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Permit
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00070 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/28/2008 PARCEL: 1 S 135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 850 ZONING: C -P SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG PROJECT: MORTGAGE EXPRESS Project Description: Installing low voltage data telecommunications system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE 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 ORE -COM TELECOMMUNICATIONS ONE SW COLUMBIA ST STE #300 9828 E. BURNSIDE ST STE 100 PORTLAND, OR 97258 PORTLAND, OR 97216 Phone: 503- 412 -4800 Contact #: pRI 503- 953 -8450 FAX 503- 953 -8501 FEES Reg #: ELE 34- 691CLE LIC 152834 Description Date Amount [ELPRMT] ELR Permit 3/28/2008 $75.00 [TAX] 12% State Surch 3/28/2008 $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 foil. rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. .0 may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: / �� _" •ermittee Signature: L .. 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 FO FOR ONLY - City of Tigar R eceived ,,c /� 1 �- 7v r . - .v , Dame /By: OF V Permit No.: / - ° 13125 SW Hall Blvd., Tigard, tt Plan Review • Date/By: +ter Phone: 503.639.4171 Fax' S 1; . ' r :: 960 �a Other Permit: TIG Inspection Line: 503.639 �nP 1 Date Ready /By: kris' ® See Page 2 for Internet: www.tigard - or.gov `" 1 4 Notified/Method: Supplemental Information TYPE OF W 01 f $ 4 t 1` � PLAN REVIEW • ❑ New construction Addition /alter OW- Please check all that apply (submit 2 sets of plans w /items checked below): Q /lC�p�ace Q \� ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑Other: i� 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 El 2- family dwelling Commercial /industrial ❑A ccessory 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: rD Z6 0 J� � /v a Six or or es. occupancy. El ❑ Six or more e residential units. Recreational vehicle parks. City/State /ZIP: /` b.-71-rib Z ❑ Health -care facilities. ❑ Supply voltage for more than 1 I. 7 li" ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 0 5 o 'Project name: mo(LT - C — � P/( ,--c S ❑ Service or feeder 600 amps or more. .FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. 1 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'I 500 sq. ft. or portion 33.40 1 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 1/(,) 1 C.e i )4/1 1 01. L 1 " . residential (with above sq. ft.) 75.00 2 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: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 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 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: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l 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 Signal circuit(s) or limited- i --d( j Business name: © ..-ebrvA •- 1,'/12 M 01 0) / p ,-,- , energy panel, alteration, or Address: R' Zg r 6U1,S,Qt.. `' _., 1 /GO extension. Describe: Page 2 2 City/State /ZIP: R - j - j 5 L q 7 ' I C Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (40 3) Cf SZ gS Fax: (.3 ) 5c3 — g 0 ) Investigation per hour (1 hr min) 62.50 CCB Lie.: 1 5 2b 3 t-) Electrical Lie.: 3 LI 0 0 1 f CLK Suprv. Lie.: 3c1 co LEg Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: - , Subtotal: �5` Print name: /_ _ / D ate: ? - 2 5 Plan review (25 °/a of permit fee): (�_ l State surcharge (12% of permit fee): 0° i Authorized signature: TOTAL PERMIT FEE: S /ai te This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. i'\Building\Permits\ELC- PermitApp doe 05/23/06 440- 46t5T(11 /05 /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: EIR2008-00070 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2008 Phone: (503) 639-4171 t Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 10260 SW GREENBURG RD 850 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: MORTGAGE EXPRESS DESCRIPTION: Installing low voltage data telecommunications system. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 412. 4800 CONTRACTOR: ORE-COM TELECOMMUNICATIONS PHONE #: 503-953-8460 Inspection Request Scheduled For: Date: 4/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 067650-01 503•381-7284 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS E FAIL LI CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED Inspector: G N wc3 Date: t I Phone #: (503) 718- 2-tik) CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008- 0.;)070 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2008 Phone: (503) 639 -4171 '�NA Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 28 SITE ADDRESS: 10260 SW GRE.ENBURG RD 850 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: MORTGAGE EXPRESS DESCRIPTION: Installing low voltage data telecommunications system. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503412 -4800 CONTRACTOR: ORE - COM TELECOMMUNICATIONS PHONE #: 503 Inspection Request Scheduled For: Date: 3/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 067552 -01 503-381 - 7284 N Corr et COV -� • • j1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 66 Le Date: 1-31 Phone #: (503) 7184114, 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: n Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* n Other: .COMMERCIAL WORK ONLY:, Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations l \Building\Permits\ELC- PermitApp doc 03/23/06