Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
_'- COMMUNITY DEVELOPMENT Permit #: ELR2011 -00147
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD
Project: Lincoln Tower Subdivision: METZGER, TOWN OF Lot:
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 06/24/2011 $75.00
12% State Surcharge - Electrical 06/24/2011 $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:: Y '01 -0090. You may obtain a copy of the r - - ! irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _L� /i- /� • Perm ittee Signature: wawa =- AL/
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.
JUN ®3:36 PM SONITROL-PORTLAND 9737773 P . 01
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glectrical Perntit Application ll covieu 1 Jsr, ()NIA
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City of Tigard .C.I. \ - . , d
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..._ N 13123 SW l fall Blvd., Tigard, OR 97223
III x a_ le % t' /,
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I pl Ione: 503. 71 24 I s 5
8.39 la: 03.59g.1 9
' Impeelinn 1.113C! 501130.4175 ''.Y - ''. t ''' Re1 .."" Juli [ IRS Sri:. Pup I fur
114..;ARI, , ' . lb Notilled.'Methoti; ,--xL , _ Supplonenfal Infurmation
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inusnet: www.I igurd.or.gov
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R ' 1,K...H ., ' • : .' ' . TYPE (31 WORK . *_C../‘ ‘ _ ' -------- PLAN REVIEW - :....• .. "':!,•', 4:',it'.. ' ‘..•
Please chak all iliiii ilggiy (submit 1 ki.iis a on:: w. item); cricckeki Wow): . .....
0 New construction E Addi 110n/alteral ion/replaci.
El Svrvicc Ilf fei:clwr 401.1 isfiLi)N trr 111 0 Building two time tilttrics, ..
El Demolition El Other: what: tbe nailal,IL luta uttrivin 1:1Marillas liliklbNlyar6. .
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CATECORN' OF CONSTRUCTION ' e.‘eueds I tt,t1titi ;imp 111 150 11111S or C:1 l'Iwittiliz htlildillgS.
--.....---- -----_-- loss to prountl, or Vteccds I 4.000 0 011111111;f641 agricultural
0 I- and 2-funti ly dwelling Z Commereialfinitustrial 0 Accessory building amps for ull ollwr iostallations. buildings. ,
0 Mt.illt-farnily 0 muster builder 0 Other: p Fify pail!). Ei litg“Illition O(7 KVA or
------- INF(3R.151A• -- - --- l:l roovry,ry vsivro. law,. huporately &rind syttorn, ',.
!All , tit.' 0 : ., 74t.. :.; • JOB SITE l'ION INII-LOCAT'ION . LD Addition amt., MOW 1■■■Id I LJ A I
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Job no P110097 ,Jol) addi 1 . 0 . - (gebur Rd g
i A.00 r en
' Ill011' 1;f' mow.
...„, _.. six or 1 Ilion.' reSi1.4:111i41 tillik. 1.1{.1.1.111■1110.•
0 keercd11■11511 vciiik;le rnirki. ..
ID lit:alai-rare l'umilitics, 1=1 supply vo
City/State/ZIP: Portland, ( ltage for MON than
At 97223
- ___ , Ejilir/ardilL18 IM41110M. l'INIVIIIIS110111111■11.
Suite/bldg./apt. no [ Project name; :YRAA91/10.,ine0111 Tower ! EI ticrvicu or fvedor NO EIIIIIN 11 1110 C.
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.--- , , - --- FEE SCHEMA F: ' '• .:'` ''. ' '• ..
Cross street/directions to i ob site: p,..i D.P.:21._...F.e.e.,....iLTL_Hs I
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Not residential sillier- or nitittl-fainlly dwolling unit, ,.
Includos attached garage,
Subdivigion: 1 Lot nO., 1,000 so. II, or less
------------ . 168.54
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- Ea. inki'l 500 sq. ft or portion 3392 1 •
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Tax map/parCel no.: -- - I. Miled e
tne e
rgy, rsitlei:i7d .- . •. 75.00 2 I •
.11 •• : . ':, '....../..;.,•••::'• , • , DESCRIPTION OF WORK ' (with Anne sil 11,, __.. _
, i., -, ...:.i; , .. , .,. ,...... ,
' - ... Lim itai energy, toolti-laril
75.00 2 . 4
Installation of cameras .. _reji . 0$!■ . ti:t I (v,:i1 jtho■Lajlj_, „..... ,
............. Services or feeders installation, alter:lion, and/or relocation
200 LIMITS or km% I00.7f I
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0 OROPEKTY OWNER : . j 0 TENANT ' • 201 amps to 400 amps 13).50
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401 amps to WO amps 200.34
Name: - --
---- . „„ ....„. 601 mons to I ,O()0 :Imps 301,04
Address: • Nei. 1,000 amps or voltA 552.20 2 , • -!,.
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Tempora r). services oe feeders lni.tattatlon, niterntion, and/or •
City/State/Z1P: relocation . ...
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Phone; ( ) fro:: ( ) 200 amps or less 59.3h
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------ -- -- 20I amps Ii) w
400 ros 125.08 El . •..
Owner itottaltation: 'Ihis insullaii"o Ts being made on property that I own which is not
40 to 599 amps 108.54
intended for sale, lease, rent, or exchan 1 Limns ge, according to ORS 447. 449, 670, and 701. -- - - ---
Branch elreirits, orextension per +ant?'
Owner signatuiz ate.. _ . F ee b
ror ranch rc
ciui ts w ir7) '•
-- -- D A Il . ,...
! . 1 A 1 ..i .. WANT • 0 CONT t PER
AcS,ON • ' above service or Feeder
..- 0APPI
uacb bt.anch eirceit
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Rusin65 name., ii. Foe ror branch circuits tilihow • e
- --- _. service or feeder fee. first 56.18
Contact name; branoh cireon , _ _
. , • - Each adtl'l bialleb t 7 to
Address - - -- : ---
MiscrlIavcougisl.Tvice or feeds! ilothrluded)
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Each muntilnctured or modular
City/State/ZIP; 67,84 2
clwellin!, service aridinrfieqer
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Phone! ( ) 1 It econnoet only
- --,-„ 67.84 2
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---- Pump or irrigation circle h7.84 2
E-mail: - .
, _ ,. _ Sign or minim: lighting 67.84 2
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fi." Il! -----"FiNTRACTOR -----..---
Sigh Signal --.- I
B m
usiness nae: Soo itrol Pacific moi.:1 or oKtonsion.
75110 2
_ „..„ Each oddltIonal inaTFtionovcralloWalile the above
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Address! 8220 N. laterstale AVi: Additional insouction (1 hr min) 6625/ hr
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Investigation (1 hr min) hh,25ihr 1. . ...,;.
CityState/ZIP: Portland, (.) 1i 97217 -
- • • _ ...._._,...., , _ Industrial plant (Hu. min) 78.18/hr II •:
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Phone: (503) 223-5822 1 Pax: (501) 973-7773 Inspeetions for which no fUlf is
90.00; hr
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CCEI Lie,: Ali]li 1 Electrical Lie.: 26370CLE i Suprv. Lic.: 35671. EA . . . ELECTRICAL PERMIT FEES -",:: •,' .•:.
Suprv. Electrician signature, required: . citV.,44PeCI - Man w
-_______ _. . . ......... ...... „ .. ............... .. . . . .. revic t2"4
.5, ()I pcniiil 00
t Subtotal ee) : : 75. ••
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Print minx: Gordon tiCcitt: Dote: 6 State surcharge (1., or permit 0
....., .00 ___
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__- Il.:AO/11TH+, i
Authorized sign ,aure: atet6 This /wino aplillvsition TOTAL. l 84.00 'e;pire% if a permit Is not obtained within 180 I :
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' dily, cr 1 hits its been itecept4 u s eninplet.,
Print name; Ann (..l Moore FDate; 6-23-11 un
* Number of ilISINVIIL111`4:111uwed pei ii
rivi l ht
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hiladjpielertnificall' dot: 0.111/ Ili 41)40151( I 1O'C011/1n111
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JUN -23 -11 03:37 PM SON ITROL— PORTLAND 9737773 P_ 02
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Electrical Permit Application - City of Tiga rd
Page 2 - Sup/Acme/0M Information •
LIMITED ENERGY PERMIT FEES:
TTA.L WORK ONLY
Fee for all residential system combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo S stems*
❑ Burglar Alarm
• ❑ (;ara Door ( )honer*
•
❑ Heating, Ventilation and Air Conditioning System*
•
❑ Vacwitin Systems*
❑ Other;
•
' ea MERCIA ONLY;
Fee for each commercial $75.00
system
(SEE OAR 91 S. 309 - 0000)
Check Type of Work Involved:
❑ Audio told Stereo Systems •
❑ Boiler Controls
❑ clock syst4't „S
❑ h)ata °iblucomuu lnsta11 ttc>n •
❑ Fire Alarm installntion
0 11VA(;
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❑ Insrrinni'l cation
❑ Intl rcrn„ and Paging Systems
❑ i.sandseal,c Irrigation Control*
❑ Mcdic;tl
❑ Nurse Calls
❑ Outdoor Landscape I.iglitinj *
❑ Proti,c•tivc Signaling
Ej Other (:acne.. ,
Tonal aun,laur r t' eointurrcisll s
*No licenses are required. Licenses are required
for all other installations
heillldi1110 mii10 ft c IAl Ww ,Ttil:lU ?�
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