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Permit t:, • r :" . CITY OF TIGARD :„ - ,;, - ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00373 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/25/2007 PARCEL: 2 S 112 DA -007 00 SITE ADDRESS: 15333 SW SEQUOIA PKWY ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: SAIF 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: PACIFIC REALTY ASSOCIATES NETVERSANT CASCADES INC 15350 SW SEQUOIA PKWY #300 -WMI 9740 SW NIMBUS PORTLAND, OR 97224 BEAVERTON, OR 97008 Phone: Contact #: PRI 503- 646 -0533 FAX 503 -641 -6613 • Reg #: ELE 34- 589CLE FEES LIC 150328 Description Date Amount SUP 710LEA [ELPRMT] ELR Permit 9/25/2007 $75.00 [TAX] 8% State Surcha 9/25/2007 $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 By: A Permittee Signature: rr Cc: Nl- 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. SEP- 24- 2007(MON) 20:31 NETVERSRNT CASCADES INC P.001 /002 , Electrical rmit A licatio . trical RArip FOR OFFICE USE ONLY FS 'c�1 ` '` 1 ��® Rece e vil ` '.. .. City �t'Tifiard tJn ' 1� i y- � ' � 7`�� 7.3 !1 13125 SW Hall alvd„ ipard. Oft 97723 SEP 2 5 2007 - I t v t - Ph nn c: 503.639.) 171 Fax: S(I).39t1.I'I6U Datc4iv: otucr l'csittit: lur etun Line: U3.639.4173 nat uradymy: — mw: TIGARD i L r b1 Srr Pape 2 f ar Internet: ww .tlpard- nr.pnv BUn NuliliinPMcdnd:• Sunnlrmrnrai Information TYPE OR WORN. . PLAN'LEVIi 'm . . • Q Nov construction *VI Addition /alteratitrn/rc m Amor luecmc Please cheek all iliac apply iauliuni 1 a pink %Otani+ clinked he► © Service at lento '4UU atnpn ut nacre CI dulhling over Any storks. 0 Demolition ❑ Other: _ where the avullahte Omit current (:I Marinas and boytyatda. . • CATECOR1' •'OK CONSTRUCTION. ION. ; mania I n,OgO amps at ISO volts or Q FlnuNu>< buiWbtp • hen to {mound, DI cMeecda 14,UOa ❑ Cu ittnercittl -:MC attricullltml O 1 • and 2- Iamily dwelling Commerci / i ndustrial ❑ Ai:ccsNury bu ilding {m anyn fw all wimp Inau,lhtltnua buildings. . 0Mu111.I4mily Master builder 0 Other. C11'inrmom. Qlnrallationary3 JO B SITE, IN�'ORMAT1ON AND LOCH n1 UN C) Cnteraeney t tu tleltt "A". -E". - utety -enact syaenr. 1611 61 Z "_ � � i: � �l Addhiun +d� ttewauttnrb ua lar CI "n ", °E", "L: ",-I.9 ". Itch no ,: Job site address: Se occttpnncy. 5 Z ! t + � � 3 �('� 111" tool Ih nr more. C ) Sla or snore tnldenlia) obi. © Recrealloual schICIc roll. Cily:Sttfle /ZIP: Tl , OR , j Z-, 0 Hea1U:.catc facilities. 0 upply vuhnya lurnuneOwn • CI Hasatduta Iuwnon0. 11110 was nominal. Suilc /hide. /upi. no.: Project name: D tierviceorreedmpsormom. _ ��GYPOIrG1UY1 PEF: SCHEDULE Cross sireci /dircctions to job site: Dnv, nom pll. F17 - - t u na, I • '.. Nrw realdcntlnl singles or multl•fandly dwelling an11. Includes attached garage. Stibtlivision: • Lot nn,, 1,000 Sq. Il, ur ICU _ w 145,1 S Il L Tttx tnap/parccl no,: •. I . add', 500 so f t. or portion 33,40 i - -• Limited energy, reatdenn:11 75,Ut7 nrSCRIIrrt Or WOkK • i:•• (wuhabo R 2 • �. - "' IJnt(thsl energy, tnulli•fam • \ A / r 75.00 2 �! O I Ee- t2 `h a i m residential (with above v. n.1 w Services or feeders Itrslnllutlon. alteratlnn and/or rrineatlun 2011 amps or tes 110.30 = 2 1•ItOrl;lrtti' OWNER . , . 0 TFNANT .. 201 sni ps in 41111 amps I U6.115 Name: 401 amps to 600 amps 160.60 Address: - 601 amps to 1,000 amps III 24u.riu 2 - Over 1,000 amps or vnits 454.65 2 City /Slole/ZIP: Temporary sctwlem ur readers Installation, atteratlan. atid/ur ruination Phone; I ) I rum: ( ) _ 200 amps or lax 66,8S _ 1 Owner Isistutluttolt: This installation is being made on property that I own which Is nol 201 ultlpU in 00 straps 100.30 2 Intended fur bale, lease, rent, or exchange. according to ORS 447, 44 9, 670, and 70I '101 amps in 599 amps 133.75 2 Brunch clrettits. thrw.ultertlllun.dr par parrnl Owner signature: , pate: A. Fe a far branch circuits wills • ' C7: Ai• __ __ Nr ,. • t • CON`ri∎ty r RSON, . feeder fee, • • ah ot'e service or ee 6.65 2 ouch brooch circuit Business name: p. fee for bru circuits - Convict name: widhunr servi ur feeder fe e. 46,8; a — .. - _ rest brunch circuit ° Address: Each midi brunch circuit 6,65 — _ 2 — " "' --- Mis edihrtetnta pier-vice nr trader _ mil inclltdell, City /State /211': Each uiunufucturcd or modular 90,91 i 2 dwelling. service and/or feeder Phone: ( ) [Fax:: ( ) Reconnect only 66.85 E•mui1: _ Pump nr Irrigation elide $3,4U _ 2 _ • .. • CONTRACTOR . Sign o uutline lightin 5340 2 • - -.� p 1 � Siµnul uirr:u It(n) o lirui I- Bus name: / U l0'�• (ej n 5 ' n i-- � a s _ , ! i�1 LI _ energy panel, nllerulion, or Address: I r] �l o SA/ ' Y • i_rh 10 41 S A v eflij e - — extension. cscrihc: 1 Page 2 "75 2 City /Statc/L1P: E,eve ( z+ ri 1 O R 07 Do e Rack ar Inspection over allowatala In any al the iibuvr Per inbptrtion 62.50 Phone; ($13 1 ( (p —d.5 3 J Fax: ( $213 )( ` , y/ - (p (p C • tnvcstlgatlotll,cr ltuur it hr Win . _ CCB Lie.: IS . I f:Ieetrictil Lic.:3'J-SV7CIZ Sup rv. Li e,: / /L. € l . industrial plunt hour 7 3.75 EI.rc'flU: r C l..rr:t+trr. S " . suprv_ Electrician signature. required: �1� Subtotal: X75, 00 Print name: n41! CDQ G !! h Date: IZ5L � ..... — - Slate surcharge (8'N, of permit fee): - (p , Q 0 Auihrrrizedsignrtiiirc: TOTAL PERMIT FEE: Si. 00 Print mime: h ale: This perndt appticatiun (antra Ira partial Is n obtained within 1110 days afire It has been ttecepled as tumid/la. • Nuaib,.Y ul• itlapreth,ta all per parmlI. I t uutldinr , Peunu.thta•- Pootnn1'h,p,: nu?vnn -545.414a11I l avrnM,wPII CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007- 00373 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9'25/2007 Phone: (503) 639 -4171 /�s , ; �I�l Inspection Requests (24 Hrs.): (503) 639 -4175 F_ INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7 :06AM PAGE: 60 SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: SAIF DESCRIPTION: Voice and Data cabling. OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503-646-0533 Inspection Request Scheduled For: Date: 12/6/7007 Pour Time: Code # Inspection Description Co • # Contact # Message 199 Electrical final 60906-01 503 - 330.1928 N Corrections/Comments/Instructions: ■ 6 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL JJ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 11 V 06 L.:- Date: kin Phone #: (503) 718- isiL'0