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Permit q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1111 $ COMMUNITY DEVELOPMENT Permit#: ELR2014-00085 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2014 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD Project: Lincoln Three Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Low voltage for HVAC modifications for restroom and shower facility addition in common area on first floor. Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC 1339 SE GIDEON ST BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Description Date Amount Specifics: Restricted Energy Permit 04/08/2014 $75.00 12%State Surcharge-Electrical 04/08/2014 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 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: 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 ac 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 law, requ' you to follow the rules adopted by the Oregon Utility N ion Center. Those rules are set forth in OAR 952-00 010 through OAR 952-001- 0. Y u :y obtain a copy of the rules or direct questions to OUNC-by ca ' .503.2 k.„.987 or 1.800.33 2344. 1 C 1 Is ed 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. APR. 8. 2014 1 :09PM N0. 6235 P. 2 Electrical Permit.A.pplica ' VED FOR OFFICE t SF,(1\L1 Received 7A �� Permit No.: ehlr_ � .)d 7 NI City of Tigard 8* 13125 SW Ilall Blvd,Tigard.OR 974 R 8 2014 Plan Review / Other Permit; Phone: 503.718.2439 Fax: 503.598.1960 Dare/By: Date RradY/1iY: h' Inspection Lint: 503.639.4175 CITY OF t�A�[lGARD Incmc: www.tigsrd-0r.gov orceto Supplemental Information • • � r • l �� i �� C s�1 • r ^6:� .� .„ '; �i� �''� A i �{1 i I� iit} fi�1 .-ti�s LYn i a ai M rtpN E Pu n+ w� . W t'lINl,tit y,:" fS 1 ❑New construction ®Addition/alteration/replacement please check all that apply(submit?/acts of plans whitens checked below): ❑Service or feeder 400 amps or more ❑Building over three erotica. ©Demolition El Other: where the available fault current l]Marinas and boatyards. • i o . 1. r i ei �U "fl, exceeds 10,000 amps a 150 volts or ❑Floating buildings. Jl :i 11 11 adb y t igz:Ail c , i lai1 i1 _ iI .G Ices so grimed,or exceeds 14,000 ❑Commereut-use agricultural ❑1-and 2-family dwelling El Commercial/industrial ❑Accessory building amps for all other installations. buildings. Master builder ❑Other: 0 Fir pump. ❑Installation of 150 KVA or ❑Multi-family 111 Master e ❑flmcrgency system. ar g separately deri ved;d syste m. F � �1' � DI a m I ls !+ hn� j + Q Addition of t t '%i ',r;,i a. a i9a!re .slai5� w�,nt anl,f i ualY n A ii, a�6t{ t.i, new molar load of ❑°A", E„ "1_2''113 100I12 or more. occupancy. Job no.: Job site address;10220 SW Greenburg ' ❑Six or more residential units. ❑Recreational vehicle parks. ❑Health-cane facilities. ❑Supply voltage fur more than i ' ' ❑Hazardous locations 600 volts nominal. Suite/bldg./apt.no.: Project name:3 Lincoln Shower Rooms ❑Service or feeder 600 amps or more. ]i l TEll frikilan all1t n IIf����sj-i iL,'Ile' r,:,.a), Cross strcet/directions to . Deatription _ -_ 11[•Il'E � - New residential single-or multifamily dwelling unit. Includes attached garage. _ Subdivision: Lot no.: 1,000 sq.fl.or lass El 168.54 4 — Ea.add'l 500 sq.ft.or porti0n 33,92 1 Tax map/parcel no Limited energy,residential i 1 kE ME0, W ga E g a (with bve aq.fl) ll 75,00 2 Limited energy,multifamily 75-00 2 residential with above s•.ll. Low Volt Wiring PETtly''.,. :Thy ,„W,,'1'+ 'Il ;,,,,:r ;;;;i. „ir • T-Stets Services or feeders installation.alteration,and/or relocation IE if1 7 � t 6 El o �; r ^ t , � � � K V IRI I " 200 amps or Icss 100.70 2 i+, d,.11 Sr-+►� , +++ laPdli�+hI1h�!it tf s :i ;tsi fg, itnut&ai,!(tai?:1, e lif1i1 201 amps t0 400 amps - 133.56 � 2 401 amps to 600 amps 200.34 2 601 amps to 1.000 amps 301.04 2 Over 1,000 amps or volts ? 552.26 , , 2 I Temporary services or feeders installation,alteration,and/or relocation _ ',, 200 amps or less 59.36 1 1 Owner installation:l'his installation is •, , which 201 amps to 400 amps 125 Oa 2 intended , . according- ' •' 449. ' 1 701. 401 amps l0 599 amps _ 168.54 2 Owner signature; _ Date:_ Branch circuits-new,alteration,or erteusiion,ster panel � "p :s I rt ), v „T �g [ 11 1T i1+ 4a ,y/• t,7,,i1,� A.Pee for branch. circuits with aa :�sr. �,. ,nieri esi,il,liAb 1r11ir,X,.•„1111 i ait',' aelaieritrtnln nlrtte...i,rcnl2tiUf� T above service Or feeder fee, 7.42 2 Business each branch circuit -- - 'i ' 13.Fee for branch circuits tviriout Contact name:Sean Dyer service or feeder fee,first 56.18 2 branch circuit 5035 SE Each addl branch circuit _ 7.42 2 Miscellaneous(service or feeder not included) City/Statc/ZIP:Portland,OR., I Each manufactured or modular 67.84 2 dwellin' service and/or feeder I 3)239-4600 'x::(503)239-70 • Reconnect only • 67.84 2 ,t • Pump or irrigation circle 67.84 2 �q 4r iMl ER j i 7 0�..t0 �.1lg E S, l rl , ,Rd Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy See Business name:American Heating Inc. . ,el,alteration,or extension. Pa• 2 2 Address:Scan Dyer Each additional inspection over allowable in an of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Portland,OR.,97202 — investigation(1 hr min) 66.25/hr Phone;(503)239-4600 I Pax:(503)239-7038 industrial plant(1 hr mud) 78.18/hr — - Inspections for which no fee is 4000/hr CCB Lie.: 33135 Electri Li.,-: .-.993CRE Lie.: 2640LEB s' ificall listed 'Abrmin ��III r' , �l iie'�d�T..o.:: 011 tZ.,i."•\�.'Anl�'i y�l���dfdl ;i t. •�r....M1,. ,ice:'�f� Suprv.Electrician signature,tequir•� r _ Subtotal: `25-.Cx+ I Date: 4/8/14 Plan review(25%of permit fee): • Print name: T Steve Young 111 State surcharge(12%of perrnit fee): .00 Authorized signature ���.�- _ TOTAL PERMIT FEE: v y.GC) This permit application expires if a permit is not obtained within 180 Print name: Scan Dyer Date: 4/8/14 days after it has been accepted as complete. _ • Number of inspection allowed per permit. I\Boil 1Pemts\at.C_P 440-4615T(11/o31COM/WEa � a,aitApp pLR_L•ab.doe Rev 05/2112013 APR. 8. 2014 1 : 09PM 5032397038 NO. 6235 P. 1 American Heating, Inc. FAX (503) 239-7038 FAX TRANSMITTAL TO: Othhod fl d,+ar►cA FROM: COMPANY: Avlic.c&-,^ 14e.01-1,- C _ DATE: tileIi t PROJECT' 3 I, I/ 70''4r'rfKCr^1"'` TIME: /2!si Pan _ FAX: gesA. AN NUMBER OF PAGES: 3 (INCLUDING COVER) MESSAGE Lcc.s c t, •'1 )4144 fi�-� ..►� / 1�;! /d i r 1,)4 .461 t ...�'' PLEASE CALL US IMMEDIATELY IF ANY PAGES ARE MISSING OR ILLEGIBLE. THANK YOU! 5035 SE 24Th Avenue, Portland, Oregon 97202.4765 503/239.4600 FAX 503/239-7038 1-800-454-HEAT OREGON 0CB#33135 ; WASHINGTON-AMEAII'212JC/AMERIHI123R0