Permit • R E C ' r, P E i C, P. 001/002
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NOV-04-2009(WED) 21;52 NET it
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Tic lnspcctlnn fine: S Phone: �nr: )03 .639.4171 Pax: SU1.S ' TV O / f � TIGA�+RDA' Dal c�lt,rtrrtnttl.
+ i�RD f13 619,41 7$ BUILDING DIVISION e Reedy /By:° WI . :r., { ,,.. 1uIi inet! wtvw,li}lard a111jot NotlflellnAr)Ilod; - -1 c See Page': tar
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• (], .New construction Addition/alteration/replacement cnt
0 N check all )hut 4plily (habitat i -seta urplata wllleina checked below):
�rvieu lit irudur .10D Or Or ntttt 0 il„ iwiny iwur thitr shirk -t.
(J Demolition thcr � where the available fault entrant Mar ines and ba nape.
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: CATEGORY OT CONSTRUCTION ' ':, ''. . ' ' exceeds 1 0,1.100 Q111l1e at l a O volts el 0 Floating buildings.
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- 11un hi glimmh tit uaecudK in.00p 0 Ctttutninetal•ukcuytieldnt,al
zi 1 - and 2-taniiiydwelling Colt /itldublrial I: Aecexsury building atntmIh } all other Iuslallations, bldlttinto,
. 11 Multi -amily Muter builder in Other: 0rire Ellnatnllntionof •
. Emergency cncy ayaicnl, Iatget acparalclyderived fy alcnt.
' �JOR SITE INK/10 AND.Lo „ 1 :
0 maitirm itf,ww nmutr he nl C1 " A . "1! " , "1.7
,top Mi.: ,lob silt udilrcss: 10 2_ � • 5 c rah boo' , t x o r nr mite. Re .. o ucy.
CI six or mole lcalticnllal units; d Iiccn;htit,hdl,,,,lJiae
C'iit /Stale /ZIP: 0.E -14 fr-id I ri Z-" (, ' , 3 r / �� /f /` / � Iii blcalllt -elite Iiraiiiih i , 0 Sulgtty- voltaiilfur Inoue than
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n0A Inca lino wt h
uilc/ lt .ln.t nn.: Pro cct name o I:I S of fader Guu 3111 iae, otu, r,
Crass sncct /dlrccnons ty o� T--- f h si I Includes r 11 . etc- . 1A.:1
. D ,H,4uq r_sly,...1 r... ( .... .TaWf -1�
1 /� 1 r - dent {a7 >sht>:Ic.. nr nnntl�fanl{)y thvetliil>: unit.
70 P r)k 5'cL ;. C ,...I-. f L! V J t_U a II tll:atlacllet•) aarbLe
Subdivision: Lot no,: 1,000 al, ft. or leas ' . _i45,15 - - '`
• • .. - Ea. add 'f:500 s5. it, nr ,oitica' 1;1,40 1
Tux map /parcel nl,,: `� � - .._.
_ LirulleJ energy, rrNiilcntla) 75,nn 2
' DI»5CR1P1:1O1� 'OF wORit, hill iht,vt„ti , tl.1
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_.. iinlitcd Cncl gy, liti•Inrnlly,
" - nn 75,oU
a l � , G( resndetdtal (with alxwe a , 111_
SixViceri nr feeders {UMaH opal,. pl1rr,t final /ti relrieniinll
- - ...all) am nr less $0.30 2
1:1 1 ROl .1 RTY OWN k TF NAN'r � ' �,t.:Im to 40 ; l « ..,
I am mpa 1 n6,it5
Marne: t ut amps to b ap umpu ! /6.60
` - . ° C. �' .VE � a I, : -, G tll,amltn to 1,1109 slaps 240,60
ndtl fern: ) O Z(o ( � 1 > '1 ln:r"�'. F S D Ovcr 100U simnit or vn!>n _ .r , — T «
• City /StatefLI P: 'pr/� -�-{ �b 0R. 1 r1.2 P,.S Trmtinrury,rel.vivo ur rL'cdcri l urtullt tiun, Mien don, nnJ /ot•
"�� >�`ll GL t_ - relocation
Thane: S'l - 11_0 o . , 31 ,uu ,timpia n r 6
estt 6.85 1
(503 f'ax:; ►• l i
'- - 201 aul s iu at3 umpu
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Owner instaiihrionc This installation is heitig rnarle tin properly lion I own which is not ;,..-_.2,p 2
intended for sale, lease, rent, or exchange, accotir ling in ORS 4147, 449, 1570, and 701, 4 101 amps, to 549 amps 133,75 2
,1lrundb — circuit nciv alterattna, nr r. ten sin I_i sr I r ta /lrl
Owner t;igrlalure: - Uatc: r - ---� _
A ! ee fur brunch a{rauita WWI
0 Al'PIJlC WT'' ml -- 0 COrVTAC 1 PF.I io above service or tenter (' (5,65 f3laNinet i rune: enell.b circuit _ - - - - w 2
li, liee for !ranch circuit: . -
C unlit) l name: wUhulu acrvice or feeder fee.
_ ii ni t,brancli circuit ‘16.H.5 2
Addeo : lac h_ arid`, f ln•anch.circuit I 6. tij 2
-.. Mlscennheniin of feeder not II chided)
City /Sittic /ZIP: Each rnartufaetured
dwelling. service and/or ii:cilcr 90 -
Pluine:l 1 • h ( ).. Reconn ,t only - - 66,145
C -mni {: Pomp or irri tatInn circle 53.40 2
' CONTRr1CTOlt Sigii.ofotitlitie Iinluinli 53.40
g , Nnatal cireuit(s) nr Ilw to -
IOUSlflel , Ilanl N .I- verS/Srw � u `�1Qh5 , L energy panel, alteration, or
extension. l)rncribe: \ Page 7 ..
C2/5tatt-/;41: . Y) . Q R. Gi'7 0 61 Ea ell addItiuttttl {llspectiuti over allowable In snit ()Otte 4 havc
- .7•.....r(. . - over.
allow
' �l � ) D L{ �? ? lax: - (p iuv ruti itliup.per hear I I hr min] 62,50 _
C:cII Lit::: 1% 1p 1 Ot � Elecirical Lie. : l. Ll ti 1 Suprv Lie.: 1 0 L H Induntrial plant incr lulu 73.75 - -
. - F1j ",c TRiCAL... PERMIT I�I:It�S • (0.-.1.811
Suprv. electrician Signature, required: _ Subtotal: r U
Print name: ^ ^ ^� � u` pile: ` (� �O 1 i fl t�vlew 125'11 n l' ncttnit ic
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r "?r]- tilt �� U Stale surcharge (12% of permit fee): g.1
Authorized : :ignulurc: TOTAL i RMll' I L•L:
Tai: iwrtuh ulipncatliiti mspirn n
. if it permit 1a ot oht,rinril withi 1 so
Print inl nnmc. � , j Dale; ' l
1,1 duyu alter 11 ail' /mutt ucerp In enmptntn,
!!V Number of inspections allowed Do punnit. , 9
I' ecilt01071 it IISgtaw .141.1.41iinlilliunit unvwl,a 7
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ii a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
0 COMMUNITY DEVELOPMENT Permit #: ELR2009 -00341
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/05/2009
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 530
Subdivision: LINCOLN TOWER Lot: 0
Project: Starbucks
Project Description: Install restricted energy for voice /data.
FEES
Owner:
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Restricted Energy Permit 11/05/2009 $67.84
CALIFORNIA ST 49TH FL 12% State Surcharge - Electrical 11/05/2009 $8.14
PHONE:
Contractor:
NETVERSANT SOLUTIONS III LLC
9740 SW NIMBUS AVE
BEAVERTON, OR 97008
PHONE: 503 - 646 -0533
FAX: 503 - 641 -6613
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: Y Fire Alarm: N
HVAC: N Instrumentation: N Total $75.98
Intercom/Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N Required Items and Reports (Conditions)
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: , Q t 2- �A.l.1 t. k J .tJ i b Permittee Signature: S9-
OWNER INSTALLATION ONLY iif ���"
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' 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.