Permit CITY TIGARD - �.• ELECTRICAL PERMIT
PERMIT #: ELC2006 -00626
DEVELOPMENT SERVICES DATE ISSUED: 11/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S135AB
SITE ADDRESS: 10500 SW GREENBURG RD 100 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /LINCOLN PLAZA LOT : 002 JURISDICTION: TIG
Project Description: (1) sign lighting.
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: 1
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 FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 SECURITY SIGNS INC
ONE SW COLUMBIA ST #300 2424 SE HOLGATE BLVD
PORTLAND, OR 97258 PORTLAND, OR 97214
Phone: Contact #: PRI 503 - 232 -4172
FAX 503 - 230 -1861
FEES
Description Date Amount Reg #: ELE 26- 560CLS
[ELPRMT] ELC Permit 11/1/2006 $53.40 LIC 122809
[TAX] 8% State Surcharge 11/1/2006 $4.27
Total $57.67 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 -33 2344.
Issued ) Permittee Signature: f
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.
s 6,,,,)ZQ,0(, - 0. a'
Elect i,ca: Permit Application , ' FOR o ff II usr ONLY'
City of Tigard Received ` Permit No.: t
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review // / cam/ ��'/ ,�' � /�
Phone: 503.639.4171 Fax: 503.598.1960 / / ,, :i'i'i,;; , i , l• Date/B Other Permit:
Inspection Line: 503.639.4175 A i n _. - � .. Date Ready m,, See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: M ill Supplemental Information
- TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
CI Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
OService over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑ Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lightingplan RV park
Job no.: Job site address: 105D0 sw Cxll Eai ❑Health - care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: ?p ,IN The above are not applicable to temporary construction service.
-'Ci. li.1 FEE* SCHEDULE
Suite/bldg. /apt. no.: / /)a Project name: w si E gam( -rt.
J Description I Qty. I Fee. I Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
• Limited energy, non - residential 75:00 2
. DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder • 90.90 2
l•-i Ems( \NAB -L_ e,, 1 1.-74...1 .( 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: .e° Q u . ( �^ 401 amps to 600 amps 160.60 2
K-(J ( C /�- C 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 to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
• ❑ APPLICANT ❑ CONTACT PERSON ' A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee,
Address:
each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting ' 53.40 2
E - mail: Signal circuit(s) or limited
CONTRACTOR energy panel, alteration, or
� ' ^ ` extension. Describe: Page 2 2
Business name: c m� v 1 l.7zf�.L r
Address: 2 o f 'a C f s �- 9 . Each additional inspection over allowable in any of the above
rare — V !/ Per inspection 62.50
City/ State/ZIP: ?' (7 . - J _1 CXL / C' 72 �� Investigation per hour (I hr min) 62.50
Phone: ( py3 )1'32 9 ) 7Z. I Fax: SO3 )2.7d igg r Industrial plant per hour 73.75
'ELECTRICAL PERMIT FEES*
CCB Lic.: 23,0 at I Electrical Lic.:76ZW,61 Suprv. Lic.:' Sl654 Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: ,�/J/J 1 D //���� 6_
State surcharge (8% of permit fee)
(/�L, LC_(� L�IL Q t, i ,ST ��J I TOTAL PERMIT FEE 57. 6-7
Authorized Signature : - —_ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name . , c zr.'1 �` � I Date: lU , 2 ] , * Fee methodology set by Tri- County Building Industry Service Board
t r`i✓ t 7 d-rA."' 8, Ll I *' Number of inspections per permit allowed.
is \Building\Permits\ELC -Penn itApp.doc 12/03 440- 4615T(l 0 /07/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
L T2ESIDENTIAL'WORK ONLY: - - f
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*
❑ Vacuum Systems*
❑ Other:
COMM RCIAL WORK "ONLY: •
Fee for each commercial system $75.00 ' ' • •
(SEE OAR 91 8- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems •
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
❑ Nurse 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\EL.C- PermitApp,doc 04/03
.
CITY. �pmn n���n un�m��nm��
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BUILDING DIVISION = - PERMIT #: ELC2006-00626
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
' Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ~JL��
INSPECTION WORKSHEET FOR DATE: 1/41V2D07 TIME: 7:00AM PAGE: 22
.
SITE ADDRESS: 10600 E0M/(9REFNBUR8RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN PLAZA LOT
#: 002 TYPE OF USE:
PROJECT NAME: WESTERN TIRE
DESCRIPTION: (1) sign lighting.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503'23I-4172
Inspection Request Scheduled For: Date: 114/2007 Pour Time:
Code # | ri pection Description Confirm # Contact # Message
189 []edricdfinm| 04179201 503-540~7114 N
Corrections/Comments/Instructions:
•
% ,
-1.../
: PASS �� PARTIAL �� NO ACCESS
1 |
�� �� . �� , /
I I FAIL CALL FOR INSPECTION [ ADDITIONAL FEES ASSESSED
( �~ � ~ l� ��
Inspector: ~�� I ~-x� ` Date: o ' v x Phone #: /5O3>718'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00626
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171 / omaNn�iE
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/15/2006 TIME: 7:04AM PAGE: 47
SITE ADDRESS: 10500 SW GREENDURC RD `100 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: WESTERN TITLE
DESCRIPTION: (1) sign lighting.
OWNER: EQUITY OFFICE PROPERTIES TRUST, . PHONE #:
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503-232-4172
31 417
Inspection Request Scheduled For: Date: 12115/2005 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
199 Eiecirical final 04113501 503-546 -7114 N
Corrections /Comments /Instructions:
Q Rl541 eY r7wc 1 o L.lo .
ti 1 oEs
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: &b. Date: 1 , Phone #: (503) 718- Vt"tf