The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit ELR2011 -00221 Date Issued 10/28/2011 TI GARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 1S135AB01003 Jurisdiction Tigard Site address 10300 SW GREENBURG RD 440 Project Tnstar Risk Management Subdivision METZGER, TOWN OF Lot 9 Project Description Fire alarm 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 1 ea Restricted Energy Permit 10/28/2011 575 00 Specifics' 1 ea 12% State Surcharge - 10/28/2011 $9 00 Electrical Type of Use COM Class of Work ALT Type of Const Occupancy Grp Total $84 00 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 OAR 952 -001 -0090 You ma - questions to OUNC by calling 50 - 2 1987 or 1 800 332 2344 Issued Bye/ /�►< - ��'�I /f • ermi e Signature � a „_ 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 FOR OFFICE USE ONLY Received City of Tigard � �� DaWB I3 f/ ?i kr Penn' no �(� r?cVI --UUJ; {-- 1 ' 13125 SW Hall Blvd, Tigard, OK 9� `' Plan Revi - ' Phone 503 639 4171 Fax 503 59� 1 CO. 113 \\ Dale /By Other Permit � 7 v' / —(k) I )-S Inspection lane ee o vtoo le 503 6394175 fi t{ � - Date Re /R kris //'' N E t TIGARD S tl1 Ready /By H see r,�e2 0, Internet aww tigard -or gay O Notified /Method Sappluneuaunaamuinn TYPE OF WORK CO vi(s \\\I\ O V PLAN REVIEW Li Ness eenswdmn H Addition/alto mnadreclace nu Y �.. - Please check at that apply (submit 2 sets of plans whtems checked below) ❑ Demolition ❑ Other V ❑ Service or feeder 400 amps or more ❑ Building over three stories CA'1 EGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards L I- and 2aamily dwelling H Commeucial /industrial 1_4 Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Mule family ❑ Master Buddei ❑Other less to ground, or exceeds 14,000 Commercial -use agricultural JOB SITE INFORMATION AND LOCATION amps for all other installations ❑ buildings Job no 111268 - Job site address 10300 SW Greenberg Road ❑ Fire Pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately derived system C ay/State/ZIP Tigard, OR 97223 ❑ Addition of new motor load of ❑ "A', "E ", "1 -2 ", "1 - 1 00HP or more ❑ occupanc SuuMbldg /apt no Ste 440 Protect name TrrSlar T ❑ Six or more residential units ❑ Recreational vehicle parks ❑ I Edith-tal e far lilies ❑ Supply soltage for norc than CI oss Sit eet /D ii ections to Job site ❑ Ilarniduos locations ❑ 600 volts nominal ❑ Service or feeder 600 snips of more Subdivision Lot no FEE SCHEDULE Description I Qn I Fee 1 Teiai I ax map /pal ccl no New residential - single or multi-family dwelling alit DESCRIPTION OF WORK Includes attached garage INSTAI L FIRE ALARM CIRCUI I' 1000 sq ft or less $ 16854 4 Ea Add'l 500 sq R or portion $ 33 92 1 H PROPERTY OWNER I ❑ TENANT Limited energy residential Name (with altos e sq ft ) $ 67 84 2 SHORENSTEIN REALTY SERVICES Limited energy, multi family Addicts tesidennal (with above sq 0 ) _ S 67 54 2 Seri ice or !ceders installation, alteration, and/or relocation C ay/State/ZIP 200 amps or less S 100 70 2 201 amps to 400 amps 5 133 56 2 Phone pas 401 amps to 600 amps S 20034 2 601 amps to 1000 amps S 301 04 2 Owner installation Thi> installation is being made on pi opei ty drat I own which is not Osier 1000 amps or volts b 552 2 mtundcd lot sale, lease, rent of exchange according to ORS 447, 449, 670, and 701 Temporary sow ices or feeders installation, alteration, and /or Owner signature Date relocation 200 amps or less $ 5936 I LI APPLICANT l L CONTAC I PERSON 201 amps to 400 amps S 125 2 Business Name 401 amps to 599 amps 5 16854 _ Branch circuits - new, alteration, or extension, per panel Contact name A Fee for branch cu cams ssi service or feeder fee, each Address branch circuit S 742 2 B Fee Tot N arch circuits City/Stale/ZIP without service at feeder fee, Oat branch circuit $ 56 IS 2 Phone Fax Each additional branch raga S 742 2 Miscellaneous (service or feeder not included) C -mail Each manufactured or modular CONTRACTOR dwelling service and or feeder S 6784 2 Business Name CAPITOL ELECTRIC CO , INC Reconnect only $ 67 84 2 Pump of in 'Ration circle 5 6734 2 Contact name DAN WILSON 503 262 0411 DIRECT Sign or outline lighting 5 67 84 2 Signal circuit(s) or limited Address 11401 NE MARX ST energy panel, alterations, or extension Describe Pus Aiaun I Page 2 S 75 00 2 City /Slate /ZIP PORTLAND, OR 97220 - 1041 Each additional inspection over allowable in any of the above Phone 503- 255 -9488 Fax 503- 257 -7121 Pen nspectmn S 6625 Investigation per hour (I hi nun) 5 6625 COS Lie 48748 jElemtical rc 26496C ISupry Lc 3132 -S J\ Industrial plant pet hour S 78 18 qqq ELEC TRICAL PERMIT FEES* Sunni Electrician signature, regmred y /�y�� j� Subtotal $ 75 00 Pu nt Name DARRELL MCNEEC � Z Date 10/10/11 Plan review (25% of poplin fee) State I FEE $ 84 00 Authorized signature y p4,4��// ToiAL PE 12% of permit fee) $ 400 l 7 /[/ / f/ �' '1'07 AL FERMI Print Naive D MCNEE / This penult appination e wirs it a perm is nut nM tined vexes let dins after a has Seen accepted as nunplem " Number of inspecb one per pemiv allowed