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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT Permit #: ELR2013 -00038 T JGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2013 Parcel: 1 S135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 501 Project: Apex Systems Subdivision: METZGER, TOWN OF Lot: 9 Project Description: (1) low voltage to wire for fire alarm Contractor: STONER ELECTRIC Owner: LINCOLN CENTER LLC 1904 SE OCHOCO BY SHORENSTEIN PROPERTIES LLC MILWAUKIE, OR 97222 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 -462 -6500 PHONE: FAX: 503 - 659 -4968 FEES Description Date Amount Specifics: Restricted Energy Permit 02/14/2013 $75.00 12% State Surcharge - Electrical 02/14/2013 $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: Y 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: N 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 0 R 952- 001 -0090, You may o a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: " a � / "`" in Permittee Signature: ©k A PPu CA-T7 O 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. Feb. 13. 2013 2:11PM Stoner Electric Group No. 5292 P. 1/3 Electrical Permit Applicatio�� JOlt OFFICE USE ONLY Received City of Tigard Date/13 . - (3 54— Pem,itNo.: 614Z ,2013. o z) 3 . i q 13125 SW Hall Blvd., Tigard, OR 9722. E 1 3 2013 Plan Review S Phone: 503.639.4171 Fax: 503.598.1960 � �i1 DateB . Other Permit: t' t i ; ,� t: D Inspection Line: 503.639.4175 TIGARD Date Ready/By. EMI RL See Page 2 for Internet: www.tigard- or.gov CITY OF Notified/Method: Supplemental Information I .. I 1∎ ��� • ::'7:,:.. • . .. - ti _ .l ";i �;s 1;.''.'' ; .,5 _: _ : ' • "V —V AN REVIEW ..::: r `•1 [] New construction Addition/alteration/ replacement Please check all that apply (submit 2 sets of plans whims checked below): 0 Service or feeder 400 amps or more 0 Building over three stories, ❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. .1". t= 7 . : :: • : ;!, ',: ,, , ;. - ' : exceeds 10,000 amps at 150 volts or ❑ Floating buildings. CAfifiGORY Q �I4lfLtQN'° ; :, " 7 less to ground, or exceeds 14,000 in Commercial -use agricultural ❑ 1- and 2- family dwelling I•Commercial/industrial ❑ Accessory building amps tbr all other installations. buildings. O Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of /5 KVA or ❑Emergency system. larger separately derived system. • f f;JO ' SITE INP Q�V AND ' 1:66460.• 1 '? : , x1 .9: ; . f Addition of new motor load of ❑ A ", "E ", "la', "1 -3 ", Job no.: /4. 8a3 v" I Job site address: ( p y S, c ezi f j Q Six o p more residential units. 0 occupancy. p Recreational vehicle parks. City /State /ZiP: i - ;' , • pee 9'72-2-5 ID Health-care facilities. ❑ Supply voltage for more than _ 0 Hazardous locations. 600 volts nominal. Suite dg. /apt. no.: k Project name: A P /5.-7---7,74 5 ❑ Service or feeder 600 maps or more. Cross street/directions to job site: .,, Ft 14 z :� Description I OM I re& i 'row I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1.000 sq.11. or less 168.54 - 4 Ea. add'I 500 sq. ft. or ponion 33.92 1 Tax map/parcel no.: _ Limited energy. residential 1 •:DF GjtiPTION. OF WOE I :••:.; with above ft,) 75.00 2 Limited energy, multi- family 75.00 2 tt.)/ /2 &-* ,R_ .441r-4044,On residential (wiih above sq. II.) Services or feeders Installation, alteration, and/or relocation 200 amps or less 100.70 2 -�,� " ' " "'I' �; ! 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or . �' relocation Phone: ( ) I Pax: ( ) 200 amps or less 59.36 , 1 201 amps to 400 amps 125.08 2 Owner Installation: This installation is being made on property that I own which is not . 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. - Branch circuits- new, alteration, or extension, per panel . Owner signature: Date: A. Fee for branch circuits with above ' "`' LICANT CQ "� ( ?.; each b ranch circuit service or feeder fee, 7.42 2 Business name: tom' Ed o � {c , /, . D. Fee for branch circuits iculronr `_. i service or feeder fee, first Contact name: 1 _Ul- - branch circuit 56.1e 2 we5 L k rv►,r$ Each add•1 branch circuit 7.42 2 Address: l 9 o � ,, Miscellaneous (sen'iee or feeder not included) City/State/ZIP: L Each manufactured or modular 67.84 2 I✓ ,/,4,4•tt - _ )fe 97 dwelling, service and/or feeder Phone: 3) 4-5z/4- Pax: : (j 5 )659-496,0 Reconnect only 67.8_4 2 . (cSTO &SE �� S ign or irrigation ton Bi - 67,84 2 E -mail UA4 wd7�. Sign or outline lighting 67,44 2 Signal circuit (s) s or limited-energy cxT /.745/1111411.11i'_"1:-. P . ' ' :'!'.�'= - �NTR4 C fOR;' : :';111.10 . • ' El ,� panel, alteration, or extension. gy -- = 51 Page 2 • Pb 2 Business name: STONER ELECTRIC, INC. , Each additional inspection over allowable in any of the above Address: 1904 SE OCHOCO Additional inspection (1 hr min) 66.25/lir �f � 7 Investigation° lir min) 66.25 /Iir City /State /ZiP: MILWAUKIE, OR 97222 Industrial plant (I hr min) 78.18/ hr Phone: ( 503) I Fax: ( 503) 659 -4968 Inspections for which no fee is 90.00/hr specifically listed ('/h hr min) COI Lie.: 44823 Electrical Lie.: 26-122C I Suprv. Lie.: 34965 .. = j J • P EEMIT PEES `_ - - Suprv, Electrician signature, required: �,,►,; ,,Q ),./..,-..-_, Plan -& r-10 Plan review (25% of permit fee): � Print name: MICHAEL FALCONER I Date: 2 Stale surcharge (12% of pennit fee): 9. Authorized signature: TOTAL PERMIT FEE; 0 54-, 00 This permit application expires if a permit is not obtained within 180 Print name: Date: a days after ft has been accepted as complete. Number of inspections allowed per permit. l: tam 't6aa\Permlu \ELC- Permttapp,dou mum 440- 461ST(I l/03/001M LO Feb. 13. 2013 2:11PM Stoner Electric Group No. 5292 P. 2/3 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: f YiESYD,ORK ONLa' '^ 1 • Fee for 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: COMMERCI,AQ.QN'xX: .ir"ras:: I Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation I ZIFire Alarm Installation • HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical 0 Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations IABu0dino\Pen i 5LC.PemiLADo.dm 07/01/10 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10220 SW GREENBURG RD 501, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 199 Electrical final 03/08/2013 00:00 ELR2013-00038 PASS - No C of O Violation Summary: Inspector Contractor