Permit ... CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00098
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/17/2007
PARCEL: 1 S135AB -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 access control system. Job No. 6518
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: OTHER: ACCESS CON X .
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST SELECTRON INC
ONE SW COLUMBIA ST #300 7225 SW BONITARD
PORTLAND, OR 97258 TIGARD, OR 97224
Phone: Contact #: PRI 503 - 639 -9988
FAX 503- 684 -4357
FEES Reg #: ELE 26- 497CLE
LIC 64341
Description Date Amount SUP 974LEA
[ELPRMT] ELR Permit 4/17/2007 $75.00
[TAX] 8% State Surcharl 4/17/2007 $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.• " or .::9.332.2344.
Issu -d By: z . � Permittee Signature: s i _„,
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.
. . __ . ..
. . 1 . : 11 _ 1 . ;' *4-y:f :.;,.:•.-.;,..` K i: !: ; - - = :'.' - 'i: 12 ":" ;.
meal Permit '`. A,I, Faii qi ED ,,,.,....‘,„,,,,,,:-_PciiroFFICE U.SEONLM0*-'-
l 4 . Y.;: e 1 / ; 61_:.0411; iimai . 4 Atf*
City of Tigard - , ,.. ..... „„ .
* Date/By: I / pennit No.: it12440 7-Ooope
13125 SW Hall Blvd., Tigard, OR 9722,1 R li 1 6 200 4 . Plan Review
Phone: 503.639.4171 Fax: 503.598.1n "i' l'A Date/Bv Other Pennit:
:iiinti - -
Inspection Line: 503.639.4175
CITYOFTIGARD ,-.;tor,,,,....,;,, Date Ready/By. See Page 2 for
Internet: www. ci. ti gard. or. us BUILDING INVIO Notified/Method Supplemental p Information
SI
. -.: :,.. : •:,,1 : - :,.., '',.., - . ' : :,•- '`,-,'. ." :' .. ,..,.: ''-:,=`,::.),;-.--, ;.-..:- ,;-::., .:,;•; '.,,
Ei New construction gi Addition/alteration/replacement Please check all that apply:
Cl Service over 225 amps, comm'l ['Hazardous location
• I:=1 Demolition 0 Other:
0Service over 320 amps - rating 0Buildng over 10,000 sq. ft.,
'' (krE0011.:4,:.CONStairetiON',: ,:::,. :. ::.-:-- i'l:Z:,;:;: of 1- and 2-family dwellings 4 or more new residential
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building El System over 600 volts nominal units in one structure
['Building over three stories ElFeeders, 400 amps or more
0 Multi 0 Master builder 0 Other:
DOccupant load over 99 persons OManufactured structures or
; :,'.1 ' ' - • ., iTio.re61 1 El Egress/lighting plan RV park
Job no.: ( Job site address: 162 t. Sal , i
_J 0Health-care facility 0 Other:
Submit 2 sets of plans with any of the above.
,
City/State/ZIP: lt); sav The above are not applicable to temporary construction service.
1:.,- ':. tOtilX": .:
4(211e)rldg./apt. no.: -72 Project name: irne
Description Qty. Fee. 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'! 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
:f.f , .. , , s _ -, ,,:',;:-,.,-,,.•i:,;,,,,::g;.; 1 ),ESc 1 2.0,q 1 ( 16 , 1 ■ 1 „.9V,i,1.V0,1ilki - :'::.,:;::-' ' , ..ig , -: - .:-'i . :.1 44 :,vl%1 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
onsiaAl b-CCe ss c..v Sy5-6-e-) Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
'''''''''' ,1 1:1=1k0W'Nkkf" . j'N .1/ i , '" 1 :' : ' :' ':.;f4-'7* " El 4EN:A■IT '''''''''':?'''''1.4 201 amps to 400 amps 106.85 2
401 amps 10 600 amps 160.60 2
Name:
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 1 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchanee, according to ORS 447, 449, 670. and 701. 1
401 amps' to 600 airips I I 133.75
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
'1; ''''-- ""' '''.-- ''. A. Fee for branch circuits with
`-; : • ' -,'''; -,'"' !: : ' : ',..: N: ,-;- T - 4 .-,`,,. ?...-- 'e. ,., : ... ,- ' "- LP,
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: ' without service or feeder fee,
46.85 2
each branch circuit
Address:
Each addl branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E Signal circuit(s) or limited-
:1: :,.; :':':'-- ,,,;':,:..".4,.-'-.,'!.;;:1?.::::‘,:i;,':::.:,";1:•:!".-.":',.; energy panel, alteration, or
extension. Describe: 1 Page 2 --- b° 2
Business name: S 4_ rby\ )
) ' _ . . . .
&
Address: --- 7)__ d Eh ditional inspection over allowable in any of the above
_S i -- 1 . 2 )-y \ & a '--9x.0 Per ac insp 62.50
City/State/ZIP: " I
7 () IZ CF Investigation per hour (I hr min) 62.50
Phone: bo3 )t , ci9c6 Fax: (i)3 ) (4*1 —e--i 'S'--7 Industrial plant per hour 73.75
CCB Lic.: Li.4 i Electrical Lie.: 3/, ic--) r.,J Suprv. Lie.: Subtotal
...
Suprv. Electrician signature, requiredr ,,, ,,,,......::--: Plan review (25% of permit fee)
:...,..,
State surcharge (8% of permit fee) lo , ()O
Print name: C I Date: 41 1 1 c
64, k.., CY rri —
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tn-County Building Industry Service Board
** Number of inspections per permit allowed.
i: \ Building \Permits \ELC-Perm itApp.doc 12/03 440-46 15T(1 0/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00098
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2007
Phone: (503) 639 -4171 Ail4impitil
'
Inspection Requests (24 Hrs.): (503) 639 -4175 zag-
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM • PAGE: 66
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 access control system. Job No. 6518
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: SELECTRON INC PHONE #: 503 - 639.9988
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049629 -01 503-670-5216 N
Corrections/Comments/Instructions:
N
/V \
j�l PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: . • Noe LE Date: 6 v• 0 Phone #: (503) 718- 2-4440