Loading...
Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ,, DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: ELR2006-00078 � DATE ISSUED: 4/11/2006 PARCEL: 1 S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 600 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG Project Description: Low voltage: projector /audio A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: X OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST HANSEN TECHNOLOGY GROUP ONE SW COLUMBIA ST #300 PO BOX 83783 PORTLAND, OR 97258 PORTLAND, OR 97283 Phone: Contact #: PRI 503 -351 -1290 FEES Reg #: ELE 3090LEA LIC 154012 Description Date Amount [ELPRMT] ELR Permit 4/11/2006 $75.00 [TAX] 8% State Surcha 4/11/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You y obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: / / Y� Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit A io "FOR OFFICE ,USE 'ONLY - ' City of Tigard r, Received Permit N til tY g CU U�? Dale/BY ` { „,ah 8 f3 .IQ� -�G — O�p7 111 14 't 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C l ' Phone: 503.639.4171 Fax 50 9$ 0 6R_ Date/By: Other Permit. Ut 1 T.I,G A R D Inspection Line: 503.639.4 Dale Ready/By: 1 's 0 See Page 2for Internet: www.tigard -or. g altiliqG DV %`S' tON Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW . ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: El Demolition Other: L (� W V (� ( �a ❑Service over 225 amps, comm'l 0 Hazardous location ❑ 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 Commercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure ❑ Multi - family ❑ ❑ Buildin over three stories Feeders, 400 amps or more ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park Job no.: Job site address: `L U , ❑Health -care facility ❑mar: S W •L ' ubmit 2 sets of plans with any of the above. City /State/ZIP: - 1-- a t o z. 9 2, i 3 L,' tt c. () ,v t . _ 6, D The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: 6 O I Project name: 7 9'/ , FEE* SCHEDULE Description I Qty. I Fee. I Total •• Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. fl. 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.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular • .)4_U c c t. dwelling, service and/or feeder 90.90 2 c c Ly �tj.-- P fb (- 11..E �• E . stria Services or (� U O A -6`r 1 I feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I p` TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 1,yv i t•_>_c 5-04- F- 65.110 601 amps to 1,000 amps 240.60 2 Address: ` - z_( C7 S,,) G 6 ,,..._ . ra.A. Li e_t_Cl v, , :t ._ :„( , :t ._ :„(„ _ , ' 6 e, Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/ZIP :_ t e ��•.,`�� © 2 CI, -Z 2_21 Temporary services or feeders installation, alteration, and /or Phone: ( ' ) I Fax: ( ) relocation 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 py, APPLICANT I 'CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: t r`yL •TIC r.-e U . cr-o ,-.....,,v3 branch circuit `V • B. Fee for branch circuits Contact name: .-rus, c,___ kj g-v c_,,,..__----'--3 ..- - -- without service or feeder fee, 46.85 2 first branch circuit Address: P �� co 3 g 3 p 7 Each add'fbranch circuit 6.65 2 City /State/ZIP: F - }-tc.,,,,, 0 r2_ G -- 2 i - 3 Miscellaneous (service or feeder not included) � 1 3 - 0 1 v Fax: ( ) Pump or irrigation circle 53.40 2 Phone: ( Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR �r energy panel, alteration, or extension. Describe: / Page 2 2 \ Business name: a yt S y , x � r T e _ �� (, � Address: n � 3 -7 -8 `b Q Each additional inspection over allowable in any of the above Per inspection 62.50 I\ City /State/ZIP: ¶) O-' 9 7 28 3 Investigation per hour (1 hr min) 62.50 ,'s Phone: ( i s -- 1 ,9 3s (2_9 Fax: ( 14,41,Val Industrial plant per hour 73.75 ELECTRICAL PERMIT .FEES* `I CCB Lic.: /56/ Electrical Lic.: .3 Suprv. Lic.: (� Subtotal: '15'6,0 Suprv. Electrician signature, required: ... � ° Plan review (25% of permit fee): Print name: ( J f ' / / Date: [��� 13 b State surcharge (8% of permit fee): e ,CO / �� TOTAL PERMIT FEE Authorized signature: i - � This permit application expires if a permit is not obtained within 180 ' l l/ days after it has been accepted as complete Print name: J , ,) s L `' Date: ,--I k3.--.0 C6 • Fee methodology set by Tri- County Building Industry Service Board 1� •• Number of inspections per permit allowed. l:\ Building \Petmits\ELC- PennitApp.doc 0323/06 Y �j�/ 4404615T(l1 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 1 RESIDENTIAL WORK ONLY :. __ f 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* • ❑ 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 ❑ 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 I \ Building \Permits\ELC- PennitApp.doc 03/23/06 ., CITY OF ._ . . ��mo n n�"m TIGARD BUILDING DIVISION ~~~°.~.~°..°~° ~�"""~°.~~.~ ' PERMIT #: ELR2006-00078 / 13125SVV Hall 8lvd, Tigard, OR07223 -DATE ISSUED: 4/11/2000 Phone: (503) 639-4171 Inspection Requests �4Hn�): (503) 639-4175 ~��� e........ INSPECTION WORKSHEET FOR DATE: 4C25/2006 TIME: 7:00Ak8 PAGE: 85 SITE ADDRESS: 10260 SW GREENBURG RD 600 CLASS OF WORK: SUBDIVISION: LINCOLN CENTERIUNCOLN TOR LOT #: 014 TYPE OF USE: PROJECT NAME: MICROSOFT DESCRIPTION: Low voltage: projector/audio OWNER: EQUITY -F|CE PROPERTIES TRUST, PHONE #: CONTRACTOR: HANSENTE711N{)L0GYGROUP PHONE #: 603-351-1290 Inspection Request Scheduled For: Date: 4/25/2000 Pour Time: o e Inspection Description Confirm # Contact Message E]m�/m��nm| 028591-01 503-313-2010 Y Corrections/Comments/Instructions: 4. ~ �� �� �� �� PASS �� RART|AL�PPROVAL / / CANCEL �� N[)ACCESS | I FAIL CA INSPECTION ri ADDITIONAL FEES ASSESSED ��� �� �� Phone #: ~� Inspector: Date: 8 U �w ��k� � (6D3> 718- ��*K��� - ' - - �p � `� � ` ' , ' ' CITY �����7M�������� ��mm w ��n uu�m�mmm�� BUILDING DIVISION. ~~~~.~~°~."~~° ~~.° "~,.~°.~. ' PERMIT #: ELQ2006-08078 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 69 SITE ADDRESS: 10260SWGREEMBJR{9RD800 CLASS OF WORK: SUBDIVISION: LINCOLN CENTERIUNCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: MICROSOFT DESCRIPTION: LOW voltage: projector/audio OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: HANSEN TECHNOLOGY GROUP PHONE #: 50�.351-1290 Inspection Request Scheduled For: Date: 4/20%2006 Pour Time: Code # Inspection Description Confirm # Contact # .Message 135 Low voltage 028348'01 503-313-2010 N Corrections/Comments/Instructions: • I |FASS I | PARTIAL APPROVAL NC�EL I NO ACCESS FAIL |l CALL FOR INSPECTION ADDITIONAL FEES ASSESSED �J ���� ^ ~� /� � � k �^� � Inspector: «��—~ �� ���� �,�' Date: °�/ ���/���� Phone #: (503) 718- �~� v ~ -~ � � ` '