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Permit CITY 'O F TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2005 -00032 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/9/2005 SITE ADDRESS: 09432 SW WASHINGTON SQUARE RD K -2 PARCEL: 1S12600 -00300 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Burglar alarm. Job # 083 - 18483. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC ADT SECURITY SERVICES, INC BY THE MACERICH COMPANY 2815 SW 153RD DR 9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006 TIGARD, OR 97223 Phone: Phone: 503 469 - 7244 Reg #: LIC 59944 ELE 26- 209CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 3/9/2005 $75.00 [TAX] 8% State Surchari 3/9/2005 $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 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by Permittee Signature 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. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 02/18/2005 16:43 FAX 5034697110 ADT SECURITY 01001 .:.\---- 4 . , .. Electrical Pernhlt App on /�� , ; • . FOR OFFICE USE O L1' City of Tigard °. L � ti a Per:mtNo.:ci -4.10 IZ:_A --ad / 13125 9W 13s11131vd.,19gatd, OR 97223 , _ Plan w - , 8.1 Phone: 503.639.4171 Fax 503,598.1960 / Otter Permit Inspection Lino: 503.6394115 e_ -,J I 1 V Data 2eady/9y: /PM:, 18 See Page 3 for Intetaet www.Ci- tigard.or.us NoNotified/Method; T ) C I Supplemental lanforrmdoe . . . • 1 ' 1 1 , - I h j ! I 1 ' 1 ; 1 I f h t ai I 1 11 ;+ -.74v 1 .. _ I. :. i i{ I I' 1 i ;1 I qip'� J EC ," ,�� - ., I " - ' a. i. iLi[ .1i CF,li.t�i tL i - I x4, r..: _.lrt �. 5' ; ,fl, - ;,, s' . iv• New Cenbirttction ❑ Addition/alteration/replacement Please check all dint apply: Q Demolition ❑ Other. ❑Service over 225 amps, comm'l OHazsrdous location ... Accessory building ` . . . A i I , c ,, a • I r , ..„ ' ,i i, ll a , ❑Service over 320 amps -raring ❑Buildng over 10,000 act. . ft,. - : . I �r ,1 ,i r i of 1- and 2- fannly dwellings 4 or more new residential 13 l- and 2•ihnmily dwelling C onan a [] QSystem over 600 volts nominal units in one Sttduenae ❑ Multi- family 1' L Master ❑ dig a e a or more �. .:,.,� •.•_::. ;.:..::::::: . persons :::::_'• _ P torts or . builder O ther m ova atones era cc load ova cos :III . rl c: ':q _. . _.._ ....... .._:.._. 1 , ..... grr�B�B p RV park Job no.: dg3.I gril •' Job site address: q 43a Su) � � 5 (� � �� facility []tither: a r - '1 "t seta of plane with any of the above. • City/State/ZIP: , 6)4,/Gj) 0 2 • - 7,-..7.a3 The above are not linable to app t e m p o r a r y conatnt service. Suite/bldg./apt ao.: Pmieet name " " " r 1 r;:t i.i . ' ;ice >� r ya Deiptl - Qty. Pea Toth C r o w sliest/directions co job cite: _ _. 4•7v 3116 tiA7Q N e r r realdential s i n g l e - multi- family dwelling unit it Includes attached . e. • 1,000 sq. ft. or less II 145:15 0 S HOD: Lot no.: Ha add'1500 sq. ft. orpottlon 33.40 Tax map/parcel no.: Limited iorgy residential al 75.00 7500 '. .;....... 'i` III 1 - '�'i:� :'ii - -- . � .' t>}Q$y.a0n 111 , I — Each manuigenaed or modular Ell _ � u� dwenin_ service and/Or f 90.90 e • r-r�7� Services or eeders laatadation ,alteration, and/orrelocation I. • 200 amps or less 80.30 2 = 106.85 miumEN - ': 401 amps to 600 amps 160 -60 Name: 601 amps to 1,000 corps 240.60 Address: over 1,000 amps or volts 454.65 /Slate/ZIP: Reconnect only 66.85 2 Temporsay services or feeders Installation, alteration, and/or Phone: ( ) I p ax: ( ) relocation 200 amps or le s 66 0 Owner 111atnUatlont This installation is being made on propetty that 1 own which is not 201 amps to 400 amps 100.30 Ell intended for sale, lease, rent, or exchange, according to ORS 447, 449, 610, and 701- 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - art. , situation or extension, per panel © Business ttalne- 6.65 z i E r - lg u LQ brmch circuit F. - for Branch ca B Contact name: B. meo& �I�t S acoiec or feeder fee, 46,65 .� Address • C s 3 � cccl, branch . each branch circuit ' j Each addl branch circuit 6.65 � © Cit r J1 7 Tof I 70 d /_ Mlsedlaueoua service or feeder not included) Pho ( � r D6 Fax: : ( 416 - -7i/ d Pump or irrigation circle = 53.40 • E-mail: Sign or outline lighting 53,40 . , - - ' ; I � ; circuit (e) or limited { rgt�e , ". •`' � c �.r i.I 1 r r, l :- , . 1 F..:..: ' 1�Ii .,.'. . t ener panel, alteration, or Business name: ADT SECURITY SERVICES, INC. extension Describe: Page 2 Address: ■ ' ' "• xr; e - • Each additional Inspection over allowable In any of the above RFAVFATnIq. QR Faring Per inspection II 62,50 III :ity/State/ZIP: (S031 465.7100 Investigation per hour (t hr tram) 62,50 'hone: ( ) t r Industrial plant per hour 73 75 ,1 . ' 1 , ' i. v I (J il'il:: L � (t)wiat"'‘I I l l i� r Ari2.1I"li 0,4 w � l � ,r ridi i .CB Lic.: 5:19L4 Electrical Lic.: , _ b • k. Subtotal . eV ■uprv, Electrician signature, re i 44 .� J Plan review (25% of permit foe) tint Henna: . A -.. 1_11_ D ace: State surcharge (8% of permit fee) - - 01 TOTAL.. PERMIT FEE W, 4d .uthorized signature: Thu permit application expires if a permit Is not obtained within 180 days after it has been accepted o, complete drat name: I Date: • Kee methodology set byTri•Couney Bonding Industry Service Hoard *• Number of inspections per permit allowed. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005 -00032 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/20/2005 TIME: 7:11AM PAGE: 53 SITE ADDRESS: 09432. SW WASHINGTON SQUARE RD K -2 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: NEXTEL DESCRIPTION: Burglar alarm. Job # 083 - 18483. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #. 503-469-7244 Inspection Request Scheduled For: Date: 4/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 004939 -01 503 - 469 -7256 N Corrections /Comments /Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: a2C ' 6 Phone #: (503) 718- •