Permit r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00022
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE.ISSUED: 1/25/2007
PARCEL: 1 S135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 300 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: BANK UNITED LV for rough cabling: access control and security camera.
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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST OREGON ELECTRIC GROUP
ONE SW COLUMBIA ST #300 1010 SE 11TH AVE
PORTLAND, OR 97258 PORTLAND, OR 97214
Phone: Contact #: FAX 503 -535 -2763
PRI 503- 234 -9900
FEES Reg #: ELE 26 -95C
LIC 203
Description Date Amount SUP 4460S
[ELPRMT] ELR Permit 1/25/2007 $75.00
[TAX] 8% State Surcha 1/25/2007 $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 or 1.800.332.2344.
Issued By: Permittee Signature: ��.-� c Q —/ 'r t
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.
AAN -24 -2007 12:27PM FROM -OR ELECTRIC SVC l x ,069 1( 5035352763 T -883 P.001/003 F -454
Electrical Permit AppllcaUoa
a v+ s Received /
P ermit No,: ,, ‘2.1) r
City of Tigard �= s ` Dare /v - a 5 o 86 o-
13125 SW Hall Blvd, Tigard, OR 9,72 V i; _ , flan Revie Other Permit: Phone
Phone: 503.639.4171 Fax: 503,5911.19 r (, l' Date Ready/13y iu�• Si Sec rage 2 for
Inspection Line: 503.639.41751 Vie Ready /IIy.
I Notified/Method; J Supplemental Information
Internet: www- ciligand.or,us JAN 2 20 Noti •
_
, 'c . 0 WO' , PLAN REVIEW
❑ New construction ❑ - fi
L e i - -. /a - :ti .�l j a 7 '� Please check all that apply
CI Demolition B�r:
> - C, • (] Service over 225 amps, eomm'1 ❑Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq, R,
-
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
ID El 1 - and 2- family dwelling Commercial industrial ❑ ❑System ov 600 volts nominal units in one structure
Accessory building
['Building over three stories ['Feeders, 400 amps or more
D Multi - family ❑ Master builder _ [] Other. ❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION - 0 Egress/lighting plan RV park
['Health -= facility 00 th` r:
Job no.: 53472 1 Job site address: 10300 SW CREENBURG RD
Submit 2 sets of plans with any of the above.
City/State/ZIP: TIGARD, OR 97223 _ The above are not applicable to temporary construction service.
FEE' SCHEDULE
Suite/bldg. /apt no.; Project name: BANK UNITED ntserlpHun I Qty. 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. f! or less 145.15 4
Subdivision: I L no.: _ Ea. midi 500 sq. ft. or portion 33 -40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75,00 , 2
• DESCRIPTION OF WORK E ach manufactured or m odular
- dwelling, service and/or feeder 90.90 ?
ROUGH CABLING FOR ACCESS CONTROL AND SECURITY CAMERA - Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 _ 2 •
201 amps to 400 amps 106 -85 2
0 PROPERTY OWNER TENANT 401 amps to 600 amps 160,60 2
Name: BANK UNITED -
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 [ceders inmtallation, 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 133.75 2
Owner signature: _ Date: .. Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT J ❑ CONTACT PERSON A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46,85 2
each branch circuit
Address: . _
Each add] branch circuit 6.65 2
City/State:/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 _ 2
Phone: ( ) I Fax: = ( ) Sign or outline lighting 53.40 _ 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or 1 ' 5 , t�C
extension. Describe: Page 2 2
Business name: Oregon Electric Group
Address: 1010 SE 11th Ave Each additional inspection over allowable In any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97214 •• Investigation per hour (1 hr min) 62.50
Phone: (503) 234 -9900 I Fax: (503) 535 -2763 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES'
CCB Lie.: 203 Electrical Lic.: 26 - 95 . S rv. Li . 4460S
m 6' Subtotal .00
.
Suprv. Electrician signature, inquired: ; 1/ • Plan review (25% of permit fee)
Print name: a_ icyIn
pa / a . 0 / /070 State surcharge (8% of permit fee) CO .(pt,
TOTAL PERMIT FEE $ r, 00
i
Authorized signature: This permit emu/maim explrrs if a permit Is not obtained within 180
���� 1/4...1-_ A days after it has bccn accented as complete
h �
Print name: I - l� Y- � = : tc: 1 1/24/07dr • Fee methodology set by Tri- County Building Industry Service Board
Number of inspections per permit allowed.
l uauildino\P°rmit,\ELC- PnmfApp -doe 12/03 440.4615T(1o/oltCOM/WGa
CITY OF TIGARD ,..
BUILDING DIVISION PERMIT #: ELR2007-00022
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2512007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 4A4411010-
---.
,,,,-41 A i
INSPECTION WORKSHEET FOR DATE: 215/2007 TIME: 7:05AM PAGE: 26
SITE ADDRESS: 10300 SW GREENBURG RD 300 I CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE: ,.
PROJECT NAME: BANK UNITED
DESCRIPTION: BANK UNITED LV for rough cabling: access control and security camera.
OWNER: Eourrir OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503•2349900
Inspection Request Scheduled For: Date: 26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 042963-01 503-572-3479 N
Corrections/Comments/Instructions:
,,,
N
N
N
y 1. i
X PASS EI PARTIAL APPROVAL I I CANCEL PI NO ACCESS
ILI FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G --. • 0 (iS Lt Date: 2 1 61 01 Phone #: (503) 718-
. .