10260 SW GREENBURG ROAD STE 400-1 i
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._.. 104-60 SW GREI-NBUi.G ROAD
LINCOLN TOWER, SUITE 400
CITY OF TIGARD ELECTRICAL._ PERMIT
DEVELOPMENT SERVICE PERMIT #: ELr97-07
DATE: ISSUED: 12/ 17/97
13125 SW Hal!Blvd., Tigard, OR 97223 (503,)639-4171
.�^ PARCEL: 1 S 1 SAB--O.?;400
SITE ADDRESS. . . : 10260 SW GREENBURG RD G-m�
SUBDIVISION. . . . :TOWN OF METZGER �� ZONING:C—P
BLOCK. . • LOT. . . . . . . . . . . . . :O14 JURISDICTION: TIG
Prn J ect De scr i pt i on: Instal latior. of one (l) signal circuit or limitmo :aa,yy
panel.-----------------------------------------
_L _ �-�v------- -------
---RESIDENTIAL UNIT---- ---TEMP' SRVC/FEEDERS---- -----MISCELLANEOLIS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L `OOSF. . . : 0 201 - 400 amp. . . . . . . : 0 S:GN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1
MANF. HM/ SVC/FDR. . : 0 601+amps-1O00 vo'lts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERV I CE/FEEDER----- -----BRANCH CIRCUITS--- -- ---ADD' L INSPECTIONS—
0
NSPECTIONS--
0 - 200 amp. . . . . . : 0 W/SE.RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
4rI1 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION---------------.1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------ FEES
LINCOLN TOWER �,d/vL(,D type amoUnt by date recpt
1=Mr.�r1R1=+13ftA 1ppJ / - 'RMT $ 40. 00 TJH 12/17/97 97-301844
lea" _SW. eREE1`*tMG__T T" /�� Lv y $ 2. 00 TJH 12/17/97 97-301844
TIGARD OR 97223
Phone #: c :L7 '
Contractor,: ------------------------------------------------ _-_.-__----------.----
ELECTRICAL CONTRUCTION CO $ 42. .D0 TOTAL_
L='a Box t0286 !
------- FEOUIRED INSPECTIONS ----
P'ORTLAND CiR 97296 Ceiling Cover Elect' 1 Set-vice
Phone #: 224-3511 Wall Cover Elect' l Final
Reg #. . : 049737
?his permit is i!;saed subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
,ipplicable 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 188 days. ATTENTION: Oregon law requires you to follow the rules adooted by
the Oregon Utility Notirication Center. those rules are set forth in OAR 952-801 0818 thro-igh OAR 9U-881-1987. You may obtain a ropv
of these rules or direct questions to DUNG by calling (503)i'46.1967.
Permittee Signature: tr►l�i '�,�G r'�� i»r 15 5 IA e d Bye � _,/ r 1 (/J z, �--!
--.------.---.-----------------OWNER INSTALLATION ONLY___----._._-.- .-------__._-•------.-__
The installation is being made on oropprty I own which is not intended for
sale, lease,, or rent.
OWNER' S SIGNATURE: _ _�_.�_ DATE:
INSTALLATION ONLY-- ---_-_-------------.__
SIGNATURE OF SLIPR. FL_EC' N: > > :___ ^+ DATE:
LICENSE NO:
+++•+{++++ +++++4+++++++++++++-+++++++-1-++++-F ++++++-+++++t++++i-+++++.4--i•+++++++++++++
Call 639-41.75 by 7:00 p. m. for- an inspection needed the next bi.isiness day
++++•}+++++++++++++++++++++++++++•+++++i-++4•++++++ ++ T-+4..4-4-++++-&................ �
n" n.-, 913 11 :,1 V-50-3 684 7:41; ITl OF TIGARD
Community Development ELECTRICAL PERMIT APPLICATION
13125 SVV Hall Blvd.
7 -
Tigard, OR 97223 Permit
t
Phone (503) 639-4171 Dae -
CITY OF TIGARD FAX (J03) 684-7297
TDD No (503) 684-2712
Inspecticn (50?) 639-4175
9. Job Address: 4. Complete Fee Schedule Below:
Name of Oevelopment EMC
Number Of Inspections per permit allowed
Address 10260 SW Gl:eenburq Road _ _ service inrtuded Items Cost(ea) Sum
City/State/Zip 'I_ 'igard, OR 97223 .14. Residential -per unit
000 sq, ft or ieei s„0 00 4
Name for name of business) 1-14C Corporation Each oddNionel 500 ac H ,r _---
r1-1 v genion fuer” 575 0a
Ccmmercical Residenttal -Itmed tmergy -�_ "" us 00 - 1
11110 Merited Home or Mnouiar
2
Za. Contractor installation only: O"N"service br eee++er $84.00---- ------
4b. Services or Feeders
Electrical ContfactorELECTRICAL CONSTRUCTION CO. nrivilellon anafatuor,or lidU,,dn
Address P.O. BOX 10286 700 ur+rs Or It as $050.00 2
_ 201 amps to 400 at.rps $40.00 2
"Ity_ PORTLAND State OR Zip 97296 4ot amoa io r;nc erns -- $12000 — 2
Phone No 503 224-3511 4�_ 601:M
–3511 1000 AMC, $111000 2
Over 1000 amps ur ions tla0 00 a
Job Nn. 77 _ Recornec,onN -" 15000 2
contractor's license NO. 26-45C
Contractor's Board Rey, NO ] 4c. Temporary Services or Feeders
- ----L - Inatanelon,enamion or reior�tion
Signature Of SL-pr EIeC'n - t,,. - _ 700 amps er toss 2
License No. 2Q,96q Phone Na(,5U)?2/,_.T5t 1 201 ampsto.0oamos $5000 2
501 amps to 600 amps 37500
Over 600 amps 10 1000 vara ----
2b. For owner insrallations: see•b•above
Print Owner's Name 4d. Drench Circuits
Nr. eNMnatlon er e21erisien per Dan
Address a)The fee for broirrh crcuNe with
City State Zip purchase or aervrce or made.tea 2
Phone No. – -- Esu+branch Mud $5 00
bl Tho tae rR,braM;h nvrarru w1mor/r -
TTte Installation Is being ,rade on property 1 own which is purc4eae oe sorvfce or reeder re. 2
not intended for sale, lease or rent rlrsi oranw circus 31350 2
Each sddRlonai bran U+urwn 3500
Owne,s .S unriture _- 4e. Mlneellaneoua –
(SeryiCe rn feeder not Included) 7
3. Plan Review Section (if required): Eecn pumo or rngauon circle $4000 2
Eerf sign Of ovutne 11ghtm0 $1000
Signa,a n;vRri)or a nrmdao energy 2
Please Check appropriate Item and enter fee in section 5s Coni eberation or•rionsoan �- $40 00 40.00
4 or more residential unit& in one structure Mtnar Labeie(101 sio000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional InispWlon over
Classtfed area or structure containing special occupancy the allowable in any of the above
93 described in N E C, Chapter 5 Per mspectlon U6,00
pM hour sss oo
Suhmit ? sets of plann with applleatlnr where any :f the above �h Pant 1"00
:reply trot required for temporary cur,r.tru,.-tlon services. 5. Fees:
NOTICr, 5a Enter total of above fees E 4U.0-
` a_sb Surcharge (.03 X total foes) 3 X0.0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter "50,16 of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Pion Review if required (Sec.3) c �
A PFRIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal S
COMMENCED ..a.,ra..... ❑ Tryst Account M —�
Balance Due S
4e IT 1 ®1 TI GAR® ELECTRICAL PERMIT
PERMIT#: ELC1999-00590
DEVELOPMENT SERVICES DATE ISSUED: 10/04/1999
131253W Hall Blvd., Tigard, OR 97223 (503) 635-4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 400
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT : 014 JURISDICTION: WIG
Proiect Description: Limited energy- data telecom system
_ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS ___ _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: _ PUMP/IRRIGATION: �–
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LI1,1E LTG: 1
LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS _ _ADD'L INSPECTIONS ___ _
0 200 amp: W/SERVICE OR FEED'--R: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR F9R: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION_ __
1000+ amp/volt: _ >=4 RES UNITS _ > 600 VOLT NOMINAL
Reconnect only: SVC/FDR >= 225 AMPS: —CLASS AREA/SPEC OCC:
Owner: Contractor:
KNICKERBOCKER PROP INC ALLEN/FALK INC
BY NORRIS BEGGS SIMPSON 9020 SW GEMINI
10300 SW GREENBURG RD BEAVERTON, OR 97008
PORTLAND, OR 97223
Phone: Phone: 646-0533 EXPI1 .n.
Reg #: LIC 47238
SUP 781JLE
EI_E 34256CLE
FEES _ Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT BON 10/04/1995 $60.00 99-318800 Elect'I Final
5PCT BON 10/04/1905 $4.20 99-318800 .�
Total $64.20 OR I ��;� I W. '
This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable!aws
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 A 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 952-001-0010 through OAR 952-001.0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987 /
PERMITTEE'S SIGNATURE m. L pj)(IGC4tOh �, / ISSUED BY:lu
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'N: DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD RECEIVE-hectrical Permit Application Plan Check#
1312.5 SW HALL BLVD. Recd By
TIGARD OR 97223Date Recd
F l� I � iy��
Phone(503)639-4171,x304 Date to P.E.
Inspection (503)639-4175 COMMUNIiy DEVE'"I.N1 Print or Type Permit
toDST
"(T D
Fax(503) 684-7297 Incomplete or illegible will not be accepted Called 1q /
1. Job Address: /� 4. Complete Fee Schedule Below:_
Name of Development L1 1AC0\r1 , Number of Inspections per permit allowed
Name(or name of business) (>�OI wad kolAr�S Service Included: Items Cost Sum
Address4a. Residential-per unit
1000 sq.It.or loss $110.00 q
City/State/Zi :E i i Each additional 500 sq.ft.or -
Commercial R1 HeMddntial ❑ portion thereof $25.00 ,
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only: -�- ------
(Attach copy of all ci`rrent II ses) 4h.Services or Feeders
Electrical Contractor \1 � Q�,k, G, Installation,alteration,or relocation
Addre's --�' 200 a mos or less $60.00 - 2
201 amps to 400 amps $80.00
City EAa VeArkopA State_ Zlp_ 401 amps I�800 amps $120.00 2
Phone No. t�1; �� 601 amps to 1001)wimps $180.00
Over 1000 amps or volts
Job No. � I y 0'I 5 -. $ 40.00 2
Elea.Cont. Lice. No. = Exp.Date Reconnect,only _. $50.00
OR State CCB Reg. No. Exp.Date 9 100 4c.Temporary Services or Feeders
COT Business Tax or Metro No. `7 Exp. ate Lq_a_ Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 _
- 401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License No. fxp.nat@_L _ see"b"above.
Phone No._t�!)5- jnt-4(o - OS 3 3
4d.Branch Circuits
New,alteration or EXPIRED
2b. For owner ir7stallations:
a)The lee for braanchnch circuits per panel uits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00
City Stat@ Zip _ b)The fee for branch circuits
__ - without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 y
The installation is being made on property I own which is not Each additional branch circuit_ $5.00
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's SlgnatUrf_ _ Each pump or irrigation circle $40.00 _
Each alga or outline lighting $40.00
3. filar, Review section (/f required):* Signal circuit(s)or a limited
enerov' 15
panel,alteration or extension 44om-
Minor Labels f 10) $100.00
Please check appropriate Item and enter fee In section 58. `---
4 or more residential units In one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
Clssslfied area or structure containing special ori,&ancy Per hour $5E.00 ___--
as described in N.E.C.Chapter 5 In Plant $55.00 _
O
"Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5e.Enter total of above fees $
1St' Surcharge(.05 x total fees) $
NOTICE Subtotal $
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review Iter puired(Seca) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account
Total balance Due s �,
hDSTSTI.C99 APP Rev 9,'96