Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98-0179
��,� DEVELOPMENT T SERO 6
I CES DATE ISSUED: 04/10/98
PARCEL: 1S135AB -03400
SITE ADDRESS...:1O26O SW GREENBURG RD
SUBDIVISION °LINCOLN TOWER —TOWN OF METZGER ZONING:C —P
BLOCK ° LOT :014 JURISDICTION: TIG
Project Description : Installation of 1 branch circuit for fire alarm panel in 1st
floor mail room.
- -- RESIDENTIAL UNIT - - -- ----TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS - 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 0 201 — 400 amp ° 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY - 0 401 — 600 amp - 0 SIGNAL /PANEL ° 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp......: 0 W /SERVICE OR FEEDER: 0 PER INSPECTION - 0
201 — 400 amp 0 1st W/O SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp ° 0 EA ADD'L BRNCH CIRC: 0 IN PLANT - 0
601 — 1000 amp ° 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only - 0 SVC /FDR 1= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
KNICKERBOCKER PROP, INC XXIV type amount by date recpt
LINCOLN CENTER, STE 200 PRMT $ 35.00 DEB 04/10/98 98- 304834
10300 SW GREENBURG RD 5PCT $ 1.75 DEB 04/10/98 98- 304834
PORTLAND OR 97223
Phone #:
Contractor:
CHRISTENSON ELECTRIC INC $ 36.75 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect'1 Service
Phone #: 241 -4812 Wall Cover Elect'1 Final
Reg #..: 000458
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001-0010 thro.1h OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: „i/4 ,/ ,4 1 . Issued By L . 41/
, /��
• 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 SUP R. ELEC' N: �?j e DATE: Y - / - 7ef
LICENSE NO:
t+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1 +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Che
13125 SW HALL BLVD. Rec'd By ' 4 hilig
TIGARD OR 97223 Date Rec'd - l 0 ' `
Date to P.E.
Phone (503) 639 -4171, x 304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # El, e..98 -0
Fax (503) 684 7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
FIRE ALARM PANEL 1ST FLOOR MAIL ROOM PER INSPECTOR
Name of Development LINCOLN CENTER Number of Inspections per permit allowed
Name (or name of business)LINCOLN TOWER Service included: Items Cost Sum
10260 SW GREENBURG RD
Address / 4 a. Residential - per unit
City /State /Zip PORTLAND OR Asa -59 Each additional 500 sq. ft. or $110.00 4
Commercial ]C Residential 1=1 Limited thereof $25.00 1
Limited Energy $25.00
ROSS CROSBY Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation
or
Address 111 SW COLUMBIA, SUITE 480 200 amps to less $60.00 2
201 amps to 400 amps $80.00 2
City PORTLAND State OR Zip 97201 -5886 401 amps to 600 amps $120.00 2
Phone No. • 241 -481 2 601 amps to 1000 amps $180.00 2
Job No. 222 -1 861 Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 26-14C Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. 4,58 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
SI natur SU 201 amps to 400 amp $75.00 2
g •� p� 401 amps to 600 amps $100.00 2
8 7 3 S Over 600 amps to 1000 volts,
License No. Exp.Date see "b" above.
Phone No. 241 -4812
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit 1 $35.00 35 • 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
35.
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 1 . 75
• NOTICE Subtotal $ 3G.75
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ 36 75
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $
36.75
I: \OSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
1(0/1317 Date Requested � r 11 fi' AM PM -T^ BLD
Location I A— i� n Suite c / MEC
Contact Person �,0 PLM
Contractor �,��,t,a /(�1l.� 0�'� Q Q _C 9'36- 6 SWR p
BUILDING Tenant/Owner ELC / ? 7
Retaining Wall ELR
Footing Access 1 �
Foundation ) /��/ FPS
Ftg Drain lip 2I i,
Crawl Drain Inspection Notes `- -' ' ` ` SGN
Slab u h Q GLr SIT
Post & Beam C ��� 2 , / " "
Ext Sheath /Shear ' ��,y' . /
Int Sheath /Shear 6 -451 Framing ` i��sZtJ
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
•
Fire Alarm � / _ Susp'd Ceiling / �{ [A-.5.5
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
RT FAIL
tLECTRIGAL .
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
• .
CD PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Date 7 - � - 7 d Inspector Q,,� G .��,,�• Ext 4 /1(5 `
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.