Loading...
Permit . _ T''' " CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT `` °=". COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00197 DATE ISSUED: 7/9/2008 Tt entt9_ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135A6 -01004 SITE ADDRESS: 10220 SW GREENBURG RD 410 ZONING: C - P SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG PROJECT: EXTERRO Project Description: Installation of low voltage for data. Job No. 84081 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: SHORENSTEIN REALTY SERVICES TECHNOCOM INC. ONE SW COLUMBIA #300 7929 SW BURNS WAY # F PORTLAND, OR 97258 WILSONVILLE, OR 97070 Phone: 503- 412 -4800 Contact #: PRI 503 -682 -4195 FAX 503- 682 -2781 FEES Reg #: ELE 34- 269CLE LIC 73872 Description Date Amount SUP 2281 LEA [ELPRMT] ELR Permit 7/9/2008 $75.00 [TAX] 12% State Surcha; 7/9/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspende r -more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those s are set forth.in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.2 .6699 or 1.800.3 Issue By: Permittee Signature: 1 `, (, OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Cali 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 0 16:04 5036822781 TECHN000M PAGE 01 Electrical_Permit Application FoR 01.1.1(.1. 1. NE ()NIA . City of Tigard gi �►,I E'J ED Received Dateiv : 9 0 8 9/ permit Na. CC.‘ .� - DOtQ v 13125 5W Hall Fllvd„ Tigard. t plan Review th Phone: 503.639.4171 Fax: 50 5 960 patefl3v; Erz: T 1G AR I:) inspection Line: 503.639.4175 ,-, q; '1 1 n ,. ', Date Ready /By: Ste Page 2 for Internet: www,tigard- or.gov �1L t1 Notified /Method; Supplernenfat infnrmnrian 1 Ne construction , : - T� IbF' ' • NBY p0.$# i1'E a' j t © Service or fccdcr L] that apply (suhmft Z sets of Izn.. u /item¢ checked below ) Addit / P1 •�Lc p 400 amps er mare In r3u11dinK over I hrcc «tmres. ❑ Demolition Q Other: whore the available fault current 0 Marinas and boatyards, i , , CATI' GOR'V o1F CbI,tg'1j";l't>LIC"tION ;: ; . s exceeds 10,000 amps at 150 volts or ❑ Floating building?. less to ground, 1)r exceeds 1 1,000 ❑ Commercial - use agricultural ❑ 1- and 2- family dwelling V Commercial /industrial ❑ Accessory building amps for all other installations. bnildingc. © Multi -family 0 Master builder ❑ Other Fire pump. ❑ Enstnllntion KVAor 0 . ❑ Emergency system. larger separately derived system. : . 110S[ 1 ;Tl4 ;4 1i0CA:r1 ' ❑ Addition ornew muter iead or ❑ ' A" E° „ l "2 1 Job no.: 1 fi I ress: M Job site address: 1001 or more, occupancy. • I Jr ' i - 1 , / 0 Six or more residential units. ❑ Recreational vehicle parks. City /State /7.iP /�yf �1 NL q �j �1 0 Health-care facilities. ❑ Supply,.viinc for More than vv �� lG�`'j 11 ( !+� Ffazarrlous locations. GOO volts nominal. Suite/Uklg, /apt. no.: Lj D Proiecl name: - ••.( ❑ Service or fccdcr 600 amps or more • - w;, ;,;. ; " FEE StlilE IDLE" ,•'. CroSS streetidireclions t0 ob site: .1 DprrlpGan I Qty, l Fn. 1 Tool l • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft, or less 145.15 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33,40 1 Limited energy, residential 75.01) 2 i , . n ?D CRIPTIOI WORK (with above sq. ft ) V o I Jiai L lmt d euli i faml 75.00 2 1 t rctsi idcnti r (y above m R, ) Services or feeders installation, alteration, and /e relocation 200 amps or less 80.30 2 ::: •:' Vl '1>tid1 FJ TY :OWNER 0 illENAIiiiT., 201 amps to 400 amps 106.85 2 • Name: 401 amps to 600 amps 160.60 2 601 amps t() 1 ,000 amps III 240.60 2 Address: Over 1.000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation. alteration, and / 1)r relocation Phone: ( ) Fax: ( ) 200 atnps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 4(1(1 amps 100,30 2 intended for sale. lease, rent, or exchange, according to ORS 447. 449, 670. and 701. 401 amps to 599 amps 133.75 2 Branch circuits -- new, alteration, or extension, per panel Owner signature: Date; A. Fcc for branch circuits with I A.t" •ti1aWAt .: A -iac 14 c1h ERSON O ;' above service or feeder fee, each branch circuit 6'65 2 Business name: ��, � V ism ✓" ' "`r R. Foe for branch circuits without service or feeder fee. Contact name: i 1 K /� F' first branch circuit 46.85 2 Address: 1R e... wr G n 0 3 F'.ach add'1 branch circuit 6,65 2 r f -' Misccllan scrvice or feeder not included) City/State /ZIP: ��. ., `j q p 0 Each manufactured or modular ,�y, ^ , r �� ta( dwelling, service and /or fccdcr Phone; 60'90 2 ( f _ �}' x: ; �� f, IQs '7 Z7f� Reconnect Only 66.85 2 - E-mail: ` ,'SL 1,- a r A. 6 v o ry) . ecyy Pump or irrigation circle 53,40 2 I , i i CONTRA OIG ., : Sign or outline lighting 53.40 2 Business name : r cow 1� Signal circuit(s) or limited- aC-� mar energy panel, alteration, or Address; cxtcn5ipn, Describe: Page 2 2 r � \r�) 0, 0 (4 City/State /ZIP: a-,5 `t Each additional inspection over allowable in any of the above APer l t1 inspection 62,50 Phone:( ) Fax:( ) l °-- 1 investigation per hour (t hr m;1)) 62.50 CCI3',ie.:139'1 — N I Electrical Lic.3 2 C J r Lie,: 2 ) fA Industrial plant per hour 73.75 f 3 .. i,'(1? ;i NIll F'MS ( Suprv. Electrician signature. required: � _ Subtotal: , 0 0 namc: 4 141) Plan review (25 % of permit fee): Print n Datti:�D�� J 0 ) a 0 345....5_,L, J State ■ y Authnri�ed signature; ' TOTAL PERMIT FEE: C" q f O Print name: 0 ^ This p ermit a e if a p e rmit is not obtained within 180 � / Date: /► r 1r n ,� t t r / �� days after it has been accepted 1)a cam Intr. " Nnrnber of inspections allowed per permit. r \fluildinamermits\ELC -r •.dvc 05/23/05 e4n -4G19-(11 /05 /COMAwEI3 CITY OFTIGARD , '_ BUILDING DIVISION PERMIT #: FIR 31tf1t� c)U1' =t7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: j Phone: (503) 639 -4171 � ° ''��•;���1�� Inspection Requests (24 Hrs.): (503) 639 -4175 - -:_,. INSPECTION WORKSHEET FOR DATE: liF42008 TIME: 7:00A1,4 PAGE: 26 SITE ADDRESS: 10220 SW GRE ENE3URG RD 410 CLASS OF WORK: SUBDIVISION: LINCOLN GENTER /TVVO LINCOLN LOT #: TYPE OF USE I PROJECT NAME: EXTERRO DESCRIPTION: Installation of low voltage for data. Job No. 84081 OWNER: SHORENST REALTY SERVICES, PHONE #: f4); �t1 "� 4800 CONTRACTOR: 1FCt_INOCOIYi INC PHONE #: 60 Inspection Request Scheduled For: Date Pour Time: I B/5/2008 Code # Inspection Description Confirm # Contact # Message 199 Electrical final , 73722 4 503.7130 -3222 N Corrections /Comments/ Instructions: \ ----..,„ K W 1 4 PASS n PARTIAL APPROVAL n CANCEL 1 I NO ACCESS MI e n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Gm t 0 B U Date: O's '1 Phone #: (503) 718- 2th CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELR2008• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/91:?00B Phone: (503) 639 -4171 '�� Inspection Requests (24 Hrs.): (503) 639 -4175 "_., INSPECTION WORKSHEET FOR DATE: 7/162008 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 1072.0 SW GREENBURG RD 410 CLASS OF WORK: SUBDIVISION: I..INCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: EXTERRO DESCRIPTION: Installation of low voltage for data. Job No. 04081 OWNER: SHORENSTEIN REALTY SERVICES. PHONE #: :03.412-4800 CONTRACTOR: TECHNOCOM INC. PHONE #: 503 - 6814195 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm Contact # Message 135 Low voltage ( 07269901 503 - 750 -0659 Corrections /Comments/ Instructions: • A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C Y • (CYQ L t Date: 7 • R.; 01) Phone #: (503) 718- =- p 6