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10300 SW GREENBURG ROAD STE 120 � I R� O W O O G7 CT1 [TJ to Z cm H G H P7 LT1 G� NO O Y C1 I _ 0300 SW GREENBURG ROAD ^""' SUITE 120 CITY O F T I G s R w `^ — ELECTRICAL PERMIT- \ /Q11 ,�/) RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00024 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DAi E ISSUED: 2/28/02 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 120 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of data telecommunications. A. RESIDENT!;L _ B.COMMERCIAL __--_- AUDI(i & STEREO:: AUDIO & STERFO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: 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: — Owner: —Contractor: EOP LINCOLN, LLC MICRO ELECTRIC VOICE + DATA 10260 SW GREENBURG RD 300 S REDWOOD STE 120 SUITE 100 CANBY, OR 97013 PORTLAND, OR 9722.3 Phone: Phone: 503.266-5847 Reg#: LIC 131543 ELE 3-447CLE FEES Y Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRNIT CTR 2/28/02 $75.00 2720020000 Elect'I Final 5PCT CTR 2/28/02 $6.00 2720020000 Total $81.00 I This Permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR.Specialty Codes and all other applicable laws. 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 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 52-0 1-00>30. You may obtain copies of these rules or dirrct questions to DUNG f(503) 246-1987. � ` /`, r Issued by ` gffjl _ 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: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ __--__—_ DATE:__.._ LICENSE NO: --- — _.— --- -- ------ -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date", jt(!p/ Permit no.:f �� City of Tigard Project/appl.no.: Expiredate: v Ciry(if Tigard Addreft: 13125 SW Nall Blvd,Tigard,OR 97223 Date issued: By: Recciptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _- U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Athlitital/altrratinnhrplarcnirm U O(her: U Partial JOB Job address: Q,?4o f[✓ lild . nu._ 5uur nu.: /Zc lTax map/tax lot/account no,: Lot: I Block. Subdivision: Prolect name:•j/A cL ion and location of work on premises: - Estimated date of contpletionhnspecti(m ON'l HAUI Olt APPLICATION 1.EE SUIIFIDULJF Job no: Business name: Oe �ic, li. tk+er;ptlon Q1.). (ea.) total no.limp New reslrlential-single or multi famlly 1wr Address: 70G .T w , j J... .t 2dwellingunicInclinksanaclwdgarage. city: state: c,/( ZIP: y 7Servieehreluded. Phone: J�,) j7y Fnx:J;-7?l6 fayd E-mail: IWK)sq.A or less •1 -- - — - -- Fach additional 5(1(1 sq.It of portion thcrcot _ CCB no.: OIL13 I OILElea bus.tic.no: y J LL Limited energy,residential 2- City/metro Iia no.: Limited energy,non-residential 2- 1 Z Each manufactured home or modular dwelling " natur to sin ale can(requited) I1nu set vice and/or feeder 2 Sup elcct.name(print). t, -, + o Z I.iccnsrno Services or fenders--Installation, alteration or relocation: III till W 0[a swilkil6k�l III 2(N)amps or less -' Name(print): 201 amps w 400 amps 2 ---- — 401 amps to 600 amps 2 Mailing address: 601 amps in 1000 snips 2 cj(y; _ State: ZIP: _ Over uloo amps or volts 2 Phone: Fax: — E-mail: Reconnectonly I Owner installation:'rhe installatjon is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,.lteration,orrelocation: ORS 447,455,479,670,701. 2(x)amps or less 2 201 mops to 4(x1 nntps 2 Owner's signature: Date: 401 to 6(10 amps 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Slate: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phnru; fax: � 1', mail: _ Each additional branch circuit. tioLligiNou Mise.(Service or feeder not Included): U Service ovet 225 angns-conunercial U I Iealnh-care facility Each pump or irrigation circle — 2 O service over 320 amps-rating of I R2 U I truardous location F.ach sign or outline lighting _ _ 2 family dwellings U Building over 10,000 square feet four orSignal circuit(s)or a limited energy panel, / ❑System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more •Ik, tion:___._ U occupant load over 99 pentons U Manufacnut•d structures or RV pari; Fach additional inspection over the allowable In any of the above: U Fgncts/lightingIli ar U 0111,1 -- per inspection Submit,sets of plant with any of the above- Investigation fee The above are not oppOcable to temporary construcgon service. Other Nd all jurialictions accept credit cards,please call jurisdiction rot man Information. Notice:This permit application Permit fee.....................$ U visa U Mastercard expires if a permit is not obtained Plan review(at , %) $ credit card number:__ ______ / 1 within 180 days after it has been State surcharge(8%) ••••$ � Expires accepted as complete. TOTAL $ t Name of�oldeer as ahrram un c It c l; caseffialdet sitnature Amount 4404615(6sJaCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: -- - ----.0 /� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL.SYSTEMS) Service included: Items Cost Total I I Check Type of Work Invcived: Residential-per unit 1000 sq.fl.or less $145 15 _ 4 L Audio and Stereo Systems' Each addllioiial 500 sq,ftor portion thereof $3340 ------- I C❑ Burglar Alarm Limited Energy $75.00 , Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $9090 _ -_ Services or Feeders �] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $60.30 2 L7 Vacuum Systems' 201 amps to 400 amps $106.65 _ 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 _ 2 L Other Over 1000 amps or volts $45465 2 Reconnert only $66.65 — 2 Temporary Services or Feeders TYPE: OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.65 2 (SEE OAR 916-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems feeder fee. Each branch circuit $665 z ❑ Data Telecommunication Installation b)The lee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. I irst branch circuit $46.65 ❑ f ach additional branch circuit $6.65 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53,40 ❑ Intercom and Paging Systems Each sign or outlino lighting _^ $53.40 Signal circuit(s)or a limited energy panel,alteration or extension $75.00 -_ ❑ Landscape Irrigation Control' Minor Labels(10) _ _ $125.00 Medical Each additional Inspection over ❑ the allowable In any of the above Per Inspection $62.50 Nurse Cells_ ❑ Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signnling Enter total of above fees $ ❑ Other 9 State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review'section on $ ' No licenses are required Licenses are required for all other Installations front of appllcation _ Fees: Total Balance Due $ - Enter total of above fees $ ElTrust Account#_ 8%State Surcharge : Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i-ldsts\fomu\elc-fees doc 08/30/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST - ---- --__._-- - BUf-- - - Received ___ Date Requested_ �' " -� i AM —PM -_ BUP ' Location �' C�J -�w 2-Ce� suite �G MEC - Contact Person - ' Ph(— ) ,: SAS Y _ PLM -__-_-- Contractor -------_- ---------__ --- Ph( ) SWR BUILDING Tenant/Owner -_ . T-!� �� _ ELC Footing CLC Foundation `�'-"�— ---- Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors _- Ex;Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing - -- - `� — — -- -- --- - - Firewall p -- - - —_, Fire Sprinkler - - - --------- Fire Alarm Susp'd Ceiling -- - - - - ----- - �_ _ - - - ------ --------- Roofc 1 Other: �''[' �-� 1 (✓ L ��1 J� CT �,. �� _ --... Final PASS PART FAIL - ►�LUMBINQ Post&Beam Under Slab — - - -- -- -- -- --- -- Rough-in Water Service -- - - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS _PART FAIL. MECHANICAL Post&Beam- Rough-In Gas Line Smoke Dampers - -- Final -PA-SS FAIL FAIL - - -- -- -- Service Rough In UG/Slab wVoae Fire Alarm _-- — _ - ----^— - FinaL, ❑ Reinspection fee of$__ required before next inspection. Pay at City Hall, '3125 SW Hall Blvd, AS PART FAIL SITE ❑ Please call for reinspection RE:. Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Dat _ d�.. Imspectrir Ext — Other: Final _ DO NOT REMOVE this Inspection record from the,ddb site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---------� BUP �Date Requested 5 _AM PM —� BLD Locationl 0 _ Suite -- MEC —_ Contact Person _ Ph _ PLM Contractor} < �kl Ph G of Z- SWR _ BUILDING -- Tenant/Owner ELC Retaining Wall ELR a Footing Access: Foundation � I� FPS -_- Ftg Drain , �{, SGN Crawl Drain Inspection Notes: - Slab ------ � G'-Z .�(' - SIT _ Post&Beam - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- ------ ---- Roof Misc: - --- - --- -— --------- Final PASS PART FAIL PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer _-- Rain Drains Final -- PASS PART FAIL MECHANICAL. Post& Beam Rough In Gas Line - - _ _ ----- - - - -- ---.�_ Smoke Dampers Final - --- -- ----- ----- PASS PART FAIL CAL Service Rough In UG/Slab Low Voltage Fire awirm --------- ------ -- ------ -�r PAS PART FAIL Backfill/Grading - --- - ----- --- Sanitary Sewer Storm Drain ( J Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin ( ]Please call for reinspection RE:-,-_ _ I [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date J'' �� V a' inspector Ext Other --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 ELECTRICAL PERMIT — RESTRICTED ENERGY PERMIT #: E:LR98-0179 DATE ISSUED: 07/16/98 PARCEL: 1S135AB-01003 SITE ADDRESS. . . : 10300 SW GREENBURG RD #1 '0 SUBDIVISION. . . . :RED LOBSTER / CASA LUPTTA -ZONING:C:—P BLOCK.. . . . . . . . . . . LOT„ . . . JUR I SD I C:T'N: TI G Pro J ect De ser i pt i.on: Installation of data telecoamunications system. Job No. 509-6250. A. RESIDENTIAL--------- B. COMMERCIAL----------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . . LANDSCAPE/IRRIGAT. . : 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: ---------------------------------------------------------- FEES ---------------- TRAMMEI_.l_ CROW COMPANY type amount by date recpt 10260 SW GREENBURG RD PRMT $ 40. 00 DEB 07/16/98 98-307397 TIGARD OR 97223 5PCT $ 2. 00 DEB 07/16/98 98-307397 Phone #: 245-9400 Contractors ._-------------------------_-------.-._------.--------.------•---------------- CHRISTENSON ELECTRIC INC $ 42. 00 TOTAL. 111 SW COLUMBIA STE 480 ------- REQUIRED INSPECTIONS --- -- - PORTLAND OR 97201 Ceiling Cover Low Voltage Insp Phone #s 241-4812 Wall Cover Elect' l Final Reg #. . : 000458 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All Mork 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 than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utilit fication Center. Those rules are set forth in OAR 952-801-0010 through OAR 952-901-0080. You may obtain copies of these rules r direc uestions to 0tK at (593)246-1987. lsraued y N42 _ _ Permittee Signature _ ---------- INSTALLATION ONLY-----------------------------. _ -the installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATUHL% _ DATE: ---------------------------CONTRA 'TOR INSTAI_L.AT TON SIGNATURE OF SUPR. ELEC' N: _. DATE: LICENSE NO: ++++++++++•+++++++++++++++++++++++++++++++++++++++++++++++•++++++++++++t++++++++++ Call 639-4175 by 7:00 R. M. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++-+++++++++++++++++++•+++++++++++++++++++ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW 9 Tigard, R 722v�ECEIVED PERMIT# Phone(503)639- � 1 19�E� DATE ISSUED �� /�'-9? FAX(503)684-7 TDD No. (503) 72 CITY OF TIGARD Inspection (503ffiV�'tIF601VEl0PMEN1 ISSUED BY A. .a NORTHWEST NEXUS JOB:509-6250PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 10300 SW GREENBRUG RD SUITE 120 Address RESIDENTIAL—Restricted Ener Fee . . . . . . . . . 140.00PORTLAND 97223 (FOR At I.SYSTEMS) City State Zip .Check Type of Work Involved: PERMITS ARE NON-TRANSffRABLE AND NON-REFUNDARi.E AND EXPIRE IF WORK El Audio and Stereo Systems IS Nc)I STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 1fM1 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System' ContractorCHRISTENSON __ _ type_ ELECTRICAL ❑ Vacuum Systems' ❑ Other Address 111 S.W. CQLUMBIA _MTj-46k--F0lTjjW OR. _ Date 7/15/98 COMMERCIAL—Fee for each system . . . . . . . 540.00 ---`--—`—�- -- -- —^J (SEE OAR 91 11.2(,11-260) Property Owner _ Check Type of Work Involved: Contractor's Board Reg. No. 00458 _ ❑ Audis and Stereo Systems ❑ Boiler Controls Phonv # 503 241-4812 ❑ Clock Systems 3. OWNER APPLICATION 0 Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical this Permit is Issued under OAR 918-320-370.This applicant agrees to make only ❑ Nurse Calls restrided energy Installations MY)volt amps;or less)tinder this Permit and to do the ❑ 7utdoor Landscape Lighting following: 1. Only use electrical licensed parsons to do installations where mqutred.!(ertain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(').All others need licensing) 2, call for an inspection when all of the installations under this permit are ready for inspection at S03.039.417,. ❑ Number of Systems T Purchase separate permits for all installations that are not ready for inspection when the inspector is out In inspect under this permit. •No Ilcenses are required. Licenses are required for all other Installations. 4 Assume responsibility for assuring that all corrections required by the inspector Are done,and 5. Assume rv%ponslbllity,for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must he the applicant or a person a. Enter Fees $ 40. authorized to hind the applicant. 2 b. 5% Surcharge(.05 x total above) $_ Signature TOTAL $ 42. Authority if other than applicant ENERGAP.CHP