Permit i
+ � i, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
•
` "� ° . COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00295
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/23/2007
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: ASCENTIUM
Project Description: Installation of low voltage for data. C70293
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 CAPITOL DATA & COMMUNICATIONS
ONE SW COLUMBIA ST #300 11401 NE MARX ST.
PORTLAND, OR 97258 PORTLAND, OR 97220
Phone: Contact #: PRI 503 255 - 9488
FAX 503- 257 -7121
FEES Reg #: ELE 26- 1054CLE
LIC 142457
Description Date Amount SUP 2834LEA
[ELPRMT] ELR Permit 7/23/2007 $75.00
[TAX] 8% State Surcha 7/23/2007 $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 I.ws. —AIL work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuar or if work isis suspen• -. or more than 180 days. ATTENTION: Oregon law r ' es you to follow rules adopted by the Oregon
Uti ' y Notification Center. '' •se rules are set forth in OAR 952 - 001 -0010 through AR 952 - 001 -0100. You ma obtain copies of these
r es or direc questions • OU / 50 .246.6699 • , 1.800.332.2344.
I.sued By: $ 6 / / �� ' Permittee Sig ,ture: _ __` I
OWNER INSTALLATION ONLY
L
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.
FOR OFFICE USE ONLY .
Elc t Leal Permit Application Date /By: ? /1 , d 7 Permit no.. 2/yJ ?_ � 1 S
City of Tigard I r Plan Review Other Permit:
(/ �"
13125 SW HALL BLVD., TIGARD, OR 97223 -.' �l ► - Date /By:
Phone: (503) 639 -4171 Fax (503) 598 -1960 CIT F TIGARD Date Ready /By: Juri ❑ See Page 2 for
Inspection Line: 503 -639 -4175 Notified /Method: �(� Supplemental Information
Internet: www.ci.tigard.or.us
TYPE OF WORK PLAN REVIEW
— Li New construction Li Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑ Other: ❑ Service over 225 amps, comm'l ❑ Hazardous location
_ CATEGORY OF CONSTRUCTION CI Service over 320 amps - rating ❑ Building over 10,000 sq.ft.
❑ I- and 2- family dwelling H Commercial /industrial ❑ Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi - family ❑ Master Builder ❑ Other ❑ System over 600 volts nominal units in one structure
JOB SITE INFORMATION AND LOCATION ❑ Building over three stories ❑ Feeders, 400 amps or more
Job no.: C70293 Job site address: 10260 Sw Greenberg RD ❑ Occupant load over 99 persons ❑ Manufactured structures or
❑ Egress /lighting plan RV park
City/State /ZIP: Tigard OR 97224 7/ ❑Health -care facility ❑ Other:
C Submit 2 sets of plans with any of the above.
Suite /bldg. /apt. no.: Project name: /{s u-64 t The above are not applicable to temporary construction service.
FEE SCHEDULE
Cross Street/Directions to job site: Description I Qty. I Fee. I Total I **
New residential - single or multi- family dwelling unit.
Subdivision: Lot no.:
Includes attached garage.
1000 sq. ft. or less $ 145.15 4
Tax map /parcel no.: Ea. Add'I 500 sq. ft or portion $ 33.40 I
DESCRIPTION OF WORK Limited energy residential 8 75.00 2
Network Cabling Limited energy, non - residential S 75.00 2
Each manufactured home or modular
. PROPERTY OWNER I _ ❑ TENANT dwelling, Service and /or feeder $ 90.90 2
_ Service or feeders installation, alteration, and /or relocation
`C C AIL
Name: F u l " j Pao p G ./1 E S 200 amps or less S 80.30 2
Address 201 amps to 400 amps $ 106.85 2
401 amps to 600 amps $ 160.60 2
City /State /"LIP:
601 amps to 1000 amps $ 240.60 2
Over 1000 amps or volts 5 454.65 2
Reconnect only 5 66.85 2
Phone: Fax: y
503 -295 -5555 Temporary services or feeders installation, alteration, and /or
Owner installation: This installation is being made on property that I own which is not relocation
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 200 amps or less 5 66.85 1
Owner signature: Date: 201 amps to 400 amps 5 100.30 2
401 amps to 600 amps S 133.75 2
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits - new, alteration, or extension, per panel
Business Name. A. Fee for branch circuits with
service or feeder fee, each
Contact name: branch circuit $ 6.65 2
B. Fee for branch circuits
Address: without service or feeder fee,
each branch circuit $ 46.85 2
City /State /ZIP:
Each additional branch circuit: 5 6.65 2
Miscellaneous (service or feeder not included)
Phone: Fax: Pump or irrigation circle S 53.40 2
Sign or outline lighting 5 53.40 2
E -mail: Signal circuits(s) or limited -
CONTRACTOR energy panel, alteration, or
Business Name: Capitol Data & Communications, Inc. extension. Describe: Network I Page 2 2
Contact name: / .e-C Each additional inspection over allowable in any of the above
`., J Per inspection $ 62.50
Address: 11401 NE Marx Street Investigation per hour (I hr min) $ 6250
Industrial plant per hour 5 73.75
City /State /ZIP: Portland, Oregon 97220 ELECTRICAL PERMIT FEES*
Subtotal 75.00
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Plan review (25% of permit fee)
State surcharge ( 8% of permit fee) 6.00
CCB Lic.: 14257 (Electrical Lie.: 2s I045CLE I Suprv. Lie.: 3132 -S TOTAL PERMIT FEE 81.00
This permit application expires if a permit is not obtained within I
Suprv. Electrician signature, required: a7
days after it has been accepted as complete
Print Name: Ray Younger D e: 07/23 7 * Fee methodology set by Tri -County Building Industry Service Board
* *Number of inspections per permit allowed.
Authorized signature:
Print Name: Ray Younger L-1724-74-4-----
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00295
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2007
Phone: (503) 639 -4171 1 011h "11(hI
Inspection Requests (24 Hrs.): (503) 639 -4175 'd_..
INSPECTION WORKSHEET FOR DATE: 8/8/2007 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 10260 SW GREENBURO RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: Installation of low voltage for data. C70293
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL DATA & COMMUNICATIONS PHONE #: 503.255.9483
Inspection Request Scheduled For: Date: 818/2007 Pour Time:
Code # Inspection Description Con Ira-J Contact # Message
199 Electrical final 053606-01- 971 -506 -2928 N
Correc ion /Co mments /Instructions:
•
1
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G" A V Us L Date: 11 X11 Phone #: (503) 718-
CITY OF TIGARD 0,
BUILDING DIVISION PERMIT #: ELR2007 -00295
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2007
Phone: (503) 639 -4171 Inspec tion Requests (24 Hrs.): (503) 639 -4175 itt L.
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:04AM PAGE: 66
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
CENTER/LINCOLN SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: Installation of low voltage for data. C70293
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL DATA & COMMUNICATIONS PHONE #: 503-255-9488
Inspection Request Scheduled For: Date: 8/6/2007 Pour Time:
Code # Inspection Description • ' Contact # Message
199 Electrical final 053326-01 971 - 506 -2928 Y
Corrections /Comments /Instructions:
tl I
a � '%/ 0 E a� 100 Fao m w T w E A(k G- -60
S v s 1 6(11/0, �F r ai.p.4‘)A \
PASS PARTIAL APPROVAL ❑ CANCEL „ NO ACCESS
N X FAIL /:4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 0 6 Lea Date: $ 61 Phone #: (503) 718- atiLik •
CITY OF TIGARD
BUILDING DIVISION '0 PERMIT #: ELR2007 -00295
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2007
Phone: (503) 639 -4171 typtql
Inspection Requests (24 Hrs.): (503) 639 - 4175!41 �-
INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 36
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: Installation of low voltage for data. C70293
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL DATA & COMMUNICATIONS PHONE #: 503 - 255.9488
Inspection Request Scheduled For: Date: 7/26/2007 Pour Time:
Code # Inspection Description Confirm .# Contact # Message
135 Low voltage 052801 -01 971 - 506 -2928 \ Y
Corrections /Comments /Instructions: ---�
` eimur co. N N, W If e 131
'T es o‘zsiv. , (\i OWL() rat NO ta,.
t i
1\1 o esTik4 15k
❑ PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
>e<AIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N to L T Date: )11,q611 Phone #: (503) 718- *ft,