Loading...
Permit liPq CITY OF TIGARD ELECTRICAL PERMIT 11 '-. COMMUNITY DEVELOPMENT Permit #: ELC2013 -00202 T L G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/02/2013 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD Project: Lincoln Center Building 3 Subdivision: METZGER, TOWN OF Lot: 9 Project Description: (1) 200 amps or less to replace emergency lighting inverter (whole building) Contractor: COCHRAN INC Owner: LINCOLN CENTER LLC 7550 SW TECH CENTER DR #220 BY SHORENSTEIN PROPERTIES LLC TIGARD, OR 97223 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 234 -6564 PHONE: FAX: 503 - 238 -2098 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 04/02/2013 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 04/02/2013 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 ii/f 90. A You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19877 or 1.800.332.2344. 8000.3332..23 i �Al Issued By: iLM JCC./J Permittee Signature: ©M A- PL-n 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This pemilt 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. 0 1 07:28:48 04 -02 -2013 1 /3 Electrical Permit Application FOR OFFICE USE ON1.\ City of Tigard Date/By: s.4 - 1 3 Permit Nc (� 3U( 3 -- £) ; '4 13125 SW Hall Blvd., Tigard, OR 97223 A 0 2 2 013 Plan Review Other Permit. Phone: 503.7182439 Fax: 503.598.1960 Date/By: T I G n It n Inspection Line: 503.639.4175 Date Ready /By: r sl ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 11.-W Supplemental information TYPE OF AUihWINU DIVIJION PLAN REVIEW ❑ New construction 1T-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 ❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ID Fire pump. ❑ Installation of75KVAor N O 0 Emergency system. larger separately derived system. ►?lamt' ' D J OB SITE INFORMATION AND LOCATION Q ❑ Addition of new motor load of El "A", "E", "1 - 2 ", "1 - 3 ", Job no.: Zl.1 S9 Job site address: 10 ZZC") SO 6e eel #� ( � U(4 i2i 1 or more. occupancy. ❑ Six ix or or more residential units. ['Recreational vehicle parks. / � City /State/ZIP: / 44 „› 6 � 97 Z Z 3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal Suit ] j /apt. no.: Project name: Li i ec , / le� ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: StA) Cp .ocALI Pell —fl Description I Qtr, I Fee. I Total 1 • c� '.:71,,,11.a New residential single- or multi - family dwelling unit. e OD IN Aa 41- r_ Includes attached garage. Subdivision: u I .ot no.: _ 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: Ea. add 'I 500 sq. ft. or portion 33.92 I Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) pp � cJ Q Limited energy, multi- family 75.00 2 pb 94 t 'LAC(' I r /� : S\ l - . ' e - . 1 t\ e residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation ts`1 t 11 erCnef>CL? L. C' -TI f1 Ca ,fin veroc l? 200 amps or leas f 100.70 Ittx70 2 ❑ PROPERTY OWNER I ❑ TENANT 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 Temporary services or feeders installation, alteration, and/or City/State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 125.08 2 or exchange, according 401 amps l0 599 amps 168,54 2 intended for sale, lease, rent, ge accordin to ORS 447, 449 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I above service or feeder fee / } CONTACT PERSON 7.42 2 each branch circuit Business name: {( 4/_n l') e, B. Fee for branch circuits without service or feeder fee, first Contact name: J 1(L k 1 in _p 1.4_ i L e_ t' °er y -'i!' in branch circuit 56.18 2 Each add'l branch circuit 7.42 2 Address: 16 ) 6i e� �o i j LVe r 0t7 t� Miscellaneous (service or feeder not Included) Y ( U q �� y � Each manufactured or modular City/ State/ZIP: 6 `-` /e� dwelling, service and/or feeder 67.84 2 Phone: (' 7 J) T) 9 lit 0 / Fax:: (97� zip. � izzoo Reconnect only 67.84 2 E es Pump or irrigation circle 67.84 2 (� r - c ac h Cam' 0 . roc h i e r i Ail . �! 0 h') Sign or outline lighting 67.84 2 (.,� CONTRACTOR Signal circuit(s) or limited- energy Business name: COCHRAN INC panel, alteration, or extension. Page 2 2 Each additional Inspection over allowable in any of the above Address: 7550 SW TECH CENTER DR. SUITE #220 Additional inspection (t hr min) 66.25/hr Investigation (1 hr min) 66.25/ hr City/State/ZIP: TIGARD OR 97223 Industrial plant (1 hr min) 78.18/ hr Phone: (971) 205 - 4242 Fax: (971) 205 - 4268 Inspections for which no fee is 90.00/ hr specifically listed CA hr min) CCB Lic.: 72942 Electrical Lie.: 37546C uprv. Lie.: 3447S - ELECTRICAL PERMIT FEES Subtotal: 11)13, 7?) Suprv. Electrician signature, required: Plan review (25% of permit fee): ?Tint name: KENNETH TO Date: e, - ) i g, State surcharge (12% of permit fee): /, r tV TOTAL PERMIT FEE: 1/ Z , 7 Authorized signature: / 4. % „_ ♦ A. ` �/ / J�� This permit application expires if a permit is not obtained within 180 ?Tint name: � Date: - R days after It has been accepted as complete. 11 I/ l _, r li • Number of inspections allowed per permit V 3ullding 1Permits1ELC- PermitApp.doc 07/01 /10 440.461ST(11/05/COM/WEB 01 07:29:15 04 -02 -2013 2 /3 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: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ 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 ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling r ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations :S Building \ Permits \ELC- PermitApp.doe 07/01/10 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10220 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final 2013-11-05 00:00:00 ELC2013-00202 PASS - No C of O Violation Summary: Inspector Contractor