Permit Il l
CITY ®F TIG�►IZD ELECTRICAL RESTRICTED ENERGY PERMIT
l',.,.. COMMUNITY DEVELOPMENT Permit #: ELR2010 -00266
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2010
T Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 310
Project: SHORENSTEIN Subdivision: LINCOLN CENTER /TWO LINCOLN Lot: 0
Project Description: CCTV system.
Contractor: SONITROL PACIFIC Owner: LINCOLN CENTER LLC
8220 N INTERSTATE AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97217 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773 .
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/03/2010 $75.00
12% State Surcharge - Electrical 12/03/2010 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: Y Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N Total $84.00
Other Desc: Required Items and Reports (Conditions)
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 OA 952- 001 -0090. You may obtain a c, es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By:.� �' i�� Permittee Signature: ( /�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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
DEC-02-10 04 :33 PM SONITROL—PORTLAND 9 7 3 7 7 7 3 P . 1
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' City of Tigard
Penult No. ""..7 ''' — __ i .ii
:., i ,..-- iu 13 t 25 SW Ihill 1ilvd., Tigard. Ok 1 )7223
71 61 /0° P lan Review -.• lf -. gr......a..4a--, L iciAatO
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' ' ,. l'hone, 503.718.2439 iras: 503.598.1 Issts . ya Ll2tc a 'aL a _ .
1 ,,i 0iva , o ' Inspection Line: 503.639.4175 _kat tte Ready/ay: - tut it r r f . See 1.7me 2 Zr '
' ',' . . ' Inlaid, www.hgard-orgov
11'8 OVA1C3%,140ti,tilied/Ntethod; T3:-
Supplerrantal nforrnation
• x - c113 '''' • :-----_ ----. --- —
p litlit l ,t i : ,ii •ii: • i: -- ":7 7 : 7 7 7 777 ' tyisit or 'i.,VOR .,. 8)‘\%_s .,H ..i..: ,• ,.. • :l, ..::. t,. : . ,.., r.• ',:• . : --- " .isLAW T7.7)ity*(4fit..;t
. ..... , .. .. . • • , ",037ttlit.".:,tl: : ,. ,,,t•
0 New construction rj3,1 Addition/al terut iAreplaccment Please chock all Mai apply (submir 1 sers c plaos w/iteros ttrs ow): '1
D SURAT Or il:Clier 400 amps II more 0 Huth:Hug two t.l.. stories, f
0 Demolition El Othcr: whore the actoilaltIc fault f:urruni I: Marinas and bortvards.
1 ;k:ttl.. tt"ritt ',.' - • • • . ' .• CATFCORY OF CONSTRUCTION :' ' ' :::-:•:: .:',, ..'i:ii.• : cse-x,Is 10,0oucinusia !so volts or 0 Floaf4 barldia,,,,s. i
, . _ . . ., ......
le to puma, Or CXCeedti 14,(11)(1 D Cruurnerciul-uk a2riuultutol
ID I- and 2-fainily dwelling E Comnicrcial/industrial 0 Accessory buildi ss ng a fur all other rip:lanai ions. buildings. i •
0 Mulii-family 0 Master builder 0 odic, in HA; pump. El Installation of 7 KVA or
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FriL - 4 1 '' ..i0D • SITF 'INFORMATION ANI) OcAr TIII•aue afa ,I
tos ...:. 7 7 7 77 r9 l "'turn 1 , larger separately derived system, ;
it4,' '..' ..• • • I," • • • . , ' UNV . vi:
Job no,: P100169 Job site address: 10220 SNN' Greenberg Rd incli II' or more OSeldranc
-,,, y,
0 Recreational vaietc parks.
- -.,.... . , „.„., El Si x o r more rodent:al too ts
City/State/ZIP: Tigard, OR 97223 0 /1(11111,1,re fhvilitics r] SUPPIY VO hap fir more than
. _.-------....,....---- 0 titt oos ns. iord lovatio 600 N'.Ith 110111i11••
Suite/bldg./apt, no 3 0 J Project name: Sharenstlen Really 0 Service or feeder 600 amps or more.
-- .—, — :' ''.:".:: I': : • ":: I • ', :: :. .:1. ).EE scut0.0.* ,•'. 1 :
Cross strect/directions to job site Lincoln Center/5 Lincoln mortott 1 . s. Ts 1 * f
New residential simile. or multi-family dwelling tint,
Includes attached garage. 1
Subdivision: i Lot no 1,000 sq. (1. or less I hli.54 4 1
'' ••
--- F. u athi'l 500 sq. It . or portion 33,92 1
_ •
Tax map/parcel no,: - ., - — ,--- .
1-imited onurgy, residential I
75.00
i'V,:':'": ' .t'•t '' ' .. ....' DESCRIPTION . OF WORK .'• ••. • '. ' •••:•.' :'.• • :. '::: _ (with above 12.) 2 I
6 .,,.. , .AI: .4...,.',I., , • • • • • ., ., • , .
..........----...-- ' Limited energy, muli i dimi i ly
75,00 2
Installing 6 cameras in I.,Ineoln Center. 3 cameras in Bldg 1 lobby & hallway residential (2kith ahove sct h.) _
_.________________._ _ _ _...
--------- Services or feeders tnstallatIon„ undin Nlocatkin ,
3 cameras In Rhig 2 lobby & hallway. 6C111 1/451-A•S9tirN . 200 snips or less 100.70 2
,..........,' ,.. ,
r•:: IIIOPERTY OWNER ''• i i ' • 'i ' it TENANT :. .' ....: .' .. 201 amps to 400 amps 133,56 2 1
_,...........„. -
MI amps to ti00 amps 200.34 2 .i
Name: .. - --.
-- „.....„.......__.___ 601 amps to 1,000 amps 301.04 2 I .
Address: Over 1,000 amps or volts 55226 2 1 ].
-
-- Temporary scryices or feeders installation, alteration, and/or
City/State/ZIP:
relocation t
_ _...„. ....-....- ________ .. _ _
-- : --- , . .... _ --
Phone; ( ) I Fax ( ) 200 [mins or Icss
— — -- - - 59,36
1
_. 201 amps to 400 anip8 I25.0
°Whet' 11131AllatIon: trhis installation is being made an property that 1 own which is not
401 amiss tu 5 amps 168.54 2 .1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. ---.-------
Hrimen eircuils - new, alteration,. or extension, per :
' Owner signature: Date; .. ... A. Pcc for branch circuits with
_... „. ...—.... ..,....,.... —.,-- .— . , —
'f •,•,,•:' ''' •• •I•• • '• ' 13 CONTACTPERSON• .:.'• ::' alnwe 5VI or feeder fee.
7.42 2 j
hranch circuit
13. Pee Ihr F./riffle/1 circuit; without l•
Business name;
— service or rouder rue, Ilist
56, 18 2 •
Contact name: c . ' i
- - E branch ciruit
rich odd branch circuit 7.42
2
Address; Miscellaneous (service or feeder not li eluded) t '
__
Each Munii las:Ism:if Or moilolar
1
City/Stitte/ZII); dwolliniu_iurviCO antVor fccdcr ___ ___ 67,144
,_
Phone: ( ) I Fax; ; ( ) Reconnect only 67.54
_ , . - 2
---- --- -- Pump or intgation circa: 67.84 2 i ,
Email; 7
Sign or outline lighting 61,54 2 '. '•
5t '•'-''.'•:•• : • • : :: ' ' C'ONTRA(':TOR :• ' :. •• • • ..._ _
Signal circuit (s) or limlied-cnergy
75.00 ..
panel, alleratinnztr exirsion..._______ l'Aii: 2 ,,, , ,, _ 4 - ..
Business name; Sonitroi Pacific
.___ ..... .........____.--......-___________.------- ......._.---:---- Each utt Irtspcolon over allowable In any or 'he above •. i',
Address: 8220 N. Interstate Ave Arlititinnnt inspection (1 hr min) 66.25/ hr
--, - .
' Investigation (I hr min) 66.25/ hi
City/State/ZIP: Portland, OR 97217
_______ Industrial 011,1.0 hr min) 78,18/ hi
Phone, (503) 223-5822 I Fax: (503) 973 inspections ror winch nu feu is
90 h i I
..- ..,...........,... specifically liste•SLti hr m .00/ r
in)
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CCB Lie,: 53535 Flectriell t ic ' 26 70CI Suprv. Lic.: 35671,EA • : '•• •;•;••, • .• •. •• ELECTRICAL. P.ERMIT FE. : :'
----....---... - ......- ........___ ..- -.--------------„...------- _......_-_—_-
:
Suprv. Electrician signature, required; SubtotHI
Plan reviow (25% Of permit fee): --i
— :
Print name; (voc c CI () : Id t Date; /a State suruharga t i'.2 or poi mit foe): 9.00
10TAI., IT:041T FL h; 84.00
Authorized signature' --1—..
—7 rhisTwrittli application pvIrri If a porinit Is MA IthlailIA 4r1h14 1ga
-,....-........ -
Print 11:1111e! AILiv., ( ,y•ri 0 (12----" Date: 1 '1.-.?.... - C uin r 111*a aftrr It has bern accrptril as complele.
• k of inspections allowod pot' rt.:nisi. ;
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1 ataildinglenat.dit.C.1 do,; ;Marto 440.4r3 I F1111,1]5 . •
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DEC -02 -10 04:34 PM SONITROL— PORTLAND 9737773 P.02
Electrical Permit Application - City of Tigard
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Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
•
I , TIAI.:r OfK ON x� •
Fee for All residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ 13urhlar Alarm
❑ Garage Door (Vella*
❑ /leafing, Ventilation and Air Conditioning System*
Vart111111 Systt`ms*
•
❑ Othrr;
IONS/ g .CIAL, WORK O.NJ X
Pee for commercial $75.00 •
system
(SET, OAR 918..309 0000)
Check Type ci f Work Involved:
❑ Audio and Stereo Systems
❑ Boiler (;nntrc,1,
❑ Clock Systems
❑ 'Data Telecommunication Installation tt
❑ lire Alarm installation
❑ LNA(.;
❑ Instrumentation
❑ Intercom a Paging Systems
❑ Landscape Irrigation Control*
❑ hleilical
Nurse (:all:
❑ C)utdour 1,endsca Lighting*
❑ hroteciiee Signaling
Z Other L atncras
Total nuntler cif commercial systems: ,J,
*No licenses are required. Licenses are required
for all other installations
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