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Permit (184) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 111.: ` COMMUNITY DEVELOPMENT Permit#: ELR2017-00159 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2017 T[ _ Parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 250 Project: Keyence Corportation Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Low voltage for fire alarm Contractor: POINT MONITOR CORPORATION Owner: LINCOLN CENTER LLC 5863 LAKEVIEW BLVD STE 100 BY SHORENSTEIN PROPERTIES LLC LAKE OSWEGO, OR 97035 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 07/20/2017 $75.00 12%State Surcharge-Electrical 07/20/2017 $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: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 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. ATTENTI . reg law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 rough OAR 952- 01-00 . uu�maay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 44. Issued J� /`)(/��/ilX �2^ Permittee Signature: k---.2.41/1,//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 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 Ap t lication FOR OFFICE USE ONLY City of Tigard �` LIVED Received 7 (� ' C li u 13125 SW Hall Blvd.,Tigard,OR ' 3 Q� Date/3 . /I I/ 6 '1 Penn": (i�it-POl7-0O <ty Plan Review r J o/ 107 Phone: 503.718.2439 Fax: 503.598.1960 DateB,: Related Permit#: t90 1 U n It D' Inspection Line: 503 639.4175 JUL, 18 2017 Ready DatetBy: luris: 21 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information , Y'PEIOF 1 litotivtorvro, , ®New construction ®Additton/< 1 q�((�J� �y� i{�q Please check all that apply. 1�tt1V l7IDL Y ISIO T400 amp bmit o sets of plans a itemse checked): d) ❑Demolition 0 Other: r it a v a71111� 0 Service or feeder amps or more 0 Building over three stories. • where the available fault current 0 Marinas and boatyards. 7 : -... ' ATLGOR' Ottot TRik TIO J exceeds 10.000 amps at 150 volts or � �� a,� �� ❑Floating buildings. ID1-and 2-family dwelling /,1 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural Multi-family 0 Other: amps for all other installations. buildings. ❑ y ❑Master builder ❑Fire pump. ❑Installation of 150 KVA or it:.t O 1Ti,.yal „Q 4.TtOrli 1D, ,64T.OI!(v.` �a ,' ❑Emergencysystem. larger separately derived Job#: Job site address: 10300 SW GreenburgRd. ❑Addition of new motor load of system. 100IIP or more, ❑"A","E""1-2""1-3 City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#:250 Project name:Keyence Corp. 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: b, a1 Description I Qtr. I Each Total l * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 ry - Ea.add'l 500 sq.ft.or portion 33.92 I - `,..':,‘I's E.. _= DESCRIPTION'O1',i W4 .. :.:,± Limited energy,residential 75.00 2 Fire Alarm (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 �- Renewable Energy .4 . 11101E4.t 1 :4 1t " , '� ❑ See P and/ - � a "' ^�° = ° � Services or feeders installation,a teratian, or relocation Name:Keyenece Corp.-One Lincoln#250 200 amps or less 100.70 2 Address: 10300 SW Greenburg Rd.#250 201 amps to 400 amps 133.56 2 City/State/ZIP:Tigard,OR 97223 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 oI ,lpp lit, "_ in z501,4",:Y ACTPERSON ,^ Branch circuits-new,alteration,or extension, .er panel " A.Fee for branch circuits with Business name:Point Monitor Corp. above service or feeder fee, each branch circuit 7.42 2 Contact name:Brooke Williams B.Fee for branch circuits without Address:5863 Lakeview Blvd.Suite 100 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2 Phone:(503)627-0100Miscellaneous(service or feeder not included) Fax::( ) Each manufactured or modular Email bwilliams@polntmonitor com dwelling,service and/or feeder 67.84 2 M Reconnect only 67.84 2 _ • AGO _ R d '2,,,,,', H Pump or irrigation circle 67.84 2 Business name:Point Monitor Corp, Sign or outline lighting 67.84 2 Address:5863 Lakeview Blvd.Suite 100 Signal circuit(s)or limited-energy panel,alteration,or extension. ® See Page 2 I 2 Each additional inspection over allowable in anyof the above City/State/ZIP:Lake Oswego,OR 97035 Additional inspection(1 hr min) 66.25/hr Phone:(503)627-0100 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bwilliams@pointmonitor.com Industrial plant(1 hr min) 78.18/hr . Inspections for which no fee is CCB Lic.: 135901 Electrical Lie.: 34508CLE Suprv.Lic.: 4460LEA specifically listed(n hr min) 90.00/hr Suprv.Electrician signature,required: .o-. N�ia ,a<`' . `tLEC ERJCu P "sl✓'zE' 'Nl Subtotal: 75.00 Print name: Ben Breit Date: 7/18/17 ©Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 9.00 Authorized signature: TOTAL PERMIT FEE: 84.00 SW This permit application expires if a permit is not obtained within 180 Print name: Ben Breit Date: 7/18/17 days after it has been accepted as complete. * Number of inspections allowed per permit. I.Building,Permits°ELC_PermitApp_ELR ERE.doc Rev 06,1^2015 440-4615T(11i05iCOM'WF.B Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: USIDE,1 WO ;O`NT* _):7- RK Sz tiDO Fee for all residential systems combined: $75.00 Description I Qty. Each TotalI Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25:01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems In excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva no additional 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 specifically listed('1 hr min 90.00!hr Fee for each commercial system: $75,00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed perpermit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation • Fire Alarm Installation ❑ HVAC O Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls O Outdoor Landscape Lighting* C Protective Signaling E Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations I.BuildingtPermitskELC PermitApp_ELR_ERE.doc Rev 06,17 2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10300 SW GREENBURG RD 250, TIGARD, OR, September 6, 2017 at 8:48:50 97223 AM Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00159 Inspection Type: Inspector: 198 Low voltage final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor