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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00361 Date Issued: 07/16/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 280 Subdivision: LINCOLN ONE Lot: 0 Project: FX Global Project Description: (2) branch circuits and (1) data telecommunications Owner: FEES LINCOLN CENTER LLC Quantity Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 2 crt Branch Circuits 07/16/2010 $63.60 CALIFORNIA ST 49TH FL wo /Purchase Service or PHONE: Feeder 1 ea Signal circuit or Limited 07/16/2010 $75.00 Energy Panel Contractor: 1 ea 12% State Surcharge - 07/16/2010 $16.63 CHRISTENSON ELECTRIC INC Electrical 111 SW COLUMBIA ST, STE 480 PORTLAND, OR 97201 PHONE: 503 -419 -3300 FAX: 503 -419 -3695 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $155.23 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 Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 9 5 2 -001-0100 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.80 Issued By: �� Permittee Signature: 6/i/ C'' 7 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 an inspection that business day. 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. JUL -14 -2010 WED 03:50 PM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P, 01 Elec Permit Anplicatl, ■ ECEIVED rOU O1.I'ICE i.i r': ONI,Y Ci}� of Tigard Received -1_01! `J g i I � L 1 4 (U i � Date /13 : /, fe 44% 42111t No.' L //O 0©3 to l 13125 SW Hall Blvd, Tigard OR 9722 Plan [review 0 . Other Pemti Phone: 503.639.4171 Fax: 503.598.1960 Date /S ; u�� ,/e /,f /, r 1 (i A it 1) Inspection Line: 503,639.4175 CITY OF TIGARD Pate Ready/By: GM SI see Page 2 for Internet: www,tigurd- or. gov BUILDING DIVISION NOUGod/Method: Supplemental Information :.' ..i :.1 1 .' .'. :. . I ..' :: ',�, Alull' �'�9:,' '� � ,.T. UF.p!01�IC,. " '..' .,. � � n .. ..... .. ..,^,���: ..�. .i ... . . .n_ Sr4.1 .;: .. ' :,. y / ' ' , - :,, :, ' �I' ;,t . ''... 1� ,Iy ,� ith. n. � El New construction ) Addition /alteration/replaccment bock all that apply (submit Z seta of plans w /items checked below); D Service or feeder 400 amps or more ❑ Building over three stories. Q Demolition ❑ Other: where the available fault eunent D Marinas and boatyarda. ; ' ';. ,: •:. '.;Cab' ''::,•:.::...!!,::'.' '`: AY!,OI''CONSTRQC iON:' exceeds 10,000 amps nt 150 volts or ❑ Floating buildings, •lose to ground. or exceeds 14,000 la Commercial -use agricultural ❑ 1 - and 2- family dwelling -,,,Commercial/industrial 0 Accessory building amps for all other installations. buildings, [] Multi- :Family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 75IGVA or .. .. Emergency system, larger separately derive spy y a system, . JOB Srrr I NFORMA TION, AND; ;. LO : 0 Addition of TIM motor lond of ❑ "A" 'V, "141 ", "1 -3 ", ..,: y � ^ t 100HP or mare, occupancy. Job no. a�`��l .� Job site address: � l �� t�q/�`�,}� � (t/L' �(( 1„I Six or ,noro residential units. 0 Recreational vehicle parks. f `(" '� 0.....„...,,,,,.. ❑ Supply voltage for more than City /SttlteJ %iP: .. r,V�t i (� r � � - Q 600 volts nominal. Hazardous locations, ••" Suite/bldg./apt, no: 7■] 6 J V Project natile:..1 C/ D Service or feeder 600 amps ormore. iEE. SCH�I)ULE .. . Cross street/directions 10 job site: /, oeucri it Illh �� New residential single- or multi - family dwelling unit. ` 5 . -. L.-1 [ l - ' 10 Includes attached garage. _ Subdivision: Lot no.: 1,000 sq- ft. or less 168,54 4 Ea add'l 500 sq. ft, or portion 33.92 1 Tax map /parcel no,: ' Limited energy, residential 75,00 2 DFCSpRWTIONt Or WORt h;:. . :;a, (with above SQ. — Limited energy, multi - family 75.00 2 \Ail VinCk residential (with above sq. ft.) ` p `' � j , � Services or feeders installation, alteration, and/or relocation (.1.:'1 l , � f 1� 1 !7� I r! r�`L (,, ` �l 200 amps or less 100.70 2 71, PROPERTY OWNER ` I , 1 a TiaNANT : ' 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/Stale /ZiP: relocation Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 t Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 z intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 40 ! anwn to 599 amps 169.54 J 2 Branch circuits -- new. alteration. or extension, per panel Owner signature:, Date: A. Fee for branch circuits with " above service or feeder fee, 0 AIL CANT - . : D,;'CONFAGT PL,RS9N,; . each branch circuit 7,42 2 Business name: , / Y 1 , 'i_.;;�:��1. •a ',�- '( .12. , B. Fee for branch circuit, without �' servico or feeder fee. first I C` branch circuit V 56.18 ..7� ltd ' Contact name: Each ndd'l branch circuit i 7.42 ,i-1 L. 2 Address: Miscellaneous (service or feeder ndt included) Each City /Statc/ZIP: dwelling, servii and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle , 67,94 2 E -mail: _ Sign or outline lighting 67,84 2 p CON fRAC fOlt .:. Signal circuit(s) or limited - energy ' � � c _panel, alteration, or extension. , Page 2 f /'�� 2 Business name. . -)t7 �`� Tr1 1 1� 054 ?.S Each additional inspection over allowable in any of the abov Address: \ y (� Additional inspection (1 hr min) 66.25/ hr i , . l 1 r� i 7 �/l.i��1 l. City/State/ZIP: - ' Investigation ( 1 hr min) hr / Industrial plant I lir min 78.18/ hr hots .: /' r r t ' L 1- ''• <.- Inspections Car which no 100 is 90.00 / hr . / • - t, ' ) Y , - > ∎ -- - � specicca f r whic hr min) Elcclrical l CC:B Lice / .ic �; tv, Lie.; �: - _ j 'ELECTRICAL, PERMIT' PEES, ". Subtotal: •i GI Suprv. Electrician signature, required: ON P •y Platt review (25% of permit fee); Print name: t (t =1 1 ;�''�, /r` - Date: 1 Li JO State surcharge (12 °/a of permit fee): , , TOTAL PERMIT FEE: Authorized signature: This permit applicatiuu expires ire permit is not nb tainod it i; • 0 J' days atter it has been accepted as complete_ Print name: � I - Date: • Number or in%pacaiota allowed per permit. „ i S[ . a'\ nuilding \Pcrmi,„,:i PerritApp, 101 /I0 p 'Q{ tii5T {it /05/COMM'.B 5 � 4_ ) / 1 !. �t I I g I( 1;1 1r7 JUL -14 -2010 WED 03:51 PM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 02 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: If ESIDENTIAL WORK ONLY; . • . Fee for residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar .Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: COMMERCIAL WORK ONLY; Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls Clock Systems Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation • ❑ Intercom and Paging Systems D Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial syste s: 1 No licenses are requited. Licenses arc required for all other installations Cvuilditio .,,,oirMEIS:- NermilApp, 07m1/1n