Permit . w
CITY T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
i DEVELOPMENT SERVICES PERMIT #: ELR2006 -00110
- ° ~L �I DATE ISSUED: 5/30/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 650 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Voice and data
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST COMTEL COMMUNICATIONS INC
ONE SW COLUMBIA ST #300 14973 TUALATIN SHERWOOD
PORTLAND, OR 97258 SHERWOOD, OR 97140
Phone: Contact #: PRI 503- 625 -4484
FAX 503- 625 -1106
FEES Reg #: ELE 36- 118CLE
LIC 158001
Description Date Amount
[ELPRMT] ELR Permit 5/30/2006 $75.00
[TAX] 8% State Surcha 5/30/2006 $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 may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
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.
I
. . TOROFF.ICEUSEONLY : '
Electr'ital Permit Alia: ." 'on li ‘1/ '`
City of Tigard Received
. Permit
t No j
13125 SW Hall Blvd., Tigard, OR 97223 2006 Plan Revie > �iI .l �l� o �� •
p , 5 15 Other Pennit
Phone: 503.639.4171 Fax: 503.598.1960 Date /By •
T I G A R D Inspection Line: 503.639.4175 t • Date Ready/By: t ®See Page 2 for •
• Internet: www.tigard ojt j\ OF A l 4ft.i Notified/Method: Supplemental Information •
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' �('i �! S 11a l
P, Ea�V1 0R1C PLAN REVIEW
❑ New construction
1 101 1 4 :01*
A ddition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
•
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
' CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
Lr1 less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling CommerciaUindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
['Addition of new motor load of ❑ "A ", "E ", "I - ", "1 - ",
Job no.:A Job site address:l a L 0 Std G b p 1 I or more. occupancy.
❑
dean Jca f z 2 ,
0 Six or or more residential units. Recreational vehicle parks.
,�! V ❑ Health -care facilities. ❑ Supply voltage for more than
City /State/ZIP: / - Gt' 1 600 volts nominal.
J R ❑ Haz ar dous locations.
Suite/bldg. /apt. no.: 4 S O Project name: Co,. L a K � ❑ Service or feeder 600 amps or more.
V v ` FEE SCHEDULE
Cross street/directions to job site: Description ' I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'( 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
� I / Limited energy, multi - family • 75.00 2
r
V O ` C e- 51,,. /_ /c,.l� b ts / s // residential (with above sq. ft.)
try ttt Services or feeders installation, alteration, and /or relocation
�/ 200 amps or less 80.30 2 .. ❑ PROPERTY OWNER ltd' TENANT 201 amps to 400 amps 106.85 2 •
Name: 401 amps to 600 amps 160.60 2
N P w � Oe ` / r - I..-- 601 amps to 1,000 amps 240.60 2
Address: / a ! C� /' ee v Q Over 1,000 amps or volts 454.65 2 •
o J cT 8
�
City /State /ZIP: - Temporary services or feeders installation, alteration, and /or
J. s 4 r Or relocation
Phone: ( ) 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 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits •
Contact name: without service or feeder fee 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 .
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: . -'� Signal circuit(s) or limited -
COM'► G �SrltfltLt r r G I 1 MIG energy panel, alteration, or
Address: extension. Describe: I Page 2 2
I._
City /State/ZIP: - - c Ir. / Each additional inspection over allowable in any of the above •
�/ Per inspection 62.50
Phone: (Sp ) G _ S- 7 , Fax: ( A ) 4 - / b. Investigation per hour (1 hr min) 62.50
CCB Lic.:/ r Electrical Lic.:3i ./ Suprv. Lic.: a `, Industrial plant per hour 73.75
iii IV ,. _ 6. p ELECTRICAL PERMIT FEES ' . .
Suprv. ectrictan signa required: /� .-- Subtotal: S
Print name: r . — /�� / � Date: 5 3 2 �D L Plan review (25% of permit fee): •
/� ! ,v State surcharge (8% of permit fee): 6.
Authorized signature: TOTAL PERMIT FEE: 1 . ()it)
This permit application expires if a permit is not obtained within 180
Print name: Date:
days after it has been accepted as complete.
Number of inspections allowed per permit.
1:\ Building \Permits\ELC- PermitApp.doc 05/23 /06 440- 4615T(I I/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
i RESIDENTIAL WORK ONLYi
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
ID Garage Door Opener* .
❑ Heating, Ventilation and Air Conditioning System*
•
❑ Vacuum Systems*
❑ Other:
:COMMERCIAL WORK,ONLY:
Fee for each commercial $75.00
•
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems •
❑ Landscape Irrigation Control*
❑ Medical
•
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling • • •
❑ Other •
•
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/2006
Phone: (503) 639 -4171 at t uu °
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'�='ii
INSPECTION WORKSHEET FOR DATE: 7/213/2006 TIME: 7 : 01AM PAGE: 65
SITE ADDRESS: 10260 SW GREENBURG RD 650 CLASS OF WORK: -
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: NEW YORK LIFE
DESCRIPTION: Voice and data
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: COMTEL COMMUNICATIONS INC PHONE #: 503.625
Inspection Request Scheduled For: Date: 7/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
5 ow ao a - 033927-01 503488E -4427 Y
t clof V' ■ rJ {AL.,
Corrections /Comments /Instr : ions: M h
PASS F I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr. 'VN3 Date: 1121 VA Phone #: (503) 718- _200___