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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 111 1 ' COMMUNITY DEVELOPMENT Permit#: ELR2019-00113 T-I ;A R r7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2019 C Parcel: 1S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 650 Project: Marcus and Millichap Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Low voltage for HVAC controls. Contractor: HUNTER DAVISSON INC Owner: LINCOLN CENTER LLC 1800 SE PERSHING ST BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-542-3628 PHONE: 503-412-4800 FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 06/19/2019 $75.00 12%State Surcharge-Electrical 06/19/2019 $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: 0 HVAC: 1 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y may obta' a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800.332.2344. Issued By: --.'�fs Permittee Signature: L-' OWNER INSTALLATION ONLY e 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. A Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE �' 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review - Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:\\Cs , Inspection Line: 503.639.4175 JUN - 6 2019 Ready Date/By: luris: Ed See Page 2 for TI GARDNotified/Method: Supplemental Information Internet: www.tigard-or.gov E .b,)t' {'0;t0C-9Ri Y PLAN:tl)EEVIE1V ❑New construction ]Addition/alteratio emen gelme D� Please check all that apply(submit a sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over tiuee stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATtp.o OF CONS.'R11eil© z a exceeds 10,000 amps at 150 volts or 0 Floating buildings. 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 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SIT,INF'ORMATIOI Al . OCATi4N ❑Emergency system. larger separately derived " ❑Addition of new motor load of system. <1 l00HP or more. ❑"A" "E„ "1-2""1-3", Job#: /gay I Job site address./U�,fo Slry Gt"eQ,N.�Is /P� occOpancy. �u a ao ❑Six or more residential units. City/State/ZIP: y cAYC ,,' ❑Health-care facilities. ❑Recreational vehicle parks. J t �SO ❑Hazardous locations. 0 Supply voltage for more than utt bldg./apt.#: �,S U I Project name:0. Lt!Cot o�N __Sit t 2 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: Description I Qty. I Each Iq Total New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 l DESCILTI'`1,01 I W,O A...-.. Limited energy,residential 75 00 2 � / (with above sq.ft.) /0(9 VO`fi0.Qe, (/v�C- Cod 11D` Limited energy,multi-family 75.00 2 J residential(with above sq.ft.) p Renewable Energy ❑ See Page 2 P /E R55�11WN R,: ' 1 y- EM z, Services or feeders installation,alteration,and/or relocation Name: �p to ,sf F(,tG tON ,J /c- 200 amps or less 100.70 2 // 201 amps to 400 amps 133.56 2 Address:aQ�(/5 ,fin/ SOS A At 401 amps to 600 amps 200.34 2 City/State/ZIP uc tcm J/N oR 770 62 601 amps to 1,000 amps 301.04 2 Phone:(sa S ) 710--3,14a, Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 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 Branch circuits-new,alteration,or extension,per panel r1TC ,::,., _,� coki4 t lin-sof,* A.Fee for branch circuits with Business name:/LIN"% -_,Dco l S's� _To c_ above service or feeder fee, 7 42 2 ���� Fee or branch circa c Contact name: B.Fee for branch circuits without fl / service or feeder fee,first 56.18 2 Address: /boo i ' / ,cShiNci Strati l-}^ branch circuit City/State/ZIP: To f1t joi.N d cis/ 77.202 Each add'I branch circuit 7.42 2 / v Miscellaneous(service or feeder not included) Phone:(spa )5y2-361�0 I Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: // / G om Reconnect only!'Oo�/{-�,e,�I./�/..�QhuN Tecc14 _ 67.84 2 ff X11 T�!RA cTO7 ,_ ,,. : Pump or irrigation circle 67.84 2 _�„ Business name: M ,4S /7v0 / , Sign or outline lighting 67.84 2 ""v Signal circuit(s)or limited-energy .ry1 Address: panel,alteration,or extension. A' See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( ) I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.://2 I Electrical Li' :a6= 'a Cee Suprv.Lic.:60 0 LE/� • specifically fisted(%hr min) ;EI.tiluCAL PERMS. .FEES Suprv.Electrician signature,required: ' r, Subtotal: Print name:' 7,. Av SSON Date: ❑Plan Review Required(25%of permit fee): I State surcharge(12%of permit fee): Authorized signature: , . , (a), TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: "'prl 1,l A Date:, ../S/5; days after it has been accepted as complete. / s Number of inspections allowed per permit. 1:1BuildinglPermitawELe_PermitApp_ELR_ERE.doe Ray 06/17/2015 440-4615T(i1/05/COM/WEB i Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 DescriptionI Qty. I Each ( Total 1 • )' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01to15kva 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 50.01 to 100 kva 552.26 2 D Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ 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 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically!I!!!11407',,,, liste (% r mm s SubtotalEnteron Page 1): Fee for each commercial system: $75.00 �r * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation 43 HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all - other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 10220 SW GREENBURG RD 650, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2019-00113 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor