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Permit a CITY OF TIGARD ELECTRICAL PERMIT IN , tt COMMUNITY DEVELOPMENT © / Permit #: ELC2012 -00271 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 � Date Issued: 05/09/2012 Parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 370 Project: Epic Land Solutions Subdivision: METZGER, TOWN OF Lot: 9 Project Description: (6) branch circuits and (1) limited energy for fire alarm. 5/30/12, reprinted to add (1) strobe to this permit. Contractor: COCHRAN INC . Owner: LINCOLN CENTER LLC 7550 SW TECH CENTER DR #220 BY SHORENSTEIN PROPERTIES LLC TIGARD, OR 97223 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 234 -6564 PHONE: FAX: 503 - 238 -2098 FEES Quantity Description Date Amount 6 crt Branch Circuits wo /Purchase 05/09/2012 $93.28 Specifics: Service or Feeder 1 ea Signal circuit or Limited 05/09/2012 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12% State Surcharge - 05/09/2012 $20.19 Electrical Type of Const: Occupancy Grp: Total $188.47 Required Items and Reports (Conditions) This permit is issue. • •le • e regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in a • • ance with approv= • 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. ATTEN 0 • Oregon law req• u to follow the rules adopted by the Oregon on enter. Those rules are set forth in OAR 9 52- 001 -0010 •rou . h OAR 952- 001 -00 btain a copy of e rules or direct questions to O • • .. 1987 or 1.800.332. • • 4. ' /�f� • / / , Issued By `L s Permittee Signatu =. - '1.---:-..:. < e- ,/ .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: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' f ( J Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. 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. , CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00271 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012 TIGARD. 9 Parcel: 1S135AB01003 • Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 370 Project: Epic Land Solutions Subdivision: METZGER, TOWN OF Lot: 9 Project Description: (6) branch circuits and (1) limited energy for fire alarm Contractor: COCHRAN INC Owner: LINCOLN CENTER LLC 7550 SW TECH CENTER DR #220 BY SHORENSTEIN PROPERTIES LLC TIGARD, OR 97223 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 234 -6564 PHONE: FAX: 503 - 238 -2098 FEES Quantity Description Date Amount 6 crt Branch Circuits wo /Purchase 05/09/2012 $93.28 Specifics: Service or Feeder 1 ea Signal circuit or Limited 05/09/2012 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12% State Surcharge - 05/09/2012 $20.19 Electrical Type of Const: Occupancy Grp: Total $188.47 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 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 0 • - 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: • P ernlittee 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' Date: LICENSE NO. • Call 603.639.4176 by 7:00 a.m. for the next available Inspection date. 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. • 01 08:55:58 05 -09 -2012 1/3 Electrical Permit App11 ED Ca'� t milt tint( l.: I'tit: ONI.1 City Of Tigard MQY Received �9 /Z ���. Permit R ° 13125 SW Hall Blvd., Tigard, OR 99223 — 9 2U 12 Plan Re: ELt'°20�2 �4°Z 2/ D an view Other Permi �Ju/ D� - Door/ Phone: 503.639.4171 Fax: SQLQ>£. J 960 Date/By: l I t i A It t Inspection Line: 503.639.4175 1 OF TIGARD Date Ready/By: lurirj El See page 2 for Internet: www.tigard- or.go. B U1LDING DIVISION Notified/Method: / Supplemental Information • .. , .:::... ��.ld ^.vim �4'.1� _ n .. ..- :.'I:� "1:'.. , � � �... -... .., l: /�:l::.:.i` 'd ..iw0 �i•.. S ! '`:. :i ' : , ri, : .•'.• : , .•;� }i .l:', •'(+, ID New construction 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 r; .;:,.: ' _ ., •1 CO F _ where the available fault current 0 Marinas and boatyards. '• ; J ?_ 'CAT GORY:O T "1 •" 7:....,..,.;A ':,0.:( ' '�' ' ` exceeds 10, 000 am at 150 volts or Floating buil in .. r:.. , , r:• ,....., ,.S,,, - ' - ',;!•,"•:•"",•:'''"'' r ::• I''' xc ❑ g d gs. I less to ground, or exceeds 14.000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling grCommercial /industrial ❑ Accessory building amps for all other installations. buildings. Multi-family Master builder ❑ Fire pump. Y ❑ 0 ❑ installation of 75 KvA or /#65 ©© JOB. SITE; INFO . N ❑ Em system larger separately derived system. ,/Z. ..._ LO TIO L . : , , . , ❑ Addition of new motor load of C3 "A". "E" •1 -2" _i.3 Job no.: ?�VZ Job site address `0319o..506.0 eily./ 7O I occupancy. ❑ Six or orr m mo ore r rest esidential units. ❑ Recreational vehicle parks. City /State/ZiP: 77 / , i 4 94 9 7Z7.3 /� ❑Healthcare facilities. ❑ Supply voltage for more than 4 90/ !�J/v ❑ Hazardous kxmtions. 600 volts nominal. /Suite/bldg. /apt. no.: 21t3? 70 Project name: S I-ar/Oied► ❑ Service o feeder 600 amps or more. ::'. ,,r..: $CHED11j.�E.:;r .:, .. ,I::; i;':'::: . Cross street/directions to job site: ' 6 �,bU • • QV . _...... _ .. of aef residential I QV. I ell 1 Total 1 New residential single- or multi-family dwelling unit. %SW Z1. / D S2110 t Includes attached garage. ■ Subdivision: ((�� Lot no.: 1,000 sq. R. or less 168.54 4 Ea. add'I 500 sq. tt or portion 33.92 1 Tax map /parcel no.: Limited energy, residential • ' D.E SCRIPTION , OF WORK •• (with above sq. ft.) 75.00 2 /+ Limited energy, multi - family 75.00 2 M t 2 kn'»/ -rx eel �,�o 51 LA-41b residential (with above sq. ft.) oS C Services or feeders lnstallation and/or relocation 0`l[ 771,n S 200 amp's or less 100.70 2 - I : PROPRR7"Y : :OWNER ° r' ; 0':,'•.TE ANT ? 201 amps to 400 amps 133.56 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, er panel Owner signature: Date: A. Fee for branch circuits with • ❑ :APPLICANT ..1-.11:..; .. 'I': ::j . , . ' ?' 18 i :COT ACT N PE � . abo each ve branch service eire or uit feeder fee, 7.42 2 Business name: Me Ck,S C-1n - 4 (a � -, `t B. Fe for branch circuits without V service or feeder fee, first 1 56.18 & IS 2 Contact name: branch circuit -- Each add'I branch circuit - r j 7.42 7 /c> 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phonc: ( ) Fax: : ( ) Reconnect only 67.84 2 E - mail: Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 : r: :,':• . ........ ... . •CONTRACi'OR , . . Signal circuits) or limited- energy Business name: panel, alteration, or extension. / Page 2 75 aO 2 `-� Each additional Inspection over allowable in any of the above Address: 1 5 50 S W ( e_c_h ( e. r #22 Su p ry . Lic.: 3 0 _ • Additional inspection (I hr min) 66.25/ hr City /State/ZiP: 6 (Zl O 1 72 Z 3 investigation (1 hr min) 6625/ hr I K ' industrial plant (I hr min) 78.18/ hr _ hone: 503) 23q-- 1 c Fax: (&1.3 ) - Z' Q /Inspections for which no fee is to specifically listed CA hr min) 90.00/ hr C CB Lie.: —7 2ci t4L Electrical Lic.: 754/6 C., ;, : ;- . 31- : ' z- ti1.�r'7,�' , ;: �; :. ��• ,.;.;' "FEES';; %' ?. :�; Suprv, Electrician signature, required: \ Subtotal: %�� % Plan review (25% of permit fee): Print name: KP n \ ` K Date: g - q -1 Z , State surcharge (12% of pe nit fee): O • /-7 L E RMIT E Authorized signature: // e r , (( —C r� d� This permit application e If P a permit Is not FE : , . rained v within L f 180 '� Print name: U ``11 Date: �. _ _ _ days after it has been accepted as complete. .R * Number of inspections allowed per permit. I:'Building'Pom xOrELC•PennitA . doc 07'01.10 440.4615T(11'05•COM,wEB 01 08:56:29 05-09-2012 2 /3 Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTLL WORK ONLY: . • Fee for all residential systems combined $75.00 Check Type of Work Involved: O Audio and Stereo Systems* O Burglar Alarm El Garage Door Opener* 0 Heating, Ventilation and Air Conditioning System* Vacuum Systems* O Other: Fee for each commercial $75.00 system . . . (SP.F. OAR 918-309-0000) _ Check Type of Work Involved: 1=I Audio and Stereo Systems El B oiler Controls El Clock Systems 0 D ata Telecommunication Installation Fire Alarm Installation O HVAC El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* O Protective Signaling P Other Total number of commercial systems: / *No licenses are required. Licenses are required for all other installations IABuildineenftits\ELC-PerraitApp.doc 07/01/10