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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00019 VI 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/12/2006 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Limited energy for fire alarm. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC ONE SW COLUMBIA ST #300 PO BOX 87387 PORTLAND, OR 97258 VANCOUVER, WA 98687 -7387 Phone: Contact #: PRI 360 - 737 - 9725 FAX 360 - 737 -9648 FEES Reg #: LIC 67787 ELE 37- 428CLE Description Date Amount [ELPRMT] ELR Permit 1/12/2006 $75.00 [TAX] 8% State Surchart 1/12/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to f• = les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 thro • h OAR 95 If, -3 % a. You may obtain copies of these rules or dire to OUNC at 503- 246 -6699. Issu-d By: i 0 . , 11 6 1_ .4. .s , Permittee Sig ature: /- 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'N 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. , = , ElecteicatTermit Application ,. - FOR OFFICE USE ONLN' City of Tigard Received D ate /B y. II, , d aim o vi Permit No.: / . r,4210 ., "" Ai / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /41‘ 4 '"1114)If Date/By. ' Other Permit: Inspection Line: 503.639.4175 -LW. A 1 ' Date Ready/By: S Internet: www.ci.tigard.or.us Notified/Method: WM Supplem ental Page 2 ta1 It formation 4 MatirrAleili .014 ,.7:en "*=li, , ',-.:', ,,, veit , -;o1z , ..] -, , ,,Ari..:, ■,*Yx,'M :; El New construction (21 AdditiotValteration/replacement Please check all that apply: OService over 225 amps, comml 0 Hazardous location 0 Demolition 0 Other: 0Service over 320 amps - rating El Buildng over 10,000 sq. ft., °rtntlrb;:' 9RWW- .,:,t„, , , .;,.....--,-;.,...,. - ,".. -A, of 1- and 2-family dwellings 4 or more new residential PI- and 2-family dwelling iII.XCommercial/industrial 0 Accessory building 0System over 600 volts nominal units in one structure El Building over three stories OFeeders, 400 amps or more 1:1 Multi 0 Master builder 0 Other: 0 Occupant load over 99 persons 0Manufactured structures or giiit llfEN1'• 0 RV park „„„,„!...,_,a,,M4 - ,.ig.-fi z -V4' Egress/lighting plan 0Health-care facility 00ther: Job no.: • Job site address: 10200 S it) 6 re124 a Submit 2 sets of plans with any of the above. City/State/ZIP: e C Cfel,ou___ The above are not applicable to temporary construction service. 7: ;4 73 $51AtroM#7.0Z - 70#.0-Mg.;., '14 Suite/bIdglapt. no.: 130 Project name: Ime-_- Description I Q I Fee I Thtil I ** Cross street/directions to job site: tr- f1:1, sroxYr_ )-1Z New residential single- or multi-family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'! 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non-residential 75.00 2 aslfria,qltrS,MtMgSlj*:ST*DOV Each manufactured or modular ( S\ dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 Mk:QM iiiiiiiVinfKii5vViciligirkWi gt-7, ii IikivE 4: 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: , Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which' is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel spa;skazrjifir4fi:)[c*fltvzr *kw veifafc A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: 'TLC- °O (,... (CoL,SCLOt".=-S branch circuit B. Fee for branch circuits Contact name: k_Fei.5 V3L-t..5k4 1.^-) without service or feeder fee, 46.85 2 each branch circuit Address: P Q 80■4_ "),31s Each addl branch circuit 6.65 2 City/State/ZIP: U \N \./..) \A- Miscellaneous (service or feeder not included) Phone: (3(,0) - 731 er--) Fax: : &GO) - 73 - 2 96 Lee Pump or irrigation circle 53.40 2 Sign or outline lighting 5340 2 E-mail: Signal circuit(s) or limited- ft,..K: energy panel, alteration, or / extgnsi.on. DeAcr Page 2 2 am Business name: -- it. L ,... „ i c•,k0,.._s- Pt Et el Address: . )..?b--) Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: LA,9-),1 C_ CA) $Pt Investigation per hour (1 hr min) 62.50 Phone: (3 GD ) .)- 57'72 S" Fax: ( - 72T 2 n,C1/8 Industrial plant per hour 73.75 torter4, nttt CCB Lic.: (=,'")? 8 Electrical Lic.: 37 42Ka- Suprv. Lie.: Gyyr...kiit Subtotal 75 . Suprv. Electrician signature, required: ' 4,ti.4 4 , --t \fiAl_ t&A.r . Plan review (25% of permit fee) State surcharge (8% of permit fee) 6.00 Print name: kS`Lc j :ate: . 1.,-.... 2 0 ( TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete 'Print name: R„,1) c .S 2) L • c--) Date: tc \ 2 c:), (% * Fee methodology set by Tri-County Building Industry Service Board ** Number of inspections per permit allowed. i: \ Building TermitsELC itApp.doc 12/03 440-4615TO 0/02/COMAVEB If C ^ /� p G. • -1 OF TIGARD BUILDING DIVISION PERMIT #: ELR2006- 00019 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2006 Phone: (503) 639 -4171 40/0/141 1i Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/10/7006 TIME: 2: 041AIVI PAGE: 79 SITE ADDRESS: 102.00 SW GREENBURG RD 150 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: FIELDSTONE MORTGAGE DESCRIPTION: Limited energy for fire alarm. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: -0 & L COMMUNICATIONS INC PHONE #: 360- 737 -97251 Inspection Request Scheduled For: Date: 2/1012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 '.} Electrical final • 026693-01 360-737-9726 N Corrections /Comments /Instructions: Ai 6 Nt 7 5 n d v 1 N 0 c.:498 O k -©N OV)L1 5 `l goi j `` ON On__ 1 I A M)Y kkINt 1401 ID1 pipvil6 A. 514 I lv' cf m_i) pf l ate, I IP) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS l] FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: A Date: °2 ~�� Phone #: (503) 718 - 0 yid' �'