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Permit CI TY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT Alr , . i; ,,,� DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00251 A.A. '"' °--° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/16/2006 PARCEL: 1 S 135AB -00900 SITE ADDRESS: 10200 SW GREENBURG RD 450 ZONING: C - P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Pollmeier Inc. Voice /Data. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST AZIMUTH COMMUNICATIONS INC ONE SW COLUMBIA ST #300 P.O. BOX 508 PORTLAND, OR 97258 WILSONVILLE, OR 97070 Phone: Contact #: FAX 503- 639 -0115 PRI 503- 639 -0110 FEES Reg #: ELE 36 -94CLE LIC 145828 Description Date Amount SUP 2312LEA [ELPRMT] ELR Permit 10/16/200E $75.00 [TAX] 8% State Surcha 10/16/200E $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: , Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application r t� ` ' . 1 � , ,, _ FOR OFFICE USE ONLY 'City of Tigard R eceived / , Plan Review I SM Permit No ' —ice. 'lJ� . L� i . _A 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.196030 �"�Gh /h' ll" `� Date/By. Other Permit • Inspection Line: 503.639.4175 �� ! y . '' I Date Ready/By: Juns: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information t II p by iii x r �; - 4 +ai�v' mr: rt• r 1..�rs�t. �,� h,., x c i ^-� -t ;� s ti �;�5 .r� o. ,t., ��,„�, �� , .• - ..,, - ,.� u !,.. , 3 � fir-:,$ w. `"}' _ .1 i3 ��', 4 4 C r te. F '' c jc 4 " .,.�f' rip �_ ..- A °'� 0.�' „ ^,II* ' : , t a "^ ...., . `.'�`+�'. ui rL�Y r if t a, ' t�.�„ ,,,,, `#, YJ� .'s ' , - i 1 7.. 4 ', Pt.s.Aea ', 8. ;.', 4 ' �`.t;.:,. " r .w .i;.'J,,.,, ... �` LI�,, . W .''! , a ., . ❑ New construction Z” Additioti /alterAion%replacemeiit Please check all that apply: ❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'l ❑ Hazardous location .�y,,u-�xa is+ e �,. ,. u . t -, ;,.,, # A i ❑S ervice over 320 amps — ratio ❑ Buildng over 10,000 sq. ft., :� , 4 . r,�,t ;� �� . � , m�,w �, rnP g :,4 :: f;,,, �+ �„°A T , VATOB R "01 �, .: a tu,EAV t , of l- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling a Commercial/industrial ❑ Accessory building System over 600 volts nominal units in one structure ❑ Multi family ❑ Master builder ❑Other: ['Building over three stones ❑Feeders, 400 amps or more e I i w ❑ Occupant load over 99 persons Manufactured structures or �;; 4 i+ ® t I n. • ® k ,., .,! �u "_ ❑ Egress /lighting plan RV park 'Eta } ... «.a� = ; � -. ®� t/ = r .fi . xz: �t - ` ' O ... �b s nt s��.:.. e�..: ❑Health -care facility ['Other: no.: Job site address: 10200 5/.A.3 GetEEAJBuu, R_p Submit 2 sets of plans with any of the above. e. City /State /ZIP: ' ,ARO 0 g The above are not applicable to temporary construction service , y� Suite/bldg. /apt. no.: 45( 1 Project name: ' w a s ' Na::: . Description Qty. Fee. Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 $ L r �} a4 Limited energy, non- residential 1 75.00 2 l 4ar ) .�; . ,A„, t ®�; © :6:1;: �, ' " s d "' ;:i la: Each manufactured or modular U D 1 e E / 1� dwelling, service and /or feeder _ 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 • "._... ®2i;• Q4' • ';4 e (3 T " �wx r1- °a t t r t ` 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: • Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel d z• y -! $ r ' R'� gy p' rP §, ' A. Fee for branch circuits with service or feeder fee, each 6 65 2 Business name: A2Iikra4 coMtmLk.") itivrioras branch circuit Contact name: �B U `8 G B. Fee o ur service circuits without service or feeder fee, 46.85 2 Address: T S a � each branch branch it � V Each add'l branch circuit 6.65 2 City/State /ZIP: (,u( j L Q.-_ OR X767 6 Miscellaneous (service or feeder not included) Phone: (5 )3) — 13 ,. r I9 2 I Fax: : 5)3 ) 6.q _ 6 I (c Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 0 2 E -mail: Signal circuit(s) or limited- , , '+ ii i `� sc , : >,, ' ,;," Ai ket o11, ,n 15 » ii i ` ;` y , l,, energy panel, alteration, or extension. Describe: Page 2 2 Business name: Z[ vikuTIA eOnAt44u. iii t A 71 Ovj Address: a 0 _ EOx sog Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: W\ Lbik) 0lLLE 3(_ co O 7 b Investigation per hour (I hr min) 62.50 Phone: ‘53 ) & — I (0 Fax: (5a3) b 3 q _- o (i c Industrial plant per hour 73.75 CCB Lic.: 145528 Electrical Lic.:36--CNCtE Suprv. Lic.:a3 ;�' �. / Subtotal �� W Suprv. Electrician signature, required: Qh221i' ` Plan review (25% of permit fee) Print name: Re a L 2 e p 6 ate: /0)/6 l6 / State surcharge (8% of permit fee) 6 , v TOTAL PERMIT FEE / Authorized signature: This permit application expires it a permit is not obtat ed within 180 days after it has been accepted as co mplete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed. i.\ Building \Permits\ELC- PernutApp.doc 12/03 4 40-46 1 5T( 10/02/COM/WEB " CITY OF TIGARD _ BUILDING DIVISION" PERMIT #: ELR2006.00251 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/16/2006 Phone: (503) 639 -4171 11 / 1 "Pli lljt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10118/2006 TIME: 7 :06AM PAGE: 134 SITE ADDRESS: 10200 SW GREENI3URG RD 450 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: POLLMEIER, INC. DESCRIPTION: Pollmeier Inc. Voice/Data. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: AZIMUTH COMMUNICATIONS INC c J`t'./& . PHONE #: 503- 639-0110 Inspection Request Scheduled For: Date: 10/1812006 Pour Time: Code # Inspection Description C onffr -m #� Contact # . Message 135 Low voltage - 038367 -01 503-793-2906 V Corrections /Comments/ Instructions: 1 PASS El PARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G--) N 6 V Date: , ` 06 Phone #: (503) 718- - J