Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00013
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 1/9/2007
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 330 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: COMMNET Data /telecommunication 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: 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 ST #300 MICHAEL F KERN
PORTLAND, OR 97258 7075 SW ARMITAGE CT
WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 -539 -1851
FEES Reg #: ELE 1714LEA
LIC 97334
Description Date Amount
[ELPRMT] ELR Permit 1/9/2007 $75.00
[TAX] 8% State Surcha 1/9/2007 $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 questions to OUNC at 503.246.6699 or 1.800.332.2344. JJ�✓
Issued By: 4...1,424 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.
P
Elect?ical Permit A l t IV ,. ,,
'EOR,OFFICE USE ON '
City of Tigard Received P ermit No.:
b Date /By; � 7 0-7 b,3 0 7 ,/00 /3
i 13125 SW Hall Blvd., Tigard. OR 97223 I Plan Review
jj ���� Oth Permit:
Phone: 503.639.4171 Fax 503.598 196 p� Date /By
�*
Inspection Line: 503.639.4175 CITY OF TIGAR c .iii Date Ready /By: Ji��s: H See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIV►NION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
'] New construction ❑ Addition/alteration/replacement Please check all that apply:
Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft..
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling k Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other:
['Occupant load over 99 persons ❑Manufactured structures or
JOB. SITE INFORMATION AND LOCATION ❑E /lighting plan RV park
Job no.: Job site address: f e,260 , tE 46 Qp ❑Health -care ofp ay ❑ above:
J ! /
!!t /`- Submit 2 sets of plans with any of the above.
City/State /ZIP: fideZZAt 6k• rf'7t1-3 The above are not applicable to temporary construction service.
Suite/bidg. /apt. no.: Bo Project name: FEE* SCHEDULE
Description Qty. Fee. I 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'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: % . 2
Limited energy, non - residential A{� 75.00
DESCRIPTION OF WORK Each manufactured or modular IIAA��
. / dwelling, service and/or feeder 90.90 2
T /�� Lai 1 j/OL 77P :Oe G O/J1j)1l/il//��id^' a//i/i/t�1. Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ] TENANT
201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: co A/�XAN 601 amps to 1,000 amps 240.60 2
' Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: 67 5 - ,Q� j' branch circuit
d / /' B. Fee for branch circuits
Contact name: A/ - Aaa, without service or feeder fee. 46.85 2
7075---,57,./ fl ) ' e ch a branch branch it
Address: 6 / & Each add'I branch circuit 6.65 2
City /State /ZIP:4/ /Grt /j/ /[Ze 7 7070 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: 4�3 ), f /fa Fax: : ( ) Signor outline lighting 53.40 2
E- mail: , ? /baC[ - ic e--6 , -,-6/ A , //, 4--7-- Signal circuit(s) or limited -
'CONTRACTOR energy panel, alteration, or
extension. Describe: II Page 2 2
Business name:
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (I hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: r!'734xV Electrical Lie.: / 7,y Lad Suprv. Lie.: Subtotal 75
Suprv. Electrician signature, required: �'J/Jj 1/� Plan review (25% of permit fee)
j/ 7� �,k1-4------
State surcharge (8% of pennit fee)
Print name: - Date: * / / (,�/ A / � 07
�t /W TOTAL PERMIT FEE $/
AL orized signature t e.4........... _ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
rint tame: /1 /�e i (/ C Date: * Fee methodology set by Tri- County Building Industry Service Board
/ � ** Number of inspections per permit allowed.
i:'i3uildin_,l'crniits ELC- I'enniiApp.doc 1 440 - 1615x110 /021COMVWEB
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:
n Audio and Stereo Systems
n Boiler Controls
Clock Systems
Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
n Nurse Calls
E Outdoor Landscape Lighting*
n Protective Signaling
Other
Total number of commercial systems: J
*No licenses are required. Licenses are required
for all other installations
i :BmlJing\ Permits lELC- Pcrmi,App doc 04 /03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F_LR2007 -00013
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2007
Phone: (503) 639 -4171 q�u�ll`j
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: //171200 TIME: 7 :00AM PAGE: 2
SITE ADDRESS: 10260 SW GREENBURG RD 330 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: COMMNET
DESCRIPTION: COMMNET Data/telecommunication Low Voltage
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: COMMNET SERVICES PHONE #: 503-539-1851
Inspection Request Scheduled For: Date: 1/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 042220 -01 503-539-1851 N
Corrections /Comments /Instructions:
•
/
A PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `V��1 Date: \ ' I f ' fl Phone #: (503) 718- 1) 00 -
10-
CITY OF TIGARD _ •• . •.1
BUILDING DIVISION
P E R M I T #: ELR2007-00013
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 .. E ISSUED: 1/9/2007
Phone: (503) 639-4171 iir ti lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/12/2007 TIME: 7:04AM PAGE: 5
SITE ADDRESS: 10260 SW GREENBURG RD 330 - CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: CONIWINET
DESCRIPTION: COMMNET Data/telecommunication Low Voltage
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: COMMNEr SERVICES PHONE #: 503-539-1851
Inspection Request Scheduled For: Date: 111212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 042105.01 503-539-1851 N
Corrections/Comments/Instructions:
,PASS Ill PARTIAL APPROVAL fl CANCEL I I NO ACCESS
I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
V ( ' 8 L-C
Inspector: Date: 1 • 1 e 0 . 9 Phone #: (503) 718- MA______