Permit CITY F TI CARD ELECTRICAL RESTRICTED ENERGY PERMIT
AA I DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00197
e :� �) DATE ISSUED: 7/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S113AC 00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100 ZONING: I -
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT: 025 JURISDICTION: TIG
Project Description: Security cabling, audio monitors & door access strikes. Job #10700223 - 01.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
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: 503- 624 -6300 Phone: 503- 646 -0533
Reg #: ELE 34- 589CLE
LIC 150328
FEES SUP 2903LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 7/19/2005 $75.00
[TAX] 8% State Surcha 7/19/2005 $6.00
Total $81.00
0
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: r /' , Permittee Signature: . 5 .4 2 , -e_
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-19-2005(TUE) 03: 00 NETVERSANT CASCADES INC P. 001/002
, .....
Electrical Permit Application ,,, n ED _ FOlt OFFICE' USE ONLY
City of Tigard 0.- e SV
.1"."" .
t 0) 17 Pcnull WO /9 r7
______r .
t3125 SW Dail Envd., Tigard, OR 97223 . Mari Pa./few
Phone: $03,639.4171 Fax: 503.598.1960 ' 7.C‘
tiftli.4`114 Dateflir 011ICI.PCM114
IriftpCOlian 1.111C: $ 11.31.• • .,.. ifr 'rill.. polo neanymp -Wea- ha see race a rot'. _.--
Internet: www.ei.tigard.or.us
.- ilp riontleillmethatl: --r , ki Stroolemerusl trdermarlrm
. '... ( ',.-:.'.:.7. ,... '•-; .,- ityrt:or-twbiti l,,„. . . '7. .1 .:. ..'! Ic'. .," . • ,, i ' t''r VAN qt•Evxria'
—
0 Nov construction r.53 AdditiontalieFat On/replacement Please che all ek ihat apply:
0Serviee over :2$ amps, cornet 0Harardous location
ID Demolition 1:1 Wm:
°Service over 320 amps - rating 0 kluildng over 10,000 sq. ft.,
C064'Si714/Ortqi`4'?.1,::.-'i''.;Y•.':`":":e....ELry':If? of I- and 2-family dWeninaS 4 Or Mine flcW midcntial
1:1 1. and 2 dw 511( C 0 Accessory buildi 0Systern over 600 volts nominal units In onc structure
ORuilding over three stories 0 PcedCrli, 401) amps or more
1:1 Mtliti El Miagor Wilder CI Other CIOCcupant load aver 99 persons 0 Manufacrured structures or
■Iir,4 4;1 °E.gnato/lighring plan • RV pa tic
I evs , ii za- 0Hcalth-carc facility 00ther:
Job no,: - Job site address: 1 7 2g0 SI /
Le ,
, SaltilltSs. sets of plans with arty of thc above.
City/StatealP:TIS „ d d ?, .1r) 2.2-1 The above ate not appliCittilc to temporary construction service.
-----.....
Suite/bldg./apt. no 1 Project s .
nt mc• silish Ti.k. :...F;51■!13:1:i41Vatt.t41,MrZtr-VSgarLDtittknt*".7;r0f4.2.'n'4I.V'0
EIntripilan Orb Pim .11=1 ..
CrOSS street/directions to job site: New residential single-or multi-family dwelling unit.
Includes attathed garage.
1,000 en, ft. or less 145.15 A
Subdivision:
1.),:--- 13st. adds! Sao IA, ft. or portion 33.40
—
Limited enemy. residential 75.00
'fax mop/parcel no.:
Limited energy, nomresIdenrial 7S.00 2
:04i ic tgAg+.■ Walii, j 1 . 6!403 1 .rliilii: 7117' nut' nufactured or modular — -
dwelling, service and/or feeder 90.90 2
...., ,t. i - JA A " A II Ad t 0 "01 3PS 4 Seeviccs or feeders Installation, alteration, and/or relocation
%.... 4
cry 51 ., . 200 amps or less 80,20 . 4
;T:ilgit,giintrZTR9PACI VAiRia 2E11 4ini" to 41113 nuilin al 106.85 2
—
.. , " '. • • 401 umpu to 600 timPlt 160,60 2
Name: 601 amps to 1,000 amps ' -240,60 4
Address: Over 1.000 amps or volut 454,65 4
—
— Re:mince' only 66,145 2
City/State/ZIP: Temporary services or feeders Installation, tillerallon, no ttior
relocation
Phone: ( ) Fax: ( ) 200 arnhs or less 66,85 s
—
Owner installation: Tina installation N being made on properly thin I own which is not 201 amtut to 400 anus 100,30 2
intended for sole, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 atuat3 600 amps 123.75 2
Owner signature: Date; Branch circuits- new, alteration, or extension, per pltsict
1 .r".. A. vcr for btUn c fr" Iii $ with
service or feeder fee, each
BIltlitienti tlittrict brunch circuit
13. Pee for lnaneh eimults
Contact mime: without service or feeder lee.
46g5 -
each brunch circuit , -
AddresS:
inch ;OM branch circuit 6,65 2
City/Suite/ZIP: Miscellaneous (service or feeder not Included)
Pump or irqation circle 53,40
Phone: ( ) Pax: : ( )
S ---
ign or outline lighting 53,40 2
ti•mail: Signal circuit(s) or lacti-
R.■; , ';'AcONTRACIVRI. Iv`-',4" c'' '::■:';' IZ=11:111cl, alletatl °no or 0 5
,,..._.„,:.ij14,1 er ±._ Sc eaefiee . • •. . . rid.041.m. Dmicrib.: Pune 2 (15. 2
V 541-1 — 7 j fi'j_e
Each uiditionui ifisecelitiii oVer ItlioWnbIc In ony or th a above
Address: airiti 0 ..TI N i evi b Pfrol Ilvensi.,e_ • . Per inspection 62.50
City/State/ZIP: ,e61 (q/ si 1 ag q 90 0 %. Investigation per hour (I hrmlo) 62,50
..._
Phone: 633 ) Igqi, - 6.53. I Fox: (93 ) ( ,„.4, 4, f, Industrial plant per hour _ , 73./5
:
CCI3 Lic.: IS g Tilectricul LicV- -5 1CiftStsprv. Lie.: 2 • r
.,
.. Subtotal _ao
SuOrv, Electrician signature, required: emir/ . Plan review (25% of permit fee)
e srchame mit fee) 0 iiP - 0
Print nume:14. g a r , r 1 Date. //in— Stat u (8% ofper
TOTAL, iligivirr FEE l e 1_, 0 O
Authorized signature: ' Tills permit application ciplres if permits not obtained within I ilfl
days after It has been accepted as comotere
Print nurne: Date: • Fee methodoloirt set by Tri•Coonty Sulicling1nrholry:4:rilici: Liam II
6.-- ----- Nuillher nr Impactions per permit showed,
mouistiesty,neftsuu.c.relteition dui; 12(01 44044inlinsarcomrwto
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KUUU ��U 0��� DIVISION
PERMIT #: EUR2005•00197
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7y19/2005
Phone: (503) 639-4171
Inspection quaota (24 Hrs.): (503) 639'4175 ,,,,,+18/4., "�J�
INSPECTION WORKSHEET FOR DATE: 8/2/2005 TIME: 7:03Am PAGE: 49
SITE ADDRESS: 07260 DURHAM RD BLDG J'1OO CLASS OF WORK:
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT #: 025 TYPE OF USE:
PROJECT NAME: STASH TEA
DESCRIPTION: Security cabIing audio monitors & door access strikes. Job #10700223-01.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 603-824-6300
CONTRACTOR: NET VERSANT CASCADES INC PHONE #: 503-644533
Inspection Request Scheduled For: Date: 8/2/2006 Pour Time:
Code # Inspection Description n • Contact # Message
135 Low volt 012616-01 503-330-i707 N
Corrections/Comments/Instructions:
- 012 41
,b)
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,
PASS 111 PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
E FAIL CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
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Inspector: ���y / / / ' ~r Date: / / wJ Phone #: (503) 718-