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10220 SW GRFFNBLJRG RD
TWO LINCOLN
ELECTRICAL -
CITY OF TIGARD RE TRIC EDPEN ENERGY
DEVELOPMENTDEVELOPMENT SERVICES � PERMIT#: EI_R2000-00264`
13125 'W Ball Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/6/00
SITE ADDRESS: 10220 SW GREENBURG RD PARCEL: 'IS135AB-01004
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of telco equipment in telco closets on each floor. Located in building -TWO LINCOLN.
A.RESIDENTIAL —__ B.COMMERCIAL _
AUDIO & STEREO: AUDIO& STEREO: _ INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV DA`/ WIRELESS SYSTEMS
BY NORRIS, BEGGS + SIMPSON 234 NW 14TH
10300 SW GREENBURG RD STE 200 PORTLAND, OR 97209
PORTLAND, OR 97223
i'hone: Phone: 503-228-9292
Reg #: ELE 3-356CLE
LIC 64950
FEES Required Inspections
Type By Date _ Amount Receipt Low Voltage Inspection `
PRMT CTR 11/6/00 $75.00 2720000000 Elect'I Final
5PCT CTR 11/6/00 $6.00 2720000000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard IJlunicipal Ccxie. State of OR. Specialty Codes
and all other applicable laws All work will be done in accordance with approved pians This permit will expire if work is
not started within 180 days of issuance, or if work is Suspended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952_-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-198 �� i/l J
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Issued ( L' 1 �' Permittee Signature r'���
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO: — — — DATE:---
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Ilr %, flu YK1 11tl: 1t3 t'AA IVJ alfa 1Nnu t,t .1 ut' IItaAKU 4y vu'&
Electrical Permit Application
-- -..._ fAtlerecrJvrd: //-/j PO Pertnitma: >:e�&rte-[a0
City of Tigard Project/appl.no.; 13xpiredate:
tYryn/7TRrtnf Address: 13125 SW Hall Blvd, '1'iparr, l)R 97223 Date Notice: � - - :f_'i� Receipt no.:
Phone, (503) 639-4171
Par: on 598-1960 Case rite no.: Payment type:
Land use approval: /9
U I Rt 2 family dwelling car nccenmmy H ComnV riaUindustrla) U hlulti-fun))y U'remtrit improvement
U New conafmclion LJ Additiot�alterntion/replacement C7 Other. _ a Partial
ioh addteas: k CO) p Id ,no.: Suite no.: 7'ax msp/tax 1 accountno.: -
Lot: _�- Block: Sulxllvislon:
Project oenoe_ L.n�� ,, s�kt( Descriplfuun and lacaticxl of work on remises: tial\ - `L QV\ -
FAtimeted date of cum letion/ins tion: +t
Job not Ngcc
Butlitt"11name: Z�er.1�__�S �S..�S~ - ----- Ils�c*tpltoo n Total oohs.
Address: tr. --_--�_T�SlVrw -rae Breai�iGmtTriw:
le3y /V, dns1%@$rwdt.Iwlodr ,Atacbrdgp►wae.
City:--.pQ_ State:62 Z1P q 1 Zpg- Ph vk*brce.d%1:
Pilvne: LFaz: zzg-ate B malit loan .n.or tee. A
CCR n(l. Blec.leas,lie.no: Fee lluual s0o:q.l1 ur pvrtltvU thetcal
)O`'1 S, - --------�- � l.hulted anergy,re/ldentlsl City/metro lic.no.: 1,Im tavfeoer�y,nun•residentlN
f % ! '--- F—WTi mnnuiG;red twine of rnodu(w dwelling
SI t� of su vizi alectrtd i ulred jt Servlce and/or feeder
Sup.elem.narrc(print): Uctrise no: '-�keaorfeedanr-motilin lon, '-
■ibe"Mea tor motailow..
man 100 or levee 2
Nan►e(l nq: S n t rt]La P 201.Alps w 400 RUV`e ` .--
C S�1 Z•"�-eC_`•+ _._-. 401 amps to 1+00 amps 2
Mawr+ address. 020 _Ss. -twi.a,pstott►cm•m�, ____. 2
City: V�. -` State ZlK tT 7?�} over]001)smpi rr volts - - 1
phone: &-jgo Fax:B rLmail: 1--
Owner installation: The inmallation in being,made on p7perly 1 owt Tenrporavyser.teasvrfoodas-
which is not intended rot Ralt+,Ieme,tent,or exchsnge according to 6191010- i" 'tI"1j°r"�O11MO^
t)RS 447,455,472, 670,70( _200.crus or leve ..__ 2
1�l l
mp
eta4Wae - 2
Owner'. a ature: i>aG:: 401 to 00 Drops __.... _ -2_..
�r web"herder-new.am-ollon,
or ealoselow per panel:
N_une: -� - - --� _ A. Fee for branch dr-its with rurebue of
Addtass: _ service ur tteder fee,uAi branch circuit 2
City.. Slate: P: --- B r"for bunch virettna�!:bv,:'nva:fwe - _ --- -
' of service of feeder fix,Ml bruin Nrcnit; 2
Plttxro: Fax: E in*& - -
F K-h ad danalrand- ch circuit..
be.(igen .of fee scot Ire• -
U SerAcv over 221 antra cctnvnerrial U HealIA•c:ue foriuly Aaehpwap or htigailan rirde - - _ 2
0 Setvlcr own 320 scope-roving of 192 U flneudrms Irxxdon Hach alp of nadino lilhtin� 2-
fnmllt dwdllr P l3 HollAing over I",nf!l eq"Wr fret fnur,x 41gnr rcuil(e)tx n limited onergy pend• W
U System over 6f10 volts norrdAal nxve rrAdenda)units in one tlrucrinp tdMradon,tN eatertaitm' 2
U BoikEng aver daes etudrn U Neders,400 amps„r more •lkecri tion: -- - —�-_. _ ._
U Occupant Med over 94 pctero,e U Manufuutid ntruonres rx AY pnrk gra a.r Ilea aNev►aMe In aey u Ibe +e -
C]LrjressAalydnftfrtnn U Catfrrr _-,---_- Nt inopeictlun
muttaatt -err+of rimse atilt an of OW above. tuvmd admits
---_Ilan above we not aAUa*k 19 ttleq►ec!q c oustrertioe swAce. - Other --
Hot ad iurWActi"ectept aUda tuft plem net lerledlettm far"MCI1rRar awton. Native.Tldt pennit application N-rrtlit fee.....................S � -
U Mot U Ma+terCed expires it a permit is not ohlalnra Plan review(at _ %)
citta cant"Umbar, _ -_ _—_-- Willem IRO)days after If Iraq heen Stale Rumharge(8%) .... -__-
nTcar�ii+T err as iliw—s on ctedir RW -
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440 VAS trfil C*41