Permit V
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2006 - 00180
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/4/2007
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 700 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Horn Strobes.
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 #: ELE 37- 428CLE
LIC 67787
Description Date Amount
[ELPRMT] ELR Permit 1/4/2007 $75.00
[TAX] 8% State Surcha 1/4/2007 $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 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 ay obtain copies of these
rules or dir: - • • : tions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B : � #/ i �L . ,q it Permittee Signature: . 41.
OWNER INSTALLATION ONL
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.
O. . • 1ktr>< a1 Permit Apt , ioni e . - FOR OFFICE USE ONLY
City of Tigard 3 2oQ Received, . ' I ( Permit No.: L s?9O 00 s 0
13125 SW Hall Blvd., Tigard, OR 97223 111` Plan Review '
Phone: 503.639.4171 Fax: 503.598.1960 - ��`� *'d ri ; Date/B Other Permit:
Inspection Line: 503.639.4175 tr y I;� n.�. `?4 J •
Date ReadyBy: 0 See Page 2 for
Internet: www.ci.tigard.or.us
CS
i V TS .1 -10 -' IV Notified/Method: Supplemental Information
.. tr a '� ` �« _ �,: . vt,.. -_) OR�IC , : � - „a :,�} :. ` .._ z < �. P,.,,,,,IEW ', „ '? 1m.
❑ New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other:
0 Service over 225 amps, comm'I ['Hazardous location
,:.,: x, t.�.,. >,< „,._ ,.e ,:; :..,..,,,::: u a, ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
4 � ' 1 ' �,A. of 1- and 2-family dwellings 4 or more new residential
��” 5s = t - ., ,; CATEGORY of CONSTRUCTION 614 . 5 V ; . Y g
❑ 1- and 2- family dwelling :Si_ Commercial /industrial ❑ Accessory building • 0 System over 600 volts nominal units in one structure
• ['Building over three stories ['Feeders, 400 amps or more
❑ Multi - family 0 Master builder El Other:
persons Manufactured structures or
- , ❑Occupant load over 99 pets M anufactu
" N W t. JOB SIt INFORMA . AND L OCA T ION � ' RV park
• , r,',a _ _. ,_ti._ ,^- - - . w - _ ,, ,. v m-` . � + ❑Eg P
6 M � t ❑Health - care facility ['Other: Job no.: • Job site address: o �t_ l �C
Submit 2 sets of plans with any of the above.
City/ State/ZIP: AO i ' is 9 a 2 - The above are not applicable to temporary construction service.
Kiln ; ,;, ;: - tFEE!'x` SGHEDIII k*5E4 ,4 w
Suite/bldg. /apt. no.: 700 Project name: A _ S /!i-e— Description I Qty. I Fee. I Total I •.
Cross street/directions to job site: 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'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
a Limited energy, non - residential 75.00 2
,pim a w ' _ a " DES °OF, WORK 111 ' `�`'' 01 1 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
�,---G^ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
r 't % 1 : 6 PROEERTY - r i v z _ X� c l , ` ® ; 11' Ezytizi A � ti a 201 amps to 400 amps 106.85 2
' ' X " °" " fik ' fait: �' 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: ( ) Faxt ( )
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
F'r 4PPI:IC T- r E t l CONTACT YERSOIV °*:i' A. Fee for branch circuits with
�� service or feeder fee, each 6.65 2
Business name: C , branch circuit
t B. Fee for branch circuits •
Contact name: 5 5 without service or feeder fee,
46.85 2
Address: , 0 ` ,'� i
— E ach add'I branch circuit 6.65 2
City/State/ZIP: � C t , . i` /5 '7o 3 g 7 Miscellaneous (service or feeder not included)
Phone: ( ) a. 7 2r Fax:75 C r) 3 7 9 6 V� Pump or irrigation circle 53.40 2
7 Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
`-r „',1 ? °` ' CON v a - z5 . : energy panel, alteration, or
Business name: extension. Describe: Page 2 2
Address: • — ? �- Each additional inspection over allowable in any of the above
Per inspection 62.50
•
City /State/ZIP: G e/ 4 •. L_. , g 3.1-7 3.1-7 Investigation per hour (1 hr min) 62.50
Phone: (346) 93 9 -72 Fax ( id .7 j ? 7 '6 YB Industrial plant per hour 73.75
'' FEES#
k YLEC rRICAIPERMIT„�= * k9
CCB Lic.: 67 7 j Electrical Lic.: Suprv. Li (
7 uprv 8-y Subtotal
Suprv. Electrician signature, required: /' 11 �� _ CM Plan review (25% of permit fee)
Print name: L ilYf CO , w Date: 7- a7. 0 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: �� �� This permit application expires it a permit is not obtained within 180
da ys after it has been accepted as complete
Print name:
• c Lt S I • Date: 7 ,--2_ 7., 0 6 " Fee methodolo set by Tn- County Building Industry Service Board
"" Number of inspections per permit allowed.
i:\ Building \Permits\ELC -Perm itApp.doc 11/03 440- 4615T(10/O2ICOM/WEB
i
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200 -00180
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /4/2007
Phone: (503) 639- 4171 @�u�pj cot
Inspection Requests (24 Hrs.): (503) 639 -4175 �_' `:_..,
. INSPECTION WORKSHEET FOR DATE: 1110/2007 TIME: 7 :03AM PAGE: 35
SITE ADDRESS: 10 200 SW GREENBURG RD 700 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: A - SPIRE
DESCRIPTION: Horn Strobes.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
Inspection Request Scheduled For: Date: 1{10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'199 Electrical final 041951-01 360-737-9725 N
Corrections/Comments/Instructions:
A 503 1$0- 3222..
@Af66 - 91 -2 -4q- 3 13
N.
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-- /I) --
►■ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 11 "e) "‘ Date: 1 " P ... t I Phone #: (503) 718- lAtE___