Permit (217) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT Permit#: ELR2018 00106
TEGad[ O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2018
Parcel: 1 S 135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 301
Project: Sterling Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm.
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 07/17/2018 $75.00
Type of Use: COM 12%State Surcharge-Electrical 07/17/2018 $9.00
Class of Work: ALT
Total Number of Systems: 0
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 $84.00
Other Desc: Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Ore..n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through•'R:52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � _ Permittee Signature:
9� ' 77"11
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
electrical Permit Applications 4TV ..,
.1 0 FOR OFFICE USE ONLY
City of Tigard Date/Bea 7 4 ze 4.'+r- •ermit#�( 1/�fr--�//
INeIll
13125 SW Hall Blvd.,Tigard,OR 97223 u 1 6 t?01$ Plan Review � �� p��/
Phone: 503.718.2439 Fax: 503.598.1960 ') Date/B : Related Permit•: lJ
Inspection Line: 503.639.4175 ••• I o t'n Ready Date/By: RI See Page 2 for
TIGARD LA 1 I F i IGAR .°' Notified/Method: / /4 /r �H Supplemental Information
Internet: www.tigard-or.gov r • h t" /.Q!3"; PP
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❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
rI ,; . A 'ds u4� 0CTI qi:r. up . exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
, 119 JOB ITE 1 I(*M11!III Q ! T1O ' ` j j j ..' ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: W GreenburgryRoad 100HP or more. 0"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97223 /e),, 02 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#:301 Project name: Sterling ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: I 1' IRAii =°� '
Description Qty I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
r Ea.add'l 500 sq.ft.or portion 33.92 1
t f t.a 116uhh,ti 75.00 2
�� ,4� = . � Rl"P'1IfJI�I t)F t��
s„ �1 Limited energy,residential
Install fire alarm circuit in suite 301 (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
' SPEiRTY NE .-` ' i P, lilli +, _ �z, ;,
Renewable Energy 0 See Page 2
�., I4i �3 A-t- �� w : _ Services or feeders installation,alteration,and/or relocation
Name: Shorenstein Realty Services 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
A Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit
7.42 2
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
., iu 7i *m uil hal ii�l Vi fi 1i ii ':.''''7:':::71'111111111!11!1
i it VIII�11pil ilial
,: *-, ,, (-O -; ,,, m,��y�,' ,,, Pump or irrigation circle 67.84 2
Business name: Capitol Electric Company,Inc. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ® See Page 2 75.00 2
Address: 11401 NE Marx Street panel,alteration,or extension.
City/State/ZIP:Portland,OR 97220 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)255-9488 Fax:(503)255-9488 Investigation(1 hr min) 90.00/hr
Email:shane@cepdx.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 48748 Electrical Lie.: 26-496C Suprv.Lie.: 3132-S s ectficall listed '/2 hr mm
EC`s" AL PERM1T ;i..
Suprv.Electrician signature,required: . G,,�yy$.t.,c.. s em- Subtotal: 75.00
Print name: DARRELL MCNEEL I Date: 7/12/18 0 Plan Review Required(25%of permit fee):
/ �(�[ State surcharge(12%of permit fee): 9.00 /
Authorized signature: ✓� � — TOTAL PERMIT FEE: 84.00 1/
This permit application expires if a permit is not obtained within 180
Print name: DARRELL MCNEEL Date: 7/12/18 days after it has been accepted as complete.
* Number of inspections allowed per permit.
t:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
*$000- :
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.,w 1 �
Description Qty. I Each Total *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%2 hr min)
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
• Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
I I Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
1:Building Permits\ELCPermitApp.ELR_ERE.doc Rev 06/17/2015