10250 SW GREENBURG ROAD STE 214 r
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\ CITY OF TIGARD RESTRICT 'PERMIT-
RESTRICTEUENERGY
DEVELOPMENT SERVICES y PERMIT#: ELR2002-00232
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/28/02
SITE ADDRESS: 10250 SW GREENBURG RD 214 PARCEL: 1S135AB-04500
SJBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P
BLOCK: LOT: 001 JURISDICTION: 1 IG
Proiect Description: install voice and data.
A. RESIDENTIAL _ _ B.COMMERCIAL __
AUDIO& STEREO: AUDIO& STEREO: INTERCOM 3 PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE AL.ARM7 OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTA'f ION: OTHER: ^I
TOTAL#OF SYSTEMS: 1 J
Owner: Contractor•
EOP LINCOLN , LLC BACHOFNER DATACOM INC
10260 SW GREENBURG PD 55 SE MAIN ST
SUITE 100 PORTLAND, OR 97214-3346
PORTLAND, OR 97223
Phone. 233.7873 Phone: 233-7873
Reg#: LIC 111978
ELF 26-953CEP
SUP 28085
FEESRequired Inspections _
Description Date Amount _ Low Voltage Inspection �y
I:LI'RMTJ LLR Permit 10/28/02 $75.00 Flect'I Fina!
I'(A X 18"/,,State'l'a.r 10/28/02 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be none in accordance with approved plans. This permit will expire if work is not
started withir 180 clays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notificatior Center. Those rules are set forth in OAR 952-001-0010 throuc
Issued by Permittee Signator\'� "
e
OWNER INSTALLATION ONLY
The installation is Wng made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL EC'N _ I I, &�- 1 L� L.L�J- " DATE:---
LICENSE
ATE: _LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection nraede.. the next business day
Electrical Permit Application
Date received: - Permit no."( �>�
----
City of Tigard Projcct/appl.no.: Expiredate:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued. ByeA Recciptno:
Phone: (503) 639-4171 ----
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
U I &2 family dwelling or accessory U CommerciaV adustrial U Multi-family 0 Tenant improvement
U New construction I]Addition/alteration/replacement ❑Other: U Partial
iA EINFORMATION
Joh address: 10250 SWGRE RnAD _ Bldg.no,: Suiten .: ax map/tax lot/account no.:
Lot: BlaA: Subdivision:
Project natne: LEI'jINC RF.SnIIRr'F, rn 'scription and location of work on premises: INSTALL VOICE/DATA
I'sstimalcd date of completion/ins'pecl ion:
1 ! TEE-SCIMDULE
Job no: I Max
Business name: O- - - ,TNS, - Description Uti. (ca.) easel no.ins -
New residential-single or multi farnih IK•r
Address: 55 SE MAIN d"ellingunit.Includcsaltarl"garagr.
City: PORTLAND Slate�R ZIP; 97214 Servicelnclutted:
Phone: 503-233-ZQp6 Fox 233 jr-Mail: I(It)l Sy ft.or less V _ 4
Eacl,additional 500 sq.ft,or portion titcrcot
CCB no.: 111978 Elee.bus. lic.no: 26-953QE —
— Limited energy,residential 2
Chy/metro lic.no.: I.imitedener
gy,non-residential 2
LGXv-0 2 Fach manufactured home or modular dwelling
Sig lure of supervising electrician(Lequired) _pate Service and/or feeder 2
So/p.elect.name(print)-"S�� n, License no� 4.'/f y
Se ices or feeders-Installation,
alteration or relocation:
200 amps or less 2
201 amps to 400 rmps 2
Name(print): 401 amps to 600 amps 2
Mailing address: --
6(I I amps to I0(N)amps 2
City: SlAte: ZIP: Over 1000 amps or volts 2
Phone: Fax: E-mail: Reconnectonly
I —
Owner installation:The installation is being made on ,+topetty 1 own Temporary Fervices or freders-
which is not intended for sale,lease,rent,or exchange according to Ins411allon,adleratton,orrelocar.ion:
ORS 447,455,479,670,701 Zoo amps or leas __ _ 2
201 amps to 400 amps 2.
Owner's signature: Dale: 401 to 600 ams 2
Branch circuits-now,alteration,
or extension per panel:
N
o le
A Fee for branch circuits with purchase of
--
service or feeder tee,each branch circuit 2
Slate: Z.IP: R Fee for branch circuits without purchase
Phone: Fax E-mail: of service or feeder fee,first branch circuit: 2
[•-ach additional branch circuit
Mise.(Service or feeder not Included):
U Service over 225 amps-commerclat U Health-carefacility Each pump or irrigation rjrcle 2
U Service over 120 amps-rating of I&2 U Hazardous location Fach sign or outline lighting 2
fanulydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, (U System over 600 volts nominal more residential units in one structure alteration,or extension• _1 2
U Building over three stories U I-reders,400 amps or more "Description:
U Mcupant toad over 99 persons U Manufactured structures or R V park FAch additional Inspection over the allowable In any of the above:
U Egress/lightingplan U Other, Per inspection
F_
Submit A_sets of plans with any of the above. Invest] ation fee
'Ilse above are not applicable to temporary construction service. other
Na all jurisdictions accept cred,t cards•please call jurisdiction for nae infomaation Notice:This tcrmit application Permit fee................�.$
U visa U MasterCard expires if a pemtit is not obtained Plan review(at %) $ _
Credit card number _. __ ____.__ ( / within ISO days after it has been State surcharge(9%) ....$
B'pire' accepted as complete. TOTA I, • $ ~
�o t u si&— wTw n on erre it Card
S
Cardholder siptature Arnount 440.1615(60v(OMi
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Scnedule Below: --Restricted Energy Fee..........
— — - —
.............................................
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total
Check.Type of Work Involved:
Residential-per unit
1000 sq ft,or less ^ $145 15` 4 ❑ Audio and Stereo Systems
Each additional 500 sq.h.or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy _ $75.00 _
Each Manut'd Home or Modular ❑ Garage Door Operer'
Dwelling Service or Feeder $90 90 � 2
Services or Feeders ❑ Healing,Ventilation and Air Conditioning System*
Installation,alteration,or relocation
200 amps or less _ _ $80.30 _ ? ❑
201 amps to 400 amps — $106.85 7 Vacuum Systems'
401 amps to 600 amps $16060 2 ❑
- ---`-�-
601 amps to 1000 amps _ $240.60 _ 1 Other
--- --- - - --- - -
Over 1000 amps or volts _ $454.65 w 2
Reconnect only — $66.85_ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less _ $66.85 —_ (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 _ _ 2
401 amps to 600 amps _ $133.75 7 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. ❑ Audio and Stereo Systems
Branch Circuits ❑
New,alteration or extension per panel Boiler Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder tee.
Each branch circuit — $6 G5 _— Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit _ _ $46.85 ❑
Each additional branch circuit J $6.65 ` HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not intruded)
Each pump or Irrigation circle _ $5340 _- ❑
Each sign or outine lighting _ r $5340
Intercom and Paging Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $75 00� _� ❑ Landscape Irrigation Control'
Minor labels(10) $125.00 _
Each additional inspection over — ❑ Medical
the allowable In any of the above ❑
Per inspection _ $62.50 Nurse Cells
Per hour _ $62.50
In _
Plant $73 75 __ ❑ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ ❑ Other
8%State Surcharge $ ----_-_-_--Number of Systems
25%Plan Review Fee
See"Plan Review"section on $ No licenses are required Licenses are required for all other Installations
front of application t
—- -- Hees:
Total Balance Due $
- Enter total of above fees $
❑ Trust Account q
--- — 8°/.State Surcharge $
1
Total Balance Due $
i\dsts\forms\clr.-fcrsdoc 10109/00
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECT!ON DIVISION Business Line: (503) 639-4171
BLIP -- - —
Received ��, ._ Date Requested�d - -3 _ AM _ -_ _PM BUP
Location _Lv _� � c " ' _� _--- ..._--__–� Suite OZ _ _-- MEC
Contact Person _ h?/&Z' _ Ph(— ) ✓� 7 PLM
Contractor— - -- - Ph(—__-) -,_---- SWR --
BUILDING Tenant/Owoor __ _ _ _ ELC
Footing -- Elr --
Foundation Access:
Ftg Drain ELRv_ -�'�!�, �-
Crawl Drain _
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -- -
Ext Sheath/Shear _
Int Sheath/Shear
Framing _
Insulation I —
Drywall Nailing -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Other: ---
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service --- —
Sanitary Sewer
Rain Drains ---- -
Catch Basin/Manhole
Storm Drain - -- — -- -
Shower Pan
Other: - --- - - — ---
Final -:-- --
PASS PART FAIL - - ----- --
MECHANICAL
Post&Bram ------�-�-�- --
Rough-In
Gas Line
Smoke Dampers
Final
PART FAIL
ELECTRICAL
Sery ce
Rough-In
UG/Slab - - -- - -
Fire Alarm
in Reinspoction fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AW PART FAIL
SITE L-] Please call for reinspection RE: _ __ Unable to inspect--no access
Fire Supply Line
ADA yy /
Approach/Sidewalk Date _,-LY. InspectorL Ext
Other: _ -- ._.
Final DO NOT REMOVE this Inspection record from this job site.
PASS PART FAIL