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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1111 COMMUNITY DEVELOPMENT Permit #: ELR2011 -00256 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/29/2011 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD Project: Lincoln Center Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Access Control. Contractor: ARONSON SECURITY GROUP Owner: LINCOLN CENTER LLC 8089 SW CIRRUS DR BY SHORENSTEIN PROPERTIES LLC BEAVERTON, OR 97008 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 639 -9988 PHONE: FAX: 503 - 684 -4357 FEES Description Date Amount Specifics:, Restricted Energy Permit 12/29/2011 $75.00 12% State Surcharge - Electrical 12/29/2011 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: Y Total $84.00 Other Desc: Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I / 1 Issued By: _ 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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 2/28/201 1 12:13 5036844357 ASG PAGE 02/03 Electrical Permit Application 1 F r >It rt1'f fc l:1l r: fml.l ecei City of Tigard � ,10� n ved �� ii 2 PcrmitNo„ • ,� _ 1 .1 . • 1312: SW Hall Blvd„ Tigard, OR 97223 Plan Rcvicw 1 Ph one: 5 0 3 . 7 1 8.2439 Fax: 503.598,i9G0 v Other Permit; pate /8 ; 9't i;,� F: n Inspection Linc: 503.639.4175 � :• c ' . ad y B y : - Jutia; FA Sec Page 2 for Internet: www.tigard - or.gov ,,,,Lit 'p i" etltod: f9 Supplemental Information 1 r 1 t on r i { aqa,� i ��e r � rt! a y e a t i � , m , ',�i•i si 2 NiAi l'19 ; i ,d. l C3h I�1 � 1 . , .; 'llll 1 �ijll� i€I11is1111MIN1 ,, : , :. l ll l liilll L ❑ New construction ® Addition /altcration /replaceme i � Please cheek all that apply (submit 2 sots of plane w /items chocked below): Cti '\ El Service or loader 400 amps or more ID Building over three stories, ❑ Demolition 1:1 Other: _ where the nvnilehle fmdt current El Manaus cod hontynrds. I it "t ^{ S i 9 u ' + 1 i , f " " �" exceeds 10.000 amps at 150 volts or ....mol n s k 1, n . A d L far a n,14m.1vx f i∎gp 11 i� to ,. , .. 4lt I i t {, � X a �(� 1�� 1, ..i, _ , � P ❑P'lonti Commercial-use ;' { less to ground, ar exceeds 14,000 ID Commercial -use agricultural ❑ 1 - and 2- family dwelling ►:4. Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire Pump. ❑ installation of 75 KVA or (( ii i g � p g Cl Emergency system, lamer separately derived system. 1 4 '' 1 l61 1 i „ a ,, k wi oi t * t l af� ,j , /lx 'III,, ,, roirw,,,,,„ ,r{ PR ,� �1if4�1 1( Cl tc � hl ,, ❑Addition of new motor load of ❑ .. A , "E ••1 "i_3 Job no.: PDX -10051 Job site address: 10260 SW GREENBURG RD I OOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: TIGARD, OR 97223 • ❑ Health - care fheilitlos. LI Supply voltage for more than ❑l' Iccetimnn. 600 volts nominal. Suite/bldg. /apt. no.: 1 Project name: LINCOLN CENTER ❑ Service or feeder 600 amps or more, t{ i ii1 ,'Iti . il,C,h :i . it V.31/$. s ::i'n 2 c44S ja i i ■ o- 4 to 1 A, i ,;. Cross street/directions to job site: o 2T,'_ Pee New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft or less 168.54 4 Ea. add') 500 sq. ft. or portion 33,92 1 T map/parcel no.: 11 `` 1 tt Limited energy, residential it ax tr i ,i,i{ 1 ljl• t ii ii3i rili� r niio'fI{.r7�nti �Sktin' r trrhi wi 1ii'rV14 i i ,i Ai11ii 1i j i,i�I . d(tw€ (with above sq. ft.) 75.00 2 Limited energy, multi - family 75.00 2 UPGRADE ACCESS CONTROL SYSTEM residential (with above sq. ft.) Services or feeders Installation, alteration, and /or relocation PDX -10051 200 amps or less 100.70 2 1,1 f' 11� t r ' ' F 1 ! i s 15, 1 , wi 201 amps to 400 amps W 133,56 2 N CI 1111,11 1.,1 �„,, �s� 1 0'04'141, : 1 ' 1 . 1 Ni If If : l l i , Pittii i > #ll �t� al ■ ame: SHORENSTEIN REALTY SERVICES 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps Or volts 552.26 — 2 Temporary services or feeders Installation, alteration, and /or City /State /ZiP; relocation Phone: ( ) I Fax: ( ) 200 amps or Ices 59.36 1 201 amps to 400 amps 125.0 2 Owner installation: This installation is being made on properly that. I own which is not 401 amps to 599 amps 168,5 2 intended for sale, lease, rent, or exchange, according to ORS 447. 449. 670. and 701. , Branch circuits — new, alteration, or extension, peryanci Owner signature: yf f�! ! } �' I Date: A. Fcc for branch circuits with 111 4111 i� ll���i!! !11 ,"1C'5 { Mll'XE Pfbl �Jl! Eli�i�Y .l� tl it 1 p 310Vi,1; {ie,2o,,m ,- i,i„i1f1 Egg 1119 a oveservice orllic der fcc, 7.42 2 Business name: 13, FCC for branch circuits without service or feeder (be, first 56.18 2 Contact name: branch circuit Each add'' branch circuit 7,42 2 Address: Misccllanenus (service or feeder not included) Each manufactured or modular City /State /ZIP: dwel, service and /or feeder 67'84 2 ling Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: t nh em { Au i Sign or outline lighting 67,84 2 it ' YI�IBI �?11I. 1013 # ±i li liidlld(�I Ili Eilrll l MALI ,� 1 b ,V,1,410 l i iiiM iRi il I 11 OMM I M Signal circuit(s) or limited energy Business name: ARONSON SECURITY GROUP panel, alteration, or extension, 1 Page 2 75'00 2 Each additional inspection over allowable in any of the above Address; 8089 SW CIRRUS DR Additional inspection (1 hr min) 66,25/11r investigation (1 hr min) 66,25/ hr City /State /ZiP: BEAVERTON, OR 97008 _ Industrial plant (1 hr min) 78.181 hr Phone: (503) 639 -9988 I Fax; (503) 684 -4657 Inspections for which no fee is 90.00 / hr S. 'cificall listed V2 hr min CCF3 T,ic.: 185024 Electrical I.ic.;,26497 LE, Sup.. Lie_: 31,61L ;ii i{'$ ' 1I 4111(if, lifI ��{'�ill. n, !pi «;", , >:' ! 1, 1 i 9I i�f� 9'j�9lfi� 'f{i.' Suprv. Electrician gig ature, required .A ■ ir tofr / i Subtotal: 75.00 .. PIan review (25% of permit fee): Print name: JAMES WHITEI -IOUSE A" Date: 12/20/11 Y State surcharge (12% of permit fee); 9.00 Authorized signature: TOTAL PERMIT FEE; 84.00 . This permit application expires if a permit 1s not obtained within 180 Print name: Date: _ days after It bus hen accepted as complete. • Number of inspections allowed pet permit, I; 1 H „ 61dina \Pennitil2t.C•PermitApp.doe 07/01/1 (1 440 -4615T(11 /OS /COM/WSa 12/28/2011 12:13 5036844357 ASG PAGE 03/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental, Information LIMITED ENERGY PERMIT FEES: � . G ,?)�l °t'`�I III II I ''� ` +�' I'6 :1' I+I� f�- J �I IK91�dA t i161a41�lYil: ld 'Ill, Ws... + ! � a „er n .1 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* ❑ Other: ..,.� ,,. II , 'ti mM "..+ RE , 4 [fem� : �, �� I : �► I l►�l 11 �1 MINIM I SR l� II I I n9 R ) ztl,l ,1 I � a I ' i' Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems © Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n I-IVAC n In s trumentation n Intercom and Pagjng Systems ❑ Landscape Irrigation. Control* ❑ Medical. ❑ Nurse Calls ❑ Outdoor, Landscape Lighting* n Protective Signaling ® Other A-CCESS CQNTROL Total number, of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1 . 1 Ruilding 1 Permit ARI_C- PormitApp.ax n7(61 /i0