Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
111 s : COMMUNITY DEVELOPMENT Permit#: ELR2013-00281
T IC; R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2013
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 600
Project: Axium Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Access control system for suites 600 and 700.
Contractor: SONITROL PACIFIC Owner: LINCOLN CENTER LLC
8220 N INTERSTATE AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97217 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-223-5822 PHONE:
FAX: 503-973-7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 11/07/2013 $75.00
12%State Surcharge-Electrical 11/07/2013 $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: 0 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: 1 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 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 952-001-0090. You may obtain a copy of th le direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
■
Issued By Permittee 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 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.
Oct. 30. 2013 11 :55AM c. No, 4464 P. 2
Electrical Permit Applica ° 4 �� I�()i((IVf t(:1�:usi:°Ni,,'
Received Penult No.:
City of Tigard Dawn : ii jJ/ 75"L/e.CJ J?— .zz/
. u 13125 SW Hell Blvd.,Tigard,OR 43 i 3 0 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit:
Inspection Line:.503.639.4175 i p�/ {�t� p p{�/, Date Ready/By: Inds: BI See Page 2 for
1'IUARD CITY p O Il IGAR® Nail 6/Method: Supplemental lnfarmetion
•Internet; wvnw.ligerd-or,gov g �(p�{� y %a-'loo
Tl'P��1 �4'611tP". I���,e WN y`: .. FI AN.REV EW'
• 1:1 NCW construction isi Addi11011/allCraliOn/replaCCn1CCIL Please check all that apply(submit 2 sets of plans w/items checked below):
ck) ❑Service or feeder 400 amps or more ❑Building over three stories.
t el Demolition ❑Other: Mere the available fault current ❑Marinas and boatyards.
: r exceeds 10,000 amps at 150 volts or ❑Floating buildings.
�S ❑ 1-and 2-family dwelling al/ind stri CTIOI�i
less to ground,or exceeds 14.000 ❑Commercial-use agricultural
ng ►. Commercial/industrial ['Accessory building amps for all other installations. buildings.
I\ ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION : . ❑Addition of new motor load of I]"A",
lob no.:P130167 I Job site address:10200 SW Greettbturg Rd 100fPormore. occupancy.
O Six or more residential unite. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 OHcahh-care facilities, ❑Supply voltage for more than
❑Hazardous locations. 600 rolls nominal.
Suite/bldg./apt.no.:600&700 I Project name:Axium Upgrade El Service or feeder 600 amps or more.
]f1ElE SCHEDULE •
Cross street/directions to job Site; Dnrdpilan I tau. I Fen I TONI
New residential single-or multi-family dwelling unit.
Includes attached garage,
Subdivision: I Lot no.:
1,000 sq.11.or less 168.54 4
Ea.add'1 500 sq.Il.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75,00 2
. 'DESCRIPT1O1yr'OP,WORT( (with above sq.ft.)
Limited energy,multi-family 75.00 2
d installation of upgraded access control devices and 3 new access doors on the residential(with above sq.tt.)
Renewable Energy 0 See Page 2
7'h floor Services or feeder's installation alteration,and/or relocation
il ❑ PROPERTY OWNER .,r O':TENANT .- • 200 amps or less 100.70 2
X `.'`_',;'.' 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
•{,,1 Over 1,000 amps or volts 552.26 2
`e City/Slate/ZiP: Temporary services or feeders installation,alteration,and/or
;4 Phone:( ) 1 Fax:( ) relocation
200 amps or loss 59.36 1
j Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
jiintended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 auras 168.54 2
Owner signature: Date; Branch circttifs—nary,alteration,or extension,per ILAncl
'El' APPLICANT I . ❑ CONT CT PB ON _ ' A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: each branch circuit
B.Fee for branch circuits Wilma
Contact name: service or feeder fee,first 56.18 2
k branch circuit
M Address: Each add'/branch circuit 7.42 , 2
Miscellaneous(service or feeder not included)
_� City/State/ZIP: Each manufactured or modular 1
Phone:( ) 1 Pax:'( ) dwelling,service and/or feeder 67.84 2
•laReconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR_ . Sign or outline lighting 67.84 2
Business name:Sonitrol Pacific Signal circuit(s)or limited-energy I See
75.00
panel,altermiion,or extension. Page 2 2
Address:8220 N Interstate Avenue Each additional Inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Portland,OR 97217 Invesligntion(lhrmin) 66.25/hr
Phone:(503)223-5822 Fax:(503)973-7773 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
COB Lie.: 53535 ✓ )~lectrical Lic.: 26370CLR • Suprv.Lic.: 3567LEA specifically listed(5s hr min)
ELECTRICAL PERMIT PEES
Suprv.Electrician signature,required: 4d //i 4 Subtotal: 75.00
Print name: Gordon Ducette Date: 10/30/13 Plan review(25%of permit fee):
State surcharge(12%of pcnnil fee): 9.00 _
Authorized signature: TOTAL PERMIT FEE: 84.00
Print name: Ann C Moore Date: 10/30/13 This permit application expires ire permit is not obtained within 180
days after it has been accepted as complete.
• Number ofinspections allowed per pemit.
t:vllaflei•_u'trmits\BLC,)cnnitApp�iLRJPE.doe Rev om/21/2013 44046ISi(II/OS/COM M])
Oct. 30. 2013 11 : 55AM Sound Security Inc. No. 4464 P. 3
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
•
l,-RESIDENTIAL-WORIONLY:. I FEE SCHEDULE
Fee for all residential systems combined ... $75.00 IDeredpdon (-Qiy. [ Fee 1 Tel el I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2
Wind generation systems In excess of 25 Iwo: _
n Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>]00 kva(fee in accordance with 552,26 2
❑ Heating,Ventilation and Air Conditioning OAR 918-309 OOto)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7A2 3
❑ V• acuum Systeins0 >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n O• ther: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min) •
Inspections for which no fee is 90.00/hr
_ specifically listed(4 hr min)
[COMMERCIAL WORK ONLY: • • • •• ( ELECTRICAL PERMIT FEES •
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of pemilt fee);
Slate surcharge(12%of permit fee);
Check Type of Work Involved: TOTAL PERMIT FEE;
This permit application expires if a permit is not obtained within 180
n A• udio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
nBoiler Controls
n C• lock Systems
n D• ata Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n M• edical
TI N• urse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
® Other Access Control System
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
l:�ultding1perm116 ELC_Fetml,AppJLR,,,)=RE,4oe Rev 05)21/2013