Permit ! .,- ''-' --��® ELECTRICAL PERMIT -
I11OF TIGARD RESTRICTED ENERGY
; . DEVELOPMENT SERVICES PERMIT #: ELR2002 -00251
':" --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/02
SITE ADDRESS: 16600 SW 72ND AVE"B -10/ PARCEL: 2S113AD -01900
SUBDIVISION: OREGON BUSINESS 1 ZONING: I -L
BLOCK: LOT: 009 JURISDICTION: TIG
Protect Description: Installation of fire alarm system in entire building. For addresses: 16600 - 16640 SW 72nd Ave. Job
No. 724 -01 -26564
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HONEYWELL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA
PORTLAND, OR 97224 STE 100
PORTLAND, OR 97224
Phone: F- 968 -3398 Phone: F- 968 -3398
968 -3300 Reg #: SWxf8- 330941LEA
LIC 150191
ELE 26- 207CEP
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 11/18/02 $75.00 Elect'I Final
[TAX] 8% State Tax 11/18/02 $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 -00 : I 1 hcough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -. 99. ' .
Issue by ,)61_4/' Permittee Signature , jOie Gyp
OWNER INSTALLATION ONLY i � '
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
NOV -07 -2002 15 07 HONEYWELL 503 968 3398 P.03/03
O • • ■ 4 4dS1 Cy16a �a�`I' } ' ",�„ '4: Pr -a: .
, eetriea1 Perml1 Apphca1.ion ; a, t.r l,5
Date receive): // 7 0.0 Permit no., £a.e{op ,660s/
.131,1h (.'iiv of Tigard �' l'iojt:cVappl. no.: Expire claw
Add 13125 SW Hall Blvd. TAN, ; �"
Address: '
CII) iXurd � j Date issued By: Receipt no.:
Phone: 1503) 639 -4171 ° ^
Fax: (503) 598.1960 �� � 0 Carr file no.: Payment type:
Land use approval: 0 ` \
ffitig - ,7 1 i PI:-OF PFRMIT?' , _ „"y , "'-'`` ., ` t`
❑ 1 K 2 family dwelling of accessory r• C4,; ); . cial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Ad ition/alleration/replaccmr.nl ❑ Otter: ❑ Panial
a, * , JOB SITCIN FORM ATION rte i A M; rgi- ;'WfWiAtgaiT
Job address: Ili UV) - Bldg. no.: 'Suite no.: ITax map/tax lot/account no -:
Lot: Block: Subdivision:
Project name: 0'l4Si pi 2. (10 Description and location of work on premises: 1 iri 1 ,te •
Estimated date of completion/inspection:
r4 r ' l i(1ONi `ItA(TOR. API'LI (Ali ON i~ , a t ) s"" " rti tS(.l t D[itkr -1 .
Job no: 12 -a ( - l 5 (0 Fir Man
Business name: HONEYWELL DeAvript ion _ 0ty. M.) Total no. insp
Address: 1 SW Sequoia Pkw #100 heM• residential - k'ormulti- tamilyper
Y dwelling unit. Includes attached garage.
City: Portland I State :CR 1 z1P; 97224 • Service Included:
Phonc603-968 - 3304 I Fax: 968-33981E-mail: 1000 sq. h. or leas 4
CCB nu.: I 0,11 I Elec. bus. lic. no: 26- 207L6P Each additional 500 sq. !t or portion thereof
Limited energy, residential 2
Ci y, /metro ic. n • 4 619 Limited energy, non-residential 2
i 7/ ` 2 f Each manufactured !tome or ;nodular dwelling
'7t of supervising electrician (required) Date — Service and/or feeder 2
_.
eer, elect, natnc (prinr • Mouse ,. • • -1.-PA Scerica or feeders - installatioh,
f'ROPi:RT1 01%N R' 2erattonort-rloralioh:
t a ;: . .. _ ,: ' - . , � _ :, 2000 a,t or less 2
Name (print): 201 amps to 4110 amps 2
-^ 401 amps to 600 amps 2
Mailing address:
601 amps to 1000 amps 2
City: !State: I ZIP: Over 1000 amps or volts 2
Phone: jFax: (E -mail: Reconnect**
Owner installation: The installation is being made an property I own ' 'lcmporzaryserricesorfeeders -
which is not intended for sale, lease, rent, or exchange according to Halloo, ahem ion, orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or leas
201 amps to 400 amps
Owner's signature: Date: 401 to 600 amp:
.� : - 1 t\ :
�`�',� Branch circuits • new, alteration,
or e>ttemiun per panel:
Name: A. Fu for branch circuits with purchase of
Address: service or feeder fee, ench branch circuit 2
City: [ Slate: I ZiP• 13. Pee for branch circuits without purchase
of se rvice or fe eder fee, first branch circuit: 2
Phone: Fax: + E-mail: Each additional branch circuit: •
11 '° • FLAN `,it1:', II %1'(Please;dtecli oll-tfi.tl upph) Misc . (Service or feeder not included):
O srrvicr over 225 amps-commercial O Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rapnpof I &2 0 Hazardous location Each sign or outline Iiehtinw 2
Iarmlydwdlings 0 Building over 10.000 square lee) lour or Signal circuit(s) or a limited energy panel, l ■
O System over 61X1 vole. nominal more residenral units in one structure ahr.r81100, of extension* S 1 2
❑ Building over three stories ❑ Fer'Ier;i, 400 amps or more • Description: -
O Occupant load over 99 persons 0 Manul enured structures or RV part; Each additional inspection over the allowable is any of the above_
O I:friss/lightingplan O O Yer inspection 1 1 i
• Submit _ sets of plans with any 01 the above. lnvertigation fee _
Tlrc above are not applicable to temporary construction service. Other •
a
No, an urrtkt:n, i ,. • t cards, ti unidtction Itrt rnort tam, Notice: This permit application
Permit fee $ i. OD
�.,�.� l.,,s Plan review ( %) $
O visit i r�„ s•r► 17F ,. D` '•t° a . expires if a Frerm i n0t obtained card num . �, " -
y � +�` � " , a "K "� within I BO day; os ier it lots been Slate surcharge (8%) .... g if op
Credit
S1 G M' . N'0t1 _..__ accepted as complete. TOTAL $ :,P
Nara 4I1•' .bold' as shown on credit cud 5(61,0
" (/'` Cardholder signature amount aeo -•01 tnrOn/COM)
TOTAL P.03
, Z ITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested ) / S AM PM BUP
Location / ( 000 A --t).--L- Suite MEC
Contact Person Ph ( ) ` J (0 F 3 3 3 3 PLM
Contractor ) Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
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
PASS PART FAIL
PLUMBING
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
';EECTRI
Service
Rough -In
UG ab
Low Voltage
- rre Af3TTn
T FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAR
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL