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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 7 ,...t..„.. COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00150 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/18/2007 PARCEL: 1 S 135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 310 ZONING: C - P SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG PROJECT: SHORENSTEIN Project Description: Low voltage for data communications. 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 COMMNET SERVICES ONE SW COLUMBIA #300 MICHAEL F KERN PORTLAND, OR 97258 7075 SW ARMITAGE CT WILSONVILLE, OR 97070 Phone: Contact #: PRI 503 - 539 - 1851 FEES Reg #: ELE 1714LEA L1C 97334 Description Date Amount [ELPRMT] ELR Permit 5/18/2007 $75.00 [TAX] 8% State Surcha 5/18/2007 $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 . - ions to OUNC at 503.246.6699 or 1.800.332.2344. i Issued B /�� � / / 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 ' FOROEFICE ONLY • : C s t Received City aki and 1 Pe No.: 13125 SW Hall Blvd., Tieard, OR 97223 ` # ' .* Date /By: . f g 0-9...- ' I 2.an ` 00150 Plan Review Phone: 503.639.4171 Fax: 503.593.1960 MAY 1 8 i��)' O ther Permit: B op �4._ W 2Sco H O Date /By: 47 Inspection Line: 503.639.4175 , 6 W Date Ready /By: Juris• El See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notitied/Method: Supplemental Information TYP trgL rfiaDIVISION PLAN REVIEW . ,j New construction ❑ Addition/alteration/replacement Please check all that apply: ill Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling 8 Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family I=1 Master builder 111 Other: ❑Building over three stories ❑ Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park ❑ Health - care facility ['Other: Job no.: Job site address: /OZZO 57 g a-,vea �C�f RD. Submit 2 sets of plans with any of the above. City/State /ZIP: 2 d,erz. f .'O D ,f, 9'7,z23 The above are not applicable to temporary construction service. f FEE* SCHEDULE Suite/bldg. /apt. no.: J ? /at Pro name: Svn„i(st.n s+.6, •{ 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: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 l Tax map/parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and /or feeder 90.90 2 Ott/ 4 t -( dl0 �/ //e/ Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 kl PROPERTY OWNER . Z TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: J4 ©4 60 T7 / /A0:0"--4,7 /es 601 amps to 1,000 amps 240.60 2 Address: / j GJ O ' /� r 300 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: / ,. 'y24/'/2s / al? 97J5' Temporary services or feeders installation, alteration, and /or relocation Phone: ($ 3) y /2 9 0 Fax: (5V3 ) V /l., 5/g eq' 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 it APPLICANT 22 CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each Business name: ea,///A4/6 . / c6? branch circuit 6.65 2 Contact name: /� /�/�/.t,Rn/ B. Fee for service circuits �` without service or feeder tee, 46.85 2 Address: 7'e 7S' 5,e, /9e�/TAI c.„7--; each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Ge/ /eSovi1L d/e '9'70X/ Miscellaneous (service or feeder not included) ( � ) J3R /p' Pump or irrigation circle 53.40 2 Phone: y � ` / Fax ( ) Sign or outline lighting 53.40 2 E -mail: /f {L . ,y6 ; /pf 4./e Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: ( Page 2 W 2 Business name: Address: /�.f ��f /� /J Each additional inspection over allowable in any of the above y�� Per inspection 62.50 City /State /ZIP: Investigation per hour (I hr min) 62.50 Phone:( ) Fax:( ) Industrial plant per hour 73.75 3 ELECTRICAL PERMIT FEES* CCB Lic.: 97A6/ Electrical L ic. : /7/11/4=51 Suprv. Lie.: Subtoial j, w Suprv. Electrician signature, required: life 4_ Plan review (25% of permit fee) Print name: �7e /96L /....."6761/ Date: 5 � State surcharge (8 %, of permit fee) f 0 0 l� TOTAL PERMIT FEE g l• oo Authorized signature: Thi perm a pplication expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board •* Number of inspections per permit allowed. i:A Buiidin__'8ermitsiELC- PermitApp. doe 12 440- 4615T( I 0 /02 /COM /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: • Fee for all residential systems combined ... $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* • n Heating, Ventilation and Air Conditioning • System* n Vacuum Systems* n Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: PI Audio and Stereo Systems n Boiler Controls n Clock Systems ® Data Telecommunication Installation n Fire Alarm Installation TI HVAC • Instrumentation n Intercom and Paging Systems • n Landscape Irrigation Control* n Medical I I Nurse Calls n Outdoor Landscape Lighting* I Protective Signaling PI Other Total number of commercial systems: • *No licenses are required. Licenses are required for all other installations i :\BuildtngiPemiits\ELC-PennitApp doe 04/03 • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00150 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,, I t .. INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 4 SITE ADDRESS: 10220 SW GREENBURG RI) 310 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: SHORENSTEIN DESCRIPTION: Low voltage for data communications. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: COMMNET SERVICES PHONE #: 503 -539 -1851 Inspection Request Scheduled For: Date: 6/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 049527 -01 503-780-3222 N Corrections /Comments /Instructions: ■ )/ XPASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G.— Oa �-G Date: •9 . 6i Phone #: (503) 718- 2 9 I •, l - - _ _ _ _ _ __ . CITY OFTIGARD BUILDING DIVISION PERMIT #: ELR2007 -00150 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/0007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Jai INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01A1V1 PAGE: 56 SITE ADDRESS: 10220 SW GREENBURG RD 310 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/ WO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: SHORENSTEIN DESCRIPTION: Low voltage for data communications. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: COMMNET SERVICES PHONE #: 503 -539 -1851 Inspection Request Scheduled For: Date: 6/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 049511 -01 503 -539 -1851 N Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ' ( Se) L Date: 6'4' « Phone #: (503) 718 -1.44k CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007.0O150 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1+2007 Phone: (503) 639 -4171 itoufrou A. Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 74 • SITE ADDRESS: 10220 SW GREENBURG RD 310 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/ WO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: SHORENSTEIN DESCRIPTION: Low voltage for data communications. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: COMMNET SERVICES PHONE #: 503- 539 -1851 Inspection Request Scheduled For: Date: 5/23/2007 Pour Time: Code # Inspection Description CoRfic -n1,# Contact # Message 135 Low voltage KT048857 - -01 503 - 533.1851 N . Corrections /Comments/ Instructions: • • X PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS I FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: e'`���' Date: 2�O 1 Phone #: (503) 718- Z( F°