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Permit S A '• 'CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY si DEVELOPMENT SERVICES PERMIT #: ELR2004 -00161 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/15/2004 SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Data /telecommunication. 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: 503- 624 -6300 Phone: 503- 646 -0533 Reg #: ELE 34- 589CLE LIC 150328 SUP 2903LEA FEES Required Inspections Description Date Amount Low Voltage Inspection [TAX] 8% State Surcharl 6/15/2004 $6.00 Elect' Final [ELPRMT] ELR Permit 6/15/2004 $75.00 . Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 01 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 - 6699. Issued by Permittee Signature ,0 a ( C l� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 06/10/2004 16:30 FAX 503 641 6813 NetVersant Cascades. Inc 0 001 WA/ED EiecltricZ1ti tan ova ioREi �:t,��ui'I1 Received City ,of `` , 2004 te/B ,Jai ' O'' /._�� "tr/ —s , - 13125 SSW tEiaallllBlvd., Tigard. OR 972 - - Plan Revie Phone: 503.639,4171 Fax: 503.54$.,19611 F TIGARD c.'J�F' "' Ij Da relBY` otherPermiC Inspection Linc: 503.639.4175 lit ' U r•-a!i '' D ate Rw El See Page 2 for Interne www.ei.tigard.or.us BUILDING DIVISION Notified/Method Supplemental Information art'„ 'r R .._ �Y.•w::r,:. , ;:; ,r +, •,;,}. ,���r� :i {4: L�:" ...kr.i , .5a:_ r. J .........r•..._.r_..,:. .... .._ ... .... .......... ::..,,.. .. ,yavit�. .... i':..;:v.:., i���l: "'> �7� . `:",-.;: : �'.•i...:,,`::'i� ❑ New construction Addition/altcration/replacentent y ` Please check all that apply: EIScrvice over 225 amps, ..... � _,.,.., ..,.... t...{.,., ,.,.,. ' l�l`Q5 '�fl if.TE I ©1�I - `r ✓; ?: ?; ;,�" Sand 2 - farmZ amps Ilc Demolition Other rahn ...�.. _ .:...,r. ;...... ,...._.:.._ K , ���E;�d,1��'";t.,. :i: •::••.- '' :.- ❑ of 1 y d mgs ['Bulldog onei• 10,000 . . ...:...,,_... ,_., _..... ._ _ ..:'.:. -•. ,. ;�. , .,., :.. ...:'•'... _ ............ . .." ,, ; :'. 7+ ::........r.{r »�.r.�si�::;;�!,; �Y�;.:; :. residential ::: t; ❑ 1 - and 2 family dwelling V[Commercial/industrial ❑ Accessory building ©System over 600 volts nominal units in one structae El Multi - family CI Master builder ❑ Other. OBuildmg over three storks �Feede s, 400 amps or mom _..,,�,-.,., _., nos structures or ......... .:ty�''• 'S?' . t11)1V %;eN1) :1''% RV park 0 `) O.o •:.;.:_ c er::. �l. ��tr...>:.•: ��'. 1:•::::: �!!_ �_..... �.........., ,..:�.•....�'A.��•.,,':1;'"�,., j ;:> tri'. 'r1: 4�:!.:,.;r:;;W...:.:�;'.i;i ❑ c�sn load over P l ti 1i ni> 8P Job no.: 0'i 9 coo J Sob site addr I S 3 S S See (A 0 1 'WW1 dHeatrh -ca of plans above. Submit 3 sets of plans with any of the above. City/Statc/ZIP: Ti & iii N 0 R 19 2_2-4 The above are not applicable to temporary construction • o coon service. Suite/bldgJapt no.. r.,� " ,. •.,:{Z�r;;.... . . >:. 2 50 Project name: �lew't'011n� ('(jl'1S't .�u fiE��';5(:�D831•E'� =;:::, _�':'�:'��: c . Daui5prio I Q4r- � F� - ::, �� •' YofA1 I " ' , CroSS Street/directions to job site: New residential singllr or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft" or less 145.15 4 Subdivision: • Lot no.: Ea. add'l 500 sq. ft- or portion 33.40 1 Tax map /parcel no._ Limited ctlergy, residential 75.00 2 ;:. 75.00 2 • .r :.ti .�'•i: ... �:,. r ,r, • r'r+ "'!i:��:!j" q`• +:4`p,K' '�:: ; t:'• :i:2 - :: r,.cit.rui °I��.':;.� t;':��:•:E :- ..','.s•� ". :'��•,.. ..,rr� ��w;` WQ. .,..,....,.•..i'irr��y:rw:;Lr�r t - t .., r r�;r' {,�.�:: :: tiEr ,s . =_ = +:. Each manufactured or modular 1 I e ��• i i �+ dwelling. service and/or feeder _ 90.9 2 V Services or feeders installation, alteration, and/or relocation 200 amps or less 8030 2 -1; t' .M '' 'r'' "51 r' '+;•'' = amps to amps 106.85 2 # ::: � :: 401 amps to 600 amps 160,60 2 • Name: V het 6 1 1/�' � 1 � / 1 O�) n r �/ ftC� all • SY } ° /� FT via /_._ 601 amps to 1,000 amps •240.60 2 Address: 15 ? �t1 C P) S U 0 (L�' -P (1 ( K. A y / ,SIAM Z� Ova 1,000 amps or volts II 454.65 2 City/State/ZIP: liCCO rmectanly — 66.85 2 (s i !1 � ' t) Z Temporary services or feeders installation, alteration, and/or Phone: (93) p j Z1 .- 1 / 0 Fax: (9 ) ? f - '7'3 ? relocation 200 snaps or less 66.85 1 Owner installation: This installation is being made au property that I own which is not 201 amps to 400 amps 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch r ns >_?';::a::_: ,.:• - ' - P net , acr -...• ::: 44 '•C-�e.0 ; •:�;w ;;,:: A- F eefo ` r r hrcuts i ,�.....'- .._.�,:- .,��,� r'r .. ,T,.;,:: ^ ;x�,. •..r' - �+...., - ;;;EOI!F7'i�E= F!P��$O�l'�,�.�: nr e � / -•� serv or branc feeder ci fee, each with Business name: / V - J x361 l - egseGr L�,e S — ' branch circuit ' . , 6.65 • 2 B. Fee for branch circuits Contact name: Lea f/i N e IS d Yl without service or feeder fee, Address: q `) � f t�V N ik 1 t a3 141434 y� each branch circuit x6.85 2 Each add'1 branch circuit 6.65 2 City/State/ZIP: 13.et yeah z)/1 1 . 1 7 ?ad 2 113iacd lancous (service or feeder not included) Phone: (5i5 ) (04(p -- (j53 I Fax:: (9 3) ( cir-0 40, 3 Pump or irrigation circle 53.40 2 E -mail: 1 V1eL5 QhG (:py�, 53.40 2 ,.,>, : "' -.: ` r''1 ;` igfi: ' • t Signal CliClll C limited- , ..: 1; �. t. rc :.- ':���•,.� ?4:..:.r....:1',. ;. t`ri .� �'• �., �: _._..�,'�+a��,a� +�ria%X•Q�: ==i�r �r��`"• i_ , ^F�r� + °'w:�r:•i`i e -- ;.!,... {;t:,, ,.,;; �• -�- _ ."r del, alteration, or X0 1 Business name: AP- V P r3a vl�-" - ea 5eatl we extension. Describe: Page 2 "?� 2 Address. q 7 Z o Ski IV i - i1, ,i n,,, � • E ach additional inspection over allowable in any of the above q Jp � iS (V VYt Per inspection 62.50 City /State/ZIP: £ ( Vee' 1-01 J OR 1 r? a v Investigation per hour (i hr min) 62-50 — Phone _I Industri plant ( 5D3) ( oK ( Q - OS3 Fax: r per hour 7175 CCB Lic_. I5032 $ Electrical Lic.:3q -53 Suprv. Lic.: 312.1LE s �' c.'-'r:...,.... _ : I Subtotal tai � s Q Q Suprv. Electrician signature, required: ) ) (,%a Plan review (25% of permit fcc) • State surcharge (8% of permit fee) - O V P�illtname: r 01 o. c r\ oa z y // %�/ 6' (-� TOTAL PERMIT roe r5,1 • ob , 1�/�t fr - 1 � ,. I [/� 'rats pofmlt aDOncettoa expires If a permit 6 nut Olotar .,l ,+iiTtn 'MO Aut�ott�ed st > e. W 1 ' Q 1 1 ` 1 / q,s tat, .tens bean 77 as co j....,," em ne.,pa FLe�o3°bafll .atbY -it+Cam,ry 8 ° " dm L V,° `o. sR.r;oe D ate: -- Nu . c . o[ ye ti °ns:Xf: - .---o — ea0,6tscWI1o2lcoarwett CITY OF TIGARD 24 -Hour BUILDING Inspectiort4ine :..(503) 639 -4175 MST INSPECTION DIYIION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location /67 - -L J e' Suite 0? MEC Contact Person Ph ( ) ,33o - / 7 D 3 PLM Contractor _ Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR D�Y� Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation /TPn �✓ �/ � , r R J Drywall Nailing �] 1 rl 'r 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 ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm � PART FAIL D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ` 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line I/ J ((#& ADA Approach/Sidewalk Date �1 Insecto Ext Other: ll // Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL