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Permit CITY TIGARD, ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00273 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/25/2008 PARCEL: 1 S135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 601 ZONING: R -12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: MATRIX Project Description: Replacing security panel and adding access control system.. 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: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: ACCESS X TOTAL # OF SYSTEMS: 1 Owner: Contractor: SHORENSTEIN REALTY SERVICES TERRA ELECTRIC CONSTRUCTION INC ONE SW COLUMBIA ST #300 8810 HUFF AVE PORTLAND, OR 97258 BROOKS, OR 29978 Phone: 503- 412 -4800 Contact #: PRI 503- 393 -2951 FAX 503- 393 -4681 Reg #: ELE 24 -106C FEES LIC 29978 Description Date Amount SUP 3336S [ELPRMT] ELR Permit 9/25/2008 $75.00 [TAX] 12% State Surch 9/25/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: � / . - Permittee Signature: /� �' 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. Sep 25 08 09:10a Jack 503 - 393 -4681 p. 3 e Electrical Permit Application • Received FOR OFFICE USE ONLY City of Tigard �'! 1 J� /� �� Ct D„,01: zrfC ,; Permit No.: oC(i(jG / 13125 5W Hall Blvd., Tigard, OK 9'72 B� q Plan Review C� ; . Phone; 503.639,4171 14x: 503.598,1 :Ao !)ate /lyw- Uthcrl'enoil. k it/ „, i TIGAIt1D Inspection l ins: 503.(,39.4175 p t- Date Read / tiy; El See Page 2 for Internet W1VW.tigard- or.g 1b g. �E` `I Notified/n/1011,04 Supplemental Information ;,.i'., ..{', i„ 1 ' �' I LI �i I V1” 1 � • I l l s,l, a l,T,V�r ° Q1F,.J t !'<1l", , All li . . tam. :1 ' , : .... ''r, 0 Ncw construction , Addition /alteration /' , n,� 0 Please check all Ili t apply (submit Isms of plans whinny checked below)' It O Service or feeder 400 amps or more 0 liuildi 1 on El Other; n[ over three tl e , stories. ❑ „ Demohti , .. * � n Mwinns mid hom ordr //���A�. ��y, ��yy�� �f �1ypp * where the nVml hI I'n current ❑ A'u'il':d. ,�d -r, ,T41 1;1∎1411 ° "'; f'I{i.3,9, C'1 P VIdN ,II $ Y.MI ,' �. Ilfih�i:1,i ' ; i'. tl � ' •1 4 : ,,, exceeds 10,000 amps al 150 volts or ❑ f /leatiug buildings. f . S, 'I' ! i , . .,...... y . SIT X : . ^ , '';. , less to ground" or exceeds 14,000 ❑ Cc,mmerccd.use ptm cultural ❑ 1- and 2- family dwelling cr Commercial /industrial ❑ Accessory building { amps for all other iusiallatin,r, buldings. ❑ Multi- family ❑ Muster builder ❑ Other: 0Fire pump. O (nuU,untioi 475 KVA or :i', ."• I', 1,; ;,6 y Ins er separately derived systmn. Job • ,' . O Addition of new molar load of o "E” '. -2" "1.3 ", no.; .fur Site ilddress; GP/11.16///__4/ I OOHI' or mesa occupancy. — - / / �D I V_�YY• 0 Si‘ or mOrc roaidcounl unitN. 0 Racreationnl whack park.. City/State/ZIP: T ` / lr si "7 7 2 - 011euhh.c.. e.,vdeir.. 0 Supply voltage for more shim ! / t.! / J / 4 ❑ His urtls locations. 600 volts nominal Suite /bldg. /apt, no.: 6 Project name: ( 0 service or feeder 600 amps or more. � � AFEE SCl(�,E»UL E . f yr Cross street/directions to job sit-, `►� • , L^J[�L Mk rt sun NI� ii: ' iia 0 7 New csidential single- or multi - family dwelling unit. r Inclu 5 9ltaehcd garage. w tiubdivisiolt: I(1 _ sq, Il. or less MI 145.15 4 "" ia, add'1 500 sq. tt. or portion 33,40 1 Tax map/parcel .l. .. - q Limited energy residential : @;$CI( �1P'Z'l(ON .or', WORK ' wilt, nlx,ve , n. 75.00 2 Lint cd n t ia l multi-family b i- esi.l ft. ■ J _ i� e Alf * residential with above sq. ft. • Services or feeders installation alteration, and /or relocation '''' • � G''' 1 / 200 amps or ices 8(1.:4(1 { , 1 " i ! { ". +' `Fill ; i : l r'. ^ „'.' t;' 'ar� �- _ - •.I ' ' .;: ' . . ,tile t ,;;J'i11i,,. 4..; ;, ia.Api''''N,71 ; , 1 , „ 201 amps to 400 amps 106 85 2 Name: r` �� 401 amps to 600 amps 111 160.60 2 •-• / ' /! // ' 601 0nims�to 1,1)00ammps _ 240.60 � Address: � d , ' / —er - �fp^�/ �/rr["� A Oyer 1,000 amps or volts 454.65 City /State /ZIP: F , * /_- � .? /2r � ��� 2 7 Temporary services or feeders installation, alteration, and /or relocation Phone: (. 3) q77_ - 6 J 1' ( ) 200 ;imps or less 66.x5 -_ I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.31) 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. arid 701, 401 atnps to 599 amps 133.75 _ isrunch circuits - new, alteration, or rxten cr panel Owner signature: Date: /� Fee fo branch i scans — -- — - — - —... h c with I I`r t 1, � � 1,. ° . ld, il'... ,,•. „ ",��• NTA:GI"p� S ".,.,.;, rl; � {' �' , .; - ,.,v:.: ; ©r, �NQ,. ''''• above service or feeder tCC. 6.65 III each branch circuit 13usiness name: 13. tee for brooch circuits . .. Willem servic or feeder fee, Contact name: first branch circuit Address: Each midi branch circuit _ (,.6S L 2 '--- Miscellaneous (service or feeder not included City/State/ZIP: I:uch rnynotacnlred or modular 90.90 © dwells, service arcs /or feeder Phone ( ) I Tax: ( ) Reconnect only 66, r,: r Pump irrigation tine 53.40 �, �'.c i; ::'�. '1`vro':'t " t'�iiCC) , 'I'RA iQi(2.I:,;�i ?yr ,,.11,i 1 ^' ,��it'�cf; "!"!t: ^;•r�;� .I;,:;;'•; Sign or ,- outlline e lighting IIIII 5:1.40 Ei Business name: 'r • j Signal circuit(s) or limited - /� . 4 eneri,y panel, tilterution, or Ad(Irzss: .. ; v , extension, Describe: Page 2 MI City /State /LIP: of , ) , CI q / . 0 3 Each additional inspection aver alltrwable in any of the above _ye___----- Per ins ection — - 62.50 -- Phone: (,503) 3% 3_ / Fax (93) '393 — / I InvcstiEatiolf per hour (I hi rein) 62,50 C(:I3 I.ic•; 2_9 9 Electrical Lie.: e j.�((r r Suprv. I.ic.:' +S✓ Industrial plant per hour 73.75 • Suprv. Electrician signature, required: / • +` 4 6 Subtotal: �, i Plan revew (25 a f o permit fee), Print name: �� a �� L� hate: -- ^� ------ CLW J�. _,_. -- Sluts surcharge (12"% of venni( fee): Y•2 :_ Authorized signature: _ TOTAL PERMIT FRP..; S 0 0 Print RmnC: DaIC: This permit application expires if permit is not obtained within I80 „ -,,,, ,,,-,• ... -_ day nrtrr it has been aerepled an Cnmplrtr. • Number of mspecnuns allowed per permit. 1: \ii.,ldma 1',:eru ln1ELC- PrrmitApp.doc 05/23/00 440 I 1 /05 /CONNWCn . CITY OF TIGARD BUILDING DIVISION - A PERMIT # BUP'2008 -00273 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/20(Wl Phone: (503) 639 -4171 / iiiv+ �yul I °j l.l� Inspe Requests (24 (503) 639 -4175 — INSPECTION WORKSHEET FOR DATE: 8/1312008 TIME: 7 PAGE: 15 SITE ADDRESS: 10220 SW GREENBURO RD 601 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER THREE LINCOLN LOT #: 003 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Add (2) sprinkler heads and relocate (3) heads. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503- 4124800 CONTRACTOR: PACIFIC FIRE SYSTEMS LLC PHONE #: 503- 710- 6546 Inspection Request Scheduled For: Date: 8/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 388 Sprinkler final 074132-01 503-710-6646 N Corrections /Comments /Instructions: PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL / n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: __L Phone #: (503) 718 - Z-164Irc CITY OF TIGARD l ik r . BUILDING DIVISION .. 7 . PERMIT #: ELR2008-00273 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2C,2008 Phone: (503) 639-4171 i /colt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/16.120013 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 10220 SW GREENBURG RD 601 • CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Replacing security panel and adding access control system.. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: TERRA ELECTRIC CONSTRUCTION INC PHONE #: 503-393.291 Inspection Request Scheduled For: Date: •1116,2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 079068-01 503428-0091 ¥ ‘04 q tit41_ Corrections/Comments/In 1.1 is PixitA.T1' 51' I Z.Y.ENL, 130 Slice \ III MII Ql\/ • fl PARTIAL APPROVAL EI CANCEL I , i NO ACCESS fl FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: (43L. . Date: ri.� 6 1 Phone #: (503) 718- JAYAL_