',N;,' c"y� : °; -. •• ti '-' f ; d� , 9! r ', Y ` F i. }, .:.Arr,Y.4,'• .k.h,'•r ..,.,.: units in one structure
:�= rF:,hr;�r��4� � •n,��s...§�t�a;ar" ;�s�i:. A,�_,.., ;,i1��,.;.,: .. ... _ ` � , � °System over 600 volts nominal
0 1- and 2- family dwelling g Commercial /industrial ❑ Accessory building []Building overt tee stories ['Feeders, 400 amps or more
❑ Multi- family 0 Master builder f] Other: °Occupant load over 99 persons ❑Manufactured structures or
0 f r I ',x .r'.: y , RV park
r r 1x A t' d Y i' , ` ili'.'L °Egress /lighting plan
;�L2:'•"'.'M)�".4 li'� °�° �'Sl!�',� "X4. .i °Other
j''g;;a !: ";�A.,, •�n: , . ' _, ;,• ❑Health- care
Job no.3$ - Ddcl 1 ' Job site address: 0 3. i SW • -
• i . • l - l i i� e Submit ? sets of pans with any of the above.
City /State /ZIP & K O - 3 The above are not applicable to temporary construction service.
Q � { i - , rani -,.,�� Ana; . 'Fi;. § H� � � , t., s . 7 t.H 1 `_. °�., , /1?I,'�k ?�S'lnfri',� �^'Av'� ^
Suite/bldg. /apt. no.: tp, 0 Project name: WD�I� 5�1� I7} De,ennelon l_clryd Pee. I t'nmt , ••
Cross street/directions to job site: aka _l` /S h I1 .r I ti�� New residential single - or multi- family dwelling unit.
- Includes attached garage.
ter D3.- I I.i - 53-e.) 1,000 sq. ft. or less 145.15 4
-
'7 Lot no.: Fa. add'1500 sq. ti- or portion _ 33.40 1
Subdivision: l Limited energy, residential 75.00 2
-
Tax map /parcel no.- r Limited energy, non - residential 75.00 2
w, n rr. : r .. ' '. �... „ , .,i „fit n 'I, I . sr ` 7 i'y'i+�' '.rC modular
.7 �'(; r;: '•t� 5,� � - :6,•6 "l: . F G L7,rJN.`!R.. ; , .*14' l ,. '10 xc',-,. .,#, ,:l,+s; -.... ii Each manufactured or m
;4, r.... rg .? 90.
.::. ...........i.v.:;.; -... : '� h - ,� - dwelling, service and /or feeder 2
"� - lest Services or feeders installation, alteration, An d/or relocation
200 amps or less 80.30 2
ZOl amps to 41X1 amps 106.85 2
.- :'.rr1 : , N „ nO1 ry�M J701i1 k'%rw;lir�4,k^BE..A.f:L "b:�k�; r.,aip•p t / aiiI4 = ti:i i 160.60 2
K :- (rl�n• YA �. w�i�„ 4f 'Y:511:i�T.,'r:`1.r'Ip:'f•.• 'a}' kn. d` .i ° "• a0t amps to 600 amps
Name: 601 amps to 1,000 _Over 1,000 amps 240.60 2
amps or volts 454.65 2
Address: Reconnect only 66,85 1 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 600 amps 133.75 2
Owner signature: Date: _ Branch circuits- new, altcratlOn, or extension, per panel
:.. :, •.r tI;'' A- Fee for branch circuits w ith
, t • M1 . °` r d : ' ' ." 4 . ':r Q,T . ' ;' . . ,,.. 'a ' i .
,:�i ";'` ";,'Yr'�;c� i41t',PL�,T�,���:t:t::. :::r,r_,.. �•:tM?'�;•:. .r service or feeder foe, each �rl: -t is 6.65 2
Business name: branch circuit _
B. Fec for branch circuits
Contact name: without service or feeder fee, 46.85 2
- _ each branch circuit i
Address: Each add'] branch circuit - 6.65 I 2 .
City /State /ZIP: - Mlscenaneous (service or feeder not included) _ _
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: ) Sign or outline lighting 53 2
E- mail: Signal circuit(s) or limited- 75.00
+,. ,� .y; 414':, - 'tar "Li - Pi in::_ tr 4 - ,..^ '.• energy panel, alteration or 75.0.0 t: , t ''F«.al??di< =r • 4 ':. .::� Y i " l�lv.,} (� } 2 : :. ; :�5 .,...•, t�.c.. h ' i; Page 2 2
- - �;, � t:,,. .,�r}; •. r. ,, xten ion Describe:
l3usincssname: CI'IRISTENSON VELAGIO, INC. • t - I .ii/ a.
Address: 1631 NW THURMAN ST 2ND FL Each additional inspection over allowable In any of the above
- Per inspection 62.50
City/State/ZIP: PORTLAND, OR 97209-2558 investigation per hour (I hr min) 62.50 '
lnduslrial plant per hour 73,75
Phone: (503) 419-3300 Fax: (503 ) 419 -3333 s. py;" '.l iaity: . ;10. *. : ;Va -,
rfr
CCI3 Li c.: 64137 Electrical Lich 174C / Suprv. Lie 1994S Subtotal 17. jt07)
r ,
Suprv. Electrician signature, required: , / Plan review (25% of permit fee)
State surcharge (8% of permit fee) (e "ID
p
Date:
Print name: ROBERT AXT - E J Q� TOTAL PERMIT FEE 1y 1, (i
Authorized signature: - Thls permit application expires if a permit h ,tot obtained within IRO
days after It has been accepted as complete
Print name: [ Date: • Fee methodology eat by Tri•COunty Building industry Service Board
- _ _ •' Number or i ,nspection9 per permit allowed.
is Ntiuilding \PermitdtaLC- permlrApp.duc 12103 44O- 4615T(10102/COM/WEi "Aft -�1-
. ,
CITY OF TIGARD
,• •
BUILDING DIVISION PERMIT #: FLR2006-00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ii4i2i. )06
Phone: (503) 639-4171 iitti VI I `
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7:02AM PAGE: 71
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: Limited energy for data telecommunications. Job No. 38-00918
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503419
Inspection Request Scheduled For: Date: 1/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 024797-01 503-970-2451 N
Corrections/Comments/Instructions:
6 14 t. a. , .. , rcv
'T Vkg.: ceiLit yil.‘ ag.
•
kfcOn P. IL cike bEr peyt. ckt ',.
[7 PASS El PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
5 FAIL in CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date:
"fr
I / 0.6 Phone #: (503) 718- 1 4_
./7/.7?
CITY OF TIGARD . .
BUILDING DIVISION ,
PERMIT #: ELR200Ei-00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2006
Phone: (503) 639-4171 _114/44IPPietit
Inspection Requests (24 Hrs.): (503) 639-4175 .4711,10-*
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 92
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: Limited energy for data telecommunications, Job No. 38-00918
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.293-2745
CONTRACTOR: CHRISTENSON VELAGIO, INC. PHONE #: 503-4119-3600
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # Inspection Description on ir - Contact # Message
135 Low voltage 025111-01 503-970-2451
Corrections/Comments/Instructions:
ALL, uN) -1/4)
4 g' Ce k f•? 3J II LE.
I PASS E PARTIAL APPROVAL LII CANCEL El NO ACCESS
FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: ‘e) LiEE Date: 1, 0 D Phone #: (503) 718- 111410
CITY OF TIGARD
BUILDING DIVISION PERM IT #: FLR2006.0000i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 114/2006
Phone: (503) 639-4171 : h
• ir li
Inspection Requests (24 Hrs.): (503) 639-4175 ,... -....
.
INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7:03AM PAGE: 48
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: Limited energy for data telecommunications. Job No. 38-00918
0 ER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2746
CONTRACT : CHRISTENSON VELAGIO, INC. PHONE #: 503419
Inspection Request Sc eduled For: Date: 1/2612006 Pour Time:
Code # Inspection I -scription • irrn # Contact # Message
\
e `s,,
W M 503-780-3222 V
Corrections/Commen s/I str tions:
, • i0. I 1
N
PASS fl PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: (tro t. 1 2 Ok) Phone #: (503) 718- ___________