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Permit CITYOFTIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY M 1 DEVELOPMENT SERVICES PERMIT #: ELR2002 -00064 AU -4 �-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/10/02 SITE ADDRESS: 14160 SW 72ND AVE 150 PARCEL: 2S112AA -00900 SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H BLOCK: LOT: JURISDICTION: TIG Project Description: Install alarm system. Job #724 -01 -26357 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: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: BURG ALARM X TOTAL # OF SYSTEMS: 1 Owner: Contractor: RREEF PROPERTIES HONEYWELL INC 720 SW WASHINGTON SUITE 710 15495 SW SEQUOIA PORTLAND, OR 97205 STE 100 PORTLAND, OR 97224 Phone: 503 - 295 -5555 Phone: 968 -3300 Reg #: SUP 941 -JLE LIC 57824 ELE 26- 207CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 4/10/02 $75.00 2720020000 Elect'l Final 5PCT CTR 4/10/02 $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 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by i t c ,i__ Permittee Signature e7- &pp] OWNER INSTALLATION ONLY G 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 APR -10 -2002 08:53 HONEYWELL 503 968 3398 P.02/03 Electrical Permit Application IIIIIIIIIMN Date received: 4 to p y Permit • no -: t1-1 ,E;u -D0 .,� 1 .'i Expire date: 'l Cit of Tigard Project/appl,no.: i 4 City of Tigard Address: 13125 S W Hall Blv � } I D ate issued: Sii& Receipt no,: Phone: (503) 639 -4171 °- Fax: (503) 598 -1960 APR n ,��, Case file no.: Payment type: Land use approval: Cri Of 1i iii. L 1"1111 OF 1 °F {11117 0 1 & 2 family dwelling or accessory ' ilk Commercial/industrial 0 Multi - family ❑ Tenant improvement U New construction U Addition/alteration /replacement ❑ Other. Q Partial 3 O SITE INIORrIATION Job address: 1 -/ rp 0 St4! 7 2_`t. d Bldg. no.: Suite no -: Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: (,!/'S Son ic. A; r I Description and location of work on premises: /9 G.ct irr SyS> r, Estimated date of completion/inspcction: CONTRA(1 OR APPLICATION FEE SCHEDULE. Job no: - 7 -4--O / - G. 3 Si FOe Mat Business name: HONEY ELL - De.crlptlon Qty. tea) Total no. harp New Address: 15495 SW Sequoia Pkwy, dweIr gnniLI >�co e. 9 Ys awelCmgmri t.lnchr�aAttaeheafpraRe. City; Po rtland I State ;C R 1 ZIP: 97224 ' S bused • Phonc503 968 -3304 I Fax: 968 -33981 E -mail: 1000 sq. ft or less 4 CCB no.: 57824 'Elec. bus. no: 26- 207CL1~ Each additional 500 sy. h. o pion thereof '� Limited energy, residential , -..._- - City/metro tic. no.: 4619 _ Limited energy, non- residential 2 L-1— a) — Q 2_ Each Manufactured home or modular dwelling Sign u ismg e" lectrician (requited) Dat Service and/or feeder 2 Sup, elect. name (print): S teve Morehouse Lice no: 9413LE Services or ream- fissional ion. alteration or relocation: PROPERTY OWNER 200 amps ur less 2 Namc (print): 201 amps to 400 amps 2 401 amps to 600 amps Mailing address: 601 amps to 1000 amps 2 City: 1 State: 121P: Over 1000 amps or volts 2 Phone: I Fax: 1E-mail: Reconnect only 1 Owner installation: The installation is being made on property 1 own Temporary services or feeders - which is not intended for sale, lease, rent. or exchange according to Installation, alteration, ornlotailioa 200 amps mien mien 2 ORS 447, 455, 479, 670, 701. 201 limps to 400 amps 2 Owner's signature: -- Date: 401 to 600 am . 2 LN G IN ELI( Branch circuits - new, alteration, or extension per paaek Name: A. Fee for branch circuits with purchase of Address: service or feeder fee. cacti branch circuit 2 City: [State: I ZIP: B. Fee for branch circuits without purchase Phone: Fax E-mail: of service or feeder fee, first branch circuit: 2 : Each additional branch circuit: PLAN REVIEW (I'Iea.e check all that attpl }) Misr. (Service or feeder not lncluded): 0 Service over 225 ampsconunercial ❑ Health -care facility Each p irrigation circle 2 O Service over 320 amps-rating of 1&2 0 Hazardous location Each sign or outline lighting 2 fans lydwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy per, ) '75 q5 e 0 System ovcr600 volts nominal more residential units in one structure alteration. or extensionextension.' / O Building over three suorirs 0 Feeaters. 400 amps or more 'Description: _ CJ Occupant load over 99 persons ❑ Manufacturett structures or RV park rah additional inspection over the allowable in any of the above: ❑ Egress/lighting ❑ Other. Per inspection 1 1 1 I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other app Not all junsdictioas , credit cards, please call jtaisdIcdon f more off onmdod N otic e : This pe Permit fee apt $ 7 5,o 0 ❑visa Al MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card minus within I it0 days after it has been State surcharge (8%) .... $ G0.00 ivt-t:Gp 0 e E`pirat accepted as complete. TOTAL $ ._ft " OD Name of �� Cardholder awl w erect' t and $ / 0 d # CM:Molder signature Amo 600-4615 ofoote0M) " a • APR -10 -2002 08 54 HONEYWELL 503 968 3398 P.03/03 • ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: • h o rn Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY ■ p Restricted Energy Fee 575.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost 'Total Check 1ypt: of Wore, Involved: Residential - per unit 1000 sq. ft. or less ____. 5145.15 _ _ 4 ❑ Audio and Stereo Systems' tech additional 500 sq. n. or portion thereof 533.40 1 .. Ni Burglar Alarm Limited Energy 575.00 Each Manufd Home or Modular ❑ Dwelling Service or Feeder 590.90 2 Garage Door Opener" Services or Feeders O Heating. Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less 580.30 2 • • ❑ 201 amp to 400 amps 5105.55 2 Vacuum Systems' 401 amps to 600 amps 5160.60 2 ' 601 amps to 1000 amps 5240.60 2 ❑ other Over 1000 amp or volts 5454.65 2 . Reconnect only 566.85 2 • Temporary Services or Feeders . TYPE. OF WORK INVOLVED -COMMERCIAL ONLY Installation. alteration, or relocation Fee for each System $75.00 200 amps or less $66.85 2 (SEE OAR 918- 260-26D) — 201 amps to 400 amps ' 5100.30 2 401 arms to 600 amps 5133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts. ❑ sea "p above. Audio and Stereo Systems Branch Circuits Boller Controls New. alteration or extension per panel a) The fee for branch circuits ❑ with purchase of service or Clock Systems 1 feeder fee. Each branch circuit 56.65 2 ❑ Data 1 elecornmunication Installation b) The tee tor branch circuits • without purchase of service • ❑ . Fire Alarm Installation or feeder foe. • First branch circuit 346.85 ❑ Each additional branch circuit 56.65 MAC • . Miscellaneous I Instrumentation (Service or feeder not Included) Each pump or irrigation circle 553.40 ❑ Intercom and Paging Systems Each sign or outlive lighting $53.40 Signal c muit(S) or a Ilmiled energy panel, alteration or extension 575.00 ❑ Landscape Irrigation Control' Minor Labels (10) 5125.00 Each additional Inspection over ❑ Medical • the allowable in any of the above El Nurse Calls Per inspection 562.50 Per. hour $62.50 In Pla 573.75 ❑ Outdoor Landscape Lighting Fees: - [] Protective Signaling Enter total of above fees $ . -_ Other 8% State Surcharge S _ Number of Systems 25% Plan Review Fee • See 'Plan Review" section on $ ' No licenses are required. Licenses are required for elf dither installations front of application. r Fees: . Total Balance Due 5 ��� G Enter total of above lees $ ❑ Trust Account 8% State Surcharge 3 /17 ' G C+ T otal B alance Due $ l ' 0 G All New Commercial Buildings require 2 sets of plans. i:klsts\for nc\elc- fccs.doc 08130/01 TOTAL P.03 • CITY OF TIGARD 24 -Hour BUILDING 1 . Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested `7 AM PM BUP Location / L ( e MEC Contact Person Ph ( ) 96 V 3333 PLM • Contractor Ph ( ) SWR BUILDING Tenant/Owner /A P5 ELC Footing ELC Foundation Access: ,�,,// C.o Ftg Drain ELR �,A Qv�/ Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Drywall ywal CS Dywall Nailing �� w Firewall C--) ` � � u t) Fire Sprinkler �i e Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Water S Water Service Sanitary Sewer P Rain Drains Catch Basin / Manhole elf0111 \ �I\ Storm Drain Shower Pan 114 Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service oug -, U Low Voltage 0 = . Fire Alarm PART FAIL 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA : Approach/Sidewalk Data — /8 — © 2--- Inspect " // & Ext Other: Final DO NOT REMOVE this inspection record fro 1 e job site. PASS PART FAIL