Permit jot -4„
ELECTRICAL PERMIT -
C ITY OF TIGARD RESTRICTED ENERGY
s-- i'" L�� I ��
- 13125 DEVELOPMENT H BMEN SERVICES 1 639 -4171 DATE PERMIT #: ISSUED: 4% 03 3 -00121
SITE ADDRESS: 13221 SW 68TH PKWY Ear PARCEL: 2S101 DA -00102
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
Proiect Description: Install low voltage for Voice /Data cabling.
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 OREGON ELECTRIC CONST /GROUP
4650 SW MACADAM AVE STE 220 1010 SE 11TH AVE
PORTLAND, OR 97201 PORTLAND, OR 97214
Phone: Phone: 503 234 - 1001
Reg #: L.S03-23429E00
SUP 4460S
ELE 26 -95C
FEES Required Inspections
Description Date Amount Wall Cover
[ELPRMT] ELR Permit 4/24/03 $75.00 Elect'l Final
[TAX] 8% State Tax 4/24/03 $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. /fl ��� n
Issued by A �� [ Y i• i( Permittee Signature Q� (�t,iQ_l4
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: rJIJ
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
04 -24 -2003 08:32AM FROM - OREGON ELEC ESTIMATING +5032313587 T -231 P.001 /002 F -198
4 01V - ' Electrical Permit o
City of Tigard received4_a -03 Permit no • .9003 c50 /a/
13125 SW Hall alvd Projecvappl. no.: Expire date:
,. . .. , i'.' :. Phone: (503)639.4171. FAX: (503) 598-19k R 4 4 L u u g issued: Bv: 6 6 !Receipt no.:
Internet address: www.ci.dgard.or.us Case file no.: Payment type:
24 ins "on R; • nest 50 91Yd)/ TIGAR J
O 1&2 family dwelling oraccessory 18J • ,; "` n> . •t - 1 !VISION D Multfamily O Tenant improvement
ID NeweonSvucdon ® a dditiaNaltaratignk • = •=meet 0 Other. El Partial
u tii I !° iwri ier.rr11.7r4
Job Address: 13221 SW 68th Parkas' u1 - = .!.Na... Suite no.: _ • Tax ma • ._ x lot/account no.:
�e Block: _ Subdivision
Pro Name: SASCOA4eahhNet Description and location of work on premises: Voiceipata Cabiinp
Estimated Date of completictYnapection:
NlIll • u call for ins • —;on within 24 hours? YES NO x
;r: f;Ci:; nf: , i it .,.11 ;rs: '
II:IC`•.:il:a. .1.:I
Job No.: 63629 v On cnp� Qty Fee tea.) Tops AU
B re
usiness name: Oration aw
on Electric Group uno. Inees aaaaen
aaraae. 5onice Included:
Address: 1010 SE 11th Ave. 1wooso rt. orteea S 145.00 S - •
City: PMAlanaIStato: OR'Zlp: 97214 ea noel 500 SF or Paean S 33.40 $ -
Phone: (503) 234 -9900 Fax: (503) 234-1001 1 E -mail: um= Eneroy.152 Farm/ 5 75.00 S 2
CCB no.: 203 Elea • us. Ix. no.: 26-95C um= Enemy awraFamry $ 75.00 $ - z
CID! _ rmd► rellnufaCtu ed home or
/ ., madder dyeing 6avrca
... �" 4/24/200$ Ohara WOW S we° $ . 2
Servica or Feeders •
Su .. Elect N. : P • 'nt . ark Ka _AIM license no: 44605 Instslutiot. Altatadon or
Reloeagon:
1.1•:( ' i Y i.;tn-r•iLJ 200a .•: orleea 80.30 S - z
Name (per: 201ampe • 40oampa 5 106.85_ , $ -
Mailing Address: 4olampa- swamps 5 160.60 $ - 2
city _ State: IMP: _ , Sola nos • 1000ampa 3 240.60 S - 2
Phone. Fax: LE -mail Over I000A Of Vona $ 454.66 , $ • 2
Owner Installation: e installation Is being made on prepeny 1 own which 1s ReCprhnea QntY i 6669 $ - ,
Th
T a i s or
not intended for sale, lease, rent, or exchange according to ORS 447, 455, Feeded rs _ e lnmsmuan ,
479.670.701. Alteration or Relocation:
Owne(S • MMiura: Daft): 200 arms 8 seas S 2
201 • 4oaamoa E 100 so $ 2
Name. overacts - 5 13375 - 2
:r- ch
7, te' - - ;
Address Alteration or Ease 1sbn Par
City: Barite: 4o. areas A Fee ter pram
areas Mgt purchase of service
or featierfee. 6850 eranen
Ed
Phone: Fax: na ekcud 6.65
6. Fee for prance circuits
WIOi4 Punxtaso of Service or
Feeder. let Branco Oa s 46.85 . $ 1
O Service, over 225 amps-Gomm 0 Healttrcaro facility Earn attemonal Dram dna,lt 5 6.85 $ -
O Service over 320 amps -raring of 0 Hazardous location ni t � w
1 &2 family dwellings 0 t3uilamg over 10.000 square f e e t four or Ele n pump Cif iodation was $ 53.40 $ . 2
O System over 600 volts nominal more residential unite in one structure tarn Sign or Oualno uenono 5 63.40 $ - -
O Building over three stories 0 Feeders. 400 amps or more Sismah aroma) Of unanea Enemy
Panel Alteration or Extension"
C7 occupant bad over 99 persons C] Manufactured structures or RV park 1 $ 75.00 $ 75.00 4 ,. 2
O Egtessllghting plan 0 Other. - - won;
Each Add eenal Inapeekren over
Ow Allowable in any ofthe
Above. Per Inspect=
$ 62.50 IS -
Submit 2 sets M plans With any of the above. union fee:
The above are not a • • Icable to tem • • - construction sa■ice. Osier
Native: This ;ninth application Permit Fee 575.00
examen ifs perm o within 180 nor Plan review 25% 96 f0.00
NW Deenaccepted � State Surcharge B96 Se.ao •9
comptete. Total $81.00
LCITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested - AM PM BUP
Location i/ 3 3 C P � � Suite MEC
Contact Person Ph PLM
Contractor _ Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain
•
ELR J 6 / -1
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation (�- /
74d
Drywall Nailing ),07I `
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
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
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
d ' =• PART FAIL
SITE D Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA D 6 /3/ 2 Inspector —• F- •�
Approach/Sidewalk
PP
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL