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Permit (140) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT fit1:; COMMUNITY DEVELOPMENT Permit#: ELR2018-00159 Date Issued: 10/02/2018 -C I a 1 R L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 417 Project: Cypress Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Limited energy for fire suppression system. Contractor: SUPPRESSION SYSTEMS INC Owner: LINCOLN CENTER LLC 4417 PACIFIC HWY EAST BY SHORENSTEIN PROPERTIES LLC TACOMA,WA 98424 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 253-926-3300 PHONE: FAX: 253-926-3306 FEES Description Date Amount Specifics: Restricted Energy Permit 10/02/2018 $75.00 12%State Surcharge-Electrical 10/02/2018 $9.00 Type of Use: COM 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: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy o ules or direct questions to OUNC by calling 503 2 9 .800.33 2344. Permittee Signature: � Issued By: 9 A-- 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 City Of Tigard f. „ 'n Received _ ). A,?, DateB % ��) • 1it�s / IN ■ 13125 SW Hall Blvd.,Tigard,OR 97223 1. Plan Review ��� / pa . _ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related' 0 T I G A R D Inspection Line: 503.639.4175 Ready DateBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified Method: Supplemental Information ,;. ..\�, •`...'.... ..i• z jn ,- ,-,,,,,,x4167, e- «r \`*fig .iceQ„ zk,. ,9 d/ \ O New construction /1 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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. 4` „c ATGo 111` _(I N ' exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or , 301****" I t .Tio* N 'Ir 1Dl • ❑Emergency system. larger separately derived o Addition of new motor load of system. Job#: Job site address: 10220 SW Greenburg Road 10OHP or more. ❑"A","E","1-2 "1-3 City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. Y g 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#:417 Project name:Cypress Semiconductor ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FW "1 D Description 1 Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1, sq.ft.or 168.54 4 0 ssq. Tax map/parcel#: Ea.Oadd'1 500 sle ft ororportion 33.92 1 • „. Limited energy,residential ,,,,,;,, �.. ' : , � ,,,.W. 75.00 2 New Inergen clean agent fire suppression system in server room. (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) .\ Renewable Energy 0 See Page 2 i., ❑ PROP• „ •'` �E .... • t14 TENANT .. ��... ,., �' Services or feeders installation,alteration,and/or relocation Name:Cypress Semiconductor 200 amps or less 100.70 2 Address: 10220 SW Greenburg Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97223 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 - ,: • •`��u �� *-*c"T PER ON A.Fee for branch circuits with Business name:Sam as contractor(below) above service or feeder fee, 7 42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 1 56.18 56.18 2 branch circuit City/State/ZIP: Each add'l 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:nathan@suppression.com Reconnect only 67.84 2 \.,%'.,,f©1440A+ T1R Pump or irrigation circle 67.84 2 Business name:Suppression Systems,Inc. Sign or outline lighting 67.84 2 Address:7715 NE 33'd Drive,Suite E Signal circuit(s)or limited-energy El See Page 2 2 panel,alteration,or extension. City/State/ZIP:Portland,OR 97211 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)961-5865 Fax:( ) Oft/I-U Investigation(1 hr min) 90.00/hr Email:nathan@suppression.com f 66 `� Q(� ��� Industrial plant(1 hr min) 78.18/hr �� O 1, Inspections for which no fee is 90 00/hr CCB Lie.: 132701 av\P Electrical Lic.: 37-1045C Suprv.',Jells-cm-be sp.ecificall listed('/�hr mm) Suprv.Electrician /// signature,required: V-.../ Subtotal Print name: V I, ,' C,v \_t '� Da q � ) ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: C.4-x1_,.- This permit application expires if a permit is not obtained within 180 Print name: elan- eI11eC�{ t11C .n 1.t.... V✓ -x L- Date: 9/17/18 days after it has been accepted as complete. * Number of inspections allowed per permit. C\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: 1CAt,V I V r zk »� ,� ,.; ......, kDescription I 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 I charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%2 hr min) ° , ,.,, 1 ` ".;», ..a ELECTIRICL PERMIT Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * 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 n Landscape Irrigation Control* ❑ 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 I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015