Permit C ITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL RESTRICTED ENERGY PERMIT
•
PERMIT #: ELR2006 -00178
13125 SW Hall Blvd., Tigard, OR 97223 503439 DATE ISSUED: 7/28/2006 PARCEL: 2S101 DA - 00102
SITE ADDRESS: 13221 SW 68TH PKWY 400 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: Voice & Data. Job #900.HP6223.
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: Contact #: PRI 503- 646 -0533
FAX 503- 641 -6613
FEES Reg #: ELE 34- 589CLE
LIC 150328
Description Date Amount SUP 2903LEA
[ELPRMT] ELR Permit 7/28/2006 $75.00
[TAX] 8% State Surcha 7/28/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: � i , Permittee Signature: ; p
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL- 27- 2006(THU) 21:55 NETVERSRNT CR5CRDES INC P.001/002
• Electrical Permit App 10 . FOR OFFICE USE ONLY
City Tigard i ‘i ` gc"'"n _
�► tblatnyt �6 �D Pesmli Na.: �CGQS �o f 7 ■
1 3125 SW Rail Blvd„ Tigard, OR 97223 - Plan mac„
Phone: 503.639.417 t Fax: 503.5911.1%0 4 0t71i; .j I attar Ninth: bate/By: attar
Incised on Line; 503.439.4175 JUL 2 r . ;, 1' „ now itowynlY: .htt a /;, to See Pane 2 for
Intemen twvw,ci.tfgard•or.us Nodlled/Method: 7 / () Suniiiementat Information
:# Arc PI c , • nli>ltivatS ,, ,�-
CI New canstruction (� t nTTl ttiian/ P 11 Pleaac cheek all that apply: _
Cl Demolition ❑Other: °Service aver 225 amps, comm °Hazardous location
:ti r ! .; a' 1 :v , . ❑Service aver 320 limps- radng DBulldng over 10,000 sq. ft.. .
::I i.•1. ;,:,1. i : + ..1. '? :i Cti'.itvGOFirl!;;O : c0 :$TIW oN, y a' : ,,,., t::; .:,° of 1- and 2- family �;': C . .. .: .....,.- ;.;�.; :,., . „., y dwellings 4 or =re new tr:ddemdal
❑ 1- and 2- family dwelling VI Comttterciai/industrial ❑ Accessory building ❑System over Goo volts nominal units in one structure .
❑ Multi- family ❑ Master builder ❑Other: ❑Building aver three tunics °Feeders, 400 amps or more
Multi-family •,.. re , • �. - Olgfrgili
. ,. persons DManulhctured stmetures err
ti y a?1 1;�C.'S r r " a OBI p ioN glo ; t• 10 O P 1 :G :4 � ':* - '1'; q IIghdngplan ❑Occupant toad over 99 p RV park
Job no :1UV, }7( lob site address: 13aa I S IR/ (p 8' PK kJ f dHealth•cere facility °Other:
Submit am atoms with any of the above.
City/State/zlP: mCri p, Q(. Ci 4 27--g Th. above= not applicablew construction service,
Suite/bklbdapt. no.: 4 0 0 1 Project naum: '� ( 1 ere ai �d,•f l 'X "' r t.,5sonED:wi ttti , eva ,,�•
' � V � ,. e�,k,w,cYFt��{� :rW' i ;I Y, I.t.��i�rd �a, :•'tikl ,r I�✓.JW rr7„�%
ttesahnloa I gip j Pea. T Bnal I ••
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq, ft. or less 145.15 4
Subdivision: I Lot no.: Es. udd1500 sq. R. ar pardem 33.40 I
Tax map/puree no.: Limited energy. residential 75.00 2
Limited energy, non- re:sldentlal 75.00
��, ��' :iF �• �;1 l `"`1 ItIar iJ (.1iqW. . ; ':.�;•rir) �11?11 1�i�!> Oath manufactured ormodular S.•�I",�ni�a - i.' � • �: a �a'�,,a "a'f�!E.'St:�Kdl "�e..�. I �. r���J�,.. 90.'1.. nK. • : ^; rN.,t'Sl':r � � :39•,:f1•.Yi :r� c �g?r
\G i �a b dwcliln :. service and/or fader 90.00
Services or feeders installation, alteration, and/or relocation
200 amps or Icss 80.30 2
�• i , ' ... FO •' rA .i . • . 41 t . Lae W t 301 amps to 4q0 Mann 1 06.15 2
�i, C] Ptc�Yfp••e nJV�?�� ��. �:� r• •��rxi�rin�!!�'� :
Nam I l��(/l'1 C Q OA f ' 401 amps to 600 0 ani 160.60 0,60
Address: _�►• 601 amps to 1,000 amps •340,60
1.-Ra SW �✓�/ • —
, Ova 1,000 amps or voila 454.65 2
Reconnect only 66.115 2
City/Suite/ZIP: 6 11"A19 ag 4 7 ZZ 3 Temporary services or feeders installation, alteration, and/or
Phone (� D3) (0 9 0 - CD Lj' S i nix: ( ) 200...., lean 66.85 1 1
Owner iInstallation: This lnstallntIon is being muds on property that 1 own which 18 not 20l amps to 400 omen 100.30 2
intended for sale lease, rent, or c*chunge, according to ORS 447.449, 670, and 701. 401 amps to G00 amps 133.75 2
Owner signature: Dote: !trench circuits— new, alteration, ur ea<tenatuel, per panel
, i i7 ' o frt mr ' ", 11'° 4 .4 4 a E tKa iL7igO i "•° r. r _' Q . r tiw A. Fee for blanch cin:ulls with
service nr feeder r fee, cull 6,65 2
e~
Business num branch circuit
Contact Hume 13. Fee for brunch ciicults
without service or feeder fee, g6,115 2
Address: each branch eireuit
Cash add'l brunch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not Included)
Pump or IrriRadon cl rcic 53,40 2
Phone: ( ) I Fax: ( ) Sign or outline lighting 53.40 2
E-mail: �-e, Signal ctrculi(s) or limited -
:h4?ill „5i.i++i.Vii .'.j' >;.; i�`� :0.:: :TrM1. ' F ONT. .ft'(A.tw1OR'.r: ?r12eZi'..•. "^ .i�. .li, �;: i5. �^H'" e: nta::ypanel.nlleratlan or �� Q/
Businusname; y '.0 ..Q - asfi • mss_
extension. Describe: ` Page-2 2
Address.: q 7 L/ 0 S ICI / `( t 61 CJ(i S p1 Y.e ,1 pi e Each additional Inspection toter allowable In any of the above
Per inspeedon 62.50
.. City/State/ZIP: y'm -f'a c 1 r? 0 0 cr _Investigation per hour tllvmin 62,50
Phone: (3 ) (ogle -0533 ( Fax: (553) (o 'f ( — C(1(Q / Industrial plant per hour +�� _ 73.75 ^
' sp. ,i.4%.n 1: 4.- ziEi�ti�ie•, ttltJ�t7.:I�ziolIroszsw� >I:J:i' x. 1,71;:'
CCB Lic.:(Q 0;-S' Electrical Lic314• N CLEhSuprv• Lic 3_1251_613 Subiotal 75 00
Suprv. Electrician signature, required: ,I MO' / Plan review (25% of permit fee) Of 11-
�" 7 U IO State surcharge (B% of permit fee) 0 0
Print name: C' . , r Darr. TOTAL PERRY ' FEE S I. S.
Authorized signature: This permit application expire* It a permit is not obtained WI thin um
days after It has been aeeepled o emplane
Print name 1 Date: • Pea mriIindaingy sat by TrI•Cmmty Building induany tiatrlea truant
•• Number at Inspections per penult alInannl.
1:\auildipati•emdMOt.C•DettttiA p.doe 12101 44114010i I U 1CDMlWtiil
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELR2006-00178
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171
A
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 9/1/200 TIME: 7 :01AM PAGE: 69
SITE ADDRESS: 13221 SW 68TH PKWY 400 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: AGILENT TECHNOLOGY
DESCRIPTION: Voice & Data Job #900.HP6223.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 50364 &0533
Inspection Request Scheduled For: Date: W1/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
135 • - 035903-01 503 -33C 1685 N
Correc io - • - s nstructions:
ANN k 006 .. ckk
is PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: O Date: 1 • `• 0 6 Phone #: (503) 718- 2.14 4, J