Permit � � ' n CITY OF TIGARD ELECTRICAL PERMIT
'� '•l = COMMUNITY DEVELOPMENT Permit #: ELC2009-00334
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/07/2009
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD
Subdivision: LINCOLN TOWER Lot: 0
Project: Lincoln Tower
Project Description: (2) branch circuits for new cooling tower replacement. Job No. 18756
Owner: FEES
LINCOLN CENTER LLC Quantity Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL 2 crt Branch Circuits 07/07/2009 $53.50
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 07/07/2009 $6.42
Electrical
Contractor:
ATLAS ELECTRICAL CONTRACTORS
4403 SE ROETHE RD
MILWAUKIE, OR 96267
PHONE: 503 - 659 -2212
FAX: 503- 659 -4944
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $59.92
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done i• - ccordanc- , ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. • TENTION: Orego la, - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 -0010 through OAR 9 •01 10 %. ou may obtain a copy of the rules or direct questions to OUNC • g 5r .246.6699 or 1.800.332.2344. •
Iss d By: - _ Lam` /'14A„j { Permittee ":nature: I _ /,whi..dIl =�: ■
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' _ , �, �� ,!� � Date:
/ r
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.
,►:-
Jul. 1. 2009 12:26PM Atlas Electrical Contractors Inc No.1087 P. 1
Electrical Permit Applieatio hi,11 OFFICE USE ONLY .
ECEIUE Re teivcd
_ City of Tigard Oate 1 . d 9 0 / permit No.: f tCo?m` ?4.)55
V 13125 SW Halt Blvd., Tigard, OR 97223 r Permit:
J UL UL 0 Plan Review Oth
,111 13 . Phone: 503.639.4171 Fax: 503.598.1960 Date/13 _
T'IGARn Inspection Line: 503.639,4175 DatcReady/By: � tars' 0 Ste Page
n
Intere www.tigard CITY OF TIGARD Nolitled/Mcthod: t l t ^,,, Supplemental Information
TYPE OF \ PLAN REVIEW ,.
U New construction ® Addition /alteration/replacement Please check all that apply (submit Z sets of plans wfilems checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition El Oilier: what the available fault current El Marinas and boatyards. ., i
CATEGORY OF CONSTRUCTION ' . cxtceds 10,000 amps at 150 volts or ❑ Floating buildings. •
less to ground, or exceeds 14,000 ❑ Commercial - use ogriculturn1
❑ 1- and 2- family dwelling lI Commercial/industrial ❑ Accessory building amps for all other installations, buildings,
❑ Multi- family ❑ Master builder 0 Other: Drift pump. ❑ Installation of 75 KVA or
. J • ['Emergency system. larger separately derived system,
. JOB SITE 'INFORMATION AND LOCATION. . • :, , . Q Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3",
1001-1P ormole more.
esi Recreational Job no.: 18756 Job site address: 10260 SW GREENBURG RD, on
❑ Six or more residential traits. ❑ Recreational vrhiete parks.
City/State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for morn than
❑ Hazardous locations, 600 volts nominal.
Suite /bldg. /dpt.no,: Project name: LINCOLN TOWER O co or feeder 600 amps or more.
FEE 'SChIEIRILE
Cross street/directions to job site: lsntrauon I Qly- I Pan. I Tata1 I
New residential single- or multi- family dwelling unit. f '
Includes attached garage. / '
Subdivision: Lot no.: 1,000 sq. fl. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential
• . ' DESCRIPTION OF WORK . ' . (with above sq. R.) 75.00 � 2
Limited energy, multi- family
INSTALL (1) NEW OWNER PROVIDED VARIABLE DRIVE UNIT ):+OR residential (with above aq. 9.) 75.00 2
THE NEW COOLING TOWER BEING INSTALLED , Services or feeders installation, alteration, and/or reloca
200 amps or less 80.30 2
. . 0 PROPERTY •OWNER. I • . 0 TENANT ``, '. `" 201 amps to 400 amps 106.85 2
Name: 401 amps l0 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2 2
Address: Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I ;
Owner installation: This installation is being made on property that I own which is not 201 amps to 100 amps 100.30 2 `
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1 2 41
Branch circuits — new, alteration, or extension, er panel . s
Owner signature: Date: A. Fee for branch circuits with ` CJ1
• 0 ° AP)'LICANT 0 COINTACT'PERSON .." . ' above service or feeder fee. 6.65 2
• — each branch circuit
Business name: ATLAS ELECTRICAL CONTRACTORS INC. 13. Fee for branch circuits
' i
Contact name: CATHY MUNSON without service or feeder fcc, 1 46.85
46 85 2
first branch circuit
Address: 4403 SE ROETHE='RQAD Faeh add'I branch circuit Q 6.65 : DSO 2
Miscellaneous (service or feeder not Included)
illd —51
City / State/ZIP: MILWAUKIE, OR 97267 Each manufactured or modular 90.90 2
659 - 4944 dwelling service aird/or feeder
5 03
Phone: (503) 659 - 2212 Fax: : ( ) Reconnect only 66,85 2
E -mail: cathym @atlaselectrical _ corn Pump or Irrigation circle _ 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: ATLAS ELECTRICAL CONTRACTORS, INC. Signal circuit(s) or limited-
energy panel, alteration, Or
Address: 4403 SE ROETHE ROAD extension. Describe: Page 2 2
City /State /ZIP: MILWAUKIE, OR 97267 Each additional inspection over allowable in any of the above _
Per inspection 62.50
Phone: ( 503) 659 - 2212 Fax: ( 503 ) 659 - 4944 /6913 Investigation per hour (1 lv min) 62.50
CCB Lit;.: 1532 Electrical Lie,: — Suprv. Lie.; 10915 Industrial plant per hour 73.75
ELECTRICAL ,PERMIT. FEES 50
Suprv. Electrician signature, required: , Subtotal: 53'
Print name: RONALD J , GAUGER Dec: 7/1/09 Plan review (25% of permit fee):
_ State surcharge (12% of permit fee):
Authorized signature: . --41141111111111 TOTAL PERMIT FES_ 5 •
This permit application expires if a permit is nut obtained within 180
Print name: RONALD J J. GA GER Date: 7/1/09 days after It has been accepted as complete. q• ^_
• Number of inspections allowed per pennit. �
I: Vluilding■PermitslELC- PanniiApp doe 0523/06 440-4615T(I I /u5 /COVt 5'EB