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Permit
ia, CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2006 -00150 --- ..� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/12/2006 PARCEL: 1 S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 540 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG Project Description: Limited energy for data. 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 CONNECT TELECOM LLC ONE SW COLUMBIA ST #300 1209 SE LARCH WAY PORTLAND, OR 97258 GRESHAM, OR 97080 Phone: Contact #: PRI 503- 491 -1144 FAX 503- 674 -0736 FEES Reg #: ELE CLE16 LIC 144533 Description Date Amount [ELPRMT] ELR Permit 6/12/2006 $75.00 [TAX] 8% State Surcha 6/12/2006 $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 ' q es 'ons t UNC at 503 - 246 -6699. 1 J Issue By: 'a ? / Permittee Signature: A D F2,K 1N444 t.c.t.ti^-' 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. Electrical Permit Application FoR O USE ONLY - a of Received City Ol Tigard Date /B . C� ®� �Y Permit No.: &./ = j � J/ - . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Date /By Other Permit T,I G A K D Inspection Line: 503.639.4175 Date Ready/By: is: El See Page 2 for Internet: www.tigard- or.gov Notified/Method: S o Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction El Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition Other: ,EAN% 00 E,L where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling rg Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", . Job no.: Job site address: 100HP or more. occupancy. 0 �o SUJ - i� `+'a ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: — re . ("ctizo d o R c r- 7 2 3 ❑ Hazardo ocatio s ❑ Supply voltage for more than 600 volts nominal. Suite /bldg. /apt. no.: 2/6) Project name: bie.// Q /T1 T �49 j/ ❑ Service or feeder 600 amps or more. / FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) .�• a a Limited energy, multi - family 75.00 2 "I j.,S'" Lt L Q ,0 V e a � residential (with above sq. ft.) • 0/) Services or feeders installation, alteration, and /or relocation • 200 amps or less 80.30 2 . 0 PROPERTY OWNER [TENANT 201 amps to 400 amps 106.85 2 Name: S t �,. f 'w. . re �� 401 amps to 600 amps 160.60 2 0 601 amps to 1,000 amps 240.60 2 Address: 02 b d 6 I Op a 6 , A 540 Over 1,000 amps or volts 454.65 2 • City /State /ZIP: ! _ Temporary services or feeders installation, alteration, and /or 1 1 �''T -� ( nL2, 1 relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 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 599 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel • A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 • Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only • 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR . Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: CO ij"4 4 F - t Ece Pre . l.-i., energy panel, alteration, or • Address: r- -r.C►1 LA.) extr as describe: Page 2 2 12 c'�G s 1t. ►- f T)9. City /State /ZIP: Gr ..t tj (41V1 1 © q- &o Each additional inspection over allowable in any of the above Per inspection 62.50 Phone.g03 ) L, ht - i j ei Fax: 603) l#_ 0`73 C Investigation per hour (1 hr min) 62.50 CCB Lie.: f 4 y 533 j El ctrical Lie.: �� Suprv LIC.: L � EA Industrial plant per hour 73.75 n /. � t ELECTRICAL PERMIT FEES Suprv. Electrician sign e l d: -� Subtotal: Print name:''] Plan review (25% of permit fee): wJ v r M P-...' 6#4 ft-IL-v(0_ State surcharge (8% of permit fee): Authorized signature: W N TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 . Print name: ) „� 12 -O ( ( , R i� AM-OS. t ,, j Date., days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Penn itsEELC- PermiApp.doc 05/23/06 440-46 1 5 T( 1 1 /05/COM/WEB 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: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ • Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system • (SEE OAR 918- 260 -260) • Check Type of Work Involved: ❑ • Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required.. Licenses are required • for all other installations 1:\ Building \Permits\ELC- PermitApp.doc 03/23/06 CITY O F TIGARD BUILDING DIVISION PERMIT #: ELR2005-00150 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2006 Phone: (503) 639 -4171 701 �l Inspection Requests (24 Hrs.): (503) 639 -4175 �_.: INSPECTION WORKSHEET FOR DATE: 6/30/2006 TIME: 7:01AM PAGE: 6E1 SITE ADDRESS: 10260 SW GREENBURG RD 540 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: SECURITY TITLE GUARANTY COMPAN DESCRIPTION: Limited energy for data OWNER: EQUITY OFFICE. PROPERTIES TRUST, PHONE #: CONTRACTOR: CONNECT TELECOM LLC PHONE #: 503. 431 -1144 Inspection Request Scheduled For: Date: 6/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Low voltage 032484 -01 503-849-1951 Y k t'. aL. Corrections /Comments /Instructions: - 1O M■1 Palo. PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I V " Date: 14_6_ Phone #: (503) 718 - 2416-