Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00023
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/25/2007
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Fire alarm Low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC
ONE SW COLUMBIA #300 PO BOX 87387
PORTLAND, OR 97258 VANCOUVER, WA 98687 -7387
Phone: Contact #: PRI 360 - 737 -9725
FAX 360 - 737 -9648
Reg #: ELE 37- 428CLE
FEES LIC 67787
Description Date Amount
[TAX] 8% State Surcha 1/25/2007 $6.00
[ELPRMT] ELR Permit 1/25/2007 $75.00 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 • ay obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: i 4 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.
liFillirr_ RFCEiVEII
Electrical Permit Application A N 2 FoR.OFFIcE USE ONLY
5 2007
City of Tigard R A6 o
Permit No.: .,t ? ZOO/ .... 02)6 fQ
II • 13125 SW Hall Blvd., Tigard, ° 'r TIGARD _ ...... el
' • 1 e , Phone: 503.639.4171 Fa.v 11 g.
4 rimic DIVISION Iffiall.11 other Perrni`
TIGARD Inspection Line: 503.639.41' Date Ready/By: luris: as ace rage 2 for
Internet: www.tigard Notified/Method: Supplemental Information
V MipaRggaglatailiatiifialpfp; ' "ii," y5Ntlipati
0 New construction IS] Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wlitems checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
IffriAti",,, . ‘,,,,l- treftdditiqataiggilitarogriralitabir,,PA exceeds 10,000 amps at 150 volts or 0 Floating buildings.
14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling 0 Commercial/industrial El Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: CI Fire p 0 Installation of 75 KVA or
,
WigZ9gEt,qFr' *A VO M45gk!t 0 Emergency system.
'
...-...;-, ..t..Q8 ..,:goift,o4..?. 0 Addition of new motor load of larger separately derived system.
igTailgfee#4tNigfgilii Wr
100HP or more. occupancy.
Job no.: Job site address: 10220 SW Greenburg Road Two Lincoln)
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Portland, OR 0 Health facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg/apt. no.: 200 I Project name: Cruise Master 0 Service or feeder 600 amps or more.
RC '''tqleatatiMMIMPIAEMNEMEOf
Cross street/directions to job site: Description 1 Qty. I Fee. I Total 1
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: ' Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: limited energy, residential
75.00 2
IMSSINSIWALMOV001., 410#140AMINIXI'llftittim (with above sq' ft.)
Limited energy, multi-family
fire alarm modification for tenant improvement residential (with above sq. IL) 75.00 2
Services or feeders installation, alteration, and/or relocation
_ 200 amps or less 80.30 2
anAttriltUaillatTylifevika.faiMINIRPROMP,51 affl4UPPIOVU 201 amps to 400 amps 106.85 2
..,, A01 .`, , *ttS3/4: I4
Name: 401 amps 10 600 amps 160.60 2
601 amps 10 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, psr panel
Owner signature: Date: A. Fee for branch circuits with
;04.0tiagfilerfAAMSL,Y .1r465.-gifeitViiiIigtigkalirj above service or feeder fee,
6.65 2
each branch circuit
Business name: T&L Communications, Inc. B. Fee for branch circuits
without service or feeder fee,
Contact name: Ross Bushaw first branch circuit 46.85 2
Address: PO Box 87387 Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Vancouver, WA 98687 Each manufactured or modular
90 2
dwelling, service and/or feeder
Phone: ( 360 ) 737-9725 I Fax: : ( 360 ) 737-9648 Reconnect only 66.85 2
E-mail: office@d-communications.com Pump or irrigation circle 53.40 2
gaRPOWERnignagROM... CVANOWNE ,:7-1,11ter.,..Sta
Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: T&L Communications, Inc. energy panel, alteration, or
Address: PO Box 87387 extension. Describe: 1 Page 2 2
City/State/ZIP: Vancouver, WA 98687 Each additional inspection over allowable in any of the above
Phone: ( 360 ) 737-9725 I Fax: ( 360 ) 737 Per inspection 62.50
Investigation per hour (1 hr min)
62.50
CCB Lic.: 67787 Electrical Lic.: 37-428CLE Suprv. Lic.: 684LEA Industrial plant per hour 73.75
OffifarclititlX000.0800100.100SITiMISNA
Suprv. Electrician signature, required: g gt_..../.--------- Subtotal:
Plan review (25% of permit fee):
Print name: Larry Bushaw , te: 1/25/07
th State surcharge (8% of permit fee):
Fi/01,7
Authorized signature: TOTAL PERMIT FEE: iici .00
This permit application expires if a permit is not obtained within 180
Print name: Larry v shaw Date: 1/25/07 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I: \ BuildingTermits \ELC-PermitAppdoc 05/23/06 440-4615T(11/05/COM/WEB
- - —
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2572007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 U
INSPECTION WORKSHEET FOR DATE: 2/2112007 TIME: 7:00AIVI PAGE: 46
SITE ADDRESS: 10220 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: Fire alarm Low voltage.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360-737-9725
Inspection Request Scheduled For: Date: 2121/2007 Pour Time:
Code # Inspection Description Confi4: Contact # Message
139
Elcthca tinal 3612-01 03-780-3222
Corrections/Comments/Instructions:
A-1C Mzt■*-ii
- 1 1 ,14\L, "?-acAb,Ax Ts67 &Ro\)A
>st1
?
LkAg 2 . NO .4k.11 416
r\ \
/\)
$2 PASS fl PARTIAL APPROVAL 7 CANCEL 1 NO ACCESS
7 FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: - k,\6._ Date: 1i2+09 Phone #: (503) 718- _2441)L____