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Permit ELECTRICAL PERMIT - CITY OF TIGARD ELECTRICAL ENERGY �e'1� DEVELOPMENT H PMENa r SERVICES � 639 -4171 DATE ISSUED: 00237 ED: 7/ 8/2004 SITE ADDRESS: 10220 SW GREENBURG RD 551 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12 BLOCK: LOT: 009 JURISDICTION: TIG Project Description: Voice & 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: Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST NETVERSANT CASCADES INC 10260 SW GREENBURG RD #100 9740 SW NIMBUS TIGARD, OR 97223 BEAVERTON, OR 97008 Phone: Phone: 503 646 - 0533 Reg #: ELE 34- 589CLE LIC 150328 SUP 2903LEA FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 7/28/2004 $75.00 Elect! Final [TAX] 8% State Surcharl 7/28/2004 $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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by L2 Z EI Permittee Signature S p .� ,n 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 07/27/2004 17:24 FAX 503 641 6613 NetVersant Cascades, Inc Z001 �+ l tr1 'a1 lPe>r $ ApplgCa>�m DA ((;) EoR op> Lc uSE oN.>GY .• ;,u1 City Of Tigagd e� Received .7 - 0 f l /06) 1»emutNo.: � /)C/' /)„j 7 13125 SW Hall Blvd., Tigard, OR 9722 N ♦ Plan Review v Lug Phone: 503.639 -4171 Fax: 503.598.196 „ tk ,.; + t , klY p atelg : Other Permit: Inspection Line: 501639.4175 `e 4%i AT:' '. Date Ready /By: Jos: i Sec Page 2 for Internet: www.ci.tigard.or,us s ty © Notified/Method: �l G Supplemental Information ... ....., ,6 0 E, W , ., 1 , . ,,,,,:.. Vi i" t. )R 't?3FW ❑ New construction Addition /alter'" l +- -placement Please check all that apply: ❑ Demolition Other: ts Service over 225 amps, enmm'l ❑Hazardous location ' :::rwr „- ,G,�:';v „ - -;' , ' .r, , A 11// Service over 320 amps rating ['Bulking over 10,0 sq. ft. . r.; ,Up: • ;;1'f L. _ y Y iI '� ! i., (,,; I'i (.c.;i fh ?�l�'' i Jl�'i!" ' " +4'';r ru r ,'"'�• 001l#6:QR B - 00, *. " . c!ti�r. ; 1+. `ere:;:,, .,�- ;:'= ,•• "':�: ,:':;';,,�,,:;.;, r- ":::-: ,:.,i�,•� r'r�l;:�t; oft -and2- famil dwellings 4 or more new residential 0 1- and 2- family dwelling P Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ❑building over three stories ❑Feeders, 400 amps or more ;,,:;:;,.,,. ::::.; ;' ['Occupant persons ❑Oct t load over 99 pe Manu actu red structures or „,.•.,., . t: i13Sg* TrlP,1':s ;' .C' ;'t r. ;;) ?" park RV .:•:;:..:,,.:....•.:_,,... ff�$' nS iii' _. _ ............ . s:.ns ":',.,::n +.. ........ � ? _,...,..,.. ,... ..... ��;�� �': il l ]? css /l htin plan P �" ['Other- Job no.:� % Job site address: 1 022 5 W 61 bkir� :Health -care facility Submit 2 sets of plans with any of the above. City/State/ZIP: 1o21_ Iat4 d 0 R. R 9 2. 1 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Pr oject name: 5 ;; s . .. > >aE ' B S I t� �,brtG�S ,• . .. ....:.....r,.:,, - •,,: :' ,,,,,= bwripuoo I Qty I Fee. I Total 1 Cross strcct/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. . • - 1,000 sq_ ft or less - 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited Tax map /parcel no.: energy, 2 :.. 7 �' l41. � �i. -. ,... ,.�:.. ..� „r :': �, a,� Limited gy, non-residential 75.00 2 •' ': ",° �';:; ,. , . r�f:;ei -��, . , ,,, E:i''g Each manufactured ar modular VO I n ^ • t DATA CM- S L N , i dwelling, service and/or feeder 90.90 2 fi x i `'' 1 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 . .. h :c ;:;;:; amps to amps Sa'.. ;;,,,` .,;;; 40[ 600 160 amps to amps .60 • 2 Name: ( +,,, 11 C'LS 601 amps to 1,000 amps - - 240.60 2 Address: $ Q u0 5 Ci Cowl/L. Over 1,000.7 or volts 454 - 65 2 n Reconnect only 66 -85 2 City /State /ZIP: �� c GC f ' 7 Z 3 . Temporary services or feeders installation, alteration, and/or Phone: ( ) Fax: ( ) relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on 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 l 33.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel " . : `I?''r A. Fee for circuits each with ;:::'.-,:.: t .......:........... � P � r !;;;i �:C.iO.'N;'1'AtT "REK2.'QN :. c � i,.l branch t service or feeder fee, ec Business name: branch circuit 6.65 2 Contact name: B. fee for branch circuits wit /rout service or feeder fee, Address: • each branch circuit 46.85 2 Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax: _ ( ) Pump or irrigation circle 53.40 2 E -mail: 53. 0 2 or outline lighting Sign 0 0 g 5n . -.. ..- ,.........�,., u.::--:�., .,;%,_.,.......Jti;;',.�P. ?;i'`• %r�tY''' : :. rtr.. i;i tmt - .....,(.,,..,. :..............:. ..( -::: - ,,,.,,,,.. ::.: l,i� ;1;r,'e,et {?Y,ii' ,sls'sSi-'I'iii: ever sl crah� r ,.. ........._..........,. i,:, u:..._ c...,.• .: ....................r...,....,, �V.�'13:AdC.TQ!Ri:;,, ,a'.;:n,iA'S -- , 2 , � ,:.A:,. �YF+�oh t , �" extension. Describe: Page 2 2 Business name: Ne +V,i rs i'1 I-- CQ a a � 4 C C. Address: ill ?go s h1 / ,_, b o s p Each additional inspection over allowable in any of the above Per Q/�� �n� Investigation 6250 City /State/ZIP: s ,.F� + �'� {�Q/�� 1� ,yr� q �0 o k Investigation per hour (1 hr min) 62.50 Phone: a ) (p {i6p _ 0 5 3 F ax; (S ) (jel l�.4 (p `3 Industrial plant per hour 73.75 ; t.R,,.' „a {r`gfAtE1 .. M.i: r i' : :,,:, ; ,,,,l ; rr.t,.S,. CCB Lie.: Electrical Lie.: 3 t 2 '4E13 Suprv. Lic.: Subtotal Suprv. Electrician signature, required: Q b P $Tt q� . �� r � � Plan review (25% of permit fcc "C111 t name, ' 1 Date_ State surcharge (8% of permit fee) ( p , b �� 1,, '. `'r i. - . , .0 TUTA1. v•Eti It FE.s. - This permit ap1Yllentioa eitplret rr a perml ron.rn n. ...Amu, tmu, l ao Uays - Ater It Uas tau.. ucn actor t cc Boa d Mitijotlzea sign atl]Te . ?CC IpCal°631egy actb i -caonty llo r3 nild 1t t ay a Date: .- rogaber of cup (Atioty yCr per4ta a Print name: 440.461 St'(tOw2/COMIWES CITY OF TIGARD 24 -Hour BUILDING Inspection Line:1603) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 7 ✓3 AM PM BUP Location Suite 6 7,C7 MEC Contact Person ...-Gi—/‹v>1 Ph ( ) c33 — / 7 // PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC g Access: Ft Drain �d � ELR �-ava37 Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof - Other: Final PASS PART FAIL PLUMBING 1 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Fri S PART FAIL SITE 111 Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA / �/ Approach /Sidewalk Date � � Inspector y /✓ Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL