Permit 1 • CITY OF TIGARD ELECTRICAL PERMIT
1111 ' . COMMUNITY DEVELOPMENT Permit #: ELC2011-00450
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/05/2011
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD
Project: Lincoln Tower Subdivision: LINCOLN TOWER Lot: 0
Project Description: Install outlet for alarm system.
Contractor: FRONTIER ELECTRIC OF WASHINGTON INC Owner: LINCOLN CENTER LLC
7217 NE 99TH STREET BY SHORENSTEIN PROPERTIES LLC
VANCOUVER, WA 98662 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 360- 892 -4342 PHONE:
FAX: 360- 892 -1559
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 08/05/2011 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 08/05/2011 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports (Conditions)
•
This permit is is .. - 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 cordance with ap• oved 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. AT NTION: Oregon law r •.'res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -x010 thro .h OAR 952 -00,, 0090. ou may obtain a copy of the rules or direct questions to OUNC by ca ' • 503.232.1987 or 1.800.3.2.2344.
Issue. By: k 4 , � Permittee Sign. re: ;411./ ' V
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.
AUG -05 -2011 05:10 FRONTIER ON E ;. .iii: , P.07
Electrical Permit Applic t . ai _ :_ . _._. _- _...
h C3
City of Tigard 2011 Received ^''
DateB : MriMan Penult No.: EL.G l 0 0.4 SO
11
r 13125 SW Hall Blvd., Tigard, OR 97pMG ® 5
Phone: 503.718.2439 Fax: 503.598.1960 Date/BBiew
Other Permit: �� p?Q/ //
n
TIGARD Inspection Line: 503.639.4175 � � �� jU Date Ready/By: Ariz &I See Page 2 for
- Internet: www.tigard or.gov r �+tl j�,� Notified/Method: Supplemental Information
re
0 New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other boatyards.
?�, ?; 'gx s^; i 2 . — T -:: -r < :rr x •;: >s::r: - 12.. where the available current fault ❑❑ e rinag and
a r t ,,,:;, ' exceeds 10,000 amps at 150 volts or Floating buildings.
r, '? "` "'" "" � ' .. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
0 1- and 2- family dwelling ® Commercial /industrial 0 Accessory building amps for all other installations. buildings.
0 Multi - family 0 Master builder 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA or
- ; '.,"e ate' Y r-c '? i •, itgi ft, e t .' x { rtaa_ -: , I -v - - - - ❑ Emergency system. larger separately derived system.
- ` � u ❑ Ad di tion of new motor load of ❑ "A ", "E ", "1-2", °I -3 ",
Job no.: I Job site address: 10260 SW GREENBURG RD 100HP or more. occupancy.
❑ Six 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: SHORENSTEIN TIG LINO TWR 0 Service or feeder 600 amps or more.
�'' ='r .:aa.�_. y: :E:SCHILD�E ..
Cross street/directions to job site: Description I (NY. I Fee. _j Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I 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.:
m , �, „ _ .,
Limited energy, residential
i''":W Ei- ; u'_'i ° '4 L ..-1 �� t 11'4, s ' °e ` 1) f Vi a; : v ,4T ? ` Lt (with above sq. (1) 75.00 2
~' �' 1 � ~f Limited energy, multi - family
INSTALL OUTLET FOR ALARM SYSTEM residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
, x ,y -t r O T x "..i.1 '`41.v:e111--_ z� 3 " .. ` I k � t "' 'y ` - :- '°`_''x . 201 amps to 400 snips 133.56 2
_ :�': ns._ ,� I' ":;T` �.i`k;x ^.'.Y�= ,.�'!:a��3 =fir. i��t:tt"a.:�� P _
Name: 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: ( ) Fax: ( ) 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
r'" 7 : ;MA: 'j g ; ,.k° �r s . c ' ki'- " a y above service or feeder fee
7.42 2
. �...... R�4 *.4't',;irrF,� "�t,.3: ".:.r.r' , F`.'�. -:.-" �'I" D - SR;�;
-� :'' / - •- •�*• -�= ��`°' "' each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first I 56 18 56.18 2
Contact name: branch circuit
Each add'/ branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City / State/ZIP: I dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail:
rr , ,a _ , Sign or outline lighting 67.84 2
�" ' * iRfar -• • -1 �� ? - ''` Signal circuit(s) or limited- energy
Business name: FRONTIER ELECTRIC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 7217 NE 99 STREET Additional inspection (I hr min) 66.25/ hr
City /State/ZIP: VANCOUVER, WA, 98662 Investigation (1 hr mi 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (360) 892 -4342 I Fax: (360) 892 - 1559 Inspections for which no fee is 90,00/ hr
ecifically listed (%: hr min)
CCB Lic.: 64005 I Electrical Lic.: 37 -436C I Suprv. Lie.: 3 . =t ° -'- -
p / __.: =t� �� >.�:,} �I1i•;C�$IC PERit FEES
/ Sbtotal: 56.18
Suprv. Electrician signature, required: --�_�_ / Plan review (25% of permit fee):
Print name: LARRY GIBSON ate: l : 14 State surcharge (12% of permit fee): 6.74
TOTAL PERMIT FEE: 62.92
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: LARRY GIBSON Date: 08/04/2011 • Number of inspections allowed per permit.
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