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Permit 117 11 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00320 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2007 GI PARCEL: 2S113AC - 00103 SITE ADDRESS: 07204 SW DURHAM RD 300 ZONING: I -P SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: CONSUMER CELLULAR Project Description: Low voltage voice and data. 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: PACIFIC REALTY ASSOCIATES NETVERSANT CASCADES INC 15350 SW SEQUOIA PKWY #300 -WMI 9740 SW NIMBUS PORTLAND, OR 97224 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 646 -0533 FAX 503 - 641 -6613 FEES Reg #: ELE 34- 589CLE LIC 150328 Description Date Amount SUP 710LEA [ELPRMT] ELR Permit 8/22/2007 $75.00 [TAX] 8% State Surcha 8/22/2007 $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 direc q<<Pstions to OUNC at 503.246.6699 or 1.800.332.2344. Issued : / J / JJj( /i � Permittee Signature: \ St e 'tidy) 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. RUG- 21- 2007(TUE) 18:d5 NETVERSRNT CASCADES INC P. 001 /002 T Permit Application pN volt ONLY • , • • • {� City of Tigard ate aka Date/9v: e Z,Z • rattail WA.: CLIQ+ZOF w /' .� " I J 125 SW 1 tall Blvd., Titjurd, S17% 0 Ravla.v " '/ I tt ' Pratt Panne 5n3,R3'J.•t 171 I•ax: 503.991 I�tj 2 Oilier Permit: Uamltlu: TIGARD Inapzwlion Line: 503,639,4175 1 l(1°Ip Date Ready /By; td See Pner: Thr Intent Mt www.ti urdwr. ov 47t Norilted /h1athr,tl; Sut,lllrrnrnwl Uirt,ruial "" 'l'YFI Ol� r - P.t.AN :Rl;V1FW . ❑ Ncw construction 54 Addiliun /ullcrut iun /repluaemenr Planar ebeik all that apply (salmis i aria at plans w /ItaInn ettad4cd below]: CI Service or feeder.tO= nrapt or more i0 (3nitditt t oust Min antics. (] Dcr, aIttion (] Other wbetr' the avuUaltic rain eunnu CI Marinas and taaaryanla, — . . • .; GC1Rl', laF 'CON&41tticnoN astaad.Ia,00a utnpaatI,0vnits ur la Flouting bulldiupa. leas to ground, or weeds 14,000 0 Ca aayrlculturat [] I- and Ibniily dwell lag Commercial /industrial 0 Accessory building amino torah othe, lanai lotion', bplldln{aa. © Multi - family ❑ Master builder 0 Other: Ql'imntttitr, 0lnetallation . la Cmerieney ayaieni hatter naparuraiydarlvwd .. ry J 66 WEE.' f Pl l / OkMATUQN ANll , LOC 1.,ION 1a A iltion of new motor load or CI "A ", "G ", " I.2', "1.1", Job no.: i 0 W klub site address: tuo'orn -S� !k1 (� 5t 111 x at rusts tesh occupancy. taunt. ice) Recreational vehicle parka. City/State/ZIP: ;:rn 1 /j C11-72-7-1-4 , �{ 1 oHealtlocare inciting. 0 Supply voltage (ui adoredial, ! Li � / r � Kr areo locallam. mu von', l itiirral, dr 1114~'. /u nu.: g Project name: C .fit, CAU jas Q Savior e ,r Sputa boo aniuhurmom FEZ `SCHEDTJLE . Cross street /directions to job site: _ Description 19t,I Fee. I T+'asi i ' New residential single or multi-Family awaiting unit. Includes ultt:elied garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.' 1:11. udd'1500 nq, ft. or portion 33,40 1 Li energy, txsidenlinl 75,00 3 : i.I , • DESCRJI ON ;.OF WORk .. _ (will, nlu t isl. 04) Limited energy, rnuiti.lamlly 75,00 2 I I / � ' , / residcnlialSwht nbouc ag. it 4 Ser Teen or reader's Inatatlatits,altcrn tan, and /ar relocotinn . .. ,:,00 amps Or Ictts 80,30 2 1'R01't i OWNLrt ' • '' 1 :1;1: 1 ' 1: ' , 'i ,'i?1L 1...b p ;''I' ':,lid' NitiNi.. , 201 ODatt +pS 106.85 2 Nanle• 401 amps to 600 amps 160,60 601 amps to 1,000Impn 240,60 2 Addrest3: _ Over i amps or volts 454,0 2 Clay /Slate /ZIP: Temporary services or feeders Installation, alte'atton, and /or - - - - - relocation Phone: ( ) Fax: ( ) 200 amps ur leas 66,85 1 Owner iuctnifatimt: This installation is being mode on properly Ihul I own which is not 201 am ludoo am 1 00.30 2 intended fur sale, lease, rent., or exchunge, according to ORS 447. 449. 670, and 701. 401 amps to 590 amps 133.7$ 2 l irit uch circuits- new uttcrntlun, ur cxtenalun. per panel Owner signature: Date: ' "I A. Fee for bttutdl! dhoti its tvfrlt „�, q � .q ,.,�.:: � alxr eserviceo rfeederf'ee, �? A�i I S ' ,. ,r �l; ,;l'; . j. °il;, � � ; ,COi!1(1'AC'1 "'INL1tStiN .r ; � l v 6.05 2 Business name; each branch circuit B. Fee for branch circuits Contact attract without service or feeder ice, 4G.B.5 2 tlrst branch circuit Addre s: - . each udd'I brunch circu 645 Miscellaneous (srrvlceor feeder nut Iucludetll City /State/ZIP: Each manufactured or modular 90.90 2 - dwelling, service and/or feeder _ Phone: ( ) Fax: : ( ) Kecnnnect only 60,85 2 E -moil: Pump or irrigation circle 53,40 „, • '`:'i. r, • ICON'�Y_tAC'1>Oit •....,.:,:, t;;�.I; . i, Sign nr otnllnc li MI 53,40 2 13uSineSS�name: f_U � -Sa � - _ ' . :' ' - signal rircait(a) or Itml - �U e+ . Y_1 '�A _ s � I I ri �. energy panel, alteration, nr ' - Add ress: 1 7 Y p Sv ► b LI 5 m.----17-01,1 ( enien ann,tr. ascribe: Page z ]s z City /Suite/ZIP: g e ve R'-J- r 1 Q R 61.700g Each addltlnnal trutpc nlon nvcr atlnwahic In any nrt :above Per inspection 62.50 Phone: ( 93) lug 1, —65- 3' l Fax: (5 3 ) (o 'I - (p £ 1 5 Investigation per hour r t hr mini 62.5h CC13 Lie.: Is03a j Electrical Lic.:3y IC1.ej Suptw, Lie.: 7�oL Industrial plant per hour 73.75 r I ELLIC 72ICAL P1tRMi 'FEW. • :'' , Suprv, Electrician signature, required: ` 2 - subtotal: VS, 0 0 Print'namc:_QN G!1! h ole: s J /Or) Plan review (25% or permit i'cc): Jr State surcbar 7z of pdrvnit fie): . Q b Authorized signature: TOTAL PERMIT FFJ: $f, O This pnrrnbl upPacawun a ■airs. Ir permit Is nut obtained Mtttdu ta : u - days crier It has been accepted as complete. - ' Number ol ' Inspect loot hilnweil per pannir. l: iUolidlneoinprlt ➢tGt.C•pernnitApp.dut 0571 /art .1411..n41artIrnnydCosomir CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007-00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8122/2007 Phone: (503) 639-4171 igyaingeli Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AM PAGE: 79 SITE ADDRESS: 07204 SW DURHAM RD 300 CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Low voltage voice and data. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: NET VERSANT CASCADES INC PHONE #: 503-646-0533 Inspection Request Scheduled For: Date: 12110/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elethical final 061099401 503-3301703 Corrections/Comments/Instructions: Lt ‘ A/I / V • PASS n PARTIAL APPROVAL LII CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: c.).- Ntel Date: 1 10' Phone #: (503) 718- 41L__ .• • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00320 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 J IL. INSPECTION WORKSHEET FOR DATE: 8/1012007 TIME: 7 :00AM PAGE: 31 SITE ADDRESS: 07204 SW DURHAM RD 300 CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: LOW voltage voice and data. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503-646 -0533 Inspection Request Scheduled For: Date: 9/10/2007 Pour Time: Code # Inspection Description Confir • Contact # Message 1 35 Lou voltage 055387 -01 503 - 330.1803 N Corrections /Comments/ Instructions: NO WO(U( 10( e S I PARTIAL APPROVAL CANCEL NO ACCESS al FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: � �lv �U Date: 911 01'01 Phone #: (503) 718 - 1,-, ' L _