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Permit CITYOFTIGARD ELECTRICAL 4 RESTRICTED E 1 , DEVELOPMENT SERVICES PERMIT #: ELR2004 -00340 Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/2/2004 SITE ADDRESS: 13221 SW 68TH PKWY 500 PARCEL: 2S101DA -00102 SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Data cabling. Job # 107 - 114 - 07701. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: TIGARD TRIANGLE I LLC NETVERSANT CASCADES INC 4650 SW MACADAM AVE STE 220 9740 SW NIMBUS PORTLAND, OR 97201 BEAVERTON, OR 97008 Phone: Phone: 503 646 - 0533 Reg #: ELE 34- 589CLE LIC 150328 SUP 2903LEA FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 11/2/2004 $75.00 Elect'I Final [TAX] 8% State Surchari 11/2/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable 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 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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by 7Z_r 1 �2 Permittee Signature _Ice, c) A1), 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 7:00 P.M. for an inspection needed the next business day 11/02/2004 13:01 FAX 503 641 6613 NetVersant Cascades, Inc IZ001 . . . . •....:• •:_. „.. . , .. .. El qdeall Permit .. .....; • - '':'''' ; " '. ' ''. '...''. ' *; FOft OFFICE. USE. ()NIA - :. s.., ...: .'...'..••.7...': .' ...,..:*... : • . . . . • Received i AA P 'ttslo . 120 poj City of Tigard - -, Date/B . „ r 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revinw - Other Panic Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Inspection line: 503.6394175 ,44• ' ;"7 :1 ' ' Dale Ready/Br .----- Jun= i r El See Page 2 for internee www.ci.tigard.or.us Magi/Method! - / tr Supolemencd Information :'gA .. :5:it. 0 New construction a Addition/alteration/replacement Please check all that apply: EiServicc over 225 amps, corrun't ['Hazardous location 0 Demolition 0 Other: OService over 320 aims - rating [lBuildng oveir 10,000 sq. ft., :ftqAtNtiltTai,ti,A,F0,„"!i+ilininti;SW,tittwiligifet 6 AVU p igggR-$5 of 1 - and 2-family dwellings 4 ar more new residential -:,7,:ikalit:•:ra....;•..;.:0,),..eq•::,;„,4::4:;411w.,..,,,,,,,.. ...:,.,.....,.........,,,,,,, ,.. 01 and 2 dwelling NiCommacial/inclustrial LI Accessory building ' ['System over 600 volts nominal units in one structum OBuilding over three stories ['Feeders, 400 amps or more ID Multi 0 Master builder _ El Oth er °Occupant load over 99 persons ElManufactured structures or • ;• -- - , :7,t, .... • n ii i /r -- emi . -.:11 1-1, RV park ii '‘' .. :. • ..L ••• •• .. • • ,., iv4e- '''' L-l&g reSSIli g htin g P lan . ..,..• ....., M1 .. I .o...,........... • . • • • • ••• , •••• ....... . ..... . .......• , ......• .... Job no.: • Wit Job site address: % 1 W rs,?. .,,,He.n.h_ca,...ility 0 Other - - . I , . Submit 2 sets of plans with any of the above. City/State/ZIP: vi • c-, l emb 1 • • j 1 ri The above arc not applicable to temporary construction service. '',.'•'.'.1i2k.e:P. Suite/bldg./apt_ no.: 5 0 0 Project name: -yein4 eit it ed-an DeStripti011 1 Qty. I Fee. I TOtal I " . • Cross =et/directions to job site: un I M j i s r b . . 04 4.. ov y New residential single- or multi-family dwelling unit. Includes attached garage. ?WO tt 0 leiri4V /WIC . • 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited maw, residential 75.00 2 Tax map/parcel no. ..„.., ... ... Limited energy, non-residential 75.00 2 iikiagr?,4firamitotietfolvo,;:wovIii';fiipii.:624:iy:6;4:A: Each manufactured or modular _ Da-1-4 e_a in tivi5 dwelling, service mid/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 77.•••1::;:..5:..::.:::.•.,...i.tip,w,;,4„...tifima.,,iii,:&•:,::tf:79,1;,;iaripiE.:7,-:07.4v.::r::,:::;:ttriiiiiii..;.;;;:....;•;,:::;4;7;;;;;A:;;;:. 201 amps to 400 amps 106.85 2 ,..:::••... :...,4%y:: ,..-.n..1.54 .:....,.....,i,....•:-..,!::..•••••-:.1,:e;tV-7-:fc...'!•!.s. 401 amps to 600 anips 160.60 • 2 NalTle: A patto C5120ki 14 . 601 amps to 1,000 amps • • 240.60 2 . Address: ' l 5 E. • • . &x,ilit;k- Over 1,000 amps or volts 454.65 2 i 1Zeconnect only 66.85 [ 2 Cfty/State/ZIP: a to s X, 41 2_ 4'5 3 3. Temporary services or feeders installation, alteration, and/or Phone: (V)) 5 .1 50 ,4 ) Fax: ( ) relocation . 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for salc, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps _ 133.75 2 Owner signature: _ Date: Branch circuits - ncw, alteration, or extension, per panel •i A-Fee for branch circuits with 5;'.0Z;*00t4*0*§Ori.444. iui ----" • service or feeder fee, each 6.65 2 Business name: branch circuit B. pee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit . Address: A )( P lir& Each add' I branch circuit 6.65 2 , A. illiNik City/State/ZIP: Nm enutllli Miscellaneous (service or feeder not included) Iliillallimmim Phone: ( ) ax: Immo.- Pump or irrigation circle 53.40 2 • : sign Or outline lighting 53.40 2 E-mail: Signal circuit(s) or limited- - 55;.Mil'aaiali" ..,....cncrU Panel' alterati°n' °r • - S ' ' - extens . ._ iaibe: Page 2 - is.o . 2 Business nasne: if si I lk_1 • Address: 4 1 9 Q SW A i i of b us fttieit Each additional Inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: be 0 egarm 6 ieN Investigation per hour (I br Min) 62.50 1 Phone: (6115) frit t ...0 s-5s 1 Fax: (4 AIM 1 4.1 UP I 4 Industrial plant per hour 73.75 Mi ;iiiELWITIOCO CC13 L 2 ic.: 15b ,7 C6 Electrical Lic.5 Suprv. Lic.:31 •• giiiii 2 v. Subtotal 75. CI 0 Suprv. Electrician signature, required: k „ „il , N.4 0 ..i /!, „. j Nan review (25% of permit fee) -........ print name. . • , ': - t 0 • , , f 'V • • 0 1 • • _M • ateD . i I a d . I ' ..q State surcharge (8% of permit fee) to - 6 0 A TOTAL. PICAUVIIT lEVAR l ig I . 0 0 t 'This t applicatiaa expire. it' a Der•Mt. sa not abr.:nett vAthio ISO day,. (Met is Sksis Mitiata SgIMIt'. • V.. nwszo4otora sato/ Tri-c-ttuFTY ElundinZI...ausvrY Scvng' " Date: •• rturober of impeeuom per acroat allawca. arle.4615 VItt Viat:- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: . (503J 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / • /1 ? AM PM BUP Location ! :3 �- ( �� ^ 'r" E -� Suite -COO MEC Contact Person Ph ( ) 330 - /' (5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: �q'� SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear c j J 4i S G (� ` 3 ; , J \` 1 ` a 1, : Framing ,` Insulation q3 W N A \ Drywall Nailing Firewall nk k mannE' — VI n' Fire Sprinkler Fire Alarm Susp'd Ceiling _ ((�` �1� tS Roof I , I f A , -+ ' 1 �1 Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL ft1-4 Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm PASS PAR El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 11 14 SITE ❑ Please ca 1 for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ) ;(� ADA Approach/Sidewalk Date / ( V Inspector Ext Other: y Final DO NOT REMOVE this Inspection recor from t = job site. PASS PART FAIL