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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I N COMMUNITY DEVELOPMENT Permit #: ELR2011 -00157 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/30/2011 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD Project: Two Lincoln Subdivision: LINCOLN CENTER /TWO LINCOLN Lot: 0 Project Description: Low voltage for fire alarm. Contractor: ADVANTAGE PROTECTION INC Owner: LINCOLN CENTER LLC 8510 - EAST MILL PLAIN BLVD BY SHORENSTEIN PROPERTIES LLC VANCOUVER, WA 98664 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 360- 695 -5072 PHONE: FAX: 360 - 696 -2901 FEES Description Date Amount Specifics: Restricted Energy Permit 06/29/2011 $75.00 12% State Surcharge - Electrical 06/29/2011 $9.00 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: N Fire Alarm: Y HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N 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 Center. Those rules are set forth in OAR 952- 001 -0010 t : ig • • ' •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 B / L_ � � L Permittee Signature: l 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. From :Andred Rice 06/29/2011 11:19 #211 P.006/013 Electrical Permit application 1 4 e 5 ) FOR OFFICE t SE ()nl.\ City of Tigard Received PermifNo.: q 13125 SW Hall Blvd., Ti _r. r' c. ...., Plan Review ' ® • Phone: 503.7182439 Fax: " '= : 960 � J O Date/B ; Other Permit " /3„. Q / „ • d/ -111 TIC .4 R D Inspection Line: 503.639.417 ' \ s \ � '� t* Date Ready /By: Tv See Page 2 for Internet: www.tigard- or.gov JJ _ .\ \ *,.) Notified/Method: Supplemental Information a•r�G ,. � ' . a . , x f . - .r -. n 4 7 . - .,�, f r 4 `. � -.S - ; ;, _w:, .. -4.., ; .. ' � .`*r. , 1� Please check all that apply (submit 2 sets of plans w/ltems checked below): ❑ N ew construction ®Addition/alterah. , 44... ement ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more 1:3 Building over three stories. where the available fault current ❑ Marinas and boatyards. s , . ^ 1 u ; c : , ` i l t d / exceeds 10.00 mp: at 150 volts or ❑ Ploating buildings mirtfiwx less to g ro und, or exc 14,000 ❑ Co -use agricultural ❑ 1- and 2- family dwelling ® Commercial/industrial 0 Accessory building amps for all other installations. building!. ❑ Multi - family ❑ Master builder , Other: ❑ Fire pump• ❑ Installation of 75 KVA or . ^ h x Q Emer sys larger separately derived system. , �,' ,' 4 ts a 1, i 1 a -. � , ? ,6 ,� f ' t g ❑ Addition of new motor load of ❑ <•A °E", ••1_2 Job no.: �� Job site address: 10220 SW Greenburg Road 10 or more. occupancy, ❑ Si x or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR, 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: I Project name: 2 Lincoln: n ❑ Service or feeder 600 amps or more. "iv<';41V i* a - x : 6116 @ fio > " i c t' Cross street/directions to job site: neaedption Qty. Fee. Total New residential single- or multi family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq It. or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33.92 I Tax map /parcel no.: Limited energy, residential u 2 -e t 'z h� T r^ T' "^. � '-. fi "'° h a . ' `. ' - 75.00 2 47 . 4 ..' ° .`..° r� : , , e�- c ' :� + •,.... r ., 3 (withabovesq. ft.} � ����- Limited energy, multi - family Fire radio installation to existing equipment residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ; , >y a -5Y''''' 6 x ' ''' ; [-, —6j r t re 201 amps to 400 amps 133.56 2 • ;' as N 401 amps to 600 amps 200.34 2 Name: Lincoln Center LLC 601 amps to 1,000 amps 301.04 2 Address: 555 California St 49 FL Over 1,000 amps or volts 552.26 2 City / State/ZIP: San Francisco, CA, 94104 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, , er panel Owner signature: Date: A. Fee for branch circuits with s w iv .-�-� above service or feeder fee, t ' 1 1- t e a e� ' r A� > a o ?4 sr s: � : t each branch circuit 7.42 2 Business name: Advantage Protection, Inc. B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Jason Keller branch circuit Each add'l branch circuit 7.42 2 Address: 8510 -C East Mill Plain Blvd Miscellaneous (service or feeder not included) City / State/ZIP: Vancouver, WA, 98664 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (360) 695 - 5072 I Fax: : (360) 696 - 2901 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail Jasonkeller t©advproinc corn _ Si or outline lighting 67.84 2 r7 ' 7 ` 1 414 WI ' igiiki llia0 Signal circuit(s) or limited- energy Business name: Advantage Protection, Inc. panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the abov Address: 8510 - East Mill Plain Blvd Additional inspection (1 hr min) 66.25/ hr City /State/ZIP: Vancouver, WA, 98664 Investigation (1 hr min) 6625/ hr Industrial plant (1 hr min) 78.18 / hr Phone: (360) 695 -5072 Fax; (360) 696 -2901 Inspections for which no fee is 90.00 / hr a .ecificall listed h hr min - CCB Lie.: 114312 Electrical Lie.: 7 -672CL E Suprv. Lie.: 3217LEA a , s tom, Subtotal: Suprv. Electrician signature, requir plan review (25% of permi fee): Print name: � as J `-) Date: 6,_ / 9 ! )' State surcharge (12% ofpermi fee}: TO TAL PERMIT FEE: Authorized signature: } pplication exp ifs permit I s not obtained within 180 e f Th[s permit a Print name: '1.04.1. e� 2 \ ` i bl •� I Date: � �i M days after it ha been acc ep r ted as complete. �"� ! Number of ins coons allow er I:\Buildiag\Permits\ELC-PermisApp .doe 07/01/10 440- 4615T(11 /05 /COM/WEB From: Andrea Rice 06/29/2011 11:19 tt211 P.007/013 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: WiliEVITWITA5.WOW fliMEMERNSIF Fee for an residential systems combined ..... $75.00 Check Type of Work Involved: El Audio and Stereo Systems* O Burglar Alarm O Garage Door Opener* D Heating, Ventilation and Air Conditioning System* D Vacuum Systems* D Other: iiscaLaM 0:0111t3. :*04:**441,: Fee for each commercial $75.00 system (SEE OAR 918 Check Type of Work Involved: fl Audio and Stereo Systems D Boiler Controls E] Clock Systems ▪ Data Telecommunication Installation LE] Fire Alarm Installation El HVAC O Instrumentation D Intercom and Paging Systems E l Landscape Irrigation Control* D Medical O Nurse Calls El Outdoor Landscape Lighting* O Protective Signaling El Other Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1:\Bui1ding\permitalc-permitApp.d owomo