Loading...
Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00310 - � L , S "� DEVELOPMENT B tlNT SERVICES DATE ISSUED: 6/3/2004 (503) 639 -4171 PARCEL: 1S135AB SITE ADDRESS: 10220 SW GREENBURG RD 551 SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Project Description: signal circuit RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 1 MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST NETVERSANT CASCADES INC 10260 SW GREEN BURG RD #100 9740 SW NIMBUS TIGARD, OR 97223 BEAVERTON, OR 97008 Phone: Phone: 503 - 646 - 0533 Reg #: ELE 34- 589CLE LIC 150328 FEES SUP 2903LEA Description Date Amount Required Inspections [ELPRMT] ELC Permit 6/3/2004 $75.00 [TAX] 8% State Surcharge 6/3/2004 $6.00 Rough -in Elect'l Final 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 or 1-800- 2344. Issued By: Permit Signature: GZ 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 639 -4175 by 7:00pm for an inspection the next business day 06/01/2004 11:40 FAX 503 641 6613 NetVersant Cascades, Inc ZZ1001 v b -...,;!:1.-,;, � �! J 'N� p l t�7 r r� j�; � C c e , 't ,,, og ti hmil(na n o rr -.. a Y's ' y: 3� r 1t r r } tl -,F Date received: Permit no.. Et L20 p ., a . y�p0 d ., , :i�l;l ;., C ity of T 3g� I 1. 2004 i , � JUN P no Expire dun= Ci of ri Address: 13125 SW Hall, Biv 97223 Phone: (503) 63917 ITY ur Date issued: By: Receipt no.: Fax (503) 595- 196GUILDING DIVISION Case file no.: Payment type: - Land use approval: • 0 1 & 2 family dwelling or access cces bbry ' XCommercialfindust ial 0 Multi - family U Tenant improvement 0 New construction 0 Addition/alteration/replacement 0 Other. 0 Partial -• :',: i i A :I• _ . . IVIATIOtL - Job address: OZZ I ` i 4 , r , ' - .14 Bldg. no_: Suite :no.: _ Tax map/tax lot/account no.: Lot Block: Subdivision: Project name: 7Lris ; . , . . . . .D e s c r i p ti o n and Iocation of work on premises: GY 6 gl∎ : , Estimated date of completionfmspection: . '• .,, {.€ONTRXCIORRAPPLICtTLON : .... _ • '. 1't1J.:SCITED E. , - • Job no: ' . 6 WILT Fee Ma • Business name: i , a _. I Q h= (eo-) Totai no. iusp Nett rmden fal singieor rmiltl- lnniiIy per Address: . q • Ski /Y 1$4 : Mve i sf.L d;. eliingttnh .incindesatetchedgarage. City: 04'4 eit m State:Q - ZIP: ' 100 Sen'fcehreinded: Phone: (<<C6 3 Fax: WO. (6 E -mail_ 1000 sq. ft. or less 4 CCB no_: 5032 Elec. bus. Iic. no: 3 CL� ' Each additional 500. fL ar portion thereof m�� e 2 CI 5. �� ffo lie. no.: limited ener residential ___ 2 3 - .Ls/. Umitedencrgy,i on- residential 2 1 - O Each maaufaemred home or modular dwelling __�E electrician .' d Serviea 111.11 2 Si :nature of supervis ele (required) Onto o f} , ten License not �/ L e �iq Services or feeders - Installation, IIII • ' PR©P OWNER alteration or relocation: 2 00 amps or less 2 Name (print): 201 amps to 400 amps ___ 2 Mailing address: 401 tamps to 600 amps ME_� 2 Sot amps to 1000 amps Ili_ 2 City: State: • ZIP: Over 1000 amps orvolts ME_ 2 Phone: glIZEMICENIMIX E -mail_ Reconnect aril __ 1 Owner installation: The installation is being made on property I own Temporary services orfeeders •iasetlfatIon,alteratioo, arredocation: winch is not intended for sale, lease, rent, or exchange according w 200 amps orIrss . 2 ORS 447. 455, 479, 670, 701. 201 amps to 400 amps _=111.1.1 2 Owner's signature: _ Date: 401 to 690 am 'a Ater ` FLINGLI EER. `. . Brunch drams - ilex, alteration, Name: A_ extension per panel fl Fee for branch circuits with purchase of Address: . service or feeder fee. each branch circuit 2 City: State: • ZIP: B. Fee for branch circuits without purchase Phone Fax: E of service or feeder fee, first branch circuit �■ 2 Each additional branch circuit __ . :. ,::.: •. PL - RREEIE1+i (PI'ease cheek. alt. that apply). Misc. (Service orfeeder not included): C1 5crvicaaver 221ampscomincrcial •' C frealrh tre facility Ea h pumporitri•.ation circle �� ■ 2 UStxviceover320amps- tadngof1&2 UHuzamlauslocation Each sign or outline lighting ___ 2 fly dwellings U Building over 10,000 square feet four or Signal eircuir(s) or a limited energy panel, tin D System over 600 volts nominal more residential units in one 9nncmrc alteration. ar extension* U Building overtire= stories O Feeders. 400 amps or more "Ucscrd . dare U Occupuiu load over 99 persons CI Maaufatened a.,aotwca erRV punt Each additional inspection over the allowable in any oethe above: U Egresflig6tingplan 0 Other Pei __ �� Submit ! sets of plans with any oldie above. Investigation fee The above are not applicable to temporary construction service. Other Not air jurtrdin cut ratan, ions accept r r please call janisdtcvoo for mare laformadon. Notice: This permit application Permit fee s Q CI C expires if a permit is not obtained Platt review at — %) $ , H/4 Ciedit cxd numbm U a `�v-€c , 1 I within 1S0 days after it has been State sut (8 %) _ - -- $ V '0 - ' epte= accepted as complete_ T®'TAd. $ 1__ .oO o eatdhddGS as fiwWn nn cwdn Gard $ </ V ....... IN M� cudAoid net» Amount — /^/ 9,,,ti l U S ^V1 v ))/ ` '