Permit CITY OF TI GARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
I'j DEVELOPMENT SERVICES PERMIT #: ELR2004 -00173
� - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/23/2004
SITE ADDRESS: 10220 SW GREENBURG RD 111 PARCEL: 1S135AB -01002
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
Project Description: Installation data telecommunications.
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:
SPIEKER PROPERTIES L.P. PAVELCOMM INC
10260 SW GREENBURG RD 1640 NW 14TH AVE
SUITE 100 PORTLAND, OR 97209
PORTLAND, OR 97223
Phone:. Phone: 503 223 - 5008
Reg #: ELE 26- 559CEP
LIC 00063963
MET 00003259
FEES SUP Rd Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 6/23/2004 $75.00 Elect'I Final
[TAX] 8% State Surchari 6/23/2004 $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 0 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503 ).246 -6699.
i � �~
Issue y ClialAAJ-A- Permittee Signature v. �!� -
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
10,0 90 4 ON V'i"10013AYd�o1 096tesgZ09 -woad wdit:Zt p00E- ao -Uef pan lend
•
Meet r icai Permit A ieation .6 Ali
�QO�7
City of Tigard i ••`
FOR UFFIC:JE USE ONLY 13125SW Hall elvd.. Tig . OR 47223 GF S IGA R D Dere%® . /6 b ;tap Yerm[t / >.
Phone: 503.639.4171 Parr 503.598.196 IVI •. ow
Inspection Line: 503.639. v1`,���G D � " �11 Dare/13,4 enact Net..:.
Internet wwor.ei.tigard-orMa 8 - � Date 3iemdyl9y; tw
Na ined/grthod: ® Paec
' Qa . ` t '1 y l � + ar�eta e y � � SuDP meant InrrarmaOn
�'� ' �' ' � ' :t�L'�iti� !: ' - °, 1 y .�F; -�.. 1I +?f f�L�� `' - �T� �'1'� I A �(� , - ._
.A.� r :T.�A� ' A���. , flll�i'vcn,i�I 9 ttlrrlPi is `� � , - - -r .
A New construction CI AddltfOrJlaltelatioNrep t �ti,-'_ "'' ;, - „."+«a ,i3” ' •-=;:. . ' ,;r
laceetient Plena cheek all that apply!
Q Demolition Q Other: (] Service over
�f P `s- - �^ rnplp� YZS amps, comet' ❑I- Is�rdeus lecatlpp
I tl' � ei i��: i F ,� • r� . @r r'c 's;r - 1 ^ Ora 4
: ./., "�' 20 arm s-
'N „ ee� 574 s'''i rs °� �'. :f, ' - i•; L � r u� ∎1 7 rig V r a 08 rieeov p mina ❑Buildne over 1o.a00 sc
El 1- and 2damil dwelling m 1. I I,IS of 1 and over 60 ty dwellings 4 or more new resident
Y & ` Co Mmer ci alrouinssl kt l 0 Accessory build ['system over-600 votes nominal units in one tincture
G7 Mutli-�rmily
Q���,��� � i - rn n � 0 Master bLL4ldpt F O dBuudSng over deli stories L !ewers, 400 amps or n
"I�Bi!..yTI r. ,;� p,� w? f„ �t�'Itu t 7 e� ' l-t' \, {ni: •;; .toe mat1Dad Dior
" " - .,,ill l: :l �iFSp 51,04 � -. -..- Lt.,._ 1j ° .. a „.,,, 1.! }� + !" . ❑ roraa 99pasone �Maeu£acmrzd
�r „•:�; � : , G'� I� Effiess/ji8ht.s plan 8.V park
Job
no. _ Yob site addre 5)2,2. 5 , KO ! K . l ❑alli kl,.Care faeiliv pother
City/Star/ZIP. i / , , ` � Submit2 1 , sets ofplans with any of the above.
The above se not applicable to temporary construction service.
Suite/bldg./apt. no_:
ne,�rlpn,n Q4• Foe. Thal
•
• g C-T E New residential single- or multi- rnmily dwelling unit,
A i"'li.Q.t e ti tX AQ attached garage.
1,000 au, R or less 145.15 ~`
Subdivision Ba. aao '1500 sq. ft. or po rtion 33,40
Lot no.: '
Tax map /parcel no.:
Limited
�y r - y _ energy, residential 75,00
�y � i ; �il��, �
� . r�`i 4� � +i'1'1��� r I u� =J " "" .11 "! ', + • " 1rIIO L� I • f ir rJfprg y, non rcSl(1en8137
..,LS,hf,_¢j . 315 „�rI!.'L'� fpl�i �• liil Y_ I Il y� i rr�� LFM1 1 P r- 7S.dD
�� ..��A 1L1.1� .. , tZ,��11 ..' �� 1V S
Each r: watr8olyred or modeler
dmellia ...vice mid/or feadar _ 90.90
yy��,,�� f� Services or lectern ioacollation, eked-sullen. &M/M' ectocatinn
th'f� 4 rtl'" � zt�` ' ,��,�' rr'C"iS.._ TY Y t�, (•.'r' r rf v P y ::'? ",� - 200 atr or less B0.30
"+ r 16 :., �� , ' ;,.�" i E •',�, rlf y: I t�j1� �� , v , I, 201 00
C= � ,a�..��'7��,:� LY��� �t:iit�c;Z�.ni�nWt'�i��[>'N�S• � a 7 a arr,� to amps 106.85
Inf`. .II ► Address: d01 amps to 600 amps g rs 160.60 601 amps to 1.000 amps 240.60
• 5
� ,• • Et ! lL / Over 1.D00 amps or valtg
City/State/ZIP: 1..l • l (a, ..1" 0II`� 66.85
Phone Ts porn y services or (leaders insfallatlnq alteration, l nd/or
(SfY�) g4� — I 4'O Fax ( �
relocation
or
Owner tnstallaiielu 1 installation is being made on property that I � 'dhiob is * t 20 =pa or lets I 6685
intended for sale, lease, ten; or exchange, enatnxl>ng to ORS 447, 449, 670, and 701. 201 nerd to 400 amps
mp I 100,30
intended signature: _ Dane:,
Owner signature: 441 amps m 6oD ylt�g 133.95
i g ,, - t , _ ... , ., _ _ alteration,
,77.FRh�11.- ' 17. �� 77 5 7 1 . . 1�}; :7,lP,. it'l l''r . -.T- .-•:; " ;tr ?-•.-- �•.,rT•n,- Branch Grcoirs -new, tOm or ezteOSlpa per a4�tl
r- u..; �:L' -lif„ i.j +' 7r: + 1 � ;,!J_? I °,51:. ar a 'r �•+ i
.. i�-: �� .�.i.�•,r.•� 1i, +,r?�!I 42'Q6lbtbrazlCh circuits w fh
$ttSttte3S name: aarytoc or racdcr fen. each
_ branch circuit 6.65 .
C't7lttgat=ne: E. Bee fbr branch circuits
Without service or feeder fie,
Address: each branch circuit 46.85
City /State/ZIP: add "1 bract, tit autt 6.6$
Miscellaneous (service or eceder ant include}
Phone; ( )
Fax: : ( ) ' Pump or irrigation circle 53.40
E-mail: ~— Sign Or outline lighting 5140
,;:,_ _ .: s,, s l. R !'� 1 T 'ic ppJ� 914! aixui r or limited-
�: l t_.I ,: °u T1 : �1 th. l.t, - �1�� +��C p : � 7 _�IdLilall � l j ."t 3lt l''I71r�. �I� , 1l'''ttt*n, l
BleS7ACS6 nay ltr :,+,1!,th103 enC7 'I
D . br .
exten De�gC�
Faze 2 9
'f — . a ) ■ / Each additional iospecdott over allowable in any of the A bove
City/Slate/ZIP: / /� j � �� 7nvcssigae 1'er i tonne 62.50
r � / J ! tm per bars (1 tamiD) 62,50
Pbonc: W :5) 2 . . 0 /'S g Paz : vb 3J 2 23' D / D je 111duris1 Ala Itper At3ur 7175
CC$ tic.: Electrical Li .,�. r Spry. �'% „ / p ? ' '° � ,�� � n'N In a ' ryy r
subtotal 75.
Btlprv: Electrician signature, require ft- / / ,
Plan nri� % &permit
1�;n10 ji gel
Date: 8 — state surcharee OM ofparmit Sec) �. 4'.0 '/
i
Authorized Stg118Ltite: TOTAL F T FEE v0 4 i . (P�
- Thin permfi application expire' ire permit is nag obt2ined 4.441011n 100
t Mr Date: days after it tram been emoted et camp!. ca
' Fee reetbodology set by Tri- Carunty BuUdin8 fadvsay Se viec8osed
■Itafng\PermilplELGPemi�gp�,d mu
" x f eriaopertions per patmit allowed,
`
dsaadlsi(tmm/cowwar
Tnn 151 lilil2LUTT .ill T T T•1 .r znn - .nn • nn
401071, A rmen • rerr sr
06Z -d 800 /100'd L99-1 bOlO6ZZE09+ ONI tNl10013Add -woad wEIZ: lt 1700Z- 8l -u "I'
CITY OF TIGARD 24 -Hour
BUILDING f ' Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested ` AM PM BUP
Location 4 A - Suite / / ( MEe
Contact Person VY\ Ph ( ) c� �- 3 SDo g PLM
Contractor Ph ( • ) X/ SWR
BUILDING Tenant/Owner J s rJ �! ! ELC
Footing ELC
Foundation Access:
Ftg Drain ELR _ - aU
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing ,r/1 ,q ��
Insulation �� . C®1V. g-D i �. F14',
Drywall Nailing ' l (
Fi rewal I
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
� F e
40 ; LI Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
7 PART FAIL
SI T , ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line Ancesee_Riu ADA y D
Approach/Sidewalk " Inspector ��� �Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL