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Permit TIGARD CITY ®� ELECTRICAL RESTRICTED ENERGY PERMIT • COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00430 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/20/2007 PARCEL: 2S 113AB -01201 SITE ADDRESS: 16266 SW UPPER BOONES FERRY RD ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: SAFECO Project Description: Cabling for (12) wireless access points 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 CASCADE, 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 11/20/2007 $75.00 [TAX] 8% State Surcha 11/20/2007 $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: 'i cgl _ Permittee Signature: Gil/ ,97°f le:/-7 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. NOV - 19- 2007(MON) 20:45 JEVE_ CA RI _ : A P 001/002 ig 0 , I k '. 11 r Electrical Permit A a e li 1 > . 4 . , ,y= r _ FOR OFFICE USE ONLY Cit of Ti Ird ReCCI e4 ` � y V 2 0 2007 gata,uv. // 0 0 ` ,e Prnnh No. : 0 , 7—• 3O ' I - " 13125 SW I hall Blvd , Tigard. Ok 972 plan Rcvlc • Plume. 503 639..11 71 Fax: 503,598 r haicIBv Othei Per Mil: TIGARD Inspection Line. 503 639 4I ry'[ y (r I i .A 111' ' U ale itc.ttlytny: - — h unt pp Ser Pifer 2 for Internet: www.ltgurd.or.gov Notified/Witold: f Supplrmrntaitnfnrmadnn ■. a.. s r 7.� PLAN REV lEw , © Ncw construil for fig Addition /alteration /replacement drone cheek all that apply Ialdtlnil i sets ur plow. lonnnits checked Rahn.): t'••r 0 Serelcc or feeder .10U alitim ur Italia 011uthlttin over Ouse MOM lam► Ueinol ll ion ❑ Other: - whsle ilk available Ihnli camera l Manual and boat }orris CATEGORY OF CONSPJtUC: rioN 6aeeada In,non amps at 150 volts or 0 Floating huildtnit. lenx In ground. or cxceetli 14,1.1DU 0 t'ntmtoetclal -Irve annrahnml Q I • anal 2•ftmily dwelling Commercial/industrial p Accessory hull tin; amps An v1101110 tn+Ialtaltnm• bulldlnna. Ci Ntulii•ftlmily Master builder 0Othet: O Filepump• 0 Installation of 71 KVA ui JOII sill: INI•'ORMATION AND LOCATION 01!mrr4cncy system larger orluoralelytlorlved ayalem. I: Addition of m* m an e hush of 0 "A ", •E ", "1.2 ". "1.3'. Job no 3� (7 , Jab site address: 1 (p 5D C 5 f y]4 ov � ;um u' nr n occupancy, t 0 Sk or more residential idential nulls, 0 Recreational vehicle parks. - City /Stoic /LII': ��> (� o R. �72.2�-(— . 11 0 5' • _ 0Iknith.cale facilities. 0 Surlily votliune tut lurora titon 1 I 7 0 Hnardoua loeuli.atn. non volts nnmtnal. StiitC 0 rapt. no.: F Prpj1 Cl nlamc: SQ pe .0 h � 1:1 M lvlcu oK m feeder amps or ole. Cross sheet /directions to Joh silt:: `'�� � r F �c1it DULE nsacrlplImi Qfx.., t=ea. [ I New residential single. nr multl•famlly dwelling milt. Imcludcxattached garage. __ Subdivision; f Lot no.: boon sg. It. ur lean 145.15 4 Tax map/parcel nu,; -" - NI. tidal :Inn sd n, ur put - _ 33.40 I - -- United energy, residential 75•00 DLSCltI'i''I!IOiv! .OF WORK (with above 9tt, (L1 • C rl — � 14) ` � n_ , I.Ilnited energy, multi fitmily � - J'fr C T p if i l cxidrnlial (with uhrwe on Ill 45,00 2 n a 5 n Le__ Services nr fErtkrs Illalallatiun. alteratlnn, andlor relocatlnl - :00 smog nr less 110,30 2 tin P1;RTY, O�VNh R a 'I M; 201 amps to 4U0 amps 1116.85 _ Narna: 5V ab he ^ jn ] -I y .tutamnato6100wlytu )6,0.610 2 Address: 1u C� 12 f t � v _ I f 1j L i lia F but umpu to 1,000 amps 4 , I G( - Over 1.000 --- Amu/T.44_ 45.1,65 I 2 CilyiStutu � � � f- 0 Z 4 r 2)-1 I emrrrrary service, ur fermiers Instatlatlnn, alteration, anllJur Irolocallon Phone: i 1 ) ba(� tjs(1,O Fax: ( ) 200 amps ar leas 00,115 I Owner Installation: '111th installation is being tirade on properly that I own which is nut 201 mops Iu 40U umpu 100,30 2 intended for sale. lease, ten I, ut exchange, according to ORS 447. 449, 67U, and 71)1. 4i11 amps to 599 amps 113,7 2 Owner signature: Date: circuits - pm. n ur c xlennlon a per wane! " 0 lst Arr AN1 � w A. Fee fur brunch circuits hush C r 1:.1"' CON'1'AC1' :PERSON ' �'' ' above service ill' feeder fee. Business name' G,�11 brUllk'II circuit G.16 2 if. Fee fur branch clrcnns without ma vice ur feeder fee. Contact na me: first branch circuit dull 46.85 Address: filch udd'1 branch clacult 6,65 _ _ «__ �llsecllunruus (service m' f eeder lint l nc l u d rr t l w - C CI E11011 manufactured or modular - dwelling. t.crvlee 4141101' feeder 70'90 Plwnc: ( ) Fax: : 1 ) kcennnecr miry r,r 2 Email: Pump T . Pump or irrigation elide X3.40 - 2 - . CONTRACTOR Sign or utliu lighting 53.40 2 - 13u.nlers Hume: e : � � ( n 1 1- �1 S �� • - Signul circa n 's)or lhnl I. I A I.e.. 1 1 h t energy p a nel. alteration, nr a_ Address: 1 ( 7 9 0 s1. 4 ►�'( low S 6 yea U rf dx,enalun. encrlbc; 1 Page 2 ",5 2 City /Slalc/ZI P: I GG +�n t Q � Rash additional I l Ina Ieetlon ov allowable In any of the above �� 3 ) ( — es 33 tux: ( }'�$ ) t , Pei Inspection G2 SO ^� ____ Phone: ( y! - e � e� r Inveslumunn Dcr hour 11 hl min) 6..$U CC13 Lic.: i �3a� 271 Electrical Lic,:3W'S Kiel Suprv, Lie : 7/O i�4 _ I nliustr i l p lard per h our _ -- 73.7$ T� J - EL'EGTRICAI. 'PERMIT FEES' Suprv. f lcctncian signature, required: - Subtuhal. X75 p Pt int name: �O C - Dale 1 t a , � or) Plan review (.5gk 0fpermdl fee): .�r -_ • � . 0 mi . Slate surcharge (It910 of pernalt fox): . 0 b Authorized signature; _ TOTAL PF.RM IT FFE: IC/ S. O p Print name: U t .• T10. permll application expires II a permit la nut ublrolet 1.1111111 140 - days afire It boa been accepted as complete. Number of t ullnwad par perndt. 1 Uhulaa.e'Ih9 mlbtt:LC- prm.aApp duc U9:J11J1 -mu 90 OM I,i'CIJM1W■11 CITY OF TI ARD C G BUILDING DIVISION PERMIT #: ELR2007- 00430 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 6 1_ 1 : . INSPECTION WORKSHEET FOR DATE: 11/28/2007 • TIME: 7 :00AM PAGE: 35 16505 SITE ADDRESS: 16266 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SAFECO DESCRIPTION: Cabling for (12) wireless access points. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: NEI'VERSANT CASCADE, INC PHONE #: 503-W-0533 0533 ' Inspection Request Scheduled For: Date: 11/28/2007 Pour Time: Code # Inspection Description ( C # Contact # Message 199 Electrical final 060375-01 503330 -1828 N Corrections /Comments /Instructions: 7 4:ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- . 9) 6 4 L e • Date: ILI i Q' Phone #: (503) 718- ')ML4