10300 SW GREENBURG ROAD STE 280 i
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10300 SW GREENBURG ROAD _.
LINC6LN 1 SUITE 280
/\ ELECTRICAL PERMIT-
CITYOF TIGARD _ RESTRICTED ENERGY _ —
DEVELOPMENT SERVICES PERMIT #: ELR2000-00108
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SSU EID.: 512/00
PAR35AB-01003
SITE ADDRESS: 10300 SW GREENBURG RU 280 ZONING: C-P
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L JURISDICTION: TIG
BLOCK: LOT:
Proiect Description: Installation of data telecommunications system,
A.RESIDENTIAL — B.COMMERCIAL _ - -----
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIUA4T:
CLOCK: MEDICAL:
GARAGE OPENER: NURSE CALLS:
HVAC:
DATAITELE COMM.
VACUUM SYSTEM FIRE ALARM, OUTDOOR LANDSC LITE:
O rHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
`TOTAL# OF SYSTEMS_ 1
Contractor:
Owner:
KNICKERBOCKER PROP, INC hXIV SPIRIT COMMUNICATIONS INC
BY NORRIS, BEGGS + SIMPSON 20393 SW AVERY CT
10300 SW GREENBURG RD STE 200 TUALATIN, OR 97062-8577
PORTLAND,OR 97223 Phone: 612-0600
Phone:
Reg #: E C 00090862
FEES — __— Required Inspections _
Type By Date Amount Receipt Low Voltage Inspection
Elect'I Final
PRMT DEB 5/12100 $60.00 0002128 ���
5PCT DEB 5/12/00 $4.80 0002128 _
Total $64.80
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cedes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is
not started within 130 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follows rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throug4AR• --001-0080. You may obtain copies of these rules or irect questions to OUNC at (503)
N13-1987. .��
Issued by l _ 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: __ DATE _
CONTRACTOR INSTALLATION Qi` LY T
�..------------- -- 1 1'12--Oy
SIGNATURE OF SUPR. ELEC'N — - - --
DATA.
L!CENSE NO: � --- --- -- --
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Electrical Permit Application Plan c�#
13125 SW HALL BLVD. Recd
TIGARD OR 97223 Date Recd 5' �d
Phone(503)639-4171, x304 Date to P.E.
Inspection (503)639-4175Date to DST
Print of Type Permit#
Fax(503) 598-1960 Incomplete or Illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development O A)<- Number of Inspections per permit allowed
Name(or name of business) NvRtr►t,.gsr iry E5dn&A,.6./_ Service included: Items Cost Sum
Address_Z O 3 5w yE�� _ i p S��,�L ;y 5(c,_ 4a. Residential•per unit
City/State/Zip foe?�.n�.'/� , oL q-7 z2 '3 1000 sq ft.or less _ $ 117.75 4
Each additional 500 sq ft or
portion thereof $ 2615 1
Commercial
Residential ❑ Limited Energy _ $ 60.00 —�
Each Manuf d Home or Modular ---
2a. Contractor installation only: Dwelling Service or Feeder _ $ 74.75 2
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data bane). Installation,alteration.or relocation
Electrical Contractor A , L r��M v I-)C* 04..,; 200 amps or less $ 64.25 _ 2
Address ' ' S1 C,— 201 amps to 400 arnpn $ 85.50 2
City 1 LA L&I,„_, _,hate 6-L- Zip_y 706 401 amps to 600 amps $ 128.50 � � 2
801 amps to 1000 amps $ 192.50 2
Phone No 5,,3 ,__ c, c, Over 1000 amps or volts $ 393.75 2
Job No. (A 1 :2 a�'y Reconnect only $ 53.50 2
Elec. Cont. Lice. No._5±2
12c w Exp.Date!E cc 4c.Temporary Services or Feeders
OR State CCB Reg. Nc. 2r` t 1�_Exp.Date /0-cr is Installation,alteration,or relocation
COT Business Tax ornVetro�d M,y 2l'YExp.Date 4�_ 200 amps or less $ 53.50 2
\-- 201 amps to 400 amps $ 8025 7
Signature of Supr. Elec'n_ ,A "` ,401 mps to 600 amps _ – $ 10700 --
Over 800 amps to 1000 volts.
License No. / 00H S L� —Exp.Date !o- c# see"b"above.
Phone No. SQ 3 7 1-1-55-7 2 4d.Branch Circuits
New.alteration or extension per panel
a)The rep for branch circuits
2b. For owner installations: with rurchasp of service or
feeder tee.
Print Owner's Name Each branch circuit $ 535 2
Address o b)The fee for branch circuits _
Gity State Zi without purchase of service
--- ----- P . or feeder fee.
Phone No. _ _ First branch circuit $ 37.50
Each add,llonal branch circuit $ 535
Thi,installation is being made on property I own which is not 4e.Miscellaneous
'ntanded fol sale, lease or rent. (Service or feeder not included)
Each pump or Irrigation circle $ 4275 _
Owner's Signature _ Each sign or outline lighting _ $ 42 75
Signal circuit(s)or a limited energy `—
* panel.alteration or extension /
I Plan Review section if rx� uired : / $ 60 00 �- ��
4 � Minor Labels(10) $ yp=,pp.
Please check appropriate Item and enter fee In section 5B. 4f.Each additionalTnspe tlbn over
4 or more residential units in one strucure the allnwable in any of the above
Scrvice and feeder 225 amps or more Per inspection $ 5000 —_
Per hour $ 5000
System over 600 volts nominal In Want $ 5900
__-_ Classified area or structure containing special iccupancy as — --
described in N.E.0 Chapter 5 5. Fees: /^ ^
5a.91ter total of above fees $ WG'•`
` Submlt 2 sets of plans with application where Any of the above apply. /Y,%Surcharge I,"x total fees) $ l CT
Not required for temporary construction services. Subtotal n
lib.cater 25%of line Bs far E-x p Ip r oR E 8.* ---`
NOTICE Plan R7 view If ris,quired(Sec. g
PERMI IS BECUAE VOID IF WQRK OR CONSTRUCTION AUTHORIZED Subtotal g -- - -
IS NOT COMMENCED W!THIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS L� Trust Account#
AT ANYTIME AFTER WORK IS COMMENCED Total,balance Due $ Ll_N • F�
Y^
da,uurrns�elcctric doe ' 7 f ��