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Permit V CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT It COMMUNITY DEVELOPMENT Permit#: ELR2013-00219 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2013 Parcel: 1S 135AB01003 Jurisdiction: Tigard Site address: 10330 SW GREENBURG RD Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Security system. Contractor: TYCO INTEGRATED SECURITY LLC Owner: LINCOLN CENTER LLC 2815 SW 153RD DR BY SHORENSTEIN PROPERTIES LLC BEAVERTON,OR 97006 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-469-7206 PHONE: FAX: 503-469-7114 FEES Description Date Amount Specifics:, Restricted Energy Permit 08/29/2013 $75.00 12%State Surcharge-Electrical 08/29/2013 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 1 Other: 0 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 rule • direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /ll 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 503.639.4176 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. 08/28/2013 12:45 FAX 5034697110 'ADT SECURITY 0 001 Electrical Permit Applicatio C I {� FOR OFFICE USE ON I.Y• City of Tigard AUG 2 S 2013 Received Pcrmu No.. •I ()DA i Date/13 : 6 /S:� _ n 13125 SW Hall Blvd,,Tigard,OR 97223 Plan Review Other Permit: P101 Phone; 503.718.2439 Fax: 503.598. Datr/B : 3` :Ib • r Inspection Line: 503,639.4175 `� I OF TIGARD Dale Ready/By: E7 Sec Page 2 for I'tc;,�rp Internet: vww.hoard-or.g ov BUILDING DIVISION NotfiedNchd; Supplemental Information •'t1;1 .r;91. MtIN' 'f,• •i ,Yl` !' r1 i��}', .V.��fl',.Y „' r ..."..t1/4,'' L. .t., .11§e .�l'�`'' „ '•' :; " �'O v►'Vl(itaLl: n::.•:w L'1 ,i: Vr: ?: `':':701,,',1$1✓:E Ki 1 :'.';';;;$•'.1'.' }sir.'/:: '� i �. ..,,.;1.. ''�i — � tai' � lltir' ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amp,•or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. " "n '` i' 'r-"'''M1 exceeds 10.000 amps sir ISO volts or ❑Floating building. '4t' 1 CA3'CGORY.'0007-1 1*.:',x1.01;! .,,..,,z,,,,:or�' I" ':tits:;,. y P " less to ground,or exceeds 14.000 ❑G+mmereial-use asrieuhural ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building times roe all other installations. buildings, ❑Multi-family ❑Master builder ❑Other: ❑Fire pump, ❑Installation of 150 KVA or ,,s E ©Rlw1�, Ol�•.i11HDi Q`�ATYo .. ['Emergency system. larger separately derived system. 14.:1; .■" ,H ail IN 'I1 .r ..u,,,,'1''` ',�';,', �y:`• '' 4J' .r, ❑Addition of new motor load of ❑„A„ "E"„J_2„ „L3" Job no.:83-07052-07 Job site address: 10330 SW GREENBURC RD Six or or a residential occupancy. ❑Six Or more residential units• ❑Recrcerionai vehicle parks. City/State/ZIP:'I'IGARD OR 97223 Q rimdth-care facilities. ❑Supply voltage for more than • ❑1larardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name:RED LOBSTER ❑Service or feeder 600 amps or more. — i,tt;;' 0.I ;FEH'gCHLlU,LE", 4I' y.'5','; ti,'1''.; , Cross street/directions to lob site: Deleripuon_•+ I Qty. 1 Mei, I Tool - LINCOLN CENTER New residential single-or multi-family dwelling unit. Includes attached garage. _ Subdivision: Lot no.: 1,000 sq.ft.orins 168.54 4 L'u.udd'I 500 sq,ft,or portion 33.92 1 Tax map/parcel no.: Limited energy,residential ; wr'!� 75,00 2 i ''"a, ;i;t, "`DESCRIPTION'OF wpipc my l,.;Z-', ','a:' ,:. ", .t ' (with above sq.ft-) Limited energy,multi-family 75,00 2 SECURITY SYSTEM residential(with above sq.ft.) "-'- — Renewable Enc , ❑ See Page 2 Services or feeders instatlutiun,alteration,and/or relocation 1 ' ❑'PROPERTY'QViTNER .. ' 1,,. ,', ?„ r'❑,i'eNAN " . '''`:' . •ap'.; 200 amps or less 10070 2 201 amps to 400 amps 133 56 2 - Name: _ 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 - Over 1,000 amps or volts 552,76 1 City/State/'LIP: Tcmpuraty services or recdcrs installation,alteration,and/or Phone:( ) Fax:( ) relocation _ 200 amps or less L 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 intended for salt.lease,runt,or exchange,according to ORS 447.449,670,and 701. 401 amps to 599 amps 168,54 i 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel • ".'.0, ".' 'li❑ APPLtcr ANI 't l nor' w1'1% y lla A Fce for branch circuits with , T ti ; above service or feeder fee, 7 42 2 Business name: ' each brunch circuit F3,Fee for branch circuits wirhour Contact name: service or feeder fee,first branch circuit 56.18 _ I Address: each add')branch circuit 7.47 2 City/Stale/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67 84 2 Phone:( ) Fax: '( ) dwelling,service and/or feeder + Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67,84 2•+ ''I- r, ,'CONTRA OR 'Sit;, •r',s"S' ;,,•''' 'r' .{ 2 R.' ,�'i� ',,ii � +�'' '�•. .tis ..�trr i" I„ Sign or outline lighting 67.84 Business name:TYCO INTEGRATED SECURITY LLC Signal circuil(s)Or limited energy i See 75,(10 panel.alteration,or extension. Page 2 2_ Address:2815 SW I53RD DR Each additional Inspectonn over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:BEAVERTON OR 97006 Investigation(I hr min) 66.25/hr Phone:(503)469-7206 Pax:(503)469-7114 Industrie!plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCE Lic.: 197010 Electrical Lie.: CLE322 Suprv.Lie.: 1199LEA specifically listed Q.4 hr min) Suprv.Electrician signature,rey 1p t ?;:, •;P�t'4 ° •GAL EERMYPEEES+t f:'•• . :'''`, _ Subtotal; 75.00 Print name: LELAND SLAUGHTER D . 8/28/13 Plan review(25%of permit fee): State surcharge(12%of permit fee): 9.00 Authorized signature: TOTAL PERMIT FEE: 84.00 'rhir permit application expires if a permit is not obtained within 180 Prim name: Date: days after It has been accepted as complete. • Number of impactions allowed per permit. r.113.0,11.40crrolrahEILC eerniltnpp fLR ERE.doc Rev 05/21/2013 .1411-46151(1I/o5/COM/wEU 08/28/2013 12:45 FAX 5034697110 ADT SECURITY ll002 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Renewable Energy Permit Fees: ] ESII ENTIALWO �11yONLY:�`,'I 5�, '✓�' .`dl ,�,'' i'i'�',' �'�i'� �i FEE SU'D ,lC >,w;iyIV Fee for all residential systems combined.......° $75.00 Dencrintiun Qry• Fee 7nMnI • Renewable electrical energy systems: Check Type of Work Involved: 5 kva Or less 100.70 2 5.01 to 15 kvo 133,56 2 ❑ Audio and Stereo Systems* 2 2 15,01 to 25 kva 200,34 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 I Z ❑ Garage Door Opener* 50,01 to 100 kva - 552.26 2 >100 kva(fcc in accordance with 552,26 Z ❑ Heating, Ventilation and Air Conditioning OAR 9113-3094040) System* Solar generation systems in excess of 25 kva: Each udditional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additions]charge 0,0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) • Inspections for which no fee is 90,00/hr s. cifically listed('k hr min) C'O :CL WO ,ONLY:'''��� • " ;: .t ,, ,; ;''. ILEGottext.P Fee for each commercial system 575.00 Subtotal: (SEE OAR.918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application e:pirna if a permit is nor obtained within 1811 ❑ Audio and Stereo Systems days utter it has been eccrpted as complete. - Number or inspections allowed per permiE. ❑ 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 ❑ Other LOW VOLTAGE ELECTRICAL Total number of commercial systems; I *No licenses are required. Licenses are required for all other installations 118uddinitTormits1ELC rarmitApp eLlt EItE do Asw o5/2i o13 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10330 SW GREENBURG RD, TIGARD, OR, 2013 -12 -03 00:00:00 97223 Record Type: Record ID: Commercial - Electricial Limited Energy ELR2013 -00219 Inspection Type: Result: 135 Low voltage PASS Comments: Violation Summary: Inspector Contractor 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 10330 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 199 Electrical final 2013-12-10 (null) ELR2013-00219 PASS - No C of O Violation Summary: Inspector Contractor