Permit CITY O F T I G A R D ELECTRICAL PERMIT -
4 RESTRICTED ENERGY
�� DEVELOPMENT I Tigard, SERVICES Q 639 -4171 DATE ISSUED: ED:. ELR2000-00303
2/14 00
13125 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS PARCEL: 1 S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: ATM Machine
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: ATM X
TOTAL # OF SYSTEMS:
Owner: Contractor:
PPR WASHINGTON SQUARE LLC NEW TECH ELECTRIC
P.O.BOX 21545 1400 NE 48TH AVE
SEATTLE, WA 98111 _ HILLSBORO, OR 97124
Phone: Phone: 503 - 648 -1900
Reg #: LIC 41868
SUP 2113s
ELE 26 -418c
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 12/14/00 $75.00 2720000000
5PCT CTR 12/14/00 $6.00 2720000000
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 � Permittee Signature alCt-j2QJ
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
12/11/00 MON 11:16 FAX 503 648 3131 NEW TECH ELEC -»-* TIGARD 0 001
ejl' X303
A -
Electrical PerelfeAtifilication
Date received: Pennitno_: g 6
l.5 1 City of Tigard DEC 11 2000 Project/app l. no.: Expire date:
Ciry ojTigard Address: 13125 SW Hall a`1d��DE Date issued: By: Receiptno.:
Phone: (503) G39-417 pul t+U
Fax: (503) 598 -1960 Case file no.: Payment type:
,
Land use approval:
. 1111 TYPE OF PERMIT .
O I & 2 family dwelling or arrt-csory A :ommi rcial/industrial ❑ Multi - family ❑ Tenant improvement
O Now construction ❑ idditit tt/alteration/replacement Q Other. 0 Partial
® JOB SITE INFORMATION
Job address 14 r/ /• /F.r ' '/JM Bldg. no.: Suite no.: Tax map /tax tor/account no.:
Lot: :lock: i Subdivi ion:
Project name: ((33 14,00 YYJ ! : IeScrir lion and location of work on premises: I`L ,/ /,'� L/�
Estimated' dale of completion/inspecdon: ■ >,
CONTRACTOR APPLIC as FEE SCHEDULE _
Job no: `/7/ tip
Business name: New Tech Electric Dosed* 1O a Qty. (a.) To m no. bsp
14UU NE 48th Avenu - Nenrrerdmold- dog%artmlh��yper
Addmss: dvretlingsmitlnclude artachedprag.
City: Hillsboro i Stater 1 Th 97124 Serioeirdudett
Pho &03- 648 -1900 1Faa548 -3131 11 -mail: 1000 sq. R.orleas °
CCB no.: 418 68 Elec. bus. lio: 26-418C _ Rath additional S120 aq. It or portion thereof
1 us. c n
Limited energy, tesidential 2
City ' no.: Limited energy, non- rtaideaual 2
J.2/11 00 gads manufactured borne or modular dwelling
Si ofsu. - "ing electrician (- •theca) —• bate .Service and/arta:der 2
:'A 'F4L '®�, % it lawns: i�ar feeders - lttstallation,
altectttlwortdomtim
PROPEL hY OWN o I 2.00 amps cams 2
Name (print): 201 amps to 400 amps 2
Mailing address - 4121 amps m600 amps • 2 • 601 amps to 1000 amps • 2
City: State: 1P: Qvez 1000 amps or volts 2
Phone: Pax: i - mail: Reconnect only 1
Owner installation: The installation is being in de on property I own Temporary services arfecdera- • -
which is not intended for sale, lease, rent, ore ;change according to 1p4a1 {aliot, alteration, orrdtreadax
2120 amps or lest 2
ORS 447, 455. 479, 670, 701.
]Dl amps w 400 amps 2
Awn s e� ipssamre• - Dr re: • 401 to600 amps 2
r Btaosti dnvtta -ocw, alteration,
Post -it* Fax Note 7671 Date , _ / p / ore:traalnn per p=naL
A. F e e f o r b r a n c h cir uilx with purchase of
F��� / � From ' t i J service or feeder fee. each bratty circuit / ca U/ �/ 2
2
Co./Dept. eJDept — B. 1Q for branch f circuits
f, without first purchase ir J 96 9 f
/� t _ ) _L / ofae rvieeorfaedertm , fi tstbtanthctrw
Phone it Phone ��•� '_ /` Eachadditionatbranchcircuit
�. / 119oc ,(Serri¢
Fang Fax r , •, ! Each pump or imgation citcle 2
Each sign or outline lighting 2
family dwellings 0 Buildity over 10,300 square fret four or Signal eiieuit(s) or a limited energy panel,
o System over600 volts nominal more te dential units in one structure alreratian,orextensions 75/ 17547 2
o Building over three atntim \ 0 Feeders 400 amp; or mote .D p p o „ : -
0 Oompaat laid avcr99 persons 0 Mannfa aced stn a:wrea or Rv park Each additio®1lnapecakta aver the allowable ia say of the altovc
0 4g+adl+ghlin8plan 0 Osbert • Perinspeaion I i I l
Submit sets of plats with as y ofthe above. in"esdgadon fee
The above are not applicable to tempura y constwction service. : Otter ,�,� � /
f Ned an jurirddiocs =mot audit awls, nlearc can iuri,1lcdan r. - more inb mrtioo. Notice: This permit' application
0 ❑ Maateccard
Permit fee 5 _tsxJl.Sfs
I Vi expires if a permit is not obtained Plea review (at _ 96) $
I Credit card number: 1 L_ wiWi 1 gD days a}ler It has been State bur charge (8%) ... $ 1 7`2
Bs i ■res accepted as compete TOTAL $
t
N sine of �dpaidcr m Mourn on credit cant -
S Trust Account # 41868
Cardholder tiRnatute Am nia 44o.s615 f6memo
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�J ' / / BUP
Date Requested r AM PM BLD
Location q 2P1? L)fl .5 6I Suite MEC
Contact Person Ph PLM
Contractor JJ Ph SWR
•
BUILDING Tenant/Owner — mil ELC
Retaining Wall EL'
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear L
Framing A/C Cf Y/ C'
Insulation � �+ /
Drywall Nailing ��C� �� // / 1#&A :dB/ v 4the_
n
Firewall r
. Fire Sprinkler /� e t/ / fz2. Gil L / P J r1 C _
Fire Alarm . 1
Susp'd Ceiling G-�/L A0�0 —N-3 /�� jn4�j/fi(e
Roof
Misc: / fin n ui e // Corp,
Final � OP /- DO/V2.
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service ga, - Ca S • • % / _ •
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post &•Beam -
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
:RICA).
ervice
Rough In
UG /Slab .
Low Voltage
Fir- .arm
• SS - ART FAIL
x
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
Other Date .3 D / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.