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Permit 7 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00151 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/21/2007 PARCEL: 2S101 DA - 00102 SITE ADDRESS: 13221 SW 68TH PKWY 401 ZONING: MUE SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG PROJECT: HEALTH NET Project Description: Voice and data cabling on 4th floor. Job NO. 107076 - 10528 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LAN DSCAPEIIRRIGAT: 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: TIGARD TRIANGLE I LLC DYNALECTRIC 4650 SW MACADAM AVE STE 220 5805 SW HOOD PORTLAND, OR 97201 PORTLAND, OR 97239 Phone: Contact #: PRI 503- 226 -6771 FAX 503- 484 -0233 Reg #: ELE 26 -59C FEES LIC 66793 Description Date Amount SUP 4653S [ELPRMT] ELR Permit 5/21/2007 $75.00 [TAX] 8% State Surcha 5/21/2007 $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 obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued B • j, 1 14 A / Permittee Signature: aez / ) .2/ 1 1-1 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 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. t ay i s 07 09:01a DYnf1LECTR I C (503) 484-0233 p. 2 EiZeitrifal Permit Application ,� 3 , _ \ ; : .,,� N � ,, r x� .�, �, ti:�r r Ja , - City of Tigard ' �,,:, , � i DNS �i FOR oFFmg USEtiNI`.Y'`` i . r Received w:r -. I r s , t. S,t 1 3125 S W Hall Blvd., Tigard, OR 97223 Date/By: a or -) -, Permit No.. /, A Plan Review Phone: 503.639. Fax: 503.598 1960 r Inspection Line: 503 639.4175 �� !t ° ;� x i �'��a DatDate OtherPermit �� . l "'' At ;.::. - Date Read 1merrier wtvw cr trgardorus Ready/13y: — ��g3 Notified 14ethod: 0 See Page 2 for 1 { . L � , r YPI`3IP Fssr,. r •',n}x *�§ j YU 3tz: _ _ , Supplemental matio i i >v Inf ZOr n ❑ New constnrctlon � tir.. .. :l:o.�i 4ai ,. -tk: "�!:�'''•� ? ''`�\�nY $^ ,(z �Sa ' ^�'�dJ;.-tS,, ,. n�.(, $ ^' �'� y,`� Addition/alteration /re lacement ry " l t k T -- p Flease check all that apply: [11 Demolition ❑ Other: ❑ Service over 225 amps, comm'I ❑Hazardou ° o ,. t. a P ;: r il?:: \ t � 6 Wi (, �,, ' �;l' ^. tz ❑Service a 20 Buil s loco�2t n °? ° ` ,. '3 � , 'N` „ � ' u ' w '' A„? ? , a� over 3 amps -- rating ❑ dng over 100,000 sq. ft , of i end 2 family dwelli 4 or more new g Q Co mmercial /in dustrial ❑ Accessory bu ilding ❑S y�stern over 600 volts norninal units in one sta•t� - sidcntia ❑ I - and 2-family dwellin ❑ MUItr :Fami ❑ Master builder Other: g ,�. lure ❑ ❑ uilding over three stories ❑Feeders,, -400•a nOagpS-or- r 'r J'O SI y s '>('O,�'tl,�(3 r � V 1j s ❑Occapant load over 99 persons , t a s;. 9,, .AfOk'„ rx� r.::Ai' '� P ❑ RV par ctured s C)nrctures or Job site address: 13221 ❑Et'a "es /lighting plan RV park 1052: 3 � VW wi P�/ ❑Health care facility _ WY y ❑Other•: Job no.: 107076, City /State/ZIP: Pp„.l -1 OQ 4 ?�� Submit _2. sets of plans with any of the above. 1 s _` 3 The above are not applicable to temporary Su ite /bldg. /apt. no.. Project name: ( a,;r,� k:,�,So-..�_: ,F,;. N,pP ._ a const��ction service. �Q.��J I ► ►�T � � = y ' = .- ;i;+�?i :��i � a " __'bj��s r _ Cross street /directions to job site: nbdivisior.: N Deseririon __ ® i jhf � ' - Omar ° _ New residential single - or multi - family dwelling unit_ ii ii Includes attached garage. J Lot no.: 1,000 5 or less Ell 145.15 _ Ea. add'I 500 sq. R. or p 33.40 — Tax map/parcel no.: Limited energy, residential 111111 75.00 ,. .-: «' , + 4`1 '- n_ '� • . p . mg I' -ar 9 s' h31.- 'TO :'' ;, w� L imited cri er f k, r .. �� gy, non- residential 75.00 `/ Da l& t .. ""`4'" ; 4 u:a" t' Each manufactured or modular �f et L�(.(l �1(a�F�t l �1 �y�� dwellint, service and /or feeder 90 9 J "'>> Services or feeders Installation, alteration, and /or relocation _ 200 arrras or less i- s ^� se er;� i a 80.30 2 c aUax�' . 6��€'' 1s g f i t i r I lV V. R y ` %s 5• { 5: 201 amps t 400 ?A po amps �� 106 Name: 401 arry� to 600 amps a 160.60 5 —© _© Address: 601 amps to 1,000 am 240.60 _© Over 1,000 amps or volts 454.65 _© City /State /ZIP: Reconnect only 66.85 -© Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 111111111.11111 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670 ' and 701. 201 amps to 400 amps t ® — 401 am - Owner signature: ps to 600 amps _© Date ".': + l•r , °'J $ e P - 7 v Branch circuits - new, alteration, or extension, per : ,;, ,,,, ' ,e,n�S c w _,j" t:, n y 1 ,� • aq sc ii' t• '. d. ,, gt o-a.-r, .r� y .s ,„ A. , P panel :,�. - .,r.�:��n�':,P . _l- �,±,0�,,,,,,V�,z��,�t.�`� ��r�� circi 3usiness name: servi for b ce or feeder ranch fee each wth Franc); circuit 6.65 •© :onlact rtarne B. Fee for branch circuits withor•rt service or feeder fee, ddress: each branch circuit 46.85 -© 'ity /State /Z1P: Each add 'I branch circuit NM 6.65 _© Miscellaneous (service or feeder not included) Hone: ( ) Fax:: ( ) Pump or irrigation circle N. 53.40 — mail Signurcialinelighting 53.40 � "` Signal circuit(s) or limited - r fit'. �.:t4 .t't�rVEI ` ", si ��' !''�t'n ° 4Mria MtatERAZIE's�r'dk e n gY ra:iel, alteration, or asiness name: D li �r J__(� extension. D escribe: Paget ,/ idress: 58 I 10 we., ;elk - ' Each additional inspection over allowable in any of the m ove ty /State/ZIP: �r f ( 0 n '9 7 Per Investigation - 62.50 _ - 1 Q. _) g investigation per hour (1 hr thin) 62.50 _- one: Ez3 )2210 4 ( I Fax: sa3 ) 484_ 0233 industrial ;plant per )tour ME 73.75 :B Lic.. 7 Electr Lic �f j 3 S ;METI td�' ^'0' u °Rjn -- 9 . 5 Suprv. Lic_: �bS �� Ix� =sa. I S u a ^' c+ ; ^,,:• c prv Electrici signature, required: ' / _ _ Subtotal ; �''� •-�� . ... c��_ L.: Plan review (25% of permit tee) n t name: 0 ., = � 11 Date: � TOTAL PERMIT PEE - State surcharge (8% of permit fee) :horized signature: '. CO •1.60 This permit application expires if a permit is not obtained wlthlm 180 It name: I Date: days after It bas been accepted as complete *; Fee methodology set by Tri- County Building industry Service Boaard ing \Penni,y \ELC•PcrmnApp.doc 12r0J Number of inspections per permit allowed. 440 -4e r s• raro2/CO M/WFg CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21 /2007 Phone: (503) 639-4171 u °f i Inspection Requests (24 Hrs.): (503) 639 -4175 °__.. INSPECTION WORKSHEET FOR DATE: 6/11 /2007 TIME: 7:OOAM PAGE: 34 SITE ADDRESS: 13221 SW 68TH PKWY 401 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET DESCRIPTION: Voice and data cabling on 4th floor. Job NO. 107076-10528 OWNER: TIGARD TRIANGLE! LLC, PHONE #: CONTRACTOR: DYNALECTRIC A 5 oG J - PHONE #: 503226 -6771 Inspection Request Scheduled For: Date: 6/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 049956 -01 503-849 -4517 Y Corrections /Comments /Instructions: {.l 0 -r "t` 1 L &S cps./v3 (LE 5 Elm J a Y I N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr tV b€ LC► Date: 6"t. tY1 Phone #: (503) 718- 2-1100 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007- 00151 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 itiM1111' . INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 13221 SW 68TH PKWY 401 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET DESCRIPTION: Voice and data cabling on 4th floor. Job NO. 107076 -10528 OWNER: TIGARD TRIANGLE I LLC, PHONE #: CONTRACTOR: DYNALECTRIC PHONE #: 503-226 -6771 Inspection Request Scheduled For: Date: 6/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 048822 -01 503-849-4517 N Corrections/Comments/Instructions: ►�� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `7' • N Date: Q1 Phone #: (503) 718 - 'mot l v