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Permit
'.r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY ��, DEVELOPMENT SERVICES PERMIT #: ELR2001 -00236 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/21/01 SITE ADDRESS: 07257 SW KABLE LN 300 PARCEL: 2S112DB 00300 SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. ZONING: I -L BLOCK: LOT: 005 JURISDICTION: TIG Project Description: Alarm system work. 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: X 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: 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 9/21/01 $75.00 2720010000 Elect'l Final 5PCT CTR 9/21/01 $6.00 2720010000 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 Cis,,1 „, � Permittee Signature e'Y/ 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day Sent by: WorkCenter 250 5039683396 09/18/01 23:06 Job 64 Page 1 /1 t rt. Electrical Permit ' :. 'cation ` lA Date received: g��Q 7 Permit no .4 I City of Tigard g16) '� ' - = =_ Projecdappl. no.: Expire date: JP, 3 City of Tigard Address: 13125 SW Hall Blvd, Ti ( rd, OR e 223 Phone: (503) 639 -4171 — Date issued: By: $ "' Receipt no.: Fax: (503) 598 -1960 • Case file no.: Payment type: Land use approval: TYPE OF PERMIT U I dr. 2 family dwelling or accessory U Commercial/industrial U Multi-family improvement U New construction U Addition/alteration/replacement U Other: '3 Partial JOB SITE INFORMATION Job address: r . 7 S (..,; ` c 1IP ,, 131dg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: Tr' . "tI I Description and location of work on premises: R. /G.rt✓1 5.5, `� 1 �' Its Estimated date of completion/inspection: D -- — © I ;.:. .yam • . ON'1CRAc,TQR, A ' PLICATIO FE SCII I Eft LE , . Job no: Fee Max Business name: HONEYWELL , INC Description Qty. (ea.) Total no. insp Address: 15495 SW SEQUOIA PARKWAY #100 New residential -single or multi - family per d welling unit. Includes attached garage, City: PORTLAND StateOR ZIP97224 Serviceincluded: Phone:5039683300 Fax:9683398 E -mail: 1000 sq. ft. or less 4 c Each E additional 500 s ft. or CCB no.: 57824 Elec, bus. tic. no: 2.6- 207CLE q� portion thereof p City/ etxo tic. no.: Limited energy, residential 2 �� ` Limited energy, non - residential 2 t "�C / r- f Each manufactured home or modular dwelling Sign ur of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): STEVE MORF',1I USE License no: 941 JEE Se rvices or feeders - installation, N alteration or relocation: ..1," . • . . PROPERTY OWNER 200 amps or less 2 Name (print): I r e t , ‘ .Z 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 7 ,5't -.) • d /e. L.,,-, 60t amps to 1000 amps 2 City: ' Ot`l -ln r... � ZIP: q . 7 2,Z Over 1000 amps or volts 2 Phone: 5` 0. t Fax: E -mail: Reconnect only Owner installation: The installation is being made on property I own Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or les 201 amps to 400 amps 'Owner's signature: Date: 401 to 600 amps ,. ENGINEER Branchcircuits- new,alteration, Name: or extension per panel: - A. Fee for branch circuits with purchase of Address: . service or feeder fee, each branch circuit 2 City: ] State: ] ZIP: 13. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: • PLAN REVIEW (Please check all that apply) Misc. (Seryice or feeder not included): U Service over 225 amps- commercial O Health -care facility Each pump or irrigation circle 2 O Service over 320 amps - rating of I &2 U Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 4 ,0 .c O System over 600 volts nominal mom residential units in one structure alteration, or extension* ( 75 -7 , 2 O Building over three stories I_l Feeders, 400 amps or more *Description: U Occupant load over 99 persons LI Manufactured structures or RV park Each additional inspection over the allowable in any of the above: Cl Egress/lighting plan U Other: Per inspection . Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee 77 ` 'Not all jurisdictions accept credit cards, please call jurisdiction for more intormation. Notice: This permit application r � Li Visa Ai MasterCard expires ifs permit is not obtained Plan review (at , %) $ Credit card number: 54'n. 1G., co 0014 -1 Q / � � within I RD days after it has been State surcharge (8%) .... $ C— - / y � /� q Expires """ ��� accepted as complete. TOTAL $ t =. Nu cardholder shown on c rt card $ C �'J ' , J • o er signature Atnounl 444)-4615 (6100 /CUN1 ) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ` - letiL BUP Date Requested l d - S r AM .PM BLD Location 7,) 7 /a JA Suite 3 MEC Contact Person , 2f - .21 - e-' Ph 1 E 3, 33 3 PLM Contractor a ) T / ..1,2 l f Ph SWR BUILDING, - _; . _ : Tenant/Owner / ELR 6106 1 2 Retaining Wall ELR P-0?)/ Cad a3 Footing Access: Foundation FPS Al '' J Ftg Drain SGN M Claw Crawl Drain Inspection Notes: Post & Beam SIT Ext Sheath /Shear . - Int Sheath /Shear Framing Insulation p� Drywall Nailing Z icav lam? p c 7 y / ,4C P Firewall _L,Isi a,.." f.'✓!h �nf y- 0,5,1 -- 5c^�sfA 77/ eKii) ,V. j 3 rnc�t'i'ch-t E �-ir�, Fire Sprinkler y rTh Fire Alarm Susp'd Ceiling ,a/ / .rfrrF -i n,n /Y/DtJ€ / r p'c es' d, 7L 17FCO /cY ;?7 9C W 1 „ e nv? ei -F!ervl•t Roof Misc: e1?f/reTi►Cc Final PASS PART FAIL -' PLUIVIBINGL ° . . / -,1 9 / X P ) / ` , 7 Tc/ eA ,', 7 // J Post & Beam Under Slab Top Out Water Service ' z �- 4.4 Sanitary Sewer Rain Drains - Final / PASS PART FAIL / MECHANICAL F: ms,,`.;µ ' ii p J f Post & Beam ./ii I l 5.44,' Y,i ) Fr*j ;Pt 7 La/ / 5- I - J Crr cle )I c a7b9CF Rough In Gas Line • • / 3k7f o,J L SE C' Q G, z , Ct Smoke Dampers Final PASS PART FAIL L ELECTRICAL a ., . .w ... Jr! �, r . e) _ 1r .. )�� A "di 7 -) Service ivt S`fJi e GJier ought• GU /Slab Low Voltage /-; f Fire Alar At,prei /Fr» ar)eZa4 c' f ha YYlec�f c 1 /,<T 4s — 6411-- / inS< 04160; vs Tl• �� r .....< <✓ 4 PirAle) Lc7I)1i� // 4) cr9 0P `-l7 4'F G�- ' 4k ;��`� PART FAIL � [ V Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall 13125 SW Hall Blvd Catch Basin . Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk • Other Date oC + c o2C 0/ Inspector IC ( GAD Ext Final V PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •