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Permit CITY OF TI GARD ELECTRICAL PERMIT - RESTRICTED ENERGY R1 'II 'ix DEVELOPMENT SERVICES PERMIT #: ELR2005 -00003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/3/2005 SITE ADDRESS: 10260 SW GREENBURG RD 530 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT: 014 JURISDICTION: TIG Project Description: LV: 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 SUP 2903LEA FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 1/3/2005 $75.00 Elect'I Final [TAX] 8% State Surchart 1/3/2005 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by 1 jjl� ✓34,Z Permittee Signature CF�� ��L t .a,c�IYL- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day DEC - 30- 2004(THU) 04:04 NETVERSANT CASCADES INC P.001/002 • ... . . . . • , Electric 2er�il� A►�pl" E lv :,,-- 1 . • O Fric.. s oNr. City of Tigard ri e >uavt / 3 t/ i Penult :'to, :r , _ er a, _o o vo 131:5 SW Hall Blvd., T1y,'urd. OR 912.2.3 Plan Revi • .s phone: 03.639,4171 Pax: 503.398.1960 1 i bntenutt Other Pcn tie Inapcctlan Lin:: 503,b39,4175 DEC U 0 r ; L tr.....;.. paw neady/ay: rune RI See lace 2 tar ;marine www,ei.tiaard.ar.us NotliledMethodt ( _ SuppIoni utat information �,, _.��• }w t' �• � I •..I � t! '4 tl . !�, a t!;�'X l` 1! .. C( '� S ' P .�' 1 4 r.;� i ^.f Mfl'T � v���,.��� . 'C ' .�. ' � �' ` �Wii`!�1' ��'tl�h�ip��F?w �• C :lt.! t i 1i I ]i1 t• f w }a '�i 7C�, �! iI �! } r p {� � I �: ����% ,.^.�r�._..•- (�•`I:1 t i 0-N1 I�v �Il� �'IF� ,rrl Stt11��. r'! i�P+ �' �l:Jt>�YH�,�l.i.�.CI: :L . ., �� ':'.,. ta,.�t.7ira•„ , �.11��i_`F,wf� ry�...t r (�.7tlr!i,H7r� :Itn,,'ri�!$u�;�5� {Y�� �iE _r r ��. �Tr�� I' r i:�'<t� :.,,_ Sia,. r.,. n: (] New construction g d1ST{�FGdlgatUr�pllltc'�nb Please check all that apply: OSrrvlce over 225 amps. commit ❑Hazardous location in Other: Demolition d 5 rvice v 7,0 amps -rating ❑t)uildng over 10,000 , p., ,,.r �. al:}'i j, i M ti� �� pr, C'•;l? �a;:!?; �,V,ae,,E a! S)i>1,IIf $z .0. 0.0P5 C t ~ leg n i h l of I - anti - -NmIly , l 1 4 or more new residential I � �M li r : d.us i,,. l .r.t :f.lf,.,.. _t.' „ • ... a :A,.,ht @I tit _,_ !d o I- and _•family dwelling (2 Cornmerc{ul/induritrial CI Accessory building L ISystem over 600 voila nominal units In one atruetute Orin u over three starlet DFnr dent. 400 unps or more r3 Multi- Chmlly Cl Master builder L Other. QOceupant loud over 99 persons ❑blanufnctured structures or 8 ;Pntn r t• t1 t t 4 ! i d(t' ur R.V park 1,1� Vii? �'�I 1 Jy"r Ii" - if ��' 7�Q1�f " l '1Q�(il�l�'!� 1,! k Iw�,...e�i ht{n tan p itiiekw i1...ii�6",'9ti..t�thif � "i(i �� l�i"",`: w n�ia!`.' i [?Ml!:r. `r!w.,C.... dll�.�f'il.���Sv., €1��' © 0 `.•" lei u p �1 °7' , , U 0 511j ig . Q1Icaith•earc feofit ❑Other: Job no,: J o b s a ddr e ss: 2 + ! + I . e t Submit,a nets of plans with any of the above. City /StaterZIP : , P) r - . A • : P The above am not applicable to temporary construction service. 1sgiiiTi lr iii&f iSti lint! r'JI ;iii ! -;;r g' kllnliniff Suite/bldg./opt, no,: 53 0 Project narnc: ; ,Ir r* • A J. 4 w.,tr,pelae I a>:. 1 n•• r «ta, J Cross street/directions to jab site: New residential single- or multifamily dwelling unit. 1ndludea attached wage. • 1,000 s•. It or less 145.15 4 Subdivision: I Lot no.: Eu. udd'1 Sao sg,1t. or portion _ 33,40 l . - Limited energy. residential • 75.00 Tax temp /panel no.: Limited energy, non•tesidential 75.00 2 r';:i ; rg a:.0 x i i4 er r nrna D o » o l.. QR1 T t'a r 4"! 1, t}; �I t+ai1, =" d is �w 't.l:it ���>r����1. :>r��n!»;=�:� .. V �, 1 „�„CRII,;� �?:' ..•_�fl"W.............{iuw"aYs� '< ,arl€�ii�l,:���: :�ii�l�,�t�r,r� E manufacture r ites dular (� n ' ( '^ I /1 dwelling, service and/or feeder 90.90 2 A V l 1 14)i) b rj-r ` _ 1L) l ( 15s- __ Service* or feeders Installation, aitar'ntluu, and/or relocation i 200 amps ar less _ . : . :.' , i ....... 1 " "`ir 'w ?d!i i i y*,� Ky r'. "" 1 r N ii1 l ' den, of 1 anti»• tq 4 amp8 - 5030 „ m _;; ; in r)<'RO!'EiL'Cirj tJ�VI!F f41. K.lt.{ ,(i': �!d �C : }} ...., . uillrol�.gi!"1„ !-:: - A al} . �,t..,. # . M �,� "0 0D 1061;5 .; _'!, .: � 401 amps to 600 email 1G0,60 • I Name: 601 amps to 1,000 turps -240,60 2 Address: Over 1. 000 amps or volts 454,65 2 Reconnect only 66,38 2 City /State/ZIP: Temporary services or feeders Inieiliatlon, alteration. and/or . - relucutlon Phone: ( ) Fax: ( ) 200 nntps or less 66.85 1 , Owner lnstallarion: This installation is being mndc on property that [ own which is not 201 amps to 400 snips 100.30 _ . - Intended for sale. Irate, rent, or exchange, according to ORS 447.449, 670, and 701. a01 amps to 600 amps — 133.75 2 Owner signature: Date: Brandt circuits- new, alteration. or extension. per panel g A1 r n t• ; "W + f' ii�+�. i . a t Agi&,t"�ulxl A. FCC for branch circuits with • '�J t Y �'1 � p F�,,..1���, �w ''ia�'1..� } I {i. q �i`�l1(� Il �, A:f ' �ti QA;, �� , {� �.�1� . t r :/�1�1,U'�,Yd�IJi F e ,.]. �P'lt l Y'. ,.F lii�.'i!5i 9 ..rI.4: 1� InJ a I., i 1 _ I service or feeder fee, each Business name: branch circuit 6,65 B. Fcc for branch circuits Contact name: without service nr feeder fee, 46,11,5 2 - each branch circuit Address: Each add'I bnuteh circuit 6,65 2 City /Statc/Z1P: Mheeltancoua (service or fee4rr not Included) Phone ) F ; ( ) , Pump ar irrigatlan circle ( 53.40 2 ( Signor outline lighting 53.40 2 &mai I: Signal eireuit(s) or limited {{, ^r''" +Nl' S r : ' ! t i! ' " { ; i i rK P i ilh S i f r i t ,t+i NiF 'f cne�n0r 1. atlerat�lon, or iitF � :s`fi . T �,,rk t �i :� » a ,� ,ia ,�i i� +wOl l ot�!!> ii ,f 4, �f.' : ,fi i.!V Itil, :,�'fiCl i �,olUii ?i+ l 2 o c extension. Describe: \ Pag 2 5 Business name: I e , p. i t / -- s . 1 „/ �24 C . : J Mdd q q co sw Ai 1 'b,i S �� 9, Per I specti onat inspection ovetraliowa6ta 50 of the above ivvt�.0 Per In� " City /Stutc/ZIP: -, •., u. AI Q ■ I 6 , investigation per hour (t hr mini 62.50 Phone: (ni ) t r --OS" , Fax: (9 3) (p —(p (p / 3 Industrial plant per hour 73.75 i{VilltliTAIlt 4:11 G ' TIIIRERI►'[i,'1'� EEPStG I' I`� 3"�pl�lilP1 CCB lwic.: Electrical Lie.: 3; Z5L _ il E� Suprv. Lie.: Subtotal 7 S. r — Suprv. Electrician signature, required: Ala_ �. l k f _ Plan review (7.59'b of permit fee) ., II 1 I �j j /1 � � State surcharge (8% of permit fce) , o Print name: L,, ? � (p n ? I � Ct ` � Dates I � ' TOTA . PERMIT FEE $ r . p a Authorized signature: // This parutit application expires Ira permit is not abw,nett nithin 180 days after It has have accepted as eaatplata Print Hume: L Bate: - sae mcuiodotoer set by Tri•Ceurity Balidhmainduau ' Service Board "- Number or Inspoetin,ts per permit allowed. 1i1nulldlnaermlttt LC•PrmiltApp,dut taFPI Jla4ulsrtlnla^JCOM1W1n1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Liner-1504 639 -4171 MST BUP Received Date Requested '— a 0 AM PM BUP Location / £ ), C 6 .Zili azil k,..e. O Suite S 3 0 MEC Contact Person Ph ( CI-4 ) 333c -" / 9a.x r> PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR ,27n). 5 OO( Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: • / Final J PASS PART FAIL C PLUMBING Post & Beam Under Slab Rough -In P 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 " PAS T FAIL F ECT RICA Service Rough -In UG /Slab Low Voltage Fir Alarm Reinspection fee of $ . required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL SITE_ Li Please call for reinspection RE: LI Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date' �� Inspecto �`�S ` �� �� G� Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL