Permit IN CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00005
TtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/4/2007
PARCEL: 1S135BA-02800
SITE ADDRESS: 10380 SW CASCADE AVE ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Low voltage for wireless cabling. Job No.107600809 TO.1
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: WIRELESS X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
LANPHERE ENTERPRISES INC NETVERSANT CASCADES INC
12530 SW CANYON RD 9740 SW NIMBUS
BEAVERTON, OR 97005 BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 646 -0533
FAX 503- 641 -6613
FEES Reg #: ELE 34- 589CLE
LIC 150328
Description Date Amount SUP 2903LEA
[ELPRMT] ELR Permit 1/4/2007 $75.00
[TAX] 8% State Surcharl 1/4/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work
is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow Rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtaipcopies of these rules or dired questions to OUNC at
503.246..:'• or .:.1.332.2344.
Issued : y: f . 4 /- _ / Permittee Signat r ; , /,, / ` . /d-->_--
OWNER INSTALLATION ONL
The installation is being made on property 1 own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JAN - 03- 2007(WED) 21:11 NETVERSANT CASCADES INC P.001 /002
Electrical Permit Application ) t ` , 'F OFFICE IJSE ONLY r �' :s r'
€ (,� o s Rm alvad �, n
• Ci ty of Tigard E q .: 1 I ' alit it Na.: LJ� o? 7- o0D0.s
" 131:5 SW Hall Blvd., Tigard, OR 972:3 " Plan Review
kt:'
. thane: 503.639.417! u 1 ')1.1'�6U - 4 Mbar Panniu
a • -,.i 4 2007 T2,03
TIGA inte www.tlttaIJ.otIu AN C7 Noti(iewmetlud:
Supplemental tnfnrmatlnn
CITY OFTi .Arri
TY1'li:'Ole' ��'CEfiltfLDIN . t�11t'it3;hr rt,A'N..Krw;lrw
❑ New construction 1$, Addition /alterutionlrcplucemcni I'Icaat rlw:L uu itwi apply (Fannin was nrrlana *mean cloi iwd halnw):
0 Other: ❑ %mica ix ramie 4M1 amps or matt 0 Buntline over Jura tocsins.
I:1 Demolition where t h e available Paull cunenl 0 Marinas and baalyarda.
', ' CATECORY OF CC[Nti'PRt.)CrION : 'r' ., ,. =cacti lu,two angts at tan vans ur 11 Nluauutl 'whoop,
lout m111'1141111. orascaadn 14•naa ❑ CunutlatcI 1.i a agricultunit
❑ 1 • and 2-family dwelling Commercial /industrial ❑ Accessory building amts !tit nil other insisllntious. buildings.
❑ Multi- family Master bullder 0 Other: 0 Fire pump. Cl hreullailauof'»KVA
0 IiIiinriorncy nyatam, larger sepumielyderived sysictn
. JOit' SITE ° INFORMA77QI' ' AND ;LOCA'11ON •. ;;; ;ni..'.. ' ❑ Addition of new tnatar load of CI "A ", - E . ".'1.2'. - 1.:1',
Job no.: IC's (50807 l lob site address: 1 b & 8 o -SW Ca s a d e I4 vie. loolir or more, p c a at vehicle pans.
occupancy.
i.i SIN. m ar ate tasktatan1 mica
City /Statc/Z1P: o Q R 1?'LZ3 ❑llwllh•r:utaUlcllbiaa 0 Supply no hap lir noon Matt
t � CI tlasunlmat tocationa. ran vain nominal.
Suite/bldg. /apt. no.: 4,11 pt i I'rolect name: �Qf l u.i ohpAL, ' CI Service or feeder tattl amps or mare.
G �� . t.. • • • SCFiftiDUL1;
h , C W l IP , . A I inorlli.Ww ' f7a j Total r_
New residential slnj[a -or rmrltl•amlly dwclllne iruh.
1 includes attached Range. _
Subdivision: a Lot no.: 1,000uu,I1.arIcsi 145,15 4
.. -- En. ndd'I 500 N. A, or punkin 33.40 t
Tax maplparccl no.: Limited energy. residential 3
. .DhsCRir1 4 16N • . . !',! =:I;, 1whhat>ovcsa.tt.l 75.Oo
W e Limited energy. muhl•fumlly 2
Vv l ' .Ss 40 l i VI. ald
rccntlal rwidt above 5. n.1 75,On
Serviceli_ur feeders installation, slteratilt n Moen tint_
200 amps or leas 80,30
0: PROPI R't V OWNER Cr'tI'ENAt!M[' ., • 2U1 amps to 400 amps 106.85
4D1 amps to 600 amps 16 .ti0 2
Nam: -
601 antra In I,000amps 240,60
Address: Over 1.000 mutt nr wilts 454.65 '.
City /S111lc/ZiP: Temporary services or feeders Installation, a:titation, and /n
relocation
Phone: ( ) Fax: ( ) 200 amps nr lets 66,85 1
Owner inslullutiun: This instillation libeing made on property Ihu1 I awn which is not ' 201 umpu lo 400 amps 100.30 2
intended for sale. lease, rent, or exchange, according to ORS 447, 4119, 670, and 701. 401 atttps to 599 papa 133.75 2
Branch circuits — new ur eatensiun, firer panel
Owner signature: .. _ Dote A. Pee for branch circuits with
.. A ; : - J ' ' • , q. C O '•l UtSON l i � a Service or feed fee.
• . , � ,tit;,Ii . � . I' 6.65 =
each brunch circuit _
Business mime: B. Fee for branch circuits
talrtic w service ur feeder fec.
Contact name: first bntttch circuit 46.05
Address: Each WWI branch circuit 6.65
Miscellaneous (service or fonder nor lidnde(IL
City/State/ZIP: Each manufactured or modular ' 90.90 :,
dwelling. service andlnr feeder _
Phone: ( ) 1 Fux:: ( ) Reconnect only 66.85 2
J3•nml I: Pump nr irriRatlon circle 53.40
. . CON'a'RAGTOR • ' ; Sityt ur uutline litthdntt 53.40 2
n Signal circult(td or tim1. tL.
Susincss name Ne :LI`Crsta - -- easea -,P lYi . a , maw panel, alteration. or
Address 1 7y 0 s Y�i rh bbl S B u>:�' y�� extenaran. crlbe: ragez 75
Cli /Stntr/Lil': ,ia R-� n 0 R 'r7 Q 0 8 Each additional Ins calms over allowable In an • of the abo
J j
- ' Fier impaction 62,50
('hone: (93) tog (p -61.53 s Fax: (SD3 ) (,- ill • (p (F I Investigation per hour 11 hr min) NM 62.50 —
CCB Llc.: 1SQs. g Electrical Lic, : ICI.E Suprv. i.lt:.; /GL htdustrlal Plant pe 73.75
r�) �' '-'� ' • .'E1:ECrR[CAI.. rERtvlrr FEF.',5;•'
Suprv. Electrician signature, required: /)" Subtotal: 95, 0 D
Print name: I �� Date: r7 Plan review (25 of permit fee): if
i� L n,/ r O Sl ate aureitaes (8% streams tee); (0.06
Autharlreclsignature: '1'O'1'AI.PERMI'I'FEE: S(. 0
Print home: Date: Thls permit application expires If a permit Is not obtained within loo
days annr It Iia■ boon aeerpied a■.umpleir..
• Number or Insw a:timis utlowe act ii.:nuit.
I: +aulldinBll'ennil, I LC.PerrnNAppdne W1:Jala 4411.46 1 'I111ru7ICOMIWIIIt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELIa2Cl07 0000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007
Phone: (503) 639 -4171 pl:I�i
Inspection. Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 10380 SW CASCADE AVE. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BOB LANPHERE
DESCRIPTION: Low voltage for wireless cabling. Job No.107600809 T0.1
OWNER: LANPHERE ENTERPRISES INC, PHONE #:
CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503 -646 -0533
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049680 -01 503 -330 -1667 `f
Corrections /Comments /Instructions:
A i\
v
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL 1 ] CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G - Mt 6 Lam. Date: V" L 'b") Phone #: (503) 718- A
CITY OF TIGARD
.
BUILDING DIVISION PERMIT #: ELR2007-00005 . .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/412007
Phone: (503) 639-4171
_LIV Inspection Requests (24 Hrs.): (503) 639-4175 it
INSPECTION WORKSHEET FOR DATE: 2/6/2007 TIME: 7:02AM PAGE: 36
SITE ADDRESS: 10380 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: E306 LANPHERE
DESCRIPTION: Low voltage for wireless cabling, Job No107600809 To.i
OWNER: LANFFIERE ENTERPRISES INC, PHONE #: ..' .
CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503-e46-0533
Inspection Request Scheduled For: Date: 2/6/2007 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
199 Electrical final 042956-01 503-330-1667 N
Corrections/Comments/ Instructions:
1) In a4 f. 4-0 (0.0.61y4 i‘ Pt S-•4. 1 l Ct-V '0
1 PASS fl PARTIAL APPROVAL 0 CANCEL NO ACCESS
VIFAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
. 0 4v & s
Inspector: / Date: 02 6 - 0 6 Phone #: (503) 718-