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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2013-00272 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2013 Parcel: 1 S135AB01003 Jurisdiction: TIGARD Site address: 10300 SW GREENBURG RD 410 Project: Buckendorf Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Low voltage for data. Contractor: CAPITOL DATA&COMMUNICATIONS Owner: LINCOLN CENTER LLC 11401 NE MARX ST 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 Description Date Amount Specifics: Restricted Energy Permit 10/31/2013 $75.00 12%State Surcharge-Electrical 10/31/2013 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 1 Fire Alarm: 0 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in a • :- - approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT ' TION: Oregon :w requires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR 952-00 /010 through OAR 952-01 //•-i Yo may obtain a copy of the rules or direct questions to OU C-by ca .1987 or 1.800.332.2344. / f Iss -d By: /J- j' i -=� Permittee Sign re: 1" /_ r OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the lime of each Inspection. 10/31/2013 08:43 5032551966 CAPITOL ELECTRIC PAGE 01 pCEIVED Milt Ol FICEs 656!UNi.VV . . Electrical Permit Applica ece,ved Date/By:f 9 Permit no.:tf/ /5 Qp2 7,L- City of Tigard 31 2013 Plan Rcv,cw Other Permit: ' 1312$SW Hall Blvd.,Tigard,OR Datcll3y 2' Phone: 503.639.417I Fax 501,.5? 9 Date RcndyBy: Juris; j r Pear z re, •ItGARD LnspectionLine; 503.639.4175 i OF I'ICARD Notified/Method: SnpplemeunIInformation intcmet: ,vw-w.tigard-or_gov t 1 k ' I ■ I.. • • New construction -, Addition/alteration/replacement Please check all that apply: El Demolition _El Other; ❑ Service over 225 amps,comm'I ❑ Hazardous location is.L i,,; ;;.j, ,,,;g,:2,.- ,n rNi-, 0 4,.,• i kiCigo. .....1 0 Service ovor 320 amps-rating ❑ Building over 10,000 sq.ft. 1-and 2-family dwelling U Cnmmcrciallindustrial Accessory building of 1-and 2-family dwellings 4 or more now residential ❑ Muster Builder ❑Other ❑ System over 600 volts nominal units In one structure �]h�ultl f- . �_�1 . AIL,go Mil `s LL 1.i •(•, 1 I:. _: ,, © Building over three stories ❑ Feeders.400 amps or more Job no. C137'17 Job site address: 10300 SW Greerburg Rd El Occupant load over 99 persons I,^,I Manufactured structures or ❑ Egress/iighting plan P.V park ❑ City/State/71P: Tigard,Or.97223 Health-care facility C=1 Other: Submit 2 sets of plans with any of the above. /ape,no,: 47 0 Project name: Buckendorf Data The above are not a Ilcable to tem ovary construction service. Suitelbldg ifi3 Cross Street/Directions in job Sire: Description Orr. Fee. Tvinl '- New residential-single or multi-family dwelling unit. Subdivision: i.nr nn.; Includes attached garage. 1000 Sq.ft.or less s 168.54 4 TSx ma / Sleet nn,; Ea.Add'I 500 sq.ft or portion S 33.82_ I Limited energy residential 5 75,00 _ 2 - Moving MDF(server room)re-cabling a few locations to do that,then adding more Limited energy.non-residential S 75.00 2 Each manufactured home nr modular :1110 ra^4a,171 roe urn (, l` dwcllin Service and/or feeder $ 67.84 2 Service or feeders installation,alteration,and/or relocation Name: - 200 amps or less $ In0,70 2 • Address: 201 amps to 400 amps $ 133 56 401 amps to 600 amps 5 200.34 2 City/State/ZIP: 601 amps to 1000 amps S 301.o4� 2 . Over 1000 amps or volts 5 552.2G 2 Phone; Fax: Reconnect only S 67.04 2 503-295-5555 Temporary services or feeders Installation,alteration.and/or Owner installation:This installation is being made on property that i own which is not relocation intended for sale,lease,rent or exchange,according to ORS 447,449,670.and 701 200 amps or less - S. 59.36 1 (honer signature; Date: 201 amps to 400 amps J $ 125.08 2 ' , I 401 amps to 599 amps l 3 168.54 v :. j':'';,i^;i;r.:T rr'J,,,_t :`�. ,..,..:d.r,. ,_:.II 111.2,h;nr<:ifrlg. ._ ?;y---.-._..._.:; Branch circuits-new,alteration,or extension,per'panel A. Fee for branch circuits with Business Name: service or feeder fee,each branch circuit $ 7.42 2 Contact name, B. Ric for branch circuits without service or feeder fee. Address; each branch CirCuit 5 56.10 2 F�ch additional branch circuit: 5 742 2 City/Slate/ZIP: Miscellaneous(service or feeder not included) Phone; Fax: Pump nr irrigation circle S 67,04 2 Sign or outline lighting .5 67,04 - 2 E-mail: Signal circuits(s)or limited. energy panel,alteration,or 13trsinessName: Capitol Data&Communications.Inc. • extension, Describe: TcldDac, 1 75 7840 2 Page 2 Contact name; Terry Branch Tench additional inspection over allowable in any of the above Per inspection $ 66.25 Addicts'. 11401 NE Marx Street investigation per hour(1 hr min) S 64,25 Industrial plant per hour $ 70,10 IP a:{r.tri^;If,,...,. ..1:1^IIiIVtr'rlC1..�. ,... i•I . _,,.:-ZI-2.1 LI4�',x.:.:,17\._....1.,' .__...._.:i..._L'...',.i-:...:., LNt�--. city/state/ZIP. Portland,Oregon 97220 _ Subtotal 75.00 Phone: 503-25S-9488 Fax: 503.257-7121 Plan review(25%of permit fee. State surcharge( 12% of permit fee) 9.00 CCB Lie.: 142457 lElectrianl Li4.:26-10S B I Supiv,lie; 2757LEA - TOTAL PERMIT FEE 84.00 Suprv.Electrician signature,maifired: �_ LY! This permit rap.).,on,expire,ii i p•rmir iR net MISI01 Nl within 111 arm^ ley,nncr i/hole hero armor W as enmplero Print Name; Terry Brasch Date: 10/31/13 • rcc methodology set by Tri•Cnonry Building Industry Service Board ••Numher of inspection:per permii ellnwed. Authorimd signatttrc: —'-'" Print Name: Terry Branch - 503-710-2039 FAXED 10/31/2013 08:43 5032551966 CAPITOL ELECTRIC PAGE 02 Electrical Permit Application - City of Tigard Page 2 Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systesm combined $ 75.00 Check Type of work Involved: ❑ Audio and Stereo Systems* Burglar Alarm ❑ Garage Door Opener* LI Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial sytem... $ 75.00 (SEE OAR 918-260-260) Check Type of Work Involved: L l Audio and Stereo Systems ❑ Boiler Controls LI 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 Cl Other Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10300 SW GREENBURG RD 410, TIGARD, OR, 2013 -12 -04 (null) 97223 Record Type: Record ID: Commercial - Electricial Limited Energy ELR2013 - 00272 Inspection Type: Result: 199 Electrical final PASS - No C of 0 Comments: Violation Summary: Inspector Contractor