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10250 SW GREENBURG RD
LINCOLN BUILDING IT
ELECTRICAL
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CITY Off' I GA R D RESTRICTED c NERIGY
` ' \ DEVELOPMENT SERVICES -��- --
PERhIIT#: ELR2002-00293
'13125 SW Nall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/02
SITE ADDRESS: 10250 SW GREENBURG RD PARCEL: 1S135AB-04500
SUBDIVISION: LINCOLN BUILDING PP1P91-055 ZONING: C-P
BLOCK: LOT: 001 JURISDICTION: TIG
Proiect Description: Install low voltage: Fire Alarm and access controi.
A. RESIDENTIAL B.COMMERCIAL
AUDIO& ST' ER
STEREO: AUDIO & sTEO_. —_ fNTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE"/IRRIGAT.
GARAGE OPENER: CLOCK: MEDICAL.:
HVAC: DATA/TELE COMPA. NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTnOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INS'rRuMENTATION: OTHER: ACCES-S CON X
__ TOTAL#QF SYSTEMS: _
Owner: Contractor
EOP l !INCOI_N , LLC BACHOFNER DATACOM INC
102F,J W." GREENRURG RD 55 SE MAIN ST
SUITE 100 PORTLAND, OR 97214-3345
PORTLAND, OR 97223
Phone: Phone: 233-7873
Reg#: LIC 1 1 1978
EL, 26-953CEP
_ SUP 28085
1 -FEES r _ Required, Inspections
- Description _Date Amount I Low Voltage Inspection
111.1'RNIT) LLR Paoli;+ ^ 12/13/02 — $150.00 Low Voltage Inspection
[Tnt ArJ 8"r..Srilc 1' 12/13/02 $12.00 Elect'I Final
Total $162.00
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 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0('10 throuc
Issued by +, , / __-_ �erraittee Sigrnature/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, IeaSe, or rent.
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'NDATE:
-
LICENSE NO:
------- -—
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
J,'
' '
Electrical Permit Application
-` — Date received: _ I'ermitno,:-
City of Tigard Project/appl.no.: Expiredate:
Cay of Tigard Address: 1312)SW Hall Illvd,"Tigard,OR 97223 Date issued: By: '' Receipt no.:
Phone: (503) 639-4171 -- —
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval:
t
;Job
I &=farn�ilylling or accessory U COmmt,rcial/industrial U Multi-family U Tenant improvement
NeU Addition/allerauon/replaccmcnt U Other: U Partial
address: 102 Bldg.no.: Suite no,: Tax map/tax lot/account no,:
t: Block: _Subdivision:
Project name: LIMJ3[N EUAIDIW, Description and location of work on premises: MINI, WI. OCX & ISS RI.AY
i
mated date of com letion/ins ction:
Job no: 6006 _ EK Max
Business name: RA('HOF'NF:R DATAj''�N(._ _ (Description Qty. (ea) Total no.lm
New residenlld-single or miltl-fam).ly per
Address: 55 SE MAIN dwelling unit.Includes attached prage.
City: r State: ZIP: 14 included:
Phone:
Phone: 5p3_233_2006 Fax: 233..2963 1 E-mail: 1000 sq.ft.or Us � 4
CC'B no.: Elec.bus.lie.no: Each additional 500 sq.ft.orportio;thereof
Limited energy,residential 2
City/metro li .no.; 4382 _ Limited energy,non-residential 2
_ �" _ 19-1M2 Each manufactured home or modular dwelling
Signature of supervising ehxltician(r ui ) Date Service and/or feeder 2
Sup.elect.nnnle(print:: License no: Serkeaoreeden—Installathm,
alteration or
or relocation:
200 a.nps or less 2
Nurse(print): 201 amps to 400 amps _ 2 —
— — 4111 amps to 600 amps 2
Mailing address: — _ 601 amps to 1000 amps _ 2
City: State: 71P: Over 1000 strips or volts 2
Phone: I E-mail- Rrconnectonl `1
Owner installation:77ie installation is being made on property 1 own Temporary serviceaorkeders-
which is not intended for sale,lease,rent,or exchange according to Installaticn,alteration,orrelocatlon:
201 amps or less 2
ORS 447,455,479,670,701.
201 amps to 400 amps 2
Owner's si nature: Date: 411 to 600 stns 2
Branch clrralts-new,altentlon, _
or extension per panel:
Name; _ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: `—v""--"— Steric: ZIP: B. Fee for branch circuits without purchase -- -
-- —--- - -- of service or feeder fee,first branch circuit: 2
Phone: Fax: f'. mail: Fachadditional brenchcircuit; —
Mbc.(.Service or feeder not hrchr/ed):
71WC
amps-rnr.mwciat U llcalth-carr.facility Each pump or irrigation circle _ 2_
71=11
0 amps-rating of IR2 U Harwrdous location Each sign or outline lighting2
s U Building over 10,000 square feet four or Signa]circuit(s)or a limited energy panel,
0 volts nominal more residential units in one structure alteration,or extension* 1 2
•B uilding over three stories U Feeders,410 amps or more •Desai tion: —_ _
U C'ccupant load over 99 persons U Manufactured structures or RV park Eich additional Inspeetlon over the allowable in any orthe above:
U Egr:ssAightingplan U Other --- Perinspection
Submit__sets of plans with any of the above. Investigation fee
The airove ate not applicable to temporary construction ser.ice. Other
-- ........
Not all jurisdktiotn smert credit earth,please call jurisdiction tot nsm inforws+ Notice:'Mis permit application Permit fee.............
O Ws O MasterCard expires if a permit is not obtained Plan review(at — %) $
Credit card number:—__ _�L_- within 190 days after it has been State surcharge(8%)....S _
Expires accepted as complete. TOTAL .......................
N�itrc cantlrol kt u thmwn nn credit crd '—
+i
Cardholder signature Amount 4/1-4615(6UWUM)
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Com lete Fee Schedule Below: ----
P Restrlctod Energy Feo.......... ........................................... $75.00
Number of Inspections per penmit allowed (FOR ALL SYS-i EMS)
Service Inciuded: Items Cost Total I Check ype of Work Involved:
Residential•per unit
1000 sq It.or less $14515 _ 4 U Au(',o and Stereo'ystems
Each additional 500 sq.P or
portior thereof __ $33.40 _ 1 �� Burglar Alarm
Limited Energy $75.00 _
Each Manufd Home or Modular Ell ;;;rage Door Opener'
Dwelling Service or Feeder _ —_ $90.90 _
Services or Feeders lioabng,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $60.30 � l
'201 amps to 400 amps $106.85 ? L_^J Vacuum Systems'
401 amps to 600 amps _ $160.60 ^� 2
601 amps to 1000 amps _ $240.60 2 U
Over+000 amps or vofls $454.65 _ 2
Reconnect only $66.85 'l
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
installation,alteration,or relocation Fee for each system...... ................................ ........ $75.00
200 amps or lens $66.85 _ 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 _ 2
401 amps to 600 amps $133.75 " 2 Check Type of Work Involved:
P-er 600 amps to •000 volts,
no"b"above. Audio and Stereo Systems
❑
s
Branch Circuits Boiler Controls
New,alteration or extension per panel
a)The fee for branch circuits
w1fl1 purchase of service or ❑ Clock Systems
feeder fes.
Each biary;h circuit $6.65 2 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Instaltatl'm
or feeder fee.
First branch circuit _ $46.85 HVAC
Each additional branch circuit $6.65
Mlscellaneaus Instrumentation
(Service or Peder not Included)
Each pump,x Inigalion clrclo _ $53 40 inteicom and Paging Systems
Each sign or outline lighting $5340—
Signal circult(s)or a limited energy
panel,alteration or extension —^! $75.00 Landscape Irrigation Control'
Minor labels(10) _ $125.00f�--1
Each additional Inspection over Medical
the allowable In any of the above Nurse Calls
Per Inspection $62.50
Per hour $62.50_
In Plant $73.75 Outdoor Landscape LlghUng'
Fees: [—] Protective Signaling
Enter total of shove fees $ Other ( r-7 Q ! t tc 17 1— _
8%State Surcharge $ _Number of Systems
25%Plan Review Fee
See"Plan Review"section on $ No Ilcensrre are reyufred. Licenses aro rep'red for all other Installations
front of application
Fees:
Total Balance L.toe $
------ Enter total of above fees
❑ Trust Account 0 _ 8%State Surcharge $ _
�- - Total Balance Due
i:\dsts\forms\elc-fees doc 10/09/00
i
I
I
ITY OF TIiGARD 24-Hour
BUILDING Inspection Line: (503)539-4175
leceived
NSPECTION DIVISION Business Line: (503) ,539-4171
MST -_ - -
BLIP -_-- -_-- -_
_Date Requested_- .3 'tom___ AM___._-___-_ PM -_-_ BUP -
ocation -_ _ Suite _,_,___— MEC
ontact Person �"� �_ Ph( � ) $ _ FLM
ontractor _ �_ _ - Ph ( �) _� _ .J1 7 SWR
BUILDING Tenant/Owner 4U-4 ELC
Footing
Foundation ELC ---- -_
Access:
Ftg Drain r �t11 ELR
Crawl Drain
Slab Inspection Notes: SIT -------.-.-- --
Post&Beam - - -- t
Shear Anchors ---
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - ----
Fire Alarm
Susp'd Ceiling
Roof
Oiher:-- _
Final
PASS PART FAIL - - -
PLUMBING _
Post&Beam
Under Slab -- __- -
Rough-In
Water Service __---
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Stoim Drain
Shower Pan
Other. - -- -- -- --- - -- -
Final
PASS PART FAIL _
MEC,IANIC_AL
Post R Beam
Flough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICALi
Service ---- _ -
Rough-In
UG/Slab
Low Voltage
Fire Alarm ------- -- - ----- -- --
ASS PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Please call for reinspection RE T ._. n Unable to inspect -no access
Fire Supply LineADA
Approach/Sidewalk Date __ '.. _ Inspector �t�� Ext
Other:
Final OO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL