Permit CITY TIGARD. ELECTRICAL RESTRICTED ENERGY PERMIT
.��,l DEVELOPMENT SERVICES PERMIT #: ELR2006 -00053
°�I II DATE ISSUED: 2/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 600 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Access control & intrusion. Job #55345.
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: ACCESS CON X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST SELECTRON INC
ONE SW COLUMBIA ST #300 7225 SW BONITA RD
PORTLAND, OR 97258 TIGARD, OR 97224
Phone: Contact #: PRI 503- 639 -9988
FAX 503- 684 -4357
FEES Reg #: LIC 64341
ELE 26- 497CLE
Description Date Amount SUP 974LEA
[ELPRMT] ELR Permit 2/15/2006 $75.00
[TAX] 8% State Surcha 2/15/2006 $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: /� /- L � Permittee Signature: _ ,_ c o o
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.
Electric: Permit A r "t l� I E D E Usr oNLY
� , , € ity of Tigard 2006
Date/By.,,, " I � � 6 7 Permit N G�� y_ � Creu�v'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
�4TY OF TIGARD
Phone: 503.639.4171 Fax: 503.598.1 O Hix�Jl #;rjfd,ti±' l��1 °az� • Other Permit:
Inspection Line: 503.639.4175 ■ y. Date Ready/By: IMI Id See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISI Notified/Method: Supplemental Information
. TYPE OF WORK PLAN REVIEW
❑ New construction jZI Addition/alteration/replacement Please check all that apply:
El Demolition ❑ Other:
o Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps – rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling gl Commercial /industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
1:1 Multi family ❑Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more
• DOccupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
❑He
Job no.: %'6L..15 Job site address: 1pL(.b Q' I�eeellbLAYc5 ZA Submit ❑ 2 -care facility 2 sets of plans with any of the abo ve.
abovv
e.
City /State/ZIP: Rty( d (:)Q. C _Th The above are not applicable to temporary construction service.
FEE* SCHEDULE
• Suite/bldg. /apt. no.: 6 / O Project name: WC� D escr i p ti on Qt 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 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
`
DESCRIPTION O _ F 1 W Each manufactured or modular
_ ORK
In a\\ aC.C.�aS C. - Et 'IfT� 1.4& 61'1 Services service rs installation, feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER p TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: In ; l.rYbc__.r 601 amps to 1,000 amps 240.60 2
Address: V'Zt.Q & re�x\. t, f. Over 1,000 amps or volts 454.65 2
� _ , Reconnect only 66.85 2
City /State /ZIP: TQT`1'1 amt U2 C i --Z-Z� Temporary services or feeders installation, alteration, and /or
(� )3 - "-i ( ) relocation
Phone: F ax: 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
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or 1 --- extension. Describe: 1 Page 2 1 4. 2
Business name: Se_Af 4 rpy\_ \kNc._ ,
Address: '72_2, So ---RA Each additional inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: – p , c i c Investigation per hour (1 hr min) 62.50
• Phone: )4 J ti, Fax: G ) (oSsi4 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: (off - Electrical Lie.: � q - Suprv. Lic.: (4-744 L P
L Subtotal --/".
Suprv. Electrician signature, required: <; Plan review (25% of permit fee)
Print name: �i . Da te .-) 1 State surcharge (8% of permit fee) ( 'p U-- U
TOTAL PERMIT FEE ` 6 I . —
Authorized signature: • This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
is \Building\Pemiits\ELC -Perm itApp.doc 12/03 440- 4615T(10 /02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information �.
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORD ONLY;: -
Fee for all residential systems combined $75.00
Check Type of Work Involved:
• ❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\ Building \Permits\ELC- PermitApp.doc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006•00053
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1512006
Phone: (503) 639-4171 holt,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4125/2006 TIME: 7:00AM PAGE: 86
SITE ADDRESS: 10260 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MICROSOFT
DESCRIPTION: Access control & intrusion. Job iP55345.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: SELEC-TRON INC PHONE #: s03-639.9998
Inspection Request Scheduled For: Date: 412512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 &age 02854301 503-670-6216
oix 14,
Corre • is/Comments/I structions:
341 PASS I I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
n FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G-41.ctv (1\ (?) L Date: L k` IS° k, Phone #: (503) 718- 2-4(440
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E`ik 1 46 "
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 000s. 3
Phone: (503) 639- 4171.�����A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: %a 7. t G/ims$A48JR,(�j U 6 o o CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4, -to ° Pour Time:
Code # Inspection Description Confirm # Contact # Message
I � i NAL-
Corrections /Comments/ Instructions:
•
n PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 9 Phone #: (503) 718- 1.4-
+ ' . `
.
CITY OF TIGARD
-
�KKUU ��U���� DIVISION
' \
~~~°.~~~°""°~° ~~"°"~°"~~"~ ' PERMIT #: ELR2O86'00053
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/15/2006
Phone: (503) 639-4171
t
Inspection Requests (24 Hrs.): (503) 639-4175 75
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00Alvi PAGE: 66
SITE ADDRESS: 10260 SVV8REENBURG RD E00 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERiUNCOLNTOvVER LOT #: 014 TYPE OF USE:
PROJECT NAME: MICROSOFT
DESCRIPTION: Acomno control & intrusion, Job #55345.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: GELECTR0V(NC PHONE #: 603-639-9938
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 0J7083-01 503-670-5216 Y
Corrections/Comments/Instructions: . c� &[�` mN
`-`- `- \ ^^�^`_ ~°
^ ���� P»)6
~ 8~
•
n RAS8 PARTIAL APPROVAL E CANCEL ri NO ACCESS
A FAIL | | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector:
C'tN &�� v�w� ~~��" Date: S�( » {� � �D Phone #: (503) 718' ' ^
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