Permit 4 .
41,, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
�i� DEVELOPMENT SERVICES
PERMIT #: ELR2005 -00108
A!' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/11/2005
PARCEL: 2S 112 DA -00700
SITE ADDRESS: 15333 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: Voice & 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 9740 SW NIMBUS
PORTLAND, OR 97224 BEAVERTON, OR 97008
Phone: Phone: 503 646 - 0533
Reg #: ELE 34- 589CLE
LIC 150328
FEES SUP 2903LEA
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 5/11/2005 $75.00
[TAX] 8% State Surcharl 5/11/2005 $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 f
95 01-0100. You y obtain copies of these rules or direct questions to OUNC at 503 - 246 - 6699.
Issued By: .1.t..Ct.�rti Permittee Signature: < cr . —t""-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: r .- 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.
•E 141Y-09-2005(MON) 22: 1 ctiricai Permit A 01 licatio ��vtbADES INC FOR OFFICE USE ONLY F. 001/002
pA
City of Tigard MAY 0 2005 D;, "cur 51i x/ MortalsNa.E g,. - oo /vg'
13125 SW Hull Blvd.. Tigard. OR 97223 Plan Review
Phone: S03.(139.4171 Pax: 503.598.1960 CITY OF TIGA R ' ° i 1 lI ° k ill r other Vermin
Inspection Line: 503.639.4175 BUILDING DIVI •' Pala steady /by: lame » sc page 2 for
Intern= www.c i.tlgard.ar.us Nottncd lvteug d: r) Lj _ snhhlemenrul tetionsllun
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❑ New construction vC( Addis 'otilultanttiott/reptucemcnl Please cheek all that apply:
CI Demolition ❑ Other. r
r , t ,j•t :., �:,�,. ,. .t..,; L ' I ,7. . . .+i: 4: i;:j', � �r �::r l.. i i • ,: , .:!orris , over aLSI location .f
i .g.' . , ': 1 , •,_!l,y ; :.2 . ;. 7 ) ; CA Ot]lii - : D ONS`14{UJCf OiV:�'1 ,r. '•il :' , 4.. (IY�'�y � o i t' 11 • and .11t amps.
e llin s Q 4 or new residential
❑ 1. and _- family dwelling igst Commercial/industrial 0 Accessory building °System over 6o0 valor naminul units In arc structure
121 Multi•faml ly [� Master builder (] Other; °Building aver three stories ❑Feeders, 400 amps ornum
.,, " t. ",...," . " , . n persons ted structures or
(Occupant lo ove 99 perao Mtmufaclu e a
�., . . a ,r1 .1' .� ::'. Oli",!; 'F Q 0. i�1!1D rJ ON'"9 ' ttt 1es r�' ;ICS' '•; ;':"! RV pork
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,.:•I.•.,,:1- ... „ t �....r lr,lt -'. 7tr ...,,•J•;;'t n:,:: (]li(jreral/liuhtin(, pion
Job no.: Ib9 oo Job site address: 1 5333 5 w S P Cil'leuldKure facility ❑Other.
lt { �l - ('01 f (AOt } ��w T SUbnCt5 of plans with any of the above.
City /Slate/ZIP: 6?'+ieui (1 OR, q `7 4114 • ite a are not applic to ttetttpn tltl service.
11
���I! ri1: 171 I ,IIC:4{!:!�r';•.....y�r•,�r':r! •F+w'IM 4 +'�q.V Y� .iFr.:G11I : ' t'
iI 1�Z.Y,4tlllil:l(rill'All l:
Suite/bldg./opt. no.: Project name. j P(hii �&l1 Uyv/
IN•eA.Th„ j, Qtr. L pa. 1 Total
Cross street/directions to job site: IAhol Q•w o Cab' ■1- New rcrldcntlnl single-or multi - family dwelling unit.
Includes attaches! zara¢a
1,000 tot. fl. or leas 145.15 4
Subdivision: ( Lol no.: Fa. add'1500 sa, ft. orportion 33,40 1
Tax map/parcel no.: Limited etenty. tesidentiul 75,00
Limited energy, nonresidential 75.00 2
n:3: •,�j.h'ti`h••ya':•� l : r n l o,: z , 1 :e l , ,a, .•p , + { _ -
•^ ;.;x511' r `l' "14;14P45C O0.0111,�.'U01.4.0 :,.( i511t I ;`t:l�""�al _� i'�F:fi'cHt#�i*,i;i°'lu"I�I t Each manufactured or modular
, 4L :arld•sl:aa:;..rtl;pt at .r......._._.............
t +/� A - dwe� lling and/or feeder _ 90.90 _ 2
V 0 - 1 lee Zr I & ti� S ervtem ur feeders Instuilutfon. ulterutlon. a nd/or relocation
200 amps or less 110 .30 2
�"�- iry''`'' "PFl !! il« H Ii. q !' i• °'9 '`+fl `F q "�fcN s :nu "y. 2DI amps !0400 amps 106.85
4',6.$ d1.�lrrfltfeiti ,Eats .. (0.W.�1_ ligtrilgtigIFIg ii'j1.5 ::�`,tl. -.tE' r"Ij1:Pii. it ..;ter "t,ltts?'s.•,
cI � ,!p 401 amps to 600 amps 160,60 2
Name: S i V etriofficrijnio. 601 amps to 1,000 amps _ ' •240,60 2
Address: \ S333 _5b( a` y �� ' t 1.4 . W ra v Over 1.000 ramps or volts 454,65
L G � Rceonnextonly 66,85
City /State/ZIP: Q'�4% (\ �y f 6 Z 1omporary sarvlcas or feeders Installation, alteration, and /or
(� 3T) $ 333 C91 relocation
Phan (.9s) Fax: 3) 200 amps or lots 66.85 1
Owner installation: This installation is being mode on propt7ty that I own which Is not 201 amps to 400 amps 100.30 2
intended for sale. lease, rent, or =change, according to ORS 447, 449, 670, and 701. 401 unpu to 600 amps 133.75 i 2
,
Owner signature: Date: Branch circuits- new. alteration. ur extension, per panel
. t ' !4 , 11. n oil : ir' t. r. J'a{ • ' o l
tele i ,.'{ . , ,N tr y ...__....... t ,..... 11 .......... -.. _.. N n -• A. I'ec for branch clisuits With
1��}j164� -, � i.!'�;?C?�,!'.._....�?�i�, awl, �lerr ..9 m ��eo�ir,1,.��,r.��so>,!'f� �y���i�ti�,� service or feeder fee. ouch
6.65 2
Business name: branch circuit
b. Fee for branch circuits
Contact name: without service or feeder fee. 46,115
Address: ouch brunch circuit
Each add'I branch circuit 6.65 2
City /Sinte/ZiP: Miscelluneuus (service or feeder not Included)
Pump or irrigation circle 53.40 2
Sign or outline lighting 53,40 2
E -mail: Signal circult(S) err limited.
'',h { 5 E 'H ?I; J;''".1'H'". , :4 1 '' jt1 r,� +jt 'n 13!,.4 , r'r; nob rant•, , ^ n q t i "t. C nc. a llerpgon. or
,t ll?�llrr'.ini�.. �a,.l 1' " ; ! lr:i ?..t 1, I�;.. iy .,I>5,3;I1�'' ' ?u'.. sil'�ij.��;I' r; rl �3::��,�`la:i.. �'}ra o
rrca " s.i , r r.;illl;ir.';,, 1t1a11.p:,,.a'1:
Business name: N e i g 1 4 e 4 i 11 sa<�cnstnn. b 1 Page 2 ts 2
Address: O (7 t f tiJ ski Ni , rb K s, r ,1 ® r Each additional inspect(on over auowable in any of the above
Y t -G� Per inspection 62.50
City /StatefZ1 P: J' f ejz. -a r , Q q Q 0 Investigation per hour (t Iu min) 62.50
Phone: (5b3)10 I�. -gyp -Q5 I rox: ) Liga .-[Q L lndusttiat plant rcrhour 73.75
M,pt ii 11•.05iii",+i " :CCRtC' Ali; l0hIIt716��
t1I9.Lr5` ",,{ ;,1,14 C,i41!nti 1?°
CC13 Llc.: j� J Electrical Lie, 3y.gc Suprv. Lie.: r ,? 12.1 (,E$ Subwtul 755 • Q 0
Suprv. Electrician signature, required: /ALI Plan review (25%of' permit fee)
State surcharge (8% of permit fee) ,1 , Q 0
Print name: A. ` 0 , 0 • I, Date: S 0 I' TOTAL, PERMIT I Ir 1.
Authorized signature: Thu. permit application aspire. Ira permit Is ant obtained within Ilia
days altar It lure bean accepted as complete
Print name: Date: • Pee matttndn logy .at by •rrI•Cnunly nulldlnt Ituttutry Service Mood
Number orhupections per penult snowed.
I: t3ultdint4 'nmltOat"e•Permltnpp.dee 11 440.461ST( IewuCOMIwUU
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2005
Phone: (503) 639 -4171 .�u�v-tlgp„
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/26/2005 TIME: 7:27AM PAGE: 54
SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAIF CORP.
DESCRIPTION: Voice & data cabling.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503- 646 -0533
Inspection Request Scheduled For: Date: 5/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 007789-01 503 -330 -1687 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I`1 _ Date 01,{ Phone #: (503) 718 -