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Permit �\► ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC2007 -00712 COMMUNITY DEVELOPMENT DATE ISSUED: 10/18/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135A6 04500 srrE ADDRESS: 10250 SW GREENBURG RD ZONING: C - P SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT : 001 JURISDICTION: TIG PROJECT: LINCOLN CENTER 4 Project Description: Replace fire alarm panel and upgrade to code. Job No. 107101 -10262 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST DYNALECTRIC • ONE SW COLUMBIA ST #300 5805 SW HOOD AVE PORTLAND, OR 97258 PORTLAND, OR 97239 Phone: 503 - 412 -4800 Contact #: PRI 503 - 226 -6771 FAX 503 - 226 -7720 FEES Description Date Amount Reg #: ELF 26 -59C [ELPRMT] ELC Permit 10/18/200' $141.80 LIC 66793 [TAX] 8% State Surcharge 10/18/200' $11.34 SUP 4653S Total $153.14 REQUIRED ITEMS AND REPORTS 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 suspende• = - han 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thos- ules are set fort' ■•A" 952- 001 -0010 through OAR 952 -001 -0100. You may obtain co.' - - • ese rules or direct questions to OUNC at - 50 . 46.6699 • r 1.800.3. 2344 Is- ued By: 1 h4 , I Permittee Sig ature: , /1.0 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: � � �.� ' �/ (rte 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. 10- 17 -07; 1 19PM; Dyna lectrlc service ;503 225 7720 # 2/ 3 Electrical Permit Application RE, EWE , FOR OFFICE USE ONLY • City of Tigard Received 13125 SW Hall Blvd Tigard, OR 97223 OCT ry Date/By: /D /7 07 Permit No.: . 7 -air /a g O C 17 2 .. , Plan Review 7 �� �� C _ i' Phone: 503.639.4171 Fax: 503.598.1960 DateBy: eay Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF I 1r Date Rd /B Internet: www.tigard-or.gov ppy � I 6 N �e^ V � ff ��yy t4), y' fa''s" /lip I 0 See pplemPage ental 2 for g �Utl�lltll� ®�1f�t7t . , tified/Method: P Su Information TYPE. WORK PLAN REVIEW .. . ❑ New construction V• Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): El Demolition ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑ Floating buildings. dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2-family g Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Othrer: ❑ Fire pump. ❑ Installation of 75 KVA or JO SITE INFORMATION AND .LOCA•TIOIN . • ❑ Emergency system. larger separately derived system. 104(0(— c ❑ Addition of new motor load of Job no.: (0 G a I Job site address: I .7e 5-f� C..1 /_ (� / :e - / �� ,°,/1 IoOHP or more occupancy. ❑ 9 ( ❑ Six or more residential units_ Recreational vehicle parks. City /State /ZIP: Po' (e+, //�� J�J �`l © 0 t CJ - ZZ ❑ Health -care facilities. ❑ Supply voltage for more than � r / ❑ Hazardous locations. 600 volts nominal. 1 f Suite/bldg./apt. no.: I Project name: L / K 8( / / f ❑ Serviceorfeeder600antpsorntore. Cross street/directions to job site: 7 FEE SCIIEDULE Description I Qty. I Fee. I Total I New residential single -or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'i 500 sq. ft. or portion 33.40 I DESCKIPTION, _ Limited energy, residential WORK'.;'.:: . ::.' _:i.,' !,;: , : (with above sq. R.) 75.00 2 A �f 'a� )( } I� ,..,j Limited energy, multi - family 75 00 /� Ci `I5 /Gr^ ■ Cl u � residential (with above sq. R.) 2 GO�� / Services or feeders installation, alteration, and /or relocation ... .. 0 :PROPERTY OWNER : :: ; , . 0 :. 80.30 .. -..:.: ...:r ' -�' 400 amps .:... :::.... amps P 106.85 2 Name: <- AID , e v2 . s +P NN L7 p.4 ../ s 401 amps to 600 amps 160.60 2 Address: ZZ T � [ n 601 amps to 1,000 amps 240.60 2 1 O S ej re .. b L j'Q RCS/, Over 1,000 amps or volts 454.65 2 City /State /ZIP: ��4 oe Z 2 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 ' I 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, 4419, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Dane: Branch circuits - new, alteration, or extension, per panel PPI I CA7VT; ;; ' r, :` .,: : ':, :; .',:, ;� ";>:::., .::::.,.,... Fee for branch circuits with - CO PER,S.ON;' ; a bove s ervice or feeder fee, ;,,. 6.65 2 Business name: d� U .. ., /,© Fee for circuit 1 C ly + L (� e- B. Fee for branch circuits without f t ontact name: CMS CA 191 • t branch service circuit or feeder fee, r i t 46.85 Y J' 2 address: �( � first brh circui 66 (Q ( ] / � J ti tZ - >t ,� .. .. Each add'l branch circuit 3 6.65 ill RS 2 :ity /State /ZIP: P f a q Miscellaneous (service or feeder not included) G � � q �39 Each manufactured or modular dwelling, service and /or feeder 90 2 'hone: (503) 2 26 _4 i j Fax:: ( 5- 0 3 ) -Z 2 4,-7137C Reconnect only 66.85 -mail: C Ub Ld 1.. (ci cc _ t n- C �{ � (7y a ,, Pump irrigation circle 53.40 ON `RACTO . _ . , .. > .. k Sign or outline lighting 53.40 2 usiness name: �M�. .1. , ` Signal circuit(s) or limited- energy panel, alteration, or / —1....S;,°2- ddress: extension. Describe: Page 2 2 ity /State /ZIP: Each additional inspection over allowable in any of the above lone: ( ) Per inspection 62.50 Fax: ( ) Investigation per hour (I hr min) 62.50 CB Lie.: Electrical Lie.: p �6 S� plant per hour 73.75 /� � signature, required: � Suprv. Lic.: 1" . Industrial ran EI ,ECTRI,GA;�;I:;AERIIITT;FEES" spry. Electrician / �' � , (V Subtotal: t / L / 1 int name: ,e1 C‘2.1k,, Dat `O �, 61 • Plan review (25% of permit fee): c 1 State surcharge (8% of permi t fee): I t I 3 4 ithorized signature' O / / 531 `L[ �� -44 Al _ /% �� > / TOTAL PERMIT FEE: int name . Date % ! D This permit application expires if a permit is not o tained within ISO A - 40,0 days after it has been accepted as complete. IdingtPermits \ELI- PcrmitApp.doc 05/23/06 " Number of inspections allowed per permit. 440- 4615T( t 1 /05 /COM/ WEB