Permit CITY OF TIGARD ELECTRICAL PERMIT
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111111 COMMUNITY DEVELOPMENT Permit#: ELC2015-00192
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2015
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD
Project: Lincoln Tower Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Provide VFD's to existing fan motors on each floor, 1st thru 12th floor,total of(12)branch circuits.
Contractor: FOX ELECTRIC COMPANY Owner: LINCOLN CENTER LLC
9050 SW MONTEREY PL BY SHORENSTEIN PROPERTIES LLC
PORTLAND,OR 97225 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 971-563-7215 PHONE:
FAX:
FEES
Quantity Description Date Amount
12 crt Branch Circuits wo/Purchase 03/30/2015 $137.80
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/30/2015 $16.54
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $154.34
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 o• ••plicable law. All work will
be done in a with approved plans. This permit will expire if work is not started within 180 days of issuance, or if .ork is s spended for more :I
days. AT TION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Cente Those r es are set fo in OAR
952-001 010 through OAR 95 -0 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503232.19: or 1.800.332. 44.
Issu d By: Permittee Signature: i/ _ _
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:
CONT- • OR INSTALL• ' %N ONLY
SIGNATURE OF SUPR.ELEC' / Date: v// 1 --
LICENSE NO. 1S
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.
Electrical Permit Applicatiiir JCEIVEP
IIIIII City of Tigard ", � /� rm.it No: ��c /5G�jQ
13125 SW Hall Blvd.,Tigard,OR 9• p 3 0 2015
Phone: 503.718.2439 Fax: 503.598-1 Other Permit:
I i Inspection Line: 503.639.4175 i 1 i / '` Date Ready/By Ms RI See Page 2 far
Internet: www.tigard-or.gov � l .,I ll�FRAM) Notified/Method: Supplemental h f,rmatiaa
TYEE hl( f DIVlSlO PLAN REVIEW
❑New construction ddition/alteration/replacernent Please check all that apply(submit 1 sets of plans w/items checked below):
❑Service or feeds 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault currant ❑Marinas and boatyards.
CATEGORY OF CONSTRUCIION exceeds 10,000 amps at 150 volts or ❑Floating lmildiogs.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling 'Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other. ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION LOCATION ❑Emergency system- larger separately derived system.
A , ❑Addition of new motor load of
1 ❑"A","E","1-2", 1-3^,
..v t
Job no.: Job site address: 5t,v rn 10 loo or more. -
U ❑ or or more residential units. ❑Reaoasl vehicle parks.
City/State/ZIP: 9 7 2 2 3 ❑Health-care facilities_ ❑Supply voltage for more than
❑Hazardous locations_ 600 volts nominal.
Suite/bldg./apt.no.: Project name: L k
/...---
4 . ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. I Pe I Ted I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea add'l 500 sq.ft or portion 33.92 l
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
�^ Limited energy,multi-family 75.00 2
t�f f)t,1i r v F a S -f--0 rj/�t s� In o S residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
5't- - ry 123 Floaes a t1Q•• Q4C.AN Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 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 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
200 amps or less 59.36 l
Owner installation:This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension, r panel
❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name: each branch circuit
B.Fee for branch circuits without ,/
Contact name: service or feeder fee,first ' 56.18 5 to r t 0 2
brandi circuit
Address: r` Each add'1 branch circuit // 7.42 87P Z 2
Miscellaneous(serve City/State/ZIP: _ Each manufactured or mod feeder not induced)
• • 67.84 2
dwelling,service and/or feeder
Phone:( ) Fax::( ) Reconnect only 67.84 2
&mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: FOX. Eli f Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: 70 5-0 5 J rn pmt--e-Irk y pt, Each additional inspection over allowable in any of the above
( Additional inspection(I hr min) 66.25/hr
City/State/ZIP: ''' ,„r.- t p, (77 2 2 Sr Investigation(l hr min) — 66.25/hr
Per:(?7 ) 5-6 3 7115" Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 1 1389 q(O Electrical Lic.: Ca,3 Suprv.Lic.: N 3 n S specifically listed(V2 hr min)
ELECTRICAL PERMIT FEES
!. /I11i5 '74 117 /o/%
Suprv.Electric s7gnature,required: Subtotal: / ] Ko -
Print name: D:7/1.4 �) �'; Dom_ Plan review(25%of permit fee): —�-
`� X �I•L 31 /� State surcharge(12%of permit fee): i (e,.S(-
Authorized signature: — TOTAL PERMIT FEE: /SLR •31i
r / �]/ This permit application expires if a permit is not obtained within ISO
Print name: /,�cr.Q c j -5t ✓ Date: ,7/,0(/5- days after it has been accepted as complete.
/ • Number of inspections allowed per permit.
I.\BuiIdiog\Permus\ELC_PwrilApp_ELR_ERE.doc Rev D5R12013 440.4615TO1/05/COM/WEB
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00192
Jeff Grove
Violation Summary:
Inspector Contractor