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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT i a • COMMUNITY DEVELOPMENT Permit#: ELR2014-00048 TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 03/11/2014 Parcel: 1S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD Project: Lincoln Three Subdivision: METZGER. TOWN OF Lot: 9 Project Description: Fire alarm system for restroom and shower facility addition in common area on first floor. 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 Description Date Amount Specifics: Restricted Energy Permit 03/11/2014 $75 00 Type of Use: COM 12%State Surcharge Electrical 03/11/2014 $9 00 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: 1 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 SS4 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 160 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 952-001-0010th R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 87 or 1 800 332 2344 Issued L` �Lt `� " � Permittee Signature: /\-1( J �� 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. Electrical Permit Application FOR OFFICE USE ONLY Received City of Tigard >; Date/By: Permit no.: - 13125 SW Hall Blvd.,Tigard,OR 97223Gj9 F` +M Plan Review `NM Phone: 503.639.4171 Fax: 503.598.1960s Date/By: Other Permit: l.-,lJ�'d61 L COO it il TIGARD Inspection Line: 503.639.4175 rrrp 2,S 2014 Date Ready/By: Juri / / �._l sCe page lz iar Internet: www.tigard-or.gov r GD GQ,",aa�D Notified/Method: Supplemental Information va TYPE OF WORK Cj��+Or�!t'!iti�\11V PLAN REVIEW L I New construction H Addition/alteration/replacet�l�'LO11' Please check all that apply(submit 2 sets of plans w/items checked below): ❑ Demolition ❑ Other: 1v ❑ Service or feeder 400 amps or more ❑Building over three stories CATEGORY OF CONSTRUCTION where the available fault current ❑Marinas and boatyards Li 1-and 2-family dwelling H Commercial/industrial ❑Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Multi-family ❑ Master Builder ❑Other less to ground,or exceeds 14,000 Commercial-use agricultural JOB SITE INFORMATION AND LOCATION amps for all other installations. ❑ buildings Job no.: 140551-45 Job site address: 10220 SW Greenburg Road ❑Fire Pump ❑ Installation of 75 KVA or ❑Emergency system larger separately derived system. City/State/ZIP: Tigard,OR 97223 CI Addition of new motor load of III"A"."E"."1-2"."1-7. 100HP or more. ❑ occupancy Suite/bldg./apt.no.: Project name: 3Lincoln Toilet/Shower Room ❑Six or more residential units ❑ Recreational vehicle parks. ❑ Health-care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more Subdivision: I„t no FEE SCHEDULE Description I Qt.. I ire. I Iotal I Tax map/parcel no.: New residential-single or multi-family dwelling unit. DESCRIPTION OF WORK Includes attached garage. INSTALL FIRE ALARM CIRCUIT 1000 sq.ft.or less $ 168.54 4 Ea.Add'I 500 sq.ft or portion S 33.92, H PROPERTY OWNER I TENANT Limited energy residential Name (with above sq.ft.) S 67.84 2 SHORENSTEIN REALTY SERVICES Limited energy,multi-family Address: residential(with above sq.ft.) _S 67.84 . Service or feeders installation,alteration,and/or relocation City/State/ZIP: 200 amps or less S 100.70 201 amps to 400 amps S 133.56 2 401 amps to 600 amps S 200.34 2 Phone: Fax: 601 amps to 1000 amps S 301.04 2 Owner installation: This installation is being made on property that 1 own which is not Over 1000 amps or volts S 552.26 2 intended for sale,lease,rent or exchange,according to ORS 447,449,670,and 701 Temporary services or feeders installation,alteration,and/or Owner signature: Date: relocation 200 amps or less S 59.36 1 Li APPLICANT I ❑ CONTACT PERSON 201 amps to 400 amps S 125.08 " 2 401 amps to 599 amps S 168.54 2 Business Name: Branch circuits-new,alteration,or extension,per panel Contact name: A. Fee for branch circuits with service or feeder fee,each Address: branch circuit S 7.42" 2 H. Fee for branch circuits without service or feeder fee, City/State/ZIP: first branch circuit S 56.18 2 Phone: Fax: Each additional branch circuit: 5 7.42 2 Miscellaneous(service or feeder not inclded) E-mail: Each manufactured or modular CONTRACTOR dwelling,service and or feeder $ e7.84 2 Business Name: CAPITOL ELECTRIC CO.,INC. Reconnect only S 67.84 2 Pump or irrigation circle 5 67.84 2 Contact name: DAN WILSON 503.262.0411 DIRECT Sign or outline lighting 5 67.84 2 Signal circuit(s)or limited- Address: 11401 NE MARX ST. energy panel,alterations,or extension. Describe: Fire Alarm I Page 2 $ 75.00 2 City/State/ZIP: PORTLAND,OR 97220-1041 Each additional inspection over allowable in any of the above Phone: 503-255-9488 Fay 503-257-7121 Per inspection $ 66.25 Investigation per hour(I hr min) 5 66.25 CCB Lic.: 48748 !Electrical Lie.: 26-496C ISuprv.Lic.: 2865-S Industrial plant per hour S 78.18_ Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES' Subtotal $ 75.00 Print Name: RICHARD MARTIN Date: 02/21/14 _ Plan review(25%of permit fee) Authorized signature: State surcharge( 12% of permit fee) $ 9.00 TOTAL PERMIT FEE $ 84.00 Print Name: RICHARD MARTIN This permit application expires If■permit Is not obtained within ISO days after It has been accepted as complete. "Number of inspections per permit allowed. Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10220 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 199 Electrical ﬁnal PASS - No C of O May 16, 2014 at 9:54:38 AM ELR2014-00048 Jeff Grove Violation Summary: Inspector Contractor