Permit CITY TIGARD ELECTRICAL Q lb P E NERGY
Aolit, DEVELOPMENT SERVICES PERMIT #: ELR2001 -00303
�':I 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 11/27/01
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Low volt. for installation of (15) new Voice and Data loc.
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:
PPR WASHINGTON SQUARE LLC TELMON INC.
BY THE MACERICH COMPANY 580 SUNSET BLVD.
9585 SW WASHINGTON SQ. RD. KALISPELL, MT 59901
PORTLAND, OR 97223 rilli
Phone: Phone: 406 - 755 -1655
Reg #: ELE 37 -941 CLE
I i i i
. LIC 140855
FEES Required Inspections ell
Type By Date Amount Receipt Low Voltage Inspection 0
PRMT CTR 11/27/01 $75.00 2720010000 Elect'I Final • 0
5PCT CTR 11/27/01 $6.00 2720010000 EX P ts
Total $81.00 57576 e
Yu� O
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes O
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is w
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law a
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) W
246 -1987.
Issued by „,`,�,� A Zi ./ Permittee Signature 2/ _.,/ _ i / j -z
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: 3 ”) - 9-7//cl
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover -
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final —
Underfloor insulation
_ Post/beam structural _
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation f Inspection Description Date Passed By
Drywall nailing Post/beam mechanical
—
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final _ Fire damper
Concrete Lab Final _ Duct work
Bolting Lab Final Smoke detector
Structural observation Mechanical final
Fireproofing Lab Final
Final inspection
PLM - Plumbing Permit _
{ 4 Inspection Description _ Date Passed - By
BUP — Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04/17/01
. A CITY OF T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
A 1 1, DEVELOPMENT SERVICES PERMIT #: ELR2001 -00303
� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/27/01
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Low volt. for installation of (15) new Voice and Data loc.
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:
PPR WASHINGTON SQUARE LLC TELMON INC.
BY THE MACERICH COMPANY 580 SUNSET BLVD.
9585 SW WASHINGTON SQ. RD. KALISPELL, MT 59901
PORTLAND, OR 97223
Phone: Phone: 406 - 755 -1655
Reg #: ELE 37- 941CLE
LIC 140855
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 11/27/01 $75.00 2720010000 Elect'l Final
5PCT CTR 11/27/01 $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 � C��!-t �c �Gf/v /4_,f .(/f Permittee Signature 4, :/ _ ! / • •
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: 3") - 9st /01..6
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
09/16/2001 11:36 FAX 5035981960 CITY OF TIGARD 0002
. \ iY" A Electrical Permit lic :
v V O r'�.r NIN 1ecavtd I 1 P•mitno.: — ; _0i / 00 di 3
. I 1 City O Tigard Avjeet/appl. no.: Expire data
ovonggrd Address: 13125 SW Hall Blvd, Tiga 2213 2001 Data issued: Mi Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case Ste nos Payment type.
CITY OF TIG.P,RE)
Land use approval:
T y PI 01` ll Etiiitr1 . r , {. I `
01 &. 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family j Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Other. 0 Partial
I IOft SITE I \eOR.ni TIO1\ ,
Job address nI 7 / iL Bldg. no.; Suite no.: Tax map/tax lot/account no.:
' Lot: :lock: Subdivision:
Project name: V 6 ra 0/Y) Description and location of worst o�ptctnises: / " i Z., /5 /'WA." V /c/ /0C .
Estimated date of completlon/uispection: • -le r rY'11 ri2d
CO'TRA(TO12 „ AP PLICATION , 1.' ;; 'FHI SC71ED1I,F
Job no: _ Fee Max
Business name. _ Description eq. (en.) Total no. lop
ILA a Ncrrteaidmtial ainle4rmaki * per
Address: efigliggymirormir tineklkaatmit.lodnrie ePeliedgarrage.
City: r . //5f-kl / State: /p, IP: / r 1 Serrlosind d:
Phone: r • • 755 / / 73I Fax: ILt'o i .f &mail: 1000 sq. ft. or less • 4
; Ele c. kws. Un nor _� ' 41 C L ' a�dtuonel sou sq. h or portion thereof 2 ,_
CCB no.: a >> : Lia ised t er�Y, residential tial ---..--.1
City /metro llc.no.: GM - • • . United enagy,nrneeuIdmglal 2 _
40 0 I - rneau� uusd home or modular dwelling
S • S or sopa rising eia�iemn (tcquired Date 5errice andrer feeder 2
Sap. clerk name • ' t): LJar�ae no: Services sr feeders - inelallation,
attCauoe er eslacatlea
' _ Rif 011 INFit 200 2
"r1 Q1 2
Name (print): 401 amps to 600 nips 2
Mailing address: ZIP: amps t 1000 amps 2 —
City: I State: I r • Over 1600 amps or volts 2
Phone: _ IFax: 1E-mail: Roconneamn 1
Owner installation: The installation is being made on property I own Teraperarrservices or feeders • •-
which is not intended for sale, lease, rent, or exchange according to rnr•IlaNsn, alteration. orr:Logsdon:
:00 rasps alert 2
ORS 447, 455, 479, 670. 701. 2 201 amps to 400 amps 2 •
Owner's S. .. • • Dale: 401 to d00 1 II 2
T \err i I It ',, Bratmhdruaib- neve,alteralirm,
f ora:denrioa pet passel:
Name: ti Fee fa branch Omits with purchase of
Address: service or feodar ice, each brunch circuit 2�
City: [State: 1ZJP: l s. Pee for breachcircuhrwitlwutprechase
or service or feeder fee, that branch circuit 2
Phone: Pax: E -mail: End, additional branch circuit ------
1 L 1 '\ RCi IJ V (Pita`: thick: ill ilwt apps.) f Misc. aorieodernetlaeta --
h orirtigadan circle 2
D over mram
Z25srnps•erc Health-care tal 0 Hcalsfsri Eac
lity - 2
0 Service over 320 amps - retina of L&2 CI ifaardous location E signor outline Ugbnag
familydwliinae 0 Building over 10,020 sgocre feet four or Signal eioealt (s)or
❑ Systac.avcr600 volts nominal more residential unitz in csu swtsurE eltenttion`rtxuaritxr _
2
rJ BuUdkae over duceewries 0 Feeders, 100 unpsar root* "Deacriptioo:
0 t7eenpant 1md over 99 parsers U Meanie: hired attuomtes or RV part; Each adtiitr ask inspection over dse albrrable in any delve above
O Egredddighaagplea :] Other: Perlaspction I 1 _ i
Suit sets of plans with any of the above, investigation fee • • , Y
The above are net applicable to teutpor ary ceusti'oedon service. Oita
_ — Permit fee $
Not all jmisdi:tian pc t ads. please call ftarsSettse ror more iKerraaloa. Notice; This permit application Plane view (at %) $
CI Visa ❑ MasterCard expires if a permit is not vbtalrtcd
Credit tarn ovraeac E ;� within ISO Jaye after it has lien TOTAL harge (8 %) -.- $
srecpted as complete_
�Nrm• of carclagistar in abowa oa oe•di cord $ ljj'
CJ ,�
rdhtNde; d urc Aa,euat �/ // 4404615 (WO/COM) •
• SCLCL ac