Loading...
Permit r� ` �` ` CITY OF TIGARD \D ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -002 • TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/8/2008 PARCEL: 1 S 135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 601 ZONING: R -12 SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: MATRIX Project Description: Installing low voltage control wiring. 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: X TOTAL # OF SYSTEMS: 1 Owner: Contractor: SHORENSTEIN REALTY SERVICES AMERICAN HEATING ONE SW COLUMBIA ST #300 1339 SW GIDEON ST PORTLAND, OR 97258 PORTLAND, OR 97202 Phone: 503 -412 -4800 Contact #: PRI 503- 239 -4600 FAX 503- 239 -7038 Reg #: ELE 26- 993CRE FEES LIC 33135 Description Date Amount SUP 2640LEB [ELPRMT] ELR Permit 8/8/2008 $75.00 [TAX] 12% State Surch 8/8/2008 $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 503.2- • • -•• - :00.332.2344. f Issued By: r Permittee Signature: Ricci 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. x - FOR OF FICE'�USE ONLY +H � t1 Electrical Permit Application � �� - k n _ City of Tigard Received 0 30 EI ': . _ ' .. �� ` DateB Review 13125 SW Hall Blvd., Tigard, OR 97223 � Plan , �1✓ Phone: 503.639.4171 Fax: 503.598. <r• -moo "'dmak? t? A k y "., DateB Other Permit: Inspection Line: 503.639.4175 ' f li Date Ready/By: H See Page 2 for MI mental Information Internet: www.cl rigard.or us ^OrJ s Notified/Method: ` Supple s +. rar e d Asa ' Y L V. f l SF :4 u vt s r i ; Yl ra p ..� Air . A 4' + ' W f ; I , �; 2tt, ca +�'e : ® � ��' z '�, rs t .`n f y d '. ,,, , .X.. •r: z4k4ii,z; x' ,�*, tr a ' : - rv " y Please check all that apply: ❑ New construction Oil •' dditi ,al r�/r; pl: g i ON ❑Service over 225 amps, comm'1 Hazardous location ❑ Demolition ❑Other ��� _ _ ❑Service over 320 amps - rating ❑ Buildng over10,000 sq. ft., -, ` '� `- . ,- ' B B ° i ` rr' 0 ® r of 1 -and 2- family dwellings 4 or more new residential rte . "�"'�'T�� �'�����' <f ��r��� � � ::. � ❑ 1 - and 2-family dwellingommerciaUindustrial 1=1 Accessory building ❑System over 600 volts nominal units in one structure OBuilding over three stories ❑Feeders, 400 amps or more ❑ Multi family ❑ Master builder ❑ Other ❑ Occupant load over 99 persons ❑Manufactured structures or t fm ' ®; iz,, a ar s r r ", E ess/li htin 1 a Ma park P 0 Health-care facility ❑Other: Job no.: Job site address:' ®a a� �� l7l Q �� �d Submit 2 sets of plans with any of the above. City /State /ZIP: 1 aka The above are not applicable to temporary construction service. f. Y _ It 7 ",S „i;"• ,�? s y •..�i.,-:'. ! max` a� <a i�� ����' ,J �...�;� � .�.��SsS X� .-k,.c.. •?- ',. ^_..: - Suite/bldg. /apt. no.: �� Project name: ~� ** Description Qty. F ee . Total 1 �� � Cross street/directions to job site: Li n ata 3 New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 l Limited energy, residential 75.00 2 Tax m ,, a a p /parcel no.: _ _ • Limited 'energy, non- residential 75.00 2 ' ° g p��` "' ' r_°c'f a Each manufactured or modular � ���. j t j t dwelling, service and /or feeder 90.90 2 /� ll /0 V0 1 ” 'j2 ( /r l 1 41 6 f�;/�LLJJ y ((' Services or feeders installation, alteration, and/or relocation "��` ` 200 amps or less 80.30 2 s'" at'-5s '' y ° a ,,V4 ii , �, fi : 1 - iy - , if c . , 201 amps to 400 amps 106.85 2 .,Jtg E,r *� _k: x "'' 3 t i.- 1 a �? 1 �r 1S 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: ( ) I 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 1 33.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel + gi3 r it a Y fig °y p" v ka aN �' A. Fee for branch circuits with i ,V G GA S 3 yN y servic or feeder fee, each 6.65 2 C Business name: L I(1'lp ( aeA�1 1 (, branch circuit � 1 11) B. Fee for service f circuits Contact name: without service or feeder fee, 46.85 2 ��� a: 1 rlA 1 ft,r,�r each branch circuit Address: Each add'1 branch circuit 6.65 2 City/State /ZIP: " y 4 - t 0 c 0 rL q a v.. Miscellaneous (service or feeder not included) t �^ � Pump or irrigation circle 53.40 2 Phone: r ) a3� _ co G I Fax: : ( ) c� a J � 6� p 0 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - _ E4 tai; ©al t� "I -' W Its energy panel, alteration, or ' ,� r7 ," �;;e'�.�����.. `",� � ����.��� �, �."' �' �' g ,r J ..�.° M .,c �a..,�a extension. Describe: ( Page 2 —2 2 Business name: Alms X CRA . ; RA Ln C , ` Address: - 3-el Se ci; app a , Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: ----po-,4 to. l4 G f 4 q- "DO? Investigation per hour (1 hr min) 62.50 Phone: ( ) D`3 ( (o 0 I aX: (G .t/J ) � (,t---lo-33 Industrial plant per hour 73.75 Y 3 L., :WP P . IT A CCB Lic.: 33 35 Electrical Lic.: a 6q ciL Sup . Lie.: boy 01E13 Subtotal 7 �� Ger Suprv. Electrician signature, required: _Y ,9f J , _ Plan review (25% of permit fee) /� C3+ t� /� ` State surcharge (8% of permit fee) ` . Print name: 1 " v Y O Date: 7_6g _6g / t C� / TOTAL PERMIT FEE g- / ,00 Authorized signature: Ai / S . 1 4 is, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: . m 3 (_ d Date: • Fee methodology set by Tri- County Building industry Service Board J ." Number of inspections per permit allowed. is\ Building \Pemvts\ELC- PermiApp.doc 12/03 440- 4615T( I0 /02/COM/WEE CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200800232 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2008 Phone: (503) 639-4171 :4491 VII\ Inspection Requests (24 Hrs.): (503) 639-4175 ,_„. ._" INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: SITE ADDRESS: 10220 SW GREENI3URG RD 601 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Installing low voltage control wiring. . OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 5034114800 CONTRACTOR: AMERICAN HEATING PHONE #: 503-2394600 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # ' Contact # s ‘i_lessage 199 Electrical final 074765-01 03780-3222 Corrections/Comments/Instructions: PAO . 1 E n \ . V PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: 1'13 Phone #: (503) 718- 1414