Permit 1 CITY OF TIGARD PERMIT
RESTRICTED ENERGY
�� DEVELOPMENT SERVICES PERMIT #: ELR2004 -00375
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/13/2004
SITE ADDRESS: 10487 SW CASCADE AVE PARCEL: 1S135BB-00500
SUBDIVISION: CASCADE COMMERCIAL CTR. ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Voice & Data.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
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:
CASCADE BLVD CENTER LLC + NETVERSANT CASCADES INC
CORNELL LIMITED PARTNERSHIP 9740 SW NIMBUS
BY GEORGE B HELLIG ATTY BEAVERTON, OR 97008
CORVALLIS, OR 97339
Phone: Phone: 503 646 - 0533
Reg #: ELE 34- 589CLE
L1C 150328
SUP 2903LEA
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 12/13/2004 $75.00 Elect'I Final
[TAX] 8% State Surchar 12/13/2004 $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 Permittee Signature
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
DEC- 10- 2004(FRI) 02:22 NETVERSANT CASCADES INC P. 001 /002
Electrical Permit A lication EPR"Pr FUSE ONL• - •
' � City as Tigard IVE� nu ,
° ti - /o - 05/ 7 1 Permit Nu,: t�( -% Of - a , ,
13125 SW EIal1 Blvd,. Tigard, OR. 91223 Plan Review
Phone: 503.639,4171 Fax: 5034911.1960 ► ' /* nater/nv, other Permit:
Inspection Line: 503,639.4175 DEC 1 0 200 „ ,� • 1 ) , pate ResdyIF3yt J�tnst M See Page 2 for
linemen www.t:I.tigard.ar.ua Notified/MGtltod: i V(r Supplemental Information
L;1i,Ci� „ p "dT i+:��rf :� �'r�Aa %ii 'P� +'qD ?, "I��+��";;��,.��,�r�ry y @, •'�',Sl `1 N�1' lsr n +. .1cq� �'wwrl" ' � ( u, o a ,rw t .. .
7 �� • _ �?'w` ^ � ViEri••• t VV M L„ t' w 1 °i �I ,•7µg7 .9, �� I h.� i r P . • l i t' •.. i „c:G tar l
Ial4f �~ u !
,�l C.�,,.� i;{�rMt i �, s �j:Q,. -..._ , w..,F!!,._h�Mid.��S�. btu. i!1. �. t..i.,.t,�!!f :��rr{t :�C'J,iitir i,.I���'I�l .I'"!tliil :l.,.�lW..�Lfl�itw �I�,r �.. _ ., �� .iL';.,_._.ir,k.',�.,•�.u.wti1, .bllii.n:x.
], New construction [{ Ad" lid " r • /tWitarnrnt Plenae cheek ail that apply:
/ ❑ Demolition El Other
over' 225 amps. comm'1 [11ii=nlbtat location
s l r�t �, i . 0 1 c '� �'� :G>4r CyOL' i Ii CiD IVS itt7, ' Q [ y! 13, t' if i' �' } ?iI`o `{jr� l DServlce over 320 amps - rating °mulling over 10,00D so, ft.,
1§ .. _
�, . r �t 4. „Y,, �; f :�� �! � �i! l ti...__ ....... ........ _. _...... ...�+� , �..fu, � ��'; �?H��lir�111,Vhn ?tit { :3ii of 1 • and :•family dwe111ngn 4 or more new residential
[J 1 and ramily dwelling Commerciandustrial Accessory building [,System over 600 volts natninal wills in Ana an•uOwtz
[] Nlulti•fumily ❑ Mosier builder Other: [1Duilding aver time awri= DFeedertt. 400 amps or more
r fi t; r e t u t� p i i{; . a °Occupant loud over 99 persona Qhianulbctured atrueuurea or
C g i �L.','`!' t. �, ! 4�, :7;!i' 0.4$ ,F",ra_iNt:01 O MO Zoe, #0.$1 �;1 I�'! i 4,� • �:,IIE ElE rmul/tfghting Plan RV park
/3;1; t *t'�""h' �Hcallh.casx Otcili 00thcr:
Job no,: dab site address: \ Q s 9 o g g � I Ii n , tY
j 6 S ubmit sets of plans with any of the above.
City /State/ZW: 11611411 f)'�G� r) 7.2- Z The above are not applicable to temporary construction service.
Suite/bldg / apt. no.: Project name: 1 Li .0 ff , � � Lii C49?,.'�!''ttlrit'r;iFg'!31 1?tai 1 SCMD 13I ,.1,7 ifi~?;,;i r4r ll;fl i M :
.ice' i1, r7nlYimllbX 91 (�N. 1 Li
Cross street/directions to job site. W 1 1✓V) 1-1,i, rvl ( Pep resldentinl single - or multi - family dwelling unit.
�� 2 Includes attached garage.
.1 t :-► 1-i. _ a y J 1,000 so. IL or less • 111111IMMI 4
Subdivision: ! Lot no.: Ea. add', 500 so. it, or onion 33,40.. 1
Ta:c map/parcel no.: s
+;�tv`q'.`!r„{ :1. ...,, i'!; 7wVay`Mr.Y"4'�.�,1't1+�r : ^i v . . I , h � ! .Y. i Mq l ++Nir ya�'��{�-r,jSlpy'H n- 75.00 ..
16 t' Limited energy, t>;a coital 7S.OD 2
,Trial,. ., ,gt i~ tt;Iti»4 t i }""Y 0 0>~ 'WOR41 e . , ~.�a �a - i , ,, e � e Limited en •, , e non-residential al S,ao
�x t.,,, :..,.....G� . :. tt... �.... ... r, .�irwa ��u hP.nhs :uy�;;,�.i . r�.lu ChmanufuGtutadormodular
1 Q I e . 01 kb I oil a , dwelling, service and /orfeeder 90,90 2
V ' F - ! Services or feeders Instnllntion, alteration, and/or rclucudon
"._Maza or lean 80.30 2
,;� . :.. sr,::,.+, C 0 IIL i O .,C r: nx h , rn;r." ' I: ', ': 1 '. ", rr rM F 5E , 201 ant" to 400 a a 106.85 2
h,l� ' Lr;,i +fZw J;et� .It 1' �;+ ` ' ''1L+tI =i �.. � : � �' l ; 1 iii !� r +n+,�.I�/�tV � +t�;li "l;rf��. S i 1+� � �
;,, / ;,:, •...,.,,:c .i r :._..._ :... :__...! . i.,...,, _. ,,,a 401 amps to 600 3111115 160.60 2
Name: W i .6 J 1. /11 n 601 amps to 1,000 ,arias 240.40 2
Address: I O H g S a Clear . 0 tab _ I Over 1,000 amps or volts 454.65 2
City/Slate/ZIP: Reconnect only 66.85
(� Q Z TTempurnry services or feeder I nstnll n ilon, nitee tlon, and/o
( 5I 1 9 )' 3 - (0��. , �k) 3�g 200 2
Phone; 9). G" Pa ( 0 0 amos 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 10030 2
intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 arena - 133.75
Owner signature: Darn: Branch circuits- new, alteration, or extension. per panel
for br
tH.y; -;!' ';:i id, r . 4 a'd'S;ilHr,lli' r. N' ru r AtT Y• S 1 •� ��;
k -'�Wi. filt4 li iln xC7Tt P.EVANT 1��+ilik,l „ ; •IS alit: gtAi±: co i' :Ca r !� to n. Fee anch t:itcuita wtrh
' �' > J e service or feeder fee, each
Business name: branch circuit .6.55 2
CoaCaet name: B. Fee far branch circuits
ce o
wirhaur service feeder fee, 44.85 2
Address: each blanch circuit -
Each told', brunch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder net Included)
Phone: ( ) 1 Fax ; ( ) Pump or irrigation Circle 53,40 2
E Signal or outline lighting 53.40 2
Signal circuit() or limited•
r i r R "' * t} w, �. *;•t i !'P o P N 'i r t S,J , pµ i
+ 1 ix.) E1�4,��'f�llc %1',;�.ok;?�la!'11 ;ti,,;�._ „1.ii:�,,,,�s'�11i?'CC , t7ir�3i�: �„ ric' JI; I�, iEl��; �i" 94. x, ��ll�aiifih�lu>«lhl�_:(�R�.�!!i �� anel• 41110260 or
Business name ; / a e.-f- ve r _ _ r,/ C('a )) 4L/� a on. Describe: 1 Pagc2 ""��
Address: 6 1 1 LID S) /1/. + 44 btvtd ctiviit we___ Each additional inspection over allowable In any of the above
Pcr Inspection _ 62.50 •
City /StateZ1P: f ? A Vn .'e- 0 K of C-i o(.., g inwti
vttttd
l on per hour (1hrmin) 62.50
•
Phone: (5 4 ) (0 1 /(1 9 - Ils 2 � For (GO-) (.f f iCj to 11 Industrial plant per hour 73.75
CCB Lit:.: Electrical L {e. ,�jy e o Suprv. Lice: 3 f 2- i till lf!lfl1 ?illkxll €i! rrotanuotta!fettlVtittr zes e, tn'i;�if ' Pieli,
L�� Subtotal 7S, n o -
Suprv. Electrician signature, required: 1, 1 . e L, • /.• le . (V Plan review ('25% permit fee) Ai/!q-
Print name: i Date: 5Cttesutcharge (131S afpcnnitfee) c�I 0 El �. . ' • TOTAL PERMIT FEE n , 0 r)
Authorized signature: This permit application expires ire permit is nut untamed w thin IOU
Mere env It has been accepted as complete
Print name; Date•, I a in , • r..,„1,0,1.1.03, set byTr4Comity bullding Industry Service Board
-- Number of laepecdone per permit allowed.
I, lnultdlualrermientao .ru,mutApydw: into 440- teIrr(ituusietsrawHIt
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION -- Business Line: (503) 639 -4171 MST
BUP
Received j "Yo Date Reque ted o�� AM PM ,,rte BUP
Location 1 � k Suit ?f ' MEC
Contact Person .Ph (_ .f) 3 -1S3 PLM
Contractor _Ph ( ) SWR
BUILDING Tenant/Owner ��/� ELC _
Footing
ELC
Foundation Access: 4 r 3 7∎
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear WP
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall � C-411 /V — f >4 �C1 f,,,�1 F
Fire Sprinkler `�' ` ' C.�J 7 ���
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL 0/(
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
PAS RT FAIL
ECTRICA
Service
Rough -In
UG /Slab
L olt
Fire Alarm
Fin Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
E i Please call for reinspection RE: n Unable to inspect - no access
Fire Supply Line
A ch/ ' Date / ` OK Inspector /■ / C Ext
pproa Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL