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Permit
• ` -` ., CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00194 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/8/2008 PARCEL: 1 S135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 600 ZONING: C - P SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG PROJECT: FARMERS INSURANCE Project Description: Installing CCTV and Access Control systems. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA /TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: X TOTAL # OF SYSTEMS: Owner: Contractor: SHORENSTEIN REALTY SERVICES OREGON ELECTRIC GROUP ONE SW COLUMBIA #300 1010 SE 11TH AVE PORTLAND, OR 97258 PORTLAND, OR 97214 Phone: 503- 412 -4800 Contact #: FAX 503- 234 -1001 PM 503- 234 -9900 Reg #: ELE 26 -95C FEES LIC 203 Description Date Amount SUP 4818S [ELPRMT] ELR Permit 7/8/2008 $75.00 [TAX] 12% State Surch 7/8/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 or 1.800.332.2344. Issued By Permittee Signature: ^ 5s2.e 777/ C�/ 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. 4 JUL -07 -08 03:09PM FROM — Oregon Electric Estimating 95032313587 T -181 P.001 /003 F -687 1 If.,lectrical Permit Application r.., 1 City Of Tigard � _. Keceived 77o �� Permit No.: / r ' 1 11 25 SW Hall Blvd., Tigard, OR 9 2 ,a. ✓ Plan Re . i 1 ® Phone: 503.639.4171 Fax: 503.598.1960 Ocher Permit. p � rame<II : 11 ill ��Zx1() J une: See See Pm e 2 for 'T14,3 Ni; fl lnspcetian Lu[e: 503- 639.4175 J °j Nate Read /thy: ^ Supplemental Information w. I nterneC www.tigard- or.gov a 2008 No tified /Method: -! W T i OF OF TI(ARD/ . FLA REVIEW n �1,��Qt�� S • m ): Please check all that apply (submit 2 sets of plans w /ites checked below ['New construction ®Addi[ion/alt r of�i "� x� d 1 V �! ®� ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: ` v t7 where the available fault current Q Marinas and boatyards. CATEGORY OF CONSTRUC'T'ION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. Tess m ground. or exceed; 14,000 ❑ Commercial -use agricultural ❑ 1 and 2- family dwelling Commercial/industrial ❑ Accessory building amps for all other installation. buildings. ❑ Multi- family El Master builder ❑ Other: O Fire Pump. ❑ IT :illation of 75 TVA or I] Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load o f ❑ "A" 'Ii . "I.2" °1 - — — — loo Job no.: 66310 I Job site address: 10220 SW Greenburg Rd_ ❑ six or m or motre e t ec residential dential unit.. ❑ Recreational vehicle parks. City /State/ZIP: Tigard, OR 97223 I] Heahh•eare facilities. El Simply voltage for more that ❑ Hazardous locations. 600 volts nominal. Suitc/bldgJapt. no.: Project name: Farmers Insurance CCTV 9 Service or feeder 600 amps or more, FEE SCHEDULE Cross street/directions to job site: i)tiption I Q4'. I Fee. i Total I ° — New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lo[ no.: _1,000 sq. ft or les _ 145.15 4 Ea. add'l 500 sq_ R. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential • DESCR YON OF WORK • (with above sq. ft.) 75 -00 2 Limited energy, multi - family 75.00 2 CCTV & Access Control Installation residential (with above 4. ft.) Services or feeders installation, alteration, and/or relocation • 200 amps or less 80 -30 2 ❑ PROPERTY OWNER • 1 © TENANT 201 amps to 400 amps — . 106.85 2 Name; 40) amps to 600 amps 160 -60 2 . 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 relocation services or feeders installation, alteration, and/or City /State/ZIP: Phone: ( ) I Fax: ( ) 200 amps or less _ - 66.85 1 Owner installation; This installation is being made on prope that I own which is not 203 amps to 400 Amps 100.30 2 intended for salt, lease, rent, or exchange, according to ORS 447, .449, 670, and 701. 401 amps to 599 amps 1 33.75 2 Branch circuits — new. alteration, or extension, er panel Owner signature: . Date: A. Fcc for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits - without service or feeder tee, 46.85 2 Contact name: _ first branch circuit Address: Each add'l branch circuit 6.65 2 --- Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder _ Phone: ( ) Fax:: ( ) Reconnect only 66.85 _ 2 E - mail: Pump or irrigation circle 53.40 2 _ CONTRACTOR Sign or outline lighting 53.40 2 Ci ettp c ./^./✓c -- Signal circuit(s) or t o n,o Business name: Oregon Electric r ], energy panel, alteration, or Address: 1010 SE 11' Ave extension. Describe: 1 Page 2 75.00 2 City/State/ZIP: Portland, OR 97214 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 234-9900 Fax: (503) 234 - 1001 _ Investigation per hour (1 hr trim) 62.50 CCS Lie.: 203 7 i Electrical ]sic.: 26.95C Suprv. Lie.: • - _ - /d , / Industrial plant pet hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician sigtla[ r , [/ � � Subtotal: 75,00 Print name: Mark Wei b rider r r dr ;/ 1f ' Plan review (25% of permit fee): ♦ r _ State surcharge (12% of permit fee): 9.00 if Authorized signatu r 1 1 . _� /l�rt _ TOTAL PERMIT FEE: 84.00 r • r ' -- • ! pr/ T r ' This permit application expires if a permit is not obtakned within 1110 Print name: a[ days after it has been accepted as complete_ • Number of inspections allowed per permit. \ huilding1Pcrrnits ELC- PertmtApp.doc 05/23/00 440- 615 - 171 i arCOrITWliB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR20013-00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2008 Phone: (503) 639-4171 7a, Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: '15 SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE: PROJECT NAME: FARMERS INSURANCE' DESCRIPTION: Installing CCTV and Access Control systems. OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: OREGON ELECTRIC GROUP -W100 PHONE #: 503-234-9900 Inspection Request Scheduled For: Date: 7/11/2006 Pour Time: Code # Inspection Description \ Confirm # Contact # Message 136 Low voltage 072524-01 503-619.7960 Corrections /Comments/ Instructions: A pl PASS E PARTIAL APPROVAL El CANCEL 7 NO ACCESS 7 FAIL LII CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED 0 8 1 -X Inspector: Date: if 01 Phone #: (503) 718- all L.