Permit a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2010 00137
Date Issued: 07/29/2010
GAP. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
z yF Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 300
Subdivision: LINCOLN CENTER/FIVE LINCOLN Lot: 0
Project: LPL Financial
Project Description: Data Telecommunications system.
FEES
Owner:
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Restricted Energy Permit 07/29/2010 $75.00
CALIFORNIA ST 49TH FL 12% State Surcharge - Electrical 07/29/2010 $9.00
PHONE:
Contractor:
CHRISTENSON ELECTRIC INC
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
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: Y Fire Alarm: N
HVAC: N Instrumentation: N Total $84.00
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N Required Items and Reports (Conditions)
, Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
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 O. - 52- 001 -010* ou may obtai s or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued 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 ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
CaII 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 -23 -2010 FRI 01:09 PM CHRISTENSON ELECTRIC, INC FAX NO, 95034193695 P. 01
a1i
Electrical Per
it A licatYO '" : " :) rc)1z ov, rlc'r, USE ()NIA
Received City of Tigard ' JUL 2 3 2010 ge Date ive - -7 ��
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revitsw Other permit. it i `i I() f!J()
Phone: 503.639.417 Fax: 503.598.19,6Q ",`y , ' - ,'. Date/13 ; Sec rago 2 tar
hlspcction Line: 503.639.4175 4 • i t l : `„ �: - a i : r ' : y o t c C d ho p mrntal Information
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lenso check a l l Yl t hnt s (sub �i seta of plans w /ite
• � ' � s rna checked below):
1
• [] Nc consttvion I ►. Mon/alteration/replacement ❑ Servito or feeder 400 amps or more 13 Building over three stories.
where the available fault current C1 Marinas end boatyards
Demolition 11 Other: build
agricultural
exceeds 10 000 amps at ] 50 volts o: []Flooring burl :nga,
i>t I �wQ 1�a,U1'r. O1 S�RYT(;T10N
leas to ground, or exceeds 14,000 CI Commercial-use 'a
`] 1. and 2-family dwelling 2! ,' omfnerciaUindustrial [] Accessory uilding amps for all other installations buildings
rY CI hire pump. ❑ Installation 01 75 KVA or
fl Master builder ❑ Other: larger separately derived system,
[] Multi ❑ Emergency Addition load of system - E++ "1.2" "1.3"
B E E .. ❑ Addition of now motor 13 "A' ,
O AND..�,pC.;ATIOK ,'= . . , . • occupancy.
ad1a:. ITS' 1N>oRi► p •
or or more,
Re creational vehicle parka.
Job no,: / 1' 0 6 I Job site address: Of is ,1 1 -■ r �g . ❑ Si Six or more residenlial amts. 1 volts far more th El Supp Y voltage -+-� : Hnalth -care facilities. 600 volts nominal.
City /State/ZIY: � ,�� M � s' C.)Hu�ardowtocalimts.
❑ Servico or feeder BUO amps or moo+. � .�
Suitc /bldg, /apt n0.: Project name: rQ '. ' YEE', .ITEARTLE .0 . :. •
Tree. I Total 1
� nescr lien
Cross sI.rectldirecti0ns to job site: ��, . New residential single- or tuulti -f: ily dwelling unit.
_ Includes attached garage. 4
1,000 sq ft, or less 168
Subdivision: fit n � Ea, ftdd'l 500 sq. ft. or portiof 33,92 1
- Limited energy, residential 75,00 2
"ax map/parcel n0.: —
iwith above sq f3.)
.I4SIiJP 1 C,ON ";OF., W QRK ' . • .. Limited energy, mu - family 75.00 2
• 1 residential (with above sq. fL)
��' 4 _ I, �e!i�.�J - vi or feed ers installatiou, alteration. Se ,am and /or relocation 2
200 amps or less 100,70
201 am ps to 400 amps 133.Sb 2
. !'; Q TENANT :.., 2 2
1'ROAEttTY QWNER': • .
_ 401 amps to 600 amps
Name: 601 amps to 1.000 amps
301,04 2
Over 1,000 amps or volts 552,26 2
Address: Temporary services or feeders installation, alteration, and /or
relocation -
Phone' ( )
City/State/ZIP: — 200 amps or less _ 59.36 4 L
Fax: ( ) 201 amps 10 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which i s no 401 amps to 599 amps 168.54 2
intended for sate, lease, rent, or exchange, according to OILS 447, 449, 670, and 701.
Branch circuits - new• alteration, or extension. per panel A. Per for branch circuits with
Dale:
Owner signature:, -�� above service of feeder tee, 7,42
0 APPIACPIT :I . .'p: : SON , . each branch
Fee for branch circuits without
Service or feeder fee. first 56,18 '-
Business name: branch circuit
Contact name: _ Each add'1 branch circuit
7.42
Miscellaneous service ur feeder not included)
Address: Each manufactured or modular 67.64 2
dwelling. service and/or feeder 2
CityJStatell_iP:
Phone: ( ) Reconnect only 67.84
Fax ( ) p or irrigation circle
67,84 2
67.84 1✓ -malt: Sign or outline lighting 2
• . circuit(s) uit or limited-energy
.. ' CONTRACTOR . • r
_ .
Signal c (s) •, lel, alteration, or extension. 1'n e
Business name: � � �a.
� / 1i�r ' Each addi ttooai i nspection over allowable in an of the above
_ Additional inspection (1 hr min) 66.25/ hr
Address;
ea: _ .a � invagtigatinn (1 hr min) 66.2-5/ hr IM
City /State /Z1P. a A 6, 116. , V `- .P b - industrial plant (l hr min)
78.18 / hr —
o
` \,' I _ inspections for which no fee is 90.00 / hr
Phone:
` ''.27' ''.27' ��� t--^� f o9 spceiGcully li sted ( : hr min) in ,
` ' t , Lie l S E LECTRIC At .PLtriMl'r ' 'FEEB .,
CCB Lic.; Electrical Lie. I/ 14W Subtotal:
Plan revie
• � r'
^/� review (25% f permit ice):
Suprv. tilectricinn signature, required: _ —
_ �,.r State surcharge (12r1° of pe nail fee),
L 3 j
Print name: � TOTAL PERMIT FEE: 4110 i t)
This permit application expires if u permit 1s not obtain within 180
Authorized signature: days after it has been accepted as complete,
npte; - Number nl' inspections allowed per p tennit.
Print name: .— — —~--
.14n -dn i STi1 linircomrwpn
CZc_ . if / c 1 CO'tl
JUL -23 -2010 FRI 01:10 PM CHRISTENSON ELECTRIC, INC FAX NO, 95034193695 P, 02
Electrical Permit Application - City of Tigard
• Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL:WORK'ONLY:.., ' 75.00
Fee for aal residential systems combined ••
Check Type of Work Involved:
[] Audio and Stereo Systems*
• Burglar Alarm
O Garage Door Opener*
• Heating, Ventilation and Air Conditioning System*
0 Vacuum Systems*
0 Ocher:
COMMERCIAL WORK ONLY: �75.00
Fee for cacL commercial
system
(SEE OAR 918 -309 -0000)
Check Type of Work Involved:
0 Audio and Stereo Systems
Boiler Controls
O Clock Systems
4//#
Data Telecommunication Installation
Fire Alarm Installation
O HVAC
O Instrumentation •
O Intercom and Paging Systems
[] Landscape irrigation Control*
0 Medical
0 Nurse Calls
Outdoor. Landscape Lighting*
0 Protective Signaling
0 Other
Total nitrnber of commercial systems:
*No licenses are required. Licenses are required
for all other installations
,,LmllrGnrs \I'ra mirs\ET r- Perrn'n App!loc 67J5I /I0