Permit (59) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2016-00163
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2016
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1250
Project: Reinisch Wilson Weier Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm system.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/02/2016 $75.00
12%State Surcharge-Electrical 08/02/2016 $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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:‹17/7 I Permittee Signature: GIA../ /1-P,t•-
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
INI
Received (1:41„mow;AMEN. rmit no.:
City of Tigard Date/By:
221:3 '''' "' '-'41 13125 SW Hall Blvd.,Tigard,OR 9724 f-'F.,, , ,.„..... 1 . Plan Review
1 ,
Phone: 503.639.4171 Fax: 503.598.19 0 - '- Date/By: Other Permit.
e
Inspection Lin : 503.639.41 75
TIGARD Date Ready/By-/. 1 Juris: 0 See Page 2 for
Internet: www.tigard-or.gov l' JUN 3 0 2,016 • ("4 -
Notified/Met14147/‘'
lrff'L-,:i-r--4-M;Ai59y: :ffPazsft,kTyjtg.e.h,m,;tfrx:4?:--,'-:.,N'ie:H4'4-',,--i- ---'.-;.:t-,:::;`,,AN6,,‘2-40..:- 144.iiithialiFxd -r-TtAnit2:Sia:De 10,80:Ici,m,:;',.:_:,atiorttikvi'i5gtsli
LJ New construction 4 Addition/alteration/repla .-• '' t'i'l ''', " .ii-2.‘ii.)I y Please check all that apply(submit 2 sets of plans w/items checked below):
0 Demolition El Other: Li Service or feeder 400 amps or more Li Building over three stories
1.001yir,:„,-,1446104 :44 :;i'li-r,fei:i•Cp 1.61Z.::,;:!P!,k ti 614 telf,:,,„,':::ii-WA,eamigiltii;i where the available fault current CI Marinas and boatyards
1-and 2-family dwelling 4 Commercial/industrial _Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
CI Multi-family CI Master Builder El Other less to ground,or exceeds 14,000 Commercial-use agricultural
zikc.igigr!otfo,-omyv,o-i-- GIN ,nmr:-'4,:i,,411.0,A09-7 amps for all other installations. 0 buildings
0 Fire Pump 0 Installation of 75 KVA or
Job no.: 161254-45 Job site address: 10260 SW Greenburg Road Li
Emergency system larger separately derived system.
City/State/ZIP: Tigard,OR 97223
100HP or more. Li occupancy
Li Six or more residential units Li Recreational vehicle parks.
Suite/bldg./apt no.: 1250 1Project name: Reinisch Wilson T.I.
CI Health-care facilities CI Supply voltage for more than
Cross Street/Directions to job site: CI Hazardous locations 0 600 volts nominal.
CI Service or feeder 600 amps or more
Subdivision: Lot no.: II, il ,1101- i2.Z,15W*'.D......i;i4MillielO'4A*77-:-H7*;=::::.''1"':In'":
Description Qty. Fee. I Total I **
Tax map/parcel no.: New residential-single or multi-family dwelling unit.
tr;cgaiiii":4197ataijanterlii,aV--fi, Includes attached garage.
INSTALL FIRE ALARM CIRCUIT IN SUITE 1250 FOR NEW STROBE 1000 sq.ft.or less $ 168.54 4
Ea.Add'l 500 sq.ft or portion $ 33.92 1
.24j 4 ilim iv vpmccom,.;p.,ii,.y2:41110,=04,14-:-. 7,-,4filp; 111 0-i kangs"M',1,1M",-a--,N,k;;. Limited energy residential
(with above sq.ft.) $ 67.84 2
SHORENSTEIN REALTY SERVICES Limited energy,multi-family
residential(with above sq.ft.) $ 67.84 2
Address:
Service or feeders installation,alteration,and/or relocation
200 amps or less $ 100.70 2
City/State/ZIP:
201 amps to 400 amps $ 133.56 2
401 amps to 600 amps $ 200.34 2
Phone: Fax:
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
U200 amps or less 1$ 59.36, 2
1
7.1 :iticaltiliII400'fii:,: 44.itAIir71 -'„IiEiSiI 1.:'4---U 1
1:11:22.11MP: -'ainlin,'4:: 201 amps to 400 amps $ 125.08
401 amps to 599 amps $ 168.54 2
Business Name:
Branch circuits-new,alteration,or extension,per panel
A. Fee for branch circuits with
Contact name:
service or feeder fee,each
branch circuit $ 7.42 2
Address:
B. Fee for branch circuits
without service or feeder fee,
City/State/ZIP:
first branch circuit $ 56.18 2
Each additional branch circuit: $ 7.42 2
Phone: Fax:
Miscellaneous(service or feeder not included)
E-mail: Each manufactured or modular
ALidtg.„5:51Ir%,`:i2,;1451 ,4:2,108Pri"7111717911il'- itlik dwelling,service and or feeder $ 67.84 2
Business Name: CAPITOL ELECTRIC CO.,INC. Reconnect only $ 67.84 2
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-
energy panel,alterations,or
Address: 11401 NE MARX ST.
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 Fax: 503-257-7121 Per inspection $ 66.25
Investigation per hour(1 hr min) $ 66.25
CCB Lic.: 48748 !Electrical 1,i,,c,.:,, -496C ISuprv.Lic.: 3132-S Industrial plant per hour $ 78.18
supn,,Electrician signature,required: I 4,1,4/1.4,,Lk... f u_c„ milL___ ,'Ailikilli$VIA,' l'U'littitiaigailief",kiiiilEi'iliiii. oliiiitliaiiiMiinii4"
I e)
Subtotal $ 75.00
Print Name: DAR CNE Date: 06/30/16 Plan review(25%of permit fee)
tOiV f n
Authorized signature: i -; ,e.,
REtt:
State surcharge(
TOTAL PERMIT FEE 12% of permit fee) $ 9.00
$ 84.00
Print Name: DARRE MCNEEL This permit application expires if a permit is not obtained within 180