Permit CITY OF TIGARD ft EVISE ECTRICAL RESTRICTED ENERGY PERMIT
II. COMMUNITY DEVELOPMENT
Permit#: ELR2014-00207
� Date Issued: 09/15/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243r .r
AAA h52 Wit), Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1170
Project: Ameriprise Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Data telecommunications system.
Contractor: ALLPHIN COMMUNICATIONS INC Owner: LINCOLN CENTER LLC
23220 SW BOSKY DELL LANE BY SHORENSTEIN PROPERTIES LLC
WEST LINN, OR 97068 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-638-9000 PHONE:
FAX: 503-638-9100
FEES
Description Date Amount
Specifics: Restricted Energy Permit 09/15/2014 $75.00
12%State Surcharge-Electrical 09/15/2014 $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 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 a rut-s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: « Permittee Signature: c
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.
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2014-00207
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2014
T t t''�K Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1170
Project: Ameriprise Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Data telecommunications system.
Contractor: ALLPHIN COMMUNICATIONS INC Owner: LINCOLN CENTER LLC
23220 SW BOSKY DELL LANE BY SHORENSTEIN PROPERTIES LLC
WEST LINN, OR 97068 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-638-9000 PHONE:
FAX: 503-638-9100
FEES
Description Date Amount
Specifics: Restricted Energy Permit 09/15/2014 $75.00
12%State Surcharge-Electrical 09/15/2014 $9.00
Type of Use:
Class of Work:
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 $84.00
Other Desc: Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days • suance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No ica •n Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by ca ng 5 .232.1987 or -'r •.2344.
Issued By: Permittee Signature: / i- /rl�j/ I
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I,
Electrical Permit Application NN't FOR OFFICE USE ONLY
Re ceived _City of Tigart(i.
t Date/B : I S L Permit#: — ,a„
ill
;. •• 13125 SW Hall Blvd.,Tigard,OR 97223 1Q, plan Review
• ' Phone: 503.718.2439 Fax: 503.598.1960 C p 1$ D
Inspection Line: 503.639.4175 $°)
. �.3.g Date/By: )aria_ 121 See Page 2 for
I I(. \I:I) Internet: www.tigard-or.gov A, ethod: WO Supplemental Information
40%1 01
TYPE OF WORK CIA At-4`IA PLAN REVIEW
❑New construction ®Addition/alteration/replael#P Please check all that apply(submit 1 sets of plans w/items checked):
{U, ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling [E)Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job 4: Job site address: 1 ❑Addition of new motor load of system.
/C):)&0 Sw G✓�°Q,✓d ui a I00HPormore. ❑ A E„ 1_2„ 1_3„
City/State/ZIP: ,O / ❑Six or more residential units. occupancy.
ty l Q ei 0 t.+ ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: II(70 Project name: ❑Hazardous locations. ❑Supply voltage for more than
//Y1P�'f?rt s-'_ ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4:
Ea.addl 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
/ l v/d I `` G 9,,,1-t. Sys-4e— (with above sq.ft.)
Limited energy,multi-family 75.00 2
75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: ite{,(,tr7�r`,/ (M ek Jtd:Cc„4la,,,j 24fe, above service or feeder fee,
7.42 2
"r each branch circuit
Contact name: (Q)./'JG A/Q�i• B.Fee for branch circuits without
lV/"" "�`� service or feeder fee,first 56.18 2
Address: `�`3 to c 0, y �� (,I branch circuit
City/State/ZIP: btAei (- teW r 4 9-70(p e Each add'I branch circuit 7.42 2
�
'J5 )G,3 8 goon Fax: �-:j ) 63 !(d Miscellaneous(service or feeder not included)
Phone:
Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: I f(411....= ./ Co*, v, .�f,-1- . ._,,..c... Sign or outline lighting 6 4 2
�" Signal circuit(s)or limited-energy ____6_2_84
tf
Address: a 3c) �-O f o f 4 P G� panel,alteration,or extension. :e.g.;ee Page 2 `-X'r 2
City/State/ZIP: {I G.Ni� �2 /t?�i Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Email: -
Inspections for which no fee is 90.00/hr
CCB Lie.: /,3 7 5-4 1 y Electrical Lie.: 3_1/04G`jSuprv.Lie.: specifically listed(Y hr mm)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: -75,-5-,
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): q. tld
Authorized 1 lure. �` C t41,:::t;lc2.. TOTAL PERMIT FEE: 4 V'l —
1 / This permit application expires if a permit is not obtained within 180
Print name: v-f y. - C,/,e1— Date:Of/f��/ days after it has been accepted as complete.
Yr ((( " Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description i Qty. 1 Each 1 Total 1
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva orless 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page I):
Fee for each commercial system: $75.00 + Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
0, Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW GREENBURG RD 1170, TIGARD, OR,
97223
Commercial - Electricial Limited Energy
198 Low voltage final
PASS - No C of O
ELR2014-00207
Jeff Grove
Violation Summary:
Inspector Contractor