Permit f , ` CITY OF TIGARD R ELECTRICAL ESTRICTED E PERMIT
RESTRICTED ENERGY
Ik , DEVELOPMENT Tigard, SERVICES Q 639 -4171 DATE ISSUED: ED: E 3 00018
/2005
SITE ADDRESS: 10220 SW GREENBURG RD 615 PARCEL: 1S135AB-01002
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
Project Description: V
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:
EQUITY OFFICE PROPERTIES TRUST NETVERSANT CASCADES INC
ONE SW COLUMBIA #300 9740 SW NIMBUS
PORTLAND, OR 97258 BEAVERTON, OR 97008
Phone: Phone: 503 646 - 0533
Reg #: ELE 34- 589CLE
LIC 150328
SUP 2903LEA
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 1/31/2005 $75.00 Elect'I Final
[TAX] 8% State Surcharl 1/31/2005 $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 gyp.
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
JAN- 28- 2005(FRI) 05: 21 I E U RNT CASCADES INC P. 001/002
1
El ec tlrac�A �Pe A acat><olla .. ,-, -rodOE ICETSE -ONIN -
R 1,..,„i„„4 c.l of Tigard JAN 1 2005 Data/ltvt J LI PemdtNa C.J. �� dd 0
131:5 SW Hall Blvd.. Tigard, Olt 97223 Plan Review
Phone; 503.639,4171, . nix:. tt e , ® �'`,0 1 h v eal OtharP iiIi
inspection Line: 503.639,417 ii ■ � y �,; r'��+ Dow 1tcauyMp jtual Cr 14 See Page 2 fir
Intertlet• www,ei.ti urd,or.t1 JILDING DIVISION NatillatUMaufaut ) 1 V LSupplem4ntal lnrarmaUun
:�:5,•i,r � ^ ty;i r ,.n�.it�: ; �)' °�I �SN.1:' l,t� � •tn n4:. ..M�� � 1�',il � +i1d � r .� ;1v � ,y�...vy.,,..ith y ,. ,;h �: H r • ! iA" n. �.. t . „ E ' ".,; � r,� -
t , ,,,,. I.nr,; . ;,zhl „ •a ,. 3, ,�y�,.,9, . it.JioF; 'C Rr; ""i�,��, ,W. a , ,iiP ,•, ii i ,,.,n,i.., , ;I .1. ,pagil • * •4f' ,sl ±1<ir,,p„ i y k �,), �1 ;1N1l �,f; a„
:,:} �dq:,,. ti«, .f,,,.,.,- „i,,,1:m,,,,i.�?;..w, Ire.,.,, �.,. t... ��.. �1�,: �._._.,... I�...._..... �' �.,, t.. n ,.�..i���t..IG.Ifl1 „t,lt�,,i�l. ,.r �,,.��G���., (�1f+I...,.,s,.a���C1.f"�.#:. ,,.t,,.,i.t,,.f.�z,_... _> w. t, i., yy. ii��� ,.t.�`���:<�,,r.,:r,,.,.��,,,r.
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❑ New construction ❑ Addition /aiterution /rcplueement Please check ail that apply:
El Demolition ❑ Other, aver `
t ,,;” `l�tll',t,':� in�,p! dlil°*,'�,,X7;:2 ^ . — _ � � ! C I J i l ' r, � C 3 — g � r ng
Servlcc 25 Amps, comm'1 us location
h . , I -,IP � "r ; � t �I�I 1` p rvt c 20 amps rating ❑ E1d over 10.000 sq, R.
, !" ., h,-ri'lt zii'�s*"�4iirtiTi'?'�i:�. ,>iC 42'IcoRt(QL+;Ct 1V.S ti[7 ;L'C1'f ,q isti lftts7i,elt(?sI+1�M al. fatally dwellings 4 dr more deo/residential
0 1- and 2- family dwelling MCommercial /industrial (_I Accessory building ❑Sysltem over 600 volts nominal units in one structure
❑ multi- fntnt7y ❑ Master builder El Other: ❑Idu11d {pg ova three stark [fFeeder5.40Damps or more
A red structures or
!y µr
:� l i•i::l { �� g ii tti' "-'5:4OBl,i 4**.kt , .._....__ . d , N ..,I gSz 7 �' E� � I 4�, y �l 5 7+' r V persons Rvnti
sc t o pets
,,- ,�,,_.:,,..,=1, : ..�tl�..:r: : 1.., . ..'... ,�'�;��...� �7 �.,�.r:. ��'t1R�i..!�:i� �:.f {�#�c�;.,�i�,t �,1� ❑Egress/lighting plan p
Job no Job site address: 1(,)ZZ svj Q frl,bl . ' . ❑I•Iculthtarc facility MOlber.
�, r Submit,. sett of plans with any of the above,
City /SratatZlt': '?2.-Z3 The above are not applicable to tempataty construction service,
8 p /,� _ 1 F i R S'f' F1214IV U ■ v F'irtanei i `s y i ?,Ir 11E i�a u »` l'S4” bCl tl�fJl k�l iii �h ?Gafi ?3f t ?!> art, ;i
S ufTrJbld /a t. no,! Project name:
ancripdah 1 Qtr. I r.a. I 'rbbi I —
Cross strect/dlrectlanc. to Job Site: New residential single -or mutt!- fancily dwelling unit.
Include ottuchcd garage. .
• 1,000 sq. ft or less • 145.15 4
Subdivision: Lot no.: Ea. 0dd'1500 eq. R or portion 33,40 1
Tax trlop /parcel no,: l im {led enemy. residential 15.00 2
, : ; a. „ • iy : a;v s'. t!i:r?."'S S''t "+''t vf,i�'p'`?" i o �' h�'=F'i"i lltvar, w k' ,f. ,+ _ �a Limited merry, nan•t't�i4entinl 75,00 2
yy�� u r ta;,.r a,rlk�y,� fir ,r�'��elilfa')!�1!ii��lfi�li!�i T;ach manufactured or modular
Val e.0 1J a p: all Y1 dwelling. service and/or feeder 90:90 - 2
Services or feeders installation, alteration, and/or relocitiou
•
200 atmmps Or lettts 80.30 2
": , ., r t;u. af. .,.,� ,, r �� g Z01 sm s ro r100 am s 106.85 2
RPE'R`L :$1:i i'i,''i' a .. . ; re i1 L ANmriiwtkx „t :: §. U" i.
L. ✓ , . „y. . O
. ! ir ;'�, �.�. �w�i "�:� I, {:A�iV1 <,r:.a'i,- :i !Yh�r �{; t 1 1 V . .f,.� ...f1.t ,. d;ySi.'�2;, �.a..� �'
�r c I A / 401 amps to Oa amps 160,60 • 2
Name: E. i U C.�! —/ U • 601 ampsdo 1.000 amps •240,60 I. 2
Add=s: Over 1,000 amps or volts 454,65 2
11=enneet only 66.85 2
City /State/ZIP: Temporary 3cr Icon or feeders Insttallatfon, alteration, and/or
Phone•, (93) If I 2. 1 .1 / g'L 7 ' F ax: ( ) relocation m
200 amps or teas 66.115 1
Owner installation: This installation is being made on property that I own which is not 201 amps in 400 amps 100,30 2
intended for sale. lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 apps to 600 amps 133.75
Owner signature:, Dote: erxnch circuit,— new, alteration. or extension, per panel
� tl i.i� .',� I .l lu i'� I r ' " . :,' »N �!' i i a v 1 iii v � ' :!.r,gF,C dim"' wit/r
'-,rl..ilt.ltl il'�,A ®.r1P G 1 1 �.` E +t;G�S, :,:iilu�.9'�ri��li�, � ,tICO�I k1�.v,��iw�Q.�., %' A. Fee
Business name: branch for brancil circus der tee. eac 6.65 2
Contact name. B. Fcc for branch circuits
wit /tour service or feeder fee. 46,85 ?
Address: cash brooch circuit
Each add1 branch circuit 6.65 2
City /State/2V: Miscellaneous (service or feeder not included)
Pump or irrigation circle _ _ S3.40 2
Phone: ( ) Fax :: ( )
, Sign or outline lighting 53,40 -,
E Signal citt:uf:(s) or limits -
: tv. T'ryty;... , I r t � ,'Ii 1 , n:.: ,.iilE �7 J�,
I•u' r r. „ v . ; r f ,;. .. , t n
l,i:iel ":�i1�t�..�6,nl,ir^}f;yf1, ld, ��' s, f' �,,,, ��" f• Ir., C, rl :L�ilfh�r�,.�.�!i.N1.itGQ�.t�'1� 't�i ' ��.+, ni✓ t�lll� !P'!9n,{•�eih�,f�� {�:.9u�R (ll r i;y ,{li 1� {�ZXy � COe
f 1f I'8y panel. alteMttOn, or ��
t . { >(l �i . s,:., !,_ extctlslan. Describe Page 2 2
Business ntune: � e f ��.gn -f°� (_pSJ'_ o_(.Pd, i rjC . ,� - -
Address: e i 9 C i 0 51W Iv i ✓ i d �vla 0(u.A_ �� Each additional inspection over allowable In any of the above
Pct' inspection 62.50
City /State/ZIP: j •.2 i/ a j i 1 '. AO; Investigationper hr min) 62.50
Phone: (93) 6 L4 (S3 3 Fat: 613) w Yf— f(Crl 3 induauial plant ocr hour _ 73.75
ii #if ";1fSf ilfit f i 1F.ECEICTiRIcitirllf'ZER1Vf YI:ESItif ,I 't i liiii°«$P i' it
CCB Lie.: 1563 Electrlca{ Lic.: 3 Suprv. Lic.:
�$ 3 1ZgLE3 Subtotal 'C]$ - ate
Supt Electrician signature. required: '1!1,...1e, ! 1 n L 1 Plan review (; Sgfi of perrrtit i'cc) •
Print name l e 1{Z,, l Q kid
Date A19/41C, Sane surcharge (89G of tee) (O - ° 6
'�`^ -� r 'TO'I'm, PERMIT FEE $ ! . 0 0
Authorized signature: 'this permit application expires If a permit is oat obtained within 1110
days after It hat been accepted es complete
Print nume: pate: • Fee nietbadelacy Yet by 7ri'Gautty Buildinfr Industry Service Board
. -- Number ar inspeerIu to pew patmit pila
Ifluudidlae +Yrmnialal.C.IhrmitAppdoc 1:73 +ao.+n10Tt1NfVCOM/Wt1I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005r00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/200;
Phone: (503) 639 -4171 • v °"mouyp Gl � l � e
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/1/2005 TIME: 7:10AM PAGE: 81
SITE ADDRESS: 10220 SW GREENBURG RD 615 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FIRST FRANKLIN
DESCRIPTION: Voice & Data Cabling. Job # 907- FF2184.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503. 646.0533
Inspection Request Scheduled For: Date: 4/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 003496-01 503 - 335.2586 Y
Corrections /Comments/ Instructions:
1
N
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Phone #: (503) 718-
.