Permit 171! CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00115
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/4/2007
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 720 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: EMC
Project Description: Low voltage for fire alarm. Job No. 270601
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: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST CAPITOL ELECTRIC CO INC
ONE SW COLUMBIA ST #300 11401 NE MARX ST
PORTLAND, OR 97258 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 255 - 9488
FAX 503 -257 -7121
FEES Reg #: ELE 26 -496C
LIC 48748
Description Date Amount SUP 3132S
[ELPRMT] ELR Permit 5/2/2007 $75.00
[TAX] 8% State Surcha 5/2/2007 $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 •uestions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �� �/ / � i�: C . P erm itt ee Si g na t ure: 14 fp
C f C�L t •
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.
lectrical Permit Application n FOR OFFICE USE ONLY / L,
City of Tigard ar Date / Plan R Receive d 5 07
P No.: • f,L� -v OZ'DD�< V�
I I 13125 SW Hall Blvd., Tigard, OR 97223 y
g eview
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: / I l n Q Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: 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 ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: 270601 Job site address: 10260 SW Greenberg Road 100F1P or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: 720 Project name: EMC T.I. ❑ 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
Tax map/parcel no.: Ea. add'! 500 sq. ft. or portion 33.40 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
�
n Limited energy, multi- family
/_ 75.00 2
i 2 i i _,A- G-/� residential (with above sq. ft.)
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
Name: Shorenstein Realty Service 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: One SW Columbia, Suite 300 Over 1,000 amps or volts 454.65 2
City /State /ZIP: Portland, OR 97258 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)412 -4800 Fax: (503)412 -4848 200 amps or less 66.85 l
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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ® CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Capitol Electric Co., Inc. B. Fee for branch circuits
Contact name: Dan Wilson without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'! branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Capitol Electric Co., Inc. Signal circuit(s) or limited -
energy panel, alteration, or
I 7500
Address: 11401 NE Marx Street n, rtbe: Page 2 . 2
Fire Alarm
City /State /ZIP: Portland, OR 97220 tonal inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 255 - 9488 Fax: (503) 255 - 1966
Investigation per hour (1 hr min) 62.50
CCB Lie.: 48748 Electrical Lie.: 26 - 496C Su ry tic.: 2865 - S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: /�� Subtotal: 75.00
Print name: Richard Martin d � Date: 4/27/07 Plan review (25% of permit fee):
- State surcharge (8% of permit fee): 6.00
Authorized signature: �_ _ TOTAL PERMIT FEE: 81.00
Print name: e�/!.j-2" / Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections lowzd p permit.
I:\Building \Permits \ELC- PennitApp.doc 05/23/06 440- 4615T( I I /05/COM/WEB �,,,/
_ AG
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELR2007 -00115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/412007
Phone: (503) 639 -4171 Zutti
Inspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: 6/5 /2007 TIME: 7:01AM PAGE: 71
SITE ADDRESS: 10260 SW GREENBURG RD 720 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: EMC
DESCRIPTION: Low voltage for fire alarm. Job No. 270601
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL. ELECTRIC CO INC PHONE #: 503 - 2569488
Inspection Request Scheduled For: Date: 6/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049586 -01 503-780-3222 Y
•
Corrections /Comments /Instructions:
V14. PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' N � Date: LI / Phone #: (503) 718 - )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E1R2007 -00115
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2007
Phone: (503) 639 -4171 11 gl111
Inspection Requests (24 Hrs.): (503) 639 -4175 s =� `__..
INSPECTION WORKSHEET FOR DATE: 5/7/2007 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 10260 SW GREENBURG RD 720 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: EMC
DESCRIPTION: Low voltage for fire alarm. Job No. 270601
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503.255 -9488
Inspection Request Scheduled For: Date: 5/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 047711 -01 503 - 255 Y
Corrections /Comments /Instructions:
•
PASS I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' ` `� J Date: t 1 Phone #: (503) 718 -1.M4�