Permit (64) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
L.
Permit ELR2019 00111
2 "-' COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2019
T.( �'� Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 650
Project: Marcus and Millichap Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Adding and relocating fire alarm notification devices for TI.
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: 503-412-4800
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/20/2019 $75.00
12%State Surcharge-Electrical 06/20/2019 $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: 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. ATTENTION: Oregon law requires you to • - -- -rules adopted by the Oregon Utility Notification Center. Those rules are set rth in OAR
952-001-0010 through OAR 952-001-0090. You m obtain a copy of t • rules or direct questions to OUNC by calling 32.1987 or 1.800 - .
Issued B .rmr,te: Permittee Signature: /V l
/ . -4.
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 Application FOR OFFICE ( SE ONE1'
Cit.1 I - y of Tigard 'eceived
g 13125 !E EIVE I1 ate/B
- a m la I 31,g r a it m•
Phone:
SW Hall Blvd.,Tigard,OR 97223 3Ian Review �SuV
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
T 1 G A K D Inspection Line: 503.639.4175 JUN ® 5 2Q 19 Ready Date/By: Iuris: 0 See Page 2 for
Internet: www.tigard-or.gov v Notified/Method: Supplemental Information
, it. .` TYPE OF WORK CITY OF
113 r4s ' .: ' , P :REVIEW �:_ �., ,..7 ..,,....„., L.,
0 New construction ®Addition/alteration/I LA1C19F^DI v IS10N Please check all that apply(submit Z.sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
l
d;53t,:: CA ORY:„OF=•CONS,' Uq ON= exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-familyless to ground,or exceeds 14,000 0 Commercial-use agricultural
dwelling El 0Accessory building amps for all other installations. buildings.
❑Multi family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
- _ , „„` 5/&till: SITE I ORM T10P vv 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 10220 SW Greenburg Rd. 10OHP 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.#:650 Project name:Marcus&Millichap-Linc 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:
[! E SCHEDULE k -:
Description 1 =Qty. I Each I Total 1 *
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
5n.., m, .r _ �� Ea.add'1500 sq.ft.or portion 33.92 1
F --,l, .,r a ', :. ';`''',4-'"_ .Di -, ,'} I). yu, 4 -;`.`""' a -"
• � ;a " Limited energy,residential 75.00 2
FIRE ALARM (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
s Renewable Energy ❑ See Page 2
❑"PROPERTY OWNER" ;' ' ;'''1';'1 .T' N'" " , ,Ii Services or feeders installation,alteration,and/or relocation
Name:Marcus&Millichap-Lincoln 2 200 amps or less 100.70 2
Address: 10220 SW Greenburg Rd.,Suite 650 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) I 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
�. . P11.;TCAI ': _.. 1 .. �', COACT'I'E' UN .��t.. "" extension,per panel
A.Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder fee,
7.42 2
each branch circuit
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
Miscellaneous(service or feeder not included)
Phone:(503)627-0100 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:bwilliams@pointmonitor.com Reconnect only 67.84 2
- • , , CONTRACTOR ‘; 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 rcualteration,or extension.t(s)or limited-energy
panel, ® See Page 2 1 2
City/State/ZIP:Lake Oswego,OR 97035 Each additional inspection over allowable in any of the above
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 90.00/hr
CCB Lie.: 135901 Electrical Lie.: 34508CLE Suprv.Lie.: 4460LEA specifically listed('/z hr min)
~7-.,-,,, .;ELECTRICAL=,I"E IT"= 5 _,:
Suprv.Electrician signature,required: Subtotal:
Print name: Ben Breit Date: 6/4/19 0 Plan Review Required(25%of permit fee):
. "---ie-.. State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
_ Print name: Ben Breit Date: 6/4/19 days after it has been accepted-as-complete:
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_Pe,mitApp_ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
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 Description )
Renewable electrical energy systems:
Check Type of Work Involved: 5 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:
El Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
El Garage Door Opener* >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
El Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El 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
specificallylisted
._ 2 mm)
n
� I
acO1V CIAL WORK ONLY:
I
7
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
El Audio and Stereo Systems
El Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
® Fire Alarm Installation
❑ HVAC
El Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
El Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
1:\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 ELR2019-00111
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor