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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 311 � COMMUNITY DEVELOPMENT Permit#: ELR2015-00024 Date Issued: 01/27/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 15135A600900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 740 Project: Pollmeier Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Low voltage for fire alarm. 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 01/27/2015 $75.00 12%State Surcharge-Electrical 01/27/2015 $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: 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 $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 0A?"3 2-0s 1.90. Y. may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • • Issued By: 1 �, / "�Permittee Signature: i �G 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 .DECEIVED eceive /�� 114 City of Tigard Date/By: // 15�i(-f�) Permit no.. ,�Q�f� -Ckba� 'r 13125 SW Hall Blvd.,Tigard,OR 97223 p Plan Revi w ( 1' I . Phone: 503.639.4171 Fax: 503.598.1960 JAN 2 O 2 O 1 5 Other Permit: Date/By: c,i).,� 15� GxS0 0 8 T IGARD Inspection Line: 503.639.4175 1 , Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov CI Y OFTI(,ARD Notified/Method: Supplemental Information RUILDING DIVISION TYPE OF WORK PLAN REVIEW --Li No,. construction El Addition/alteration/replaccnlcnt Please check all that apply(submit 2 sets of plans w/items checked below): ❑ Demolition ❑ Other ❑ Service or feeder 400 amps or more ❑ Building over three stories CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards Li I-and 2-family dwelling El Commercial/industrial U 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.: 1 501 01-4 5 Job site address: 10200 SW Greenberg Rd. ❑ Fire Pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately derived system. City/State/ZIP. Tigard,OR 97223 ❑ Addition of new motor load of ❑"A","E","1-2","1-3", 100HP or more. ❑ occupancy Suite/bldg./apt.no Ste 74(1 Project name. Pollmeier T.I. ❑ 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: 1 of no FEESCHEDULE Description I Qty. I Fee. I lLtal I Tax map/parcel no.: New residential-single or multi-family dwelling unit. DESCRIPTION OF WORK Includes attached garage. INSTAL(.FIRE ALARM CIRCUIT 1000 sq.ft.or less $ 168.54 4 Ea.Add'l 500 sq.ft or portion S 33.92 I U PROPERTY OWNER I U TENANT Limited energy residential Name. (with above sq.ft.) $ 67.84 2 SHORENSTEIN REALTY SERVICES Limited energy,multi-family Address residential(with above sq.ft.) $ 67.84 2 Service or feeders installation,alteration,and/or relocation City/State/ZIP: 200 amps or less $ 100.70 2 201 amps to 400 amps $ 133.56 2 Phone: Fax 401 amps to 600 amps $ 200.34 2 601 amps to 1000 amps $ 301.04 2 Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 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 5 59.36 I U APPLICANT I U CONTACT PERSON 201 amps to 400 amps $ 125.08 2 Business Name: 401 amps to 599 amps $ 168.54 2 Branch circuits-new,alteration,or extension,per panel Contact name: A. Fee for branch circuits with service or feeder fee,each Address: branch circuit $ 7.42 2 B. Fee for branch circuits City/State/ZIP: without service or feeder fee, first branch circuit S 56.18 2 Phone: Fax Each additional branch circuit: $ 7.42 2 Miscellaneous(service or feeder not included) 1-mail Each manufactured or modular CONTRACTOR dwelling,service and or feeder $ 67.84 1 Business Name: CAPITOL ELECTRIC CO.,INC. Reconnect only $ 67.84 Pump or irrigation circle $ 67.84 2 Contact name DAN WILSON 503.262.0411 DIRECT Sign or outline lighting 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 I a\ 503-257-7121 Per inspection 6v 25 Investigation per hour(1 hr min) S 60 25 CCB Lie.: 48748 (Electrical Lic.: 26-496(' Suinv Lic.: 3132-S Industrial plant per hour S 's IS Suprv.Electrician signature,required. ELECTRICAL PERMIT FEES* Subtotal $ 75.00 Print Name: DARRELL MCNEEL Date: 01/19/15 Plan review(25%of permit fee) Authorized signature � ,, QQ State surcharge( 12% of permit fee) $ 9.00 ��/1/LL(� LL_ TOTAL PERMIT FEE $ 84.00 Print Name DARRELL MCNEEL This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Number of inspections per pennit allowed. 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 10200 SW GREENBURG RD 740, TIGARD, OR, 97223 Commercial - Electrical Limited Energy 198 Low voltage ﬁnal PASS - No C of O ELR2015-00024 Jeff Grove Bond rack. Will check at ﬁnal Violation Summary: Inspector Contractor