Permit CITY OF TIGARD ELECTRICAL ENERGY
RESTRICTED ENERGGY
i4 DEVELOPMENT SERVICES PERMIT #: ELR2002 -00069
'� I " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/19/02
SITE ADDRESS: 06650 SW REDWOOD LN 160 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Installation of voice and data cabling.
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 9020 SW GEMINI DRNE
PORTLAND, OR 97224 BEAVERTON, OR 97008
Phone: Phone: 503 - 646 -0533
Reg #: ELE 34- 258CLE
LIC 47238
SUP 2867JLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 4/19/02 $75.00 2720020000 Elect'l Final
5PCT CTR 4/19/02 $6.00 2720020000
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by 1 A_ _ �-� kh. Permittee Signature w ,
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: (") l HA • DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
04/17/2002 17:18 FAX 503 641 6613 NetVersant Cascades, Inc Ij001
r
T . . ElectricalPermitA.pplica 11 s
P e rmit no : 1,' , •
� Date received m 0 y y„ ��l r
° ` °'s j'I! Cl of Tigard D Project/appl.no.: Expire date:
Citygard
Address: 13125 SW Hall � r EVaSo. v Date issued EM Receipt no.:
Phone. (503) 639171 i I Case file no.: Payment type.
Fax: (503) 598 -1960 "`
Land use approval: .. ,
. , '.-' il'Or''rr _
O 1 & 2 family dwelling or accessory t Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction • Addition/alteration/replacement 0 Other. 0 Partial
.IOB:SITE INFORMATION .
Job address: G i --isr s , � /:t 1 ' L..' . Bldg. no.: 9' Suite no.: Tax map/tax lot/account no.:
Lot: Block: ` Subdivision:
p , - t .. -. • r 0 4111111.111111.1 Description and location of work on premises: 'JO i eE ' ► - - . ' A)
Estimated date of completion/inspection:
.. .: CONTRACTOR APPLICATION. - . - y..- .t ,: .- .,.: FEE SCIIEDULE ....- • :- -.._:.. •
Job no: , % • Fee Max
Desert . don MI (ea) Total no. ins
Business name:/JET\J 11T 5ejel 5 • . New residential -single or®itt- family per
Address: q (1 O . W. MI rl i 0 - i E d.eellingoatt.includes attached garage.
State: OR_ ZIP: - r 700 S Service include&
E -mail: 1000 sq. f . or less 4
Phone: • t (y•OS33 Each additional 500 • . ft. or • • Mon thereof _'_
CCB no.: 001.172.S8' Elec. bus. lic. no: 3 - ZSSC LE Limited energy, residential MIM_ 2
City/metro lic. no.:00003 _ s- Limited energy, non-residential ___ 2
L' . (") , 6n. Each manufactured home or modular dwelling S■
Signature of su , ervisin : electrician (re • uired) Date Service and/or feeder 2
Licenseno:cr /5 J -t' Services orfeeders—Installation, IIIII
Sup. elect. name (print): y ,.�ti �„� oSS �D alteration or reloradoa:
PROPERTY OWNER 200 amps or less 2 5
201 amps to 400 amps �__ 2
Name (print): 1 � nt): i �lll �, P /I 2
_
Mailing address: 401 amps to 600 amps _�
601 amps to 1000 amps OM M. � 2
City: 02211112IN Over 1000 amps or volts _M 2
Phone: - -5. - •I SS Fax: E -mail: Reconnectonl 1
Owner installation: The installation is being made on property I own Temporary services or feeders - . Iiiiiiii
which is not intended for sale, lease, rent, or exchange according to natlon ,at6etactotr,orrelocatlom
200 amps or less 2
ORS 447, 455, 479, 670, 701.
2 01 amps to 400 amps MM. 2
Owner's signature: Date: 401 to 600'amps IMISM 2
ENGINEER • - Branch circuits- new, alteration,
or extension per panel:
Name: A. 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
. of service or feeder fee, that branch circuit . ■ 2
Phone: Fax: E Each additional branch circuit: EMII♦
PLAN' REVIEW (Plea check a IL that :apply).-.... ! Misc (Servlceorfeedernotincluded): ■■
O Service over 225 amps-commercial - • O Health -care facility Each pu • or irrigation circle 2
O Service over 320 amps- rating of 181:2 Cl Hazardous location Each sign or outline lighting __ _ 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ilea
O System over 600 volts nominal more residential units in one structure alteration, or extension* - 75.0 r 2
0 Building over three stories 0 Feeders. 400 amps or more rD don:
a Occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the allowable 1a any of the above:
O Egrrss/lightingplan 0 Other. Perin. •on =MEM
Submit _ sets of plans with any of the above. Investigation fee
. The above are not applicable to temporary construction service. Other
Permit fee $ _I S. 0 C
at all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
1. ' Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ _
'a ,• t mild Humber. 1- 4295 - g1000-00M-'173' j 91 4) /t9?y within 180 days after it has been State surcharge (8 %) $ ;D O 0
l f /4t f1�Et a" & accepted as complete. TOTAL $ $
. ■ , ,,,.. 1- der av o on credit card V�
Ail I I , I r r e d $ ' V 440.4615 (6ltarcont)
r..rtr : A,.,„.mt
CITY OF T-IGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / AM PM BUP
Location w 5� -�a�"v Ll� Suite MEC
Contact Person Ph ( ) PLM
Contractor Al /.1( Ph ( SZ 3) 64 - D SWR
BUILDING Tenant/Owner ELC
Footing
Foundation
Ftg Drain Access: L ,f ELC
4 % /7� / /_A
Crawl Drain ���°' g/� O 7 ELR acoc '— .0&
Slab Inspection Notes: Do � c� + , n p � SIT
Post & Beam
Shear Anchors �1 n �f
X�C Il � 1 ��
Ext Sheath/Shear ��I v 'f
Int Sheath/Shear
Framing
Insulation )-1
Drywall Nailing ) 1 41 k--1
1 \ V T
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
�t
Rough -In
UG/Slab
Low Voltage
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA D ato /‘ — c7 Z— I ns ect Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this inspection record from the b site.
PASS PART FAIL
CITY OF TJGARD 24 -Hour
BUILDING - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 2 AM PM BUP
Location A t_t__.& - ravr Suite 0 MEC
Contact - Ph ( ) 6 4 ( 6 0 S 3 3 PLM
Contractor
Ph(-� —) 987 g SWR
BUILDING Tenant/Own eY) - ELC
Footing
ELC
Foundation
Access:
Ftg ELR �6na 0
Drain
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation , V W -6L , , t ,, , , ' 1r.\
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final -11F
PASS PART FAIL
MECHANICAL S d 4 r
Post &Beam g 4) 9 �, of L - po , 1
Rough -In "� II lY * N
s Line
Smoke Dampers S -0 HP5 i(D) c I� 1�
Smoke
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
Low olt Voltage ) .. \ 't , ,1 _ `nn
Low �J " � Y' 1
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIT 0 Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date — . �� — O )_Inspe r O � Ext
Other:
Final DO NOT REMOVE this Inspection record f om the site.
PASS PART FAIL