Permit •
•
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
/ IA' DEVELOPMENT SERVICES PERMIT #: ELR2005 -00448
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/29/2005
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 390 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Fire Alarm.
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: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC
ONE SW COLUMBIA ST #300 PO BOX 87387
PORTLAND, OR 97258 VANCOUVER, WA 98687 -7387
Phone: 503- 293 -2745 Contact #: PRI 360 - 737 -9725
FAX 360 - 737 -9648
FEES Reg #: LIC 67787
ELE 37 428CLE
Description Date Amount
[ELPRMT] ELR Permit 12/29/200E. $75.00
[TAX] 8% State Surchar€ 12/29/200E $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 et for in OAR 952 - 001 -0010
through OAR 952 - 00 -0100. You may obtain copies of these rules or direct que ti n to C - 246 -6699.
Issued By: � C� Permittee Signature: 21
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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.
,ctrical Permit Application - FOR OFFICE USE ONLY
City of Tigard
3= /� A Received Permit No — t ` @d Date/BY . �.�1� 40 06 /7 O1
Pne S Hall Bl, Tigard, OR 72 Plan Re ', � t �i i !� Phohone: 500 3.639.4171 171 Fax; 503.598.1960 %H *.,¢,:;. ,I'" Date/B �� ��i Other Permit:
Ins L 503.639.4175 „ ■ , A I Date R: r 0 See Page 2 for
Internet: www.ci.tigard.or.us DEC 2f 2005 Notified/Method ram Supplemental Information
Rag- '�. '�'. .r -.y"" �x .ate r..,� <- -vr �^.�a „Y „�:�, A.-.4W - - . . - � l'''::':"
��� ? .; _ ,_4 1�YPE OF WORK .:, . at , . .. „ _ a Pli REV,,IEW_ o _ ... _
f,, - stx
❑ New construction El tera(ioa`/rep(`a�ement Please check all that apply:
El Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location
_ OService over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
c ' ' CATEGORI of "CONSTRUCTION ; `" `" of I- and 2 -famil dwellings 4 or more new residential
❑ 1 - and 2 family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
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❑ Multi - family ❑Master builder ❑ Other: 0 over three stories ❑Feeders, 400 amps or more
F q ` .. ,,, � ," ;r «,_ : he :F,. ❑Occupant load over 99 persons ['Manufactured structures or
�,r � z 1ifi $ITE INFORMATION ANDKaaitION -- r y ❑Egress/lightingp1an RV park
Job no.: • Job site address: 10 3 O sin 6 ,(I, wy�C� ❑Health -care facility ❑Other:
L Submit 2 sets of plans with any of the above.
City / State/ZIP: 0o, - - a 0 re-G oc,N- The above are not applicable to temporary construction service.
no. �'�' \ ` ((�� : � IEEE SCHEDiJLE s ' ' r' il
Suite/bldg./apt. no.: 3 9 0 Project name: Lo nil CX Sct J( ti( q S
/ Description I Qty. I Fee' I Total I '*
Cross street/directions to job site: L.A tC4E)tt \ New residential single - or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
r .' :_ :' =r a ° k • , ., ::�,. : , , <r"rk; s 'i . °; Limited energy, non - residential 75.00 2
1 r , , . ; ,, a 16:07 7000 OFD. WORK. , * r alt „ , itSt Each manufactured or modular
J dwelling, service and/or feeder 90.90 2
1r� ri'l., S, flA' S Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
l a .�-i� � ;b�4 �.�,:�• �- .,r��f:. "�, ,�� - :„�.;.,f;: -. t:�,�;�, :.,.,._. �.<�. s 106.85 2 � 2 1 amps to 400 am
iRtat ® PROPERTY :$ WNER" :. �t.. a ; . t - l ?- , tigi ° x a lb 0 P P
"�' 401 amps to 600 amps 160.60 2
Name:
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 feeders installation, alteration, and /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 100.30 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
t*aira k tAPPLICr1N1' ii . UI 5 ® ONTAC;I'°,, PERSON 0 A. Fee for branch circuits with WE service or feeder fee, each
6.65 2
Business name: L branch circuit
B. Fee for branch circuits
Contact name:
' S'B (,t$ La t: ) without service or feeder fee, 46.85 2
Address: PO 6 c y- x'7 k 7 eh a brabr c hc t
I� �/ Each dd'I branch circuit 6.65 2
City /State/ZIP: L` / - -/)C. fit (/'e_6 l/" " ) ` 6 �t - o 7 Miscellaneous (service or feeder not included)
Phone: g( ,-- q72__ Fax: : q 0`727 � G Y fa imp or irrigation circle 53.40 2
7 �J Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
...," _. .. _
a ct
z X ; °'' s ,.CON TRACT$ r r " 4 ° qt energy panel, alteration, or
extension. Describe: Page 2 2
Business name:
'TS_ (�6 4 , 7 /27a Ol C c, L .1 - E,n(..tis,
Address: • la tD 60K: - 2 .f--) Each additional inspection over allowable in any of the above
Per inspection 62.50
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City/State/ZIP: C,,�GO t.,t_ c7 t Investigation per hour (1 hr min) 62.50
Phone: (3() ) 9) Zs— Fax: (3eo )7 3 - 2 96 Cf Industrial plant per hour 73.75
C -"�EIEC'tRICAL,PER]VITCu EEES* -;
CCB Lie.: ( ) 7 g- Electrical Lie. :3)(- di+t Suprv. Lie.: 6Ftt(L--4- Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: C v y j � _ ISL C3 Date:/ a - S.— T u TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
� days after it has been accepted as complete
Print name: � S S c > - [.,ct Date: / Q . Fee methodology set by Tti- County Building Industry Service Board
•r Number of inspections per permit allowed.
i.\ Building \Pernits\ELC- PermitApp.doe 12/03 440- 4615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00448
13125 SW Hall Blvd., Tigard,'9R 97223 DATE ISSUED: 12/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR \ DATE: 1/25/2006 TIME: 7:03AM PAGE: 76
SITE ADDRESS: 10300 SW GREENBORG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: Fire Alarm.
OWNER: EQUITY OFFICE PROPER TRUST, PHONE #: 503-293-2745
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360
Inspection Request Scheduled For: Date: 1/2512006 Pour Time:
Code # In. prti a D escription Cdnfirm # Contact # Message
199 Electrical final 026671-01 360-737-9726 N •
Corrections /Comments / Instructions:
P2k01 ALNal■A 1E •(•,•rzs:3\)6L
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PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
n FAIL / LL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 1 04 Phone #: (503) 718- 2J/LA,