Loading...
Permit .? tl CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 : ' COMMUNITY DEVELOPMENT Permit #: ELR2009 -00257 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/04/2009 Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 400 Subdivision: TIGARD TRIANGLE CENTER Lot: 0 Project: Hollander Consultants Project Description: Data telecommunications Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Restricted Energy Permit 08/04/2009 $75.00 #300 12% State Surcharge - Electrical 08/04/2009 $9.00 PHONE: Contractor: NETVERSANT SOLUTIONS III LLC 9740 SW NIMBUS AVE BEAVERTON, OR 97008 PHONE: 503 -646 -0533 FAX: 503 - 641 -6613 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: Y Fire Alarm: N HVAC: N Instrumentation: N Total $84.00 Intercom/Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Other Desc: 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 AR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / Issued By: --- Perrnittee Signature: , V 6�`�O' w V 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. CaII 503.639.4176 by 7:00 a.m. for an inspection that business day. 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. - ; JU[- 30- 2009(THU) 19:28 NETVERSRNT CRSCRDES INC P. 001 /002 Electrical :Permit Application • FO olFl UUsL ONLY Mil City f T igard • Received Y EC I V '! D a t emo exits PtmnII Na.:�t�,a0 -88 5 ' " 131:5 SW Hall blvd., Tigard, Oil 97:.3 E. Plan Review ' I'hune: '01.61').4171 Fax: 303..5914.1 960 / e Oilier Pronto pa JUL 3 0 2009 ° ° "'�" TL - • . Inspection ww. d Ana. See Page ntn inr - Inleme www.tigurd•ur.gov v S tem In . ;r';�:!�o !. l'C + J• OF Tire , .. .,,, �::� . : � , .,,... New � - � to �trM�� � :' „ ��ut�SfO(V� �.,;,,',�,�.. ;.�,� r,>,�l ';�:,.. ^..,;�;�: �'��� '� �; C construction W Addition /a1tC 'Please. check all that apply Isulunit i sets of pit w den's checked . Demolition 0 Other: C1 Service ur luedcr a or more ❑ nuilding uwr those marks. a, where the available 'hull currem ❑ Marinas and boatyanla. • CATEC0R1' ;i0I ;C DNIi1'Kl1C,l'10N .. :” exceeds !UAW amps al Ian volts ar 1J Floating buildings. less lu gl or vuvcds 14.000 ❑ Coltman cial-or agricultutal © 1• ;Hid 2• larnily dwelling lig Cammcrciul /inclusIrinl 0 Accessorybuilding intim thrall oilier lnslsltutlnns. buildings. © multi- family L] Master builder ❑ Orb cr mp. nstallation JO13 til'1' I OKn1a *rIOI� AND,1.00A'f ION .'' !' ?':. i" ; , gencysystem. target separately derived system. • ('Ire PI C1 I ©Cmrr p�adhimm �rr�awnnrt�rrha�tnl' ❑ "A ". "I., I..IJ'. Jnh no.3 . "gz,. Jab site address: 12.1 01 513. (f g w4 I 001•II•armore. tn:cupumcy. (� Six or more laldcntfal units ©Recreational vehicle porky. City /SIU1c /7,IP 032.1.16i1,/, q 0 ii.,,,,... ,...,,i,„„. CI Supply vahsuc far mote flan - -1( t ��Z ❑ l luranlntn Munlone u00 vntln tntdtat. MID ids. /apt.no.: L100 Project ft I (901 (`rMS11rfi1w,► OServlccar (ceder 600 ;milts m motto. econo job site: -- . ._ ..... —.... J n r.r.t n an 9 . v.. Tota I. Cross strcctldirtis t New residential shuck. -or multi family dwelling unit, __ Utcludrn uu1 Cl1rtl curutte Sllbrlivi ion: Lot no.: 1,000 sq. 0. or liars 145.15 4 -- P.a. arld'I 500 stl. IL or portion 33.40 l map/parcel ip /parcel no.: -- -- - Limited energy, rrstdenua . • DESCRIPTIONt WORK . ',watt watt sbnve sr(_ 11.1 _� 7 „00 ! 1 ( L Iiu imllcd energy, molt ~ ilyy 73.00 « VV 4,_�i_` t ` 6 / V �1' a te:,identia l (with slaw' s y. a l Service% nr frrIIrr s lunla Ration. alterulion. uuiUor rekuruliun NO amp% nr less 80.30_' 2 0 :1'KORP;k :ell pwss1 ,,,R , — ; � TENAtVtlll ' ' 20� A in •111(1 amts tO6.8S - ` • Name: f �� -� 401 amps 1u 600 amps, Iwo) « `a�'T f i f S ' �J � � 0 ---•_ 601 amPS 10 (,000 pulps 240.60 — 2 Address: S p 4.S Over I.U011 utrsps nr volts _.._ 454.65 2 CitvlSuiic /Z1P: tl l r Temporary service% or recders Instnllatlon, alterntlnn. andfnr rclucntlon Phone: ISIS I - i& f �� F _ ox: ( ) 200 amp% or less 66.85 � I Owner Installation: This insIallution is being, mode on property that 1 own which is not T '-_9I antes IuAl1U alms (00,30 _ attended tit' sale, lease. rent, or exrhnnge, according to Otis 447, +149, 67n, and 701. '101 amps to 599 amps 133.73 - Dn1et Branch elreults -• new, alrrra1Io1. or exlcuslun. oer p0ncl Owner sii'nnlurc: _ .. - .. A. bee for branch circuits with ' ..._ 0 AI.1•1.1CAN'Y .' :.:.,:.,:•:: , „ ": ' ab.wr servi or feeder fee, Each.hranch circuit 6.6.5 Business nunlc: 13. Pee tar branch cllcuils Contact name: — with out service or feeder lee, Arm branch ciradt aG.85 « Address: Each add'1 brunch circuit 6,65 « ” Mlseenanenwr laor vie.• or feeder out loelotleip City/Stat lZI1': kuch tnanulacnned or mr.'dular t)U « gU dwell in$.Sl1V jet and/or feeder L Phone: 1 1 Fax: : ( ./ - Reconnect only 66, »5 — 2 V•mai - ...._._ Pump or irrigation citric 53.40 _ . CON'I'KAC't'C)K . - • Sign ur supine lighting 53.40 2 BIlsincss m i h N +Ve rsgh-4 so I'� �5 III LL� Signal circuh(sj or lion ., - energy panel. alteration, ur � 00 Address_ 9 el i 0 $ A) 1 ry l ,� h �- r x ensnm. tcscr(lu:: l Pugs 2 1 2 City /Stlllc/ZI P: End' additional Inspection over allowable In any °Nhr above (�3) L `I lrrins lion 07,.50 Phone: 51:1S) Lo'iG• Os ,,1 Fax: —i i Lil,� ! 3 / I nvest igation per knit' I I hr mini _ 62.50 CCB Lie.: `g 6 a A 1 ✓✓ Electrical Lie,: C(,E tau t Lic,:1 I 0 industrial plain per hour 73,75 Supry Electrician signature, requital: 1:LEC1'KIC,►1: •PF.KYII I'.- EES ., , Subtotal: _mss. 0 0 Prink norne_ . Date: 7 1 3 t 01 u S Plan review (25%uf perrnil feel: r' 4 - 1 IJ l Stile surcharge (12 of permh fee): 5 . 0 b Authorized Si TOTAL 1 IT FEF.: t 1{• 0 0 r applicant'', applicant'', expires Ira permit 1. uul obtained NtlUtn Oa ����` LZ t"' Date: �131 rV Thl. 'mil app T Print lUhIi1r; �¢ days eftrr It has been nccepInI as complete. • Nutlike) of imelu:cliuuN ullm►s4 per perm). I ' lluiWiny •Perneia4.1.1 •Pean(IAplulnc tl f _l0i, 4.10.4n I lT11 MIMr-nAVw6a