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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00179 f � l' DATE ISSUED: 7/6/2005 ''-" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 300 ZONING: C -P SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG Project Description: Install limited energy for voice /data. Job No. 107500207701 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 ST #300 9740 SW NIMBUS PORTLAND, OR 97258 BEAVERTON, OR 97008 Phone: 503- 412 -4800 Phone: 503- 646 -0533 Reg #: ELE 34- 589CLE LIC 150328 ' FEES SUP 2903LEA Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharl 7/6/2005 $6.00 [ELPRMT] ELR Permit 7/6/2005 $75.00 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 foil s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu OAR 952- 0- -0 !0. ou may obtain copies of these rules or direct qu tions to OUNC . 503 - 246 -6699. Issu d By: _ � ! Permittee Signat �� sV 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' % ' 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- 04ti2005(MON) 23:17 NETUERSRNT CASCADES INC P. 001/002 •Electrital Permit Application FOR O FICE USE ONLY City of Tigard u;� ` k 4 fA , Pentdt No.: • j -ter 79 13125 SW Mali Hlvd.. Tigard, OR 97«.23 Plsn Review Phone: , S03,639. 4 171 Fax: 503.598.1960 e� v tb,dnvt Other Punta: Inspection L1ne: 603,639.4175 JUL U +'W Data Reed ill r - � 111 See Nee 2 for intcm t: www,cI.tlgard,or.Us riTV (I T3(_of�fl Notified/Method; L( ?�- Sllnnlemental Informs:Inn i, ; . , •., •! � ., .. aC P ..,, .�: . .,a. - - I Z .- -,I .. -..air , q.; :r.. �.. r' "ri4;,:, `� P a,; ;1,:.i`tlui.l: A� / ;:,!:4 ;1..p.�--1 -.r t,: � ;r. :';.: s:: .1'k . t; ::t zt:v1 . :.. t,, a ;cr. � `'�� .r' :'i� �•r'• • Oitw� • . , ,: , :;'` . s.` - x c , ,,•�, ' •; }, ,1,AN M� , w:• - + , ,: :.., ; ;,.... :• .� ,64;:11. �',�II]rr ,d;y;:' Y +•F'_�d -. h.I . - . , �'iif' ► .. ..� ..ate._ ^_._..._... + ncal.t.ti•.,1,.45.r : ., : ': • D New construction i Addition /ahem. titan/replacement Please check all dud apply: CService aver 225 amps, comt'1 pi-lazardous location 0 Demolition [( Other: [IScrvice over 320 amps - rating ©Buildng over 10,000 sq. it., '+ t: 'c�; . + ,:ri `IF'w� v ' : j 3" ;;�t = +�; ;�; ?,1.,.�h' "` -: i :.,' iCAT>I;CrSRY! b1�..:C�NS�ItWl'IA�1 ... .... . .. ..•1. `" •" � . . or I- and «•t'umii dwelling 4 or more new resitientiu! ❑ 1 - and 2- furnUy dwelling CammereitA /industrial 0 Accessory building QSystem over 600 was nominal units in one struena'c I:1 Multi - family (] Master builder ❑ Other: [113ullding over three mod= ❑Feedett, 400 amps or more QOccupant load over 99 persons ❑ Manufactured Structures or :I^CR . P '``ttt� i' 1 � . r 'ti ':ill ; >l1 1) ,C•.Afl•iO p !I; ^y. • RV ark i'�t..1. .,_...::� .:;..,, S�itlYtil, �N.:.. ....... .4.. ..ry . �: �_ '1''',': ":r.I'�'o.�r . Q1:8rc�s/lighting � Other: park no,: 1 0750620TO Job site ilddress: ' O (k0 ,C V aRL�3? 616 f I: Health - care ihciliry Submit,;., sets of plans with any of the above, City/State/Z1r: • • 1 �� A Q 11. 11 The above are not applicable to temporary Construction service. Suit bldg. /opt no,: u u Project name: �t/1 i ' [. > f Y' i • ?': ;; .Orti.$g rtAll +Sgf.;t'y'a;. a y'M' 3{��i�da� T:.it ail! a dhs+ `rs. �;�.�w `*.o.' ^�r�. i.[:�E ?,�1.�+•J�,'�ii� .t•A a rJ ita.iptkatt 1122111mamilimal _ Cross strect/directionti to job stile: New residential sink or multi - flintily dwelling unit• Includes attached garage. _ 1,000 s4, IL or leis 145,15 4 Subdivision: • Lot no.: Ea, add'; S00 sq. It or portion 33.40 1 Limited energy, residential 75,00 2 Tax ttutplpttred no.: Limited enemy. situ- residentlnl 75.00 2 ,aI'j r 7'F ?'tr�i'�I' "tff� xxtler. r i, t•h" 'rim Jj';1:1'¢rl4ki ti . o"aR qr r .;1:, +it.'. t` i kbail v gli ti' p,n t ,._ (tl) C 1 ,I_...d Q ;>�VdRiv;,• l of l "Ja a, t lt' Each mantactured or modular ��� � z�l,lit.l ...::.e:h'.. ,t;:;trw.,,F„�i�: tGt' / dwelling, service and /or feeder 9Q90 2 .LMrA 4 4 Services or feeders Installation, alteration, anti /or relocation ` 200 amps or less 80.30 •iti . :I c v; ,- s, 20t am s t° 400 stn s 106.85 2 �,C1:.3 P 1 6 ii" ii i „ i igl4ii) ' .,.,i10ii : ",': {; :!i l ,ix,#;., ;Y� ki..ri i„"i�vtl Est. 4).;10n p p �� � 401 amps to aim amps 1 60,60 2 Name; o ci t / 7 6c� c.._, 601 limps In 1.000 limps '240,60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 6,6,85 2 CitylSttttc/ZIP: 't'hmporary services or feeders instntlu niterrtlnn, and /or T'lton relocation ( ) Fax: ( ) 200 amps 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 100,30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, qbF arms w 600 amps 133.75 Owner signature: Dote: Branch.elrcuits- stew. alteration. or extension, per panel . with a a ! I c aj! ap + t h;t, hrJ* i h il' t4 '!' C ac 1 r Gl+.�w tilt. A• • l'eG fur branch 6t1:UIt7t th, i ��!.������ „r.�wt���',�Cl�>�?� Ciai .�±N;�;��allz:i,t +;��i�:,x�i(� I,,>, , ;;���t�!i�iYli! CSC! �ot�.► ;`,�",.z'Ql'V,t,t�l:�>,,,.���b Business name: branch circuit (COLT nee. cosh G,GS 2 Contact numc: 13, Fcc for branch clrculta with pot service or feeder fee, 44,85 2 Address: each branch circuit Each adtl'i branch circuit 6.65 I__— _ 2_ City /State/ZIP: Miscellaneous (service or feeder aol Included) Phone: ( ) I Pax: : ( ) • Pump or initiation cliche $3.40 s11,hi or outUne liglutt 53.40 2 i .mull: Signal circuit(s) or limited - :' it `I'iYrR .i6 4 ; it ri' -'r. '.'t.: , s . tls . ,; . .; c rY• •, . I ii ' e nef L alteration 01' ,:.: M ' �a.,, «...., „�.,1 s'. :.: :•r:; ., ,. �kj1�t'.�It,l,.riJS ` r u :•a ...1 . ,.•' '� :�':..: • -: r' c,::• t:.' • ..,:,t, W P anL 1 uslneae Hama: ' ` 4. J i nC extcns esc I hags 2 2 A Add _ !c p s/V L U_ ( „t4_ U 7 Each additional Inspection over allowable In any of the above Per inspection 62.50 City/State/ZIP: P: f ( (/ e yj , (4Z q? (a investigation per hour (I hr rain) 62.50 Phone: (S1,J' ) & IF -6 Fax: ( ) a ,r lndustriul plant pe h our 73.75 t .,Y..V l u 4,41 sr: ..,.,,1 '- ),,.�trr:iz`:�;1�'��a'EI�CI';R fC►» �: 1�, 1It14n'. CT. T>Mt"rS «.`i ° ��r.,.;�`��.rf,. .•.• . ., CCl3 Lie.: I� Z Electrical F,ic3 -5: - Suprv, Lie.: 3121 Subtotal �,,r—. w Suprv. Electrician signature, required: / 1 - t s , s alon review (;5% of permit fee) Print numc: ( f , 1�a� ^ �a i Dntc: 7 I Ca I S irk surcharge OM afpermtt fee) , Q �s1v ?,30, I' ` L LC r y 'rout. PF,RMIT P 1. JJ � Authorized signature; Thls permit appl,tatta riptras Ira parmlt Is nut obtain (hip atlsr It has bean accsl,lad as complete Print slime: Ditle: • Itaa tgallwdolai: y set by• 1' ri• Coanly0 uniting Industry Sat Mend •• Number of Inspeetlana per permit 11111Wed, I• tauhdlnoremattsv:b[•Iaermmou alai: 13103 4411 luttweam1 W I:U CITY OF TIGARD „= = BUILDING DIVISION PERMIT #: ELR2005 -00179 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2005 Phone: (503) 639 -4171 m Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/4/200 TIME: 7 :08AM PAGE: 66 SITE ADDRESS: 10260 SW GREENBURG RD 300 CLASS OF WORK: SUBDIVISION: LINCOLN TOWER -TOWN OF MkILGER LOT #: 014 TYPE OF USE: PROJECT NAME: MORGAN STANLEY DESCRIPTION: Install limited energy for voice/data. Job No. 107500207701 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503- 412 -4800 CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 603 -646 -0533 • Inspection Request Scheduled For: Date: 8/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 135 Low voltage 012808 -01 503- 330.1667 N Corrections/Comments/Instructions: ( cO- ti , SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: S r / — OS Phone #: (503) 718-