Permit CITY TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
II DEVELOPMENT SERVICES PERMIT #: ELR2005 -00118
' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/19/2005
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 415 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: Voice and 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:
EQUITY OFFICE PROPERTIES TRUST NETVERSANT CASCADES INC
ONE SW COLUMBIA ST #300 9740 SW NIMBUS
PORTLAND, OR 97258 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 5/19/2005 $75.00
[TAX] 8% State Surchart 5/19/2005 $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 95 W14100. You ma obtain copies of these rules or direct questions to OUNC at 503 -246 -6699.
Issued By: - u'�- Permittee Signature: gj-L Cz . �� r/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 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.
MRY- 18- 2005(IWED) 20: 35 NETVERSRNT CASCADES INC P. 001 /002
1BC - 1C3I Permit Agpl1Ca>Lip>n : FOR OFFICE USEONLY '
City g Or Tigard Receive.,,„e d a spry /yr� ,p (�
V �� / "le�� If./ 1 J !'eruJ1 Na, iZ /�.�17[� - 'L�D /�/T
13125 SW Hull Blvd...rig:Pd, OR' 117,.,3 II F! ® ;c ! flan itevic
Phpnc: S03,t ,39,4171 Fax: 503.598.1960 d t "=J i t. bete/Bs; Otherhermin
Inspecti on Line: 503.639.4175 0 2_1 Ante ReadymBy: lial El See Pale 2 far
Internet: w.wv,oLtivard.or.us MAY 19 2005 NatirietltMelluntt SupplementalInfnrmarlrm
rr. ...'<, - `1i i rt: 'o):• . .: . tvotzi4 . ':.. , : :: ` t ,„;:, ci' �.. .. �; r1: A1N'''[ ii:vtiw , :i,Egltit.t- ,.,. i'f:;'r;,
CZIVel,v construction G;+ A +diio . a icrIti7• `,, r-411' cm Please check all that apply:
in Oemolidon BrUitlaING DIVISION 08euvice over 225 amps, tunnel °11azrrdous location
over - ft.,
tierulCe p 3.,tl amps ruling Liu ng over 10,000 sq. R.
:, ...,
,,..., �.. : :•; is .. ; �..., ... � ?a �hi�<" ;.;i • - � ; ' , j ' d 2 -0t 4 or new trx
1;,..,.,,.,., .........: ..: r,: •, � ... � ..: . � � ....... � ' „C�SNS�t[2,4"�II�N ' '�� :;;'; " ' ; . `,.. �'j "i :�` % �`i� • .•; oft - an mily dwe llings mom idctttiWl
[I I- and '2- Canuly dwelling Cammercinl /industrial Q Accessory building 0Systcm over 600 vnita notninal units in one structure •
O Mal ti- tamily 0 Master builder I:1 Olher: p nil nx red structures or
e '
, gdtSr. : > ^r;�;,! "� :. ' - , a .� � � r „i,. Nta n�G
''iii : 'Lill'_'Cir, "; y. l"�l :h,�c , , +! x, • 0 .- 1 . �5lit�: Il . f.0 lVJ.0j 2N1 .49,:ly �I : . 10N +; ,; ', : , . i, :'r 0 Egress/lighting s /lighting plan � R.v park
tics amps or more
S e o or
Job no.: tD`�� t� Job site address: ( d s CIi- Iwlth•eutt futility °Other: -- - - --
E.1�1 _ 45 submit 1. Nuts of plans with any of the ohmic.
City/State/ZIP: m i p.g..0 i v. a i zz The above are not applicable to temporary continuation service.
,ti,� ryr r. ti [4k' j *"1 y ti ♦'�� S i ^,� ,�.. !i r
' +;. 6 -:t wu t �Z t . :,�” I � , : ,
Suite/bldg. /apt. no.: Project name: f Q C e t i— ..4 sr. r t i'.4?;;.r.. _ t! .4" 1T1y iEg`i�,i- tr-:�i~ :- �.nt,,. {�, :.t t. . s
� lsnerl1, :1;,, p as. Torsi
Cross 5trccddirccl lo job site: New residential Angle- or mul ti.Grink - dwelling atilt.
Includcuc IIItuclietl prate.
• LOOP lig. tl. or lasts 145.t 4
Subdivision: 1 Lot no.: P4, tidd'1500So, R. ur portion 33.40 I
Limited energy, residential 75,00
Tax map/parcel no.:
r �r r «r�v��r :, r)'M' ,wwre , ;. , t , -'r s f :,;,r'� :q r;i :-s,•. : :. t - rv�,: r�?pt. •c: a,i limited energy, nan�reNiderttiul 75.00 2
•
6' r 1 , 1 C a Q 1;7 �hy:. 1 f(,'. l..k.. 1 ,,;yi •� lye
1, aWthc�1 +°.!ib�,`�ih�l"w.R'� >liif�fX. !rt ii«7 � ?. ttJ4Ep lI �.1 ���i � , t:f 1,;,6'1 �1 . :,i.li';.. ;♦ :r�t :S.t,.,1•a'itc1�.�C1 Each tnanufhctured or modular
J o t r_ � dtvalli _ ttcrv{ce and /or feeder 90.90 2
C e � U� `1 Services or feeders installation, alteration, and/or relocatlon
200 anvil or lea 80,30 2
1' . i 'ct, ",lq, dz� 1 " ` rn r i L t zrr 'f �trP' 1 �� !t: 9.', ,,. P:1.'.'l it amps mpg
t �,' r S',_ �;' tt eyf t �y��Ul• J1: R��t�1, �' Sxl�il�7i37� ,�;1`°��,1'i�p.�S {?'�� i�r.�k'�s,::l��i;� : �! ti� 'lU�`� , ' ',fr..,�;' :.,Y'� r��'. :.,.
20 a to 400 a ..
-- ,._..- .,......_., - -_ s 401 amps to 600 ampit 160,60 2
Nnmc: 601:Mptt to 1,004 Neap • - •240; ;,
Addrcss: Over 1.000 utrtpa or volts 454.65 2
Reconn only 66. +
City /Statc/ZIP: Temporary services nr feeders InatallatInn, alteration, and /or
relucrr(km
Phones ( ) I Fax: ( ) 200 limps or Ieuu • 66.85 1
Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 100.30
intended for stele, tease, rent, or =change, according to ORS 447. 449, 670, and 701. 401 anins to ei0i1 amps _ 133.75
Owner signature: Date: uruneh circuits• now, alteration. or extension, par puncl
}a i i t yi Irti}; 6 w� � r g ... °.1.c {y l .6;•, r{^ � it ' fr branch with
;;�.)�;trc �' r� w�rs .,Qtfl �1�HNa.F���.�.�rl`��v' 111: ��11ti�ti' Ft .r!tI. :Y�!i!y',7y ?r;i�a�r.�;ti �n�{��.l1�il >�;,�N.',it.�(�..� f{�ri iA' :�du A. Fcc for bnch clraul
E
aet'viee or feeder foe, each 6,65 .,
13usinesa name: branch circuit
13, Fcc for branch chcuits
Contact name: wtthpur aetw{se or feeder fee,
each branch circuit A6
Address: - Each add'I brunch circuit 6,65
2
^
Ci /StutealP: Miscellaneous (service or feeder not included)
- Phone: ( ) • f Fax :: ( ) Pump or irrigation circle 53
Sign ur ou if 8Mtn _ _ $3.40 2
E mail: Signal t:ircuit(u) or limited-
—
4 ,�;. 1 . .,.. ., L ,,, , . ,. , .. '
.: .r trey t ahcration, o
(7t j �; %�i ° �;:�r ' y � : , li f :�l< , :� : , ..t_:.' � ': ,: z :.�: r,t " ", P1"�,7�C,
ru: .ce: �"'. °a'::e L ,. .._ rat r. n r :., a ` `
,. i.;�...
extension. Describe: ' Page 2 /
Business name: /Ve4V rs art -i- ` e a sea d,, , inc..
Inspection Address: l 0 G� Al 1 vii b H Aired u.e her I ncIn additional
pecti utiul Inspection over allowable in any of the above
� pcctian 42.50
City /Snitc/Z1P: r - , ' .40 O E OIn Q 0 g lnveutilratian per hour (t hr min) 62.50
Phony.(513)(D Fax: (513.)6 i 1— (QCti3 industrial plant per hour 73.73
i :' :�i:.4'Iti�� "l" %'�lt� «F Ir1: �rtii��[,:' , :l�l�.'� i` :,.._kr.,,
CCB Lic.: L S�Z✓a g rlcctricu1 l.idvi -5 - Suprv, 1.ic.: y9 LEA Subtotal 1 oo
Suprv, Electrician signature, required: l A v 1 Plan review (59 of perndt fee) —
print nrtmc: Dots Stateaurclturlle (8% of permit fee) (p 0
1. ". 1 11 1 • , � 't'O'i'A PEItM IT FEE 1 . Ot
Authorized signature: This permit appilesnon expires Ica permit is nut tibtaiped within IRO
days after it hss been steeprol! a. Complete
Print mime: iSni e: - Fee arcniodolaay set by Tri.County Bultdlnrt Industry 5ervlee Board
” Number or inspectian net permit allowed.
r:uinirdsornrneuznt.r.r.rui Advise lye, .un.4alat inioaicohtnvali
[ -
CITY OF TIGARD
BUILDING DIVISION . . . _ .
PERMIT #:
ELR2005-00118
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 5/19/2005
Phone: (503) 639-4171 iintfilit
Inspection Requests (24 Hrs.): (503) 639-4175 .. - l—
INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:28AM PAGE: 85
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK: ...
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: Voice and Data cabling.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: NET VERSANT CASCADES INC PHONE #: 503-646-0533
Inspection Request Scheduled For: . Date: 6/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact #
199 Electrical final 009818-01 503-330-1936 N
Corrections/Comments/Instructions:
s\, .
c F .
1 4--
) El PARTIAL APPROVAL 0 CANCEL El NO ACCESS
0 FAIL 0 CALL FOR INSPECTION ill ADDITIONAL FEES ASSESSED
Inspector:
1,S)A4 Date: 6 OS Phone #: (503) 718-
___
. .
CITY OF TIGARD 111
BUILDING DIVISION PERMIT #: ELR2D05-00118
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2005
Phone: (503) 639-4171 n
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/9/2005 TIME: 7: 09Alvi PAGE: 64
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: Voice and Data cabling.
e OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: NET VERSANT CASCADES INC PHONE #: 503-6460533
Inspection Request Scheduled For: Date: 6/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 - Low voltage
008843-01 503-330-1936
Corrections/Comments/Instructions:
(> A tie ,o\Ni 6 't/tr) , C pIA_
c_D1 TNK,
El PASS 1 PARTIAL APPROVAL 0 CANCEL NO ACCESS
Ill FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: at. 4,) Date: - r 6 Phone #: (503) 718-