10260 SW GREENBURG ROAD STE 386 .1
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10260 SW Greenburg Rd #386
ELECTRICAL PERMIT-
/ CITY OF TIGARD �_ RESTRICTED ENERGY
®EVIELOI PENT SERVICES PERMIT#: ELR2002-00110
13125 SW Hall Blvd.,Tiaard. OR 97223 (503) F39-4171 DATE ISSUED: 6/19/07.
PARCEL: 1 S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 386 BONING C P
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER
P LOCK: LOT: 014 JURISDICTION: TIG
Proiect Description: Installation of voice and date cabling.
A. RESIDENTIAL B.COMMERCIAL -- -----
AUDIO & STEREO: AUDIO & STEREO: INTERCOM 8 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:
_ 70TAL#OF SYSTEMS: 1
Owner: Contractor:
EOP LINCOLN, LLC NETVERSANT CASCADES INC
10260 SW GREENBURG RD 9020 SW GEMINI DRIVE
SUITE# 100 BEAVERTON, OR 97008
PORTLAND, OR 97223
Phone: 892-2500 Phone: 503-646-0533
Reg #: ELE 34.258CLE
LIC 47238
SUP 2867JLE
FEES Required Inspections
Type By pate Amount Receipt Low Voltage Inspection
Elect'I Final
PRMT CTR 6/19/02 $75.00 2720020000
5PCT CTR 6/19/02 $6.00 2720020000
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 pians. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENT ^N 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
Issued by Permittee Signature '1
OWNER INSTALLATION ONLY
The installation is being made on proper y I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: _ _ DATE: — __
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'NDATE:--.---
I
LICENSE NO: _-- -`�-- )- —
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
06/17/2002 12:18 FAX 503 641 8813 NetVersant Cascades. Inc Q001
Electr*caj Permh Application
- l Datcreceived:/-/9-oY Perrnitno.:
City of Tigard projecdappl.no.: Expire date:
�lk Address: 13125 SW Hall Blvd,Ti 9722 Date issued: Sy: Reeaiptno.:
City of Tigard
Phone: (503) 639-4171 41 I -7C Case file no.: Payment type:
Fax: (503) 598-1960 l b
Land use approval:
❑Multi-family ❑Tenant improvement
❑ 1 &2 family dwelling or accessory Commercial/industrial ❑Parti l
p New construction Addition/alteration/replacement J i)iher:
J address: Cw Bldg.nu.- Suite no.:' 'fax map/tax loUaccount no.:
Lot: Block: _ Subdivision: —
Pro'ect name: Description and location of work on premises:VOp1gTIR SW►i'�I N Cal
EstimIRU
ated date of completion/inspcction: 1
t t t
For Mac
Job no: 10 v ��]-19 Dcscri tion (ca.) Total Ln IL
Business name:AI ETV BeS19f�T-G95G9 - `mac• Now reddartlal-single ormuld-fam0yper
Address:CIA- 5.W. hi i r dwellingunit-Includes attached guinge.
City: nl State: OR- Z1P: $ service included: - — —
Iuoo s .ft.or less 4
Phone:r� •la (p OS 3 Fax: la4 lOfol E-mail: Each additional 500 sq.ft or portion thareuf
r_CB no.: 00 y 7 2-;L Elec.bus.lic.no: 3 y- 25 C to Limited ener y,residential Z
Limitedene ,man-residential ._ _ __2
City/r,:ctro lic no.:oap --
f Each manufactured home or modular dwelling 1 T
Date Service and/or!ceder
Signature of supervising chxtricinn In: uimd Servlcesorfeeders—Installation.
Sup.elect name(print): o.S__qty Uoetuo no:��'�$`•TLE alteration or relocation:
�` 200 an s or less 2
101 am a to 400 ams _ 2
Name(print): _ -- 401 amps to Foo ampi _ __ 2
Mailing address; _ 601 amps to 1000 am s 2
-��State:_�� over 1000 amps or volt 2
Clty. Recannectonl I
Phone: Fax: E-mail:
Temporary services or feeders-
Owner it dallation:The installation is being r rade on property 1 own I,tt,ltatiun,altcranon,arreloratlnn
which is not intended for sale,lease,rent,or exchange according to 200 amps or lees 2
ORS 447,455,479,670,701. 2a 1 amps io do0 amps _ __ 2
Ow
ner's signatute:
Date: do I to 600 ams -2
6t ar,ch cimults-new,alteration,
ar etttenslon per panel•
Nme: A. Fee for branch circuit with purchase of 2
Address:_ — service or feetler tee,each branch circuit
State: ZIP: B. Fee for brunch circuit without purchase 2
_City: of service or feeder fee,first branch circuit'
Phone Fa r E-mail: Each additional brunch circuit
Mc.(Serrlce or feeder no Itrcluded)
Each pum or inigetion circle 1
❑Service over 223 antP s-commercial A rL,Atli careracility -- 2
Each sign or outline lighting
❑Service over 320 amps-rating of I&2 U Hazardous er Io, Signal circu
location lt(s)or o limited enzrg�panel.
family dwelling U Building over 10,000 square feet four or g 2
❑System over 600 volt nomittai more residential unit in ane structure alteration,or extension*
❑Buildintovarthree sicdca D Feeders,400 amps or mote •Desai ion'.
0 O.cupant land over 99 persons Ll Manufactured structures or RV park Farh additional Inspectlnn over the allowable In any of the alove:
❑F.gress/lightingplan U Other. _ Perinspection
Submit__seta of pbuss with any of the above. Investigation fee
The above are not applicable to tentpotary cotadretictioll serrbce. other
_ Permit fee.....................$
Wt jurtsdlcuam accept crtxat card°,please call jud"etlon for mon+Information. Notice:This permit application
t RPlan review(fit °(r) $
-
Vlsa 13 MasterCard expires if a permit is not obtained
C-4it rArtr.•uptbl•J" d D within 280 d2 rf 9&r it MIN NO 01016 r9!lIS�]�f�6 _ 0 • a_____.
B
accepted as complete.
-dame of canihoide�shown on c�3n (cavi-- J TOTAL .......................$ 61-00
t o tate Amount sao•aat,tnmvt-onnt
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639.4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 � -sup AM.— -
4-2 L' -- PM BU
IP
� P
Received —_ Date Requested _�
Location —__ 1 G' �- G� 1�i� -J� 1 J-Y�' Suite 3 �'_— MEC —
Contact Person - Ph( �J ) PLM
Contractor Ph SWR
BUILDING Tenant/Owner _ _ r -a. ^^ /-�-�1 ELC
Footing ELC
Foundation Access: ELR {� �.�--
Ftg Drain
Crawl DrainSIT
Slab Inspection Notes: - --
Post&Beam --- - -- - ---
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
-
Drywall Nailing — - - -- -
Firewall
Fire Sprinkler ' 1
Fire Alarm (
Susp'd Ceiling
Roof --
Other:
Final
PASS PART FAIL
PLUMBING ---
Post&Beam
Under Slab
Rough-In
Water Service —
Sanitary Sewer
Rain Drains ------ - --- \
Catch Basin/Manhole
Storm Drain ---�---- -
Shower Pen —.-
Other:. ---- - _- -- -- --- -
Final -- -- -- -_ - ---._-_ —
PASS PART FAIL
MECHANICAL --
Post&Beam
Rough.In - -- ---- --- --------- --
Gas Line
Smoke Dampers - --- - ----- -------- -----
Final
PASS PART FAIL -- _ _-- -- ----- --
ELECTRICAL -----
Service —
Rough In _ _ -----------
UG/Slab
e arm
cr-InZ' ❑ Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4WEP____
PRT FAIL
Ll Please call for reinspection RE: Unable to inspect-no access
--- --
Fire Supply Line C
ADADate Inspector _-L- -L-_� '
.L qc�_ Cxt --
Approach/Sidewalk
Other---
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIT_