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Permit CITY OF TIGARD ELECTRICAL PERMIT 1111 COMMUNITY DEVELOPMEN Permit #: ELC2011 -00116 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/01/2011 Parcel: 1 S135AB01006 Jurisdiction: Tigard Site address: 10500 SW GREENBURG RD 100 Project: Lincoln Center Subdivision: LINCOLN PLAZA Lot: 0 Project Description: (2) branch circuits for monument lighting. Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC 11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 255 -9488 PHONE: FAX: 503 - 257 -7121 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 03/01/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 03/01/2011 $7.63 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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 r • - - 001 -0090. You may obtain a co.y of the ect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. N Issued B / _ —��� _ Permittee Signature: —aSi _ _ _ 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. Electrical Permit Application , ecelve City of Tigard Date/By: j / f Permit no.: .... 2..0i l -� �(}) f 14 is " I3125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: T I G A R D Inspection Line' 503.639.4175 Date Ready /By: Juris: ❑ See Page 2 for Internet: www.tigard- or.gov Notified/Method: /.--1:TG Supplemental Information ❑ New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories _ . ` rt117.717_ _ -t , where the available fault current ❑ Marinas and boatyards ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Multi- family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial - use agricultural ,f'Ti. .. Y'fvai : P i ` v_.. i ; .i ' s ' ' 17.J., L,- s�s.,,::. d, -�.. - .- _.. ,- - _'" amps for all other installations. ❑ buildings ❑ Fire Pump ❑ Installation of 75 KVA or Job no.: 110424 Job site address: (OTC 1 .28 - STIV Greenburg Rd ❑ Emergency system larger separately derived system. City /State /ZIP: Tigard, Or 97223 ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", 100HP or more. ❑ occupancy Suite /bldg. /apt. no 'Project name: Lincoln Monument Lts ❑ Six or more residential units ❑ Recreational vehicle parks. ❑ Health -care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more Subdivision: I Lot no.: FEE SCHEDULE' Lincoln Plaza Description I Qty. I Fee. I Total 1 " Tax map /parcel no.: New residential - single or multi - family dwelling unit. ., „ z '''' . i eC an a x" 0 ::1rr,6':'° .- -, _ - , �� � "` Includes attached garage. Replace monument lighting with new 1000 sq. ft. or less $ 168.54 4 Ea. Add'I 500 sq. ft or portion $ 33.92 1 • ;, sl?ROPER @, ` _: a'- -'ar 'si i3 .: ' T ' ': :• Limited energy residential Name: (with above sq. ft.) $ 75.00 2 Limited energy, multi - family Address: residential (with above sq. ft.) $ 75.00 2 Service or feeders installation, alteration, and /or relocation City/State /ZIP: 200 amps or less $ 1 00.70 2 201 amps to 400 amps $ 133.56 2 401 amps to 600 amps $ 200.34 2 Phone: Fax: 601 amps to 1000 amps $ 301.04 2 Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 552.26 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or Owner signature: Date: relocation 200 amps or less $ 59.36 1 • .:7'; 'pL'IC''r mss; jrt , r;SPr ''''a,,zY -.. a PERSO 7 7 7 201 amps to 400 amps $ 125.08 2 Business Name: 401 amps to 599 amps $ 168.54 2 Branch circuits - new, alteration, or extension, per panel Contact name: A. Fee for branch circuits with service or feeder fee, each Address: branch circuit $ 7.42 2 B. Fee for branch circuits City /State /ZIP: without service or feeder fee, first branch circuit 1 $ 56.18 56.18 2 Phone: Fax: Each additional branch circuit: 1 $ 7.42 7.42 2 Miscellaneous (service or feeder not included) E -mail: Each manufactured or modular ;• -.1$1 . _ . 76;74 1 ea O . ,." . ?7,1: =: a rt Vic° dwelling, service and or feeder $ 67.84 2 • Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 67.84 2 Pump or irrigation circle $ 67.84 2 Sign or outline lighting $ 67.84 2 Contact name: Gary Steiert Signal circuit(s) or limited - Address: 11401 NE MARX ST. energy panel, alterations, or extension. Describe: Fire Alarm $ 75.00 2 City /State /ZIP: PORTLAND, OR 97220 -1041 Page 2 Each additional inspection over allowable in any of the above Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Per inspection $ 66.25 Investigation per hour (I hr min) $ 66.25 CCB Lie.: 48748 lElectrical Lie.: 26 - 496C / Sup . Lie.. 3132 - - S Industrial plant per hour $ 78. Suprv. Electrician signature, required: 9 I(,/ It RERM ° ` ' -i 1 "`-� Subtotal $ 63.60 Print Name: „DARRELL MCNEEL Date: 02/ /1 Plan review (25% of permit fee) Authorized signature: i State surcharge ( 12% of permit fee) $ 7.63 / TOTAL PERMIT FEE $ 71.23 Print Name: E LL MCNEEL This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections per permit allowed.