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Permit o CITY OF TIGARD ELECTRICAL PERMIT IL 11 ' COMMUNITY DEVELOPMENT Permit #: ELC2010 00419 T [ GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/13/2010 Parcel: 1S135AB01002 • Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD Subdivision: LINCOLN THREE Lot: 0 Project: Lincoln Center Project Description: Electrical for core fire alarm upgrades, (6) branch circuits and (1) limited energy panel for fire alarm. Owner: FEES LINCOLN CENTER LLC Quantity Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 CALIFORNIA ST 49TH FL 6 crt Branch Circuits 08/13/2010 $93.28 wo /Purchase Service or PHONE: Feeder 1 ea Signal circuit or Limited 08/13/2010 $75.00 Energy Panel Contractor: 1 ea 12% State Surcharge - 08/13/2010 $20.19 COCHRAN INC Electrical 626 SE MAIN ST PORTLAND, OR 97214 PHONE: 503 - 234 -6564 FAX: 503 - 238 -2098 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $188.47 Required Items and Reports (Conditions) This permit is ' . - - • • - t to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i. accordance with =.proved •tans. This permit will expire if work is not started within 180 days of issuance, or if work uspended for more the 180 days. • ENTION: Oregon la - quires you to follow the rules adopted by the Oregon Utility Notification Center. • -e rules are set forth in OAR 952-01 -0010 through OAR 952 -0• 0100. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66' % r 4 ; - 1.3 2.2344. dir r / Iss ed By: � t ' 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' 41111111111We' �! ( _, e t_.9 Date: e 5.w LICENSE NO. Cali 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. Electrical Permit Application - , - ; s . R -, '� City of Tigard Receive ,' : b l ogo C Permit No.: t g ° 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: y g 2010 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 AU G 1 J Date/By: Other Permit: 1' I G A R 1) Inspection Line: 503.639.4175 , , Date Ready /By: tuns: Ed See Page 2 for Internet: www.tigard- or.gov ; \f '_'' • .... _ Notified /Method: Supplemental Information TYPE OF W©Ok. ' . , - PLAN REVIEW ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w!items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground. or exceeds 14.000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling • Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system ❑ Addition of new motor load of ❑ "A "E" "l - 2" „ 1 - � '� 7 I00HP or more. occupancy. no.: I'7 2 I ' Df� Job site address: 2_-v 3U �, ,� 0 pancy. ❑ V ❑ Six or more residential units. Recreational vehicle parks. City /State /ZIP: .-} 1 lG( 0 � q 722-3 — ❑ Health -care facilities. ❑ Supply voltage for more than / ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Ltrc 3 .„, � ❑ Service or feeder 600 amps or more. � FEE SCHEDULE Cross street /directions to job site: oeseripuion I * I QIN. I Fee. I Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. It. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. 0.) 75.00 2 ^ Limited energy, multi- family / }� � t i / � I residential (with above sq. 11.) 75.00 2 1 1 Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ❑ PROPERTY' OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2 Nate: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 'CONTACT PERSON above service or feeder fee, 7 40 2 each branch circuit Business name: r S c � - ' d---` ' B. Fee for branch circuits without { � v`t service or feeder fee, first Contact name: ,k) ' - _ branch circuit 56.18 I� 2 6 Each add'I branch circuit 7.4237. (0 2 Address: 4Ce4l,trj ael tYrfra_C&C Miscellaneous (service or feeder not included) • City /State /ZiP: Each manufactured or modular 67.84 2 dwelling, service and /or feeder Phone: ( ) I Fax:: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: .C- t� O t uuh � @ - kamGaC • E) NA Sign or outline lighting 67.84 2 CONTRACTOR t Signal circuit(s) or limited- energy r A , Business name: ,--\ (-a panel, alteration, or extension. I Page 2 2 Each additional inspection over allowable in any of the above Address: - 50 SW (ee h Ce_n r *2.20 Additional inspection (1 hr min) 66.25/ hr `-= (,� 0 Investigation (1 hr min) 66.25/ hr City /State /ZiP: (6 ( i 1 R. ` ` R 72 2- Industrial plant (1 hr min) 78.18/ hr Phone: 503 2_344 ( Fax: (3 ) 2 3a - 2.0913- inspections for which no fee is 90.00 / hr specifically listed ('/ hr min) • CCB Lic.: 72_ clL/a Electrical Lic.:3t7 Suprv. Lic.: 31-4475 ELECTRICAL PERMIT FEES - ..k..-- Suprv. Electrician signature, required: \(,.....1 \c.,_ - /6P5(. 2'3/ Plan review (25% of permit Subtota fee): Print name: K r \(- Date: State surcharge (12% of pennit fee): t? D / / TOTAL PERMIT FEE: Authorized signature: Lf 7 This permit application expires if a permit is not obtained within 180 Print Wattle: days after it has been accepted as complete. Date: * Number of inspections allowed per permit. 1:' Building , PcrntitsEL_C- Pei tnitApp.doc 07'01'10 440- 4515T(I1'05,COM'WEB