Permit CITY OF TIGARD ELECTRICAL PERMIT
s _ COMMUNITY DEVELOPMENT Permit #: ELC2012 -00396
T (GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/28/2012
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD
Project: Lincoln Tower Lobbies Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (5) branch circuits new lighting in (5) elevator lobbies Floors 3,5,6,7 and 11
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
5 crt Branch Circuits wo /Purchase 06/2812012 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/28/2012 $10.30
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
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 OAR 9 -001-0090. You may JILL obtain
� a - ofthe rules or direct questions to OUNC by calling 50 or , r 1.800
.�
Issued By: i��I�YW1 ft Permittee Signature: UI�F 4- eA 014
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 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.
06/28/2012 11:31 5032577121 CAPITOL ELECTRIC PAGE 02/02
Fout ()IAA ci.: I ON IA'
Electrical Permit Application Receiv ■
City of Tigard Date/By: (6 , • „,,,. Permit nrga
1 13125 SW Hail Blvd., Tigard, OR 97223 Plan Review
11
Other Permit:
Phone: 503,639.4171 Fax: 503.598.1960 ' 2 8 2012 Date/
T till rt. 1 inspection Lime: . 503.639.4175 . Date Ready/By; Turi_,....is• / • Sor Nee 2 for
:1 _
J115011105: wwW-ligArti.Or.g09
'', t (-,
_ . . . . . . .. . . 1‘. ().F TIGARD Notified/Method; k Sypplementat Inflmentinn
, , . • • ,,- 1 rt lryfirrlm
,..,..'-:•:.;',. ' .: ' ....■rr.:',.;! • ',: ,...r. _'.: .:•:,.. VIP ,a;OAVORKiii:,....'-:.F ..1•.?Th1,1:51,74.Y,” : Tlij . .): : :;; 1 ,;i:E•';:.' : .::? : ;.P.ililA:,) - ...,',,1:51.A*RELOW.. ' :■;'.';' ;,.!.,.. ,;!::. ,,, - .• • . ' . '.
Li New construction Li Addition/alteration/replacement Please check all that apply (submit Z_sels of plans wfitems checked behsw):
10 Demolition _ ID Other: 0 Serece Or feeder 400 amps OT more 0 Building over three Morley
IEBOXY1.0 •MIS i 'Veirfti ':. .' '...4..i: where the available fault current 0 Marinas and boatyards
• 1- and 2-fatnily dwelling ISI Commercial/industrial I Accessory building exceeds 10,000 amps or 150 900.5 or In Floating buildings
0 Multi-famlly 0 Master Builder 0 Other less to ground, or exceeds 14,000 0 Commorelar-use agricultural
.. i ; ;' . ..i , ; , ;:;•;; . ..i .. i . ; 04iii,IM12#011fOlgTOKANUDDATS1014f....:"P.7„' .i.:1 amps for all other InstaltatIons, buildings
llat
Job no.: 120888 I Job site address: 10260 SW Oroonburg Rd
0 Flre Pump 0 instaion of 75 KVA or
El Emergency system larger separately derived system.
City/State/ZIP: Tigard OR 0 Addition of new motor lead Of 0 'A", "E", "1 "1.3",
IO0HP or mom 0 occupancy
0 Six or more residential units 0 9w:rename' vowel° parks
Suite/bldg./apt. no,: Lobbies !Project name: Lincoln Tower Lobbies
0 Health-care facilities 0 Supply voltage for more than
Cross Street/Directions to job site; 0 Hanudous locutions 600 volts nominal.
0 Service or feeder 600 amps or more
'....;: itii........•.::::. , :i.
Subdivision: I Lot no.:
Darerlption I coy. I Fer, f 'reel I "
Tax Map/parcel no,: New residential - single or moiti-fhmily dwelling unit
.:.„..., ...... IneludeS attached garage.
Instal l new lighting in (5) elevator lobbies. Floors 3,5,6,7 and 11 1000 sq. ft, or less $ 168.54 4
Ea, Add' 500 sq. ft or portion I S 33,92 I
PROITARTVOWVER;r:1;i:igi11111i1111 ::;,.. Limited energy residential
Name: (with above sq. ft.) 5 75,0o
2
Limited energy, multi.fbmily
Addres residential (with above sq. B.) s 73.nn 2
s:
Service or feeders lostnilintion, alteration, and/or relocation
City/Suite/Zip: 200 amps or less $ irxr.70 , z
201 aim to 400 amps $ 133.56 z
401 amps to 600 amps $ 200.34 , 2
Phone: Fax: .
ovcr1000 am s tp .... : Tmorvolt F 7!1Inomi;2 1000 am s $ 301.e4 2
Owner installation: This installation is being made on property that T own which is not
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and/nr
Owner signature: Date; — _ relocation
200 amps Or lass $ 59.36 1 I
.',. .:'L,Pili 201 amps to 400 amps -----1$ 125.08 1 2
Business Name:
401 amps to 599 amps S 168.54 2
Branch circuits - new, alteration, or extension, • r one!
Contact name: A, Fee for branch circuits with
service or feeder fee, each
Address: branch circuit $ 7.42 2
_ B. Fee for branch circuits
City/State/ZIP: without service or feeder foe.
__ first branch circuit 1 S 56.18 50.111 2
.,
Phone; Fox: Each additional branch circuit: 4 S 7.42 20.138 2
Mutilates:ins (service Or feeder not included)
.
E-mail;
Each manufactured or modular
ff;% ''' :1:iiiii:. ' ' . 1. : . :' ; i 4Q707 tACIPAtt ; ; .2"1: ; . ''' ; ' i ''C l i' ... ;',.. , iiiit;;VT'..:‘:.iie. 1 .111 dwelling, service and or feeder $ 47.84 2
Rosiness Name; CAPITOL ELECTRIC CO., INC. Reconnect only 5 67.84 2
Pump or irrigation circle $ 67.84 2
Contact name: Gary Stolort Sign or outline lighting S 67.84 .._ 2
Signal ciretrit(s) or limited-
---
Address: 11401 NE MARX ST. energy panel, alterations, or
— extension, Describe: 5 75.00 2
City/State/ZIP; PORTLAND, OR 97220-1041 . Page 2
Each additional inspection over allowable in any or the above
Phone: 603.265.9488 Fax; 503-267.7121 Per inspection $ 67.2751
,....
Investigation per hour (I hr min) S 66,25
.. Lic.: 48748 1E14 Lie' 6-496C 1Suprv. tg 3132-S , . . t.p , nizel.3.p,; is,....4.__,,..j.uit=,._..,w::..,_j.._..._.......,._,__...._,..,,..,,., ...:. f... .. ,., . :. . industrial plant per hour _ S 78.18 .. .. .
Suprv. Electrician signature, required:
,........" ..._.'" ../ ' .. _ i. Subtotal $ 86.36
Print Name: Darns L, eNool . le: 061' :11 .. Plan review (25% Of permit fee) —
Authorized Rignalure: . • State surcharge ( 12% nf permit $ 10.30
_ _..di_L_..r_ ..--. ../. TOTAL PERMIT FEE _6 98.16
Print Name: Da . . . • ol TIM permit orplicatIon ultimo ir a Permit II OA oblidned whfA. ISO
......,
days alter. It has hren areeprrd to compl•ft,
• Number uf inspearien8 per permit snowed.
I MI■lildin5 TO/OP/OS 440-46 ISM MYCCIMIWER