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Permit ELECTRICAL PERMIT - CITY TIGARD �l, RESTRICTED ENERGY rr I I , DEVELOPMENT SERVICES PERMIT #: ELR2001 -00035 @ 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/12/01 SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G -1 PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Alarm System - Job# 10519 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: PPR WASHINGTON SQUARE LLC HONEYWELL INC P.O.BOX 21545 15495 SW SEQUOIA SEATTLE, WA 98111 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 Ceiling Cover PRMT CTR 2/12/01 $75.00 2720010000 Wall Cover Elect'l Final EXPIRED SPOT CTR 2/12/01 $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 j 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 FEB -11 -2001 15 :40 HONEYWELL 503 968 3398 P.03/03 ' ' • Electrical Permit Application Datereceived: Permit no aZ�D / -� d.�� A n � City o f Tigard Projcct/appl. no.: ; ls. ' g Expire date City of Tigard Address; 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639 -4171 - Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: • TYPE OF PERMIT O 1 & 2 family dwelling or accessory *ommercial/industrial 0 Multifamily O Tenant improvement 0 New construction 0 Addition /alteration/replacement 0 Other: _ 0 Partial • JOB S11'E INFORMATION Job address: , , 4_ S wijp...4 AiGr, r,,t,/f a t ► Suite no.: Tax map/tax lot/account no.: Lot: Block; Subdivision: Project name: ( Description and location of work on premises: Pt- Ayr"( { . tot( czovv yi f 1,. Estimated date of completion/inspection: ... CUNI;RA(;IURAprLICATI _ . . - . .: PE • SCHED1B , ,1 , Job no: L' Fee Max Business name: HONEYWELL, INC • Description Qty. (ca.) Total no.lusp Nen residential -single or mu family per Address: 15495 SW SELJOIA PARKWAY t100 dwelling unit. Include attached garage. • Ciry: PORTLAND -- 7 StateOR 1Z1P9 7224 Setvicelneluded: Phone: 5039683300 Fax:9683398 E -mail: 1000 ft. orless - 4 C CCB no.: 57824 Elec. bus. lic. no: 26- 207CLE Each additional500 at, ft. or portion thereof -- Limited energy, residential 2 Ciry/mctro lie. o.: Limited energy, non residential 2 - jeT u ( Each manufactured home or modular dwelling Signature of supervis g electrician ( =• 'Jived) pate ' Service and/or feeder 2 Sup. elect. name (print): STEVE MORE1 License no: a 41JLE Services or feeders - Installation, alteration or relocation: PROI'I::I{7Y OWNER 200 amps or less 2 Name (print): * a '' ( d GooSE 201 an•sto4r .,;;; 2 401 amps b " . , . 2 Mailing address: 1 (c�F 601 amps to 1000a „/„ ' t 2 City: I State: I ZIP: Over 1000 amps or volts ■ 2 Phooc:((2 94..( (5I Fax: I E -mail: Reconnectonly _ — 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 rnsmllahon, alteration, or eIo ®lion: 200 ORS 447, 455, 479, 670, 701. amps or Ices 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 am, s 2 I::NGI N lilt Branch circuits - new, alteration, or extension per panel: Name: A. 'Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: State: ZIP: B. 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. (Service or feeder not included): ❑ Service over225 amps - commercial O Health -cue facility Each pump or irrigation circle 2 ❑ Service over 320 amps- rating of I &2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings O Building over 10 ,000 square fee four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* 2 O Building over three stories ❑ Feeders, 400 amps or more 'Description: O Occupant load over 99 persons O Manufactured struclures or RV park Each additional Inspection over the allowable in any of the above: ❑ Egress/lightingplan 0 Other. _ Per inspection I I I I Submit , eels of plans with any of the above. investigation fee The above are not applicable to temporary construction service. Other Permit fee $ �� "' c i f� Not all junsdicrions =rapt credit cards, please call jurisdiction for more information. Notice: This permit application X O Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _„_ %) $ Credit card Dumber: / / within 180 days after it has been State surcharge (8%) .... $ •' Expires accepted as complete. TOTAL $ iI • Name of mrdhorder as thowo on credit card , Cereeolder aIgnature Amouar 441416PS (6I00ICOM) TOTAL P.03 ELECTRICAL PERMIT - A ,, CITY O F TI GAR® RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2001 -00035 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/12/01 SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G -1 PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Alarm System - Job# 10519 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: PPR WASHINGTON SQUARE LLC HONEYWELL INC P.O.BOX 21545 15495 SW SEQUOIA SEATTLE, WA 98111 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 Ceiling Cover PRMT CTR 2/12/01 $75.00 2720010000 Wall Cover s ,� Elect 'l Final l"' �a T 5PCT CTR 2/12/01 $6.00 2720010000 �� Total $81.00 e/ '1C/ U This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes Fr 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 Permittee Signature Y1A6 J OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. e OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: (104 LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day BUP - Building Permit ELC - Electrical Permit 41 Inspection Description Date Passed By J 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 I Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By 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 Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit 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 I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS