Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00084
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/14/2008
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 400 ZONING: C -
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: REGUS HQ GLOBAL
Project Description: Installing (1) low voltage data system.
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:
SHORENSTEIN REALTY SERVICES CAPITOL DATA & COMMUNICATIONS
ONE SW COLUMBIA ST #300 11401 NE MARX ST.
PORTLAND, OR 97258 PORTLAND, OR 97220
Phone: 503- 412 -4800 Contact #: PRI 503- 255 -9488
FAX 503- 257 -7121
Reg #: ELE 26- 1054CLE
FEES LIC 142457
Description Date Amount SUP 2834LEA
[ELPRMT] ELR Permit 4/14/2008 $75.00
[TAX] 12% State Surch 4/14/2008 $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 503.246.669' : 10.332.2344.
Issued By: � ✓ �, , • ermittee Signature: / j e e/
-
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.
6 4 1/11/2005 13:46 5032551966 CAPITOL ELECTRIC PAGE 01
: � r �➢ FT* OFFICE USE °NIA
Eler Permit Application 1� Received
Date /By;
_./.4w (� �' ,'too,. rL /e /L -
Ci of Ti g 7,c9 and t�'v Plan Review
Y.Ji /� Due (` rte 10rj�
_ ■ 131 25 SW Nall Blvd, Tigard, 04%9 � � ,�; � ' , DataB Other Pcrmil: y: 1 f7_ CJvG/
!;, • Phone: 503,639.4171 Fax: 503U9849G0 A. q�, Date Ready /By: ionis: Den Page for
T I.GARI) Inspection Linc: 103.639.4175 �Y CN . . 1`� pp Notified /Method: 1 5npoIemontnt tnrarmnu
. Internet: www,dgard•or.gov ..Tar ®( f - `.1.`3• `-
TYPE OF WORK Flt ` .:...‘ :') ''''' '
�l a1l1''' FLAN REVIEW
Ll Ncw construction H Addition /alteration /reptaccntei;i3nt�,�`"`' Please check all that apply:
0 Demolition ❑ Other: - ❑ Service over 225 amps, eomm'l ❑ Hazardous location
CATEGORY OF CONSTRUCTION 11 Service over 320 amps - rating ❑ Building over 10,000 sq,tt.
L 1- and 2- f:unily dwelling U Crrmmcrcial /industrial I _ Accessory building of 1- and 2- family dwellings 4 or more new residential
El Multi - Family 1.7 Master Builder Li Other ❑ System over 600 volts nominal units In one structure
JOB SITS INFORMATION AND LOCATION Li Building over three stories Cl Feeders, 400 amps or more
❑ Occupant load over 99 persona 0 Manufactured structures or
Job no,: C80162 Job site address: 10260 SW Greenburg RD n Egress/lighting plan RV park
" ❑ Healthcare facility ❑ Other:
City /State /ZIP; Tigard OR 97224 Submit 2 sets of plans with any of the above.
—
The above are not applicable to temporary construction service. _
Suite /bldg. /apt. no,; 400 Project name: HO Global PEE SCHEDULE.
Cross StreclfDiTCCtiost 10 . lob si1C; J Descrlpttnn { Qty. t Fuf- Tnlnt i
New residential - Single or multi-family dwelling unit.
Inelndes attached garage.
Subdivision; Lot no.: 1000 se, ft. or less $ 145.15 4
Tax m /parcct no Es. /AC 500 s , ft or wrtion $ 33.40 t
DESCRIPTION OF WORK Limited energy residential 5 75.00 2
Network Cnhhng Limited enemy, non - residential $ 75.00 2 —
Each manufactured home or modular
• rLL PROPERTY OWNER 1 - 1 J TENANT _, dwelling, Service and /or feeder 5 90.90 � 2
Service or feeders installation, alteration, and /or relocation
Name: 200 amps or less 5 00.20 2
201 amps to 400 amps S 100.85 2
Address' 401 ant s to 600 nm•s 0 150.60 2
601 amps to 1000 amps $ 240.50 2
City /Stale /21P: Over 1000 amps or volts $ 454.05 2
Reconnect only $ 60.05 2
Phone: Fax;
103 - 295 - 55$8 Temporary Services or feeder: Installalion, alteration, and /or
owner Installation_ This installation is being made on property That I own whielt is not relocation
intended for sale, lease, rent or exchange, according in ORS 447, 449, 670, and 701 200 amps or less $ 66,85 1 I
Owner si gnature; ['Met 201 Amps to 400 amps 3 100.1(1 2 ;
401 amps to 600 amps $ 1 21.75 2 -
II APPLICANT IIIIIIMMIMIIIIIL . CONTACT PERSON _ Branch circuits - new, alteratlon 2.r cxtens1onper noel
A. Per for branch circuits with
Business Name:
service or fbedcr fee, each
-- branch circuit 5 6.65 _ 2
Contact name: B. Fee far branch circuits
without service or feeder foe.
Address: each branch circuit $ 46.85 2
Each a dditional branch c ircuit: $ G.G5 2 -
City/State/ZIP: Miscellaneous (service or feeder not include _
Pump or irrigation circie $ 53,40 2
Phone; ( 'a x Sign or outline l ighting 0 5 1.40 - 2
(0•mail' Signal circuits(s) or limited -
CONTRACTOR energy panel, alteration. or
— extension. Describe: I Page 2 2
Business Name: Capitol Data S Communications, Inc.
Each additional i0 pection over allowable in Filly of the above
(.',,,tact name; Ray Younger l'er ins•eetion �S 62.50
— Tnvcsti Minn cr hour 1 hr min !=['✓slits
Address; 11401 NE Marx Street
Industrial plant per hour 5 76.75
ELECTRICAL PERMIT FEES*
City /State /7.IP; Portland, Oregon 97220 Subtotal 75.00
—
Plan rcvic>125% of permit fcc)
Phone; 503 - 255 -9468 Fax: 503 - 257. 7121 State surcharge ( 12 n of permit fed 9.00
CCB Lie.: 14257 Electrical Lie,; 26.104 _LE — Su.rv, Lie.: 2834 LEA TOTAL PERMIT FEE 84.00
.G"' Till, permil AppllcntlAn exptrak 1r n permit I and nItialned wtlhin MR
Suprv. Etecirieinn signature, required: OIS,Z . . A _.-AltR2A‘c_ pen, ntrar if and seen nrenpn,el AN complete
Print Name: Re Youn•e allW ate; 04T11/06 06 't Fcemclhndntogy County Rill Wing In dustry Service tIeurd
— / ••Number of inOpectiane per permit nllowod.
Authorized signahlrc: / ...SN l„_'
Print Name: Ray Youn • or �i
CITY OF TIGARD
' BUILDING DIVISION .„ PERMIT #: ELR2008 -00084 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008
Phone: (503) 639 -4171 4 m0i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5 5/6 /2000 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 10260 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: REGUS HO GLOBAL
DESCRIPTION: Installing (1) low voltage data system.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: CAPITOL DATA & COMMUNICATIONS PHONE #: 503 - 255 -9488
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.1 35 Low voltage 069408 -01 971 -505 -3386 \ Y
Corrections /Comments /Instructions:
l
PAS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G.— . 1V (S2, L Date: 6111% Phone #: (503) 718- 2-100,