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Permit w ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY A -- y DEVELOPMENT SERVICES PERMIT #: ELR2002 -26001 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/1/02 SITE ADDRESS: 09755 SW WASHINGTON SQUARE RD D -3 PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Install 2 low voltage systems. 1 burglar alarm and 1 CCTV. 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: BURG /CCTV. X TOTAL # OF SYSTEMS: 2 Owner: Contractor: PPR WASHINGTON SQUARE LLC ADT SECURITY SERVICES, INC P.O.BOX 21545 2815 SW 153RD DR SEATTLE, WA 98111 BEAVERTON, OR 97006 Phone: 503- 469 -7244 Phone: 503- 469 -7244 Reg #: LIC 59944 ELE 26- 209CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 10/1/02 $150.00 Elect'I Final [ELPRMT] ELR Permit 10/1/02 $0.00 [TAX] 8% State Tax 10/1/02 $12.00 [TAX] 8% State Tax 10/1/02 $0.00 Total $162.00 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 throuc Issued by 1..f"'iA.c./J . ,r d 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 ( l (;flop DATE: LICENSE NO: 3 Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 09/23/2002 11:36 FAX 5034697110 ADT SECURITY U1001/001 'a Electrical Permit Application ;r !tl! _ DatereceiveonEr, y Permit no.:d_ ._ 6,ii Jii 1, 1;L:p1r City of Tigard i),2 ,,. % 1 a i' ~ , ' Project/appl.no: Expire date: Address; 13125 SW Hall Al a' '' L � • City oJgard 4r ! i + `'� Date issued: By: 3 Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 SEP 2 `1 201t? Case file no.: Payment type: Land use approval: y ,2, t t a ,Ay & a TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory lig Commercial/ industrial 0 Multi- family ❑ Tenant improvement Cl New construction ❑ Addition/alteration/replacement ❑ Other. ❑ Partial , - - JOB SITE INFORMATION Job address:. C P7 vJAsH j J - 1'dk) SO /1.,, Bldg. no Suite no_: Tax map/tax lot/account no.: Lot: Block: Subdivision: Project name: Description and location of work on premises: Estimated date of completion/inspection: - CON TR:IC:TOR Al'I'LI(ATION FEE SCHEDULE Job no: DU- 1 S7 kr - 0 t Fee Max Business name: Apr sec lei i Description Qty. (ea.) Total nn. insp Address: - New reddential-tingle or multi-family per r / drrotEng ®8.yndodrsatladecdgarage. City: - , .1. State: OR. �': 00 I. servialndudeel • Phone$034141•7 f O) Fax;Q,QJj 1.7 r. • E-mail: 1000 sq. ft oriels • 4 CCB no.: Set 744 I Elec. bus. lic. no: 26.2typC LE Each additional 500 sq. ft or portion thereof Limited energy, residential J, — - 2 City/metro lie. no.: .1" •' - O 5 Limited energy. non-residential . 2 � - . j �� da • Z3 _ Each manufactured home or modular dwelling Sire of rvising electrician (required) Date . Service and/or feeder 2 Sup. elect. name (print): _ . Li ns cno: Serticesorfeedert- Installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 arms 2 601 amps to 1000 amps 2. City: I State: I ZIP: Over 1000 amps or volts 2 Phone: "Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporaryservices or feeders - ' -- which is not intended for sale, lease, rent, or exchange according to installation, sltruation , orrelocatiom ORS 447, 455, 479, 670, 701- 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ore . s 2 ENGINEER Branch circuits - new, alteration, —t--^ Name: or extension per panel: A. Fee for branch circuits with purchase of Address: service ar feeder fee, each branch circuit 2 City: IState: 1z1P: B. Fee for branch circuits without purchase -- Phone Fax: E-mail: service or feeder fee, first branch circuit: 2 • Each additional branch circuit MINE I — PLAN REVIEW (Merin check all that :rpplJ) Misc. (Service or feeder not lncluded): O Service over 225 amps - commercial CI Health-rare facility Each pump or irrigation circle 2 ❑ Service over 320 amps- rating of 1&.2 ❑ Hazardous location " Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limi ted energy panel, CI System over 600 volts nominal more residential units in one suuonrro alteration, or extension —..—„ :J 2 O Onllding over three stories 0 Feeders, 400 amps or more "Doren , din: 5D .0 a ❑ Occupant load over 99 parsons O Manufactured structures or RV park Each additional ins 4 Egrrss/lightingplan ❑ Other Perim. over the allowable In any of the above Perini . lion Submit sets of plans with any of the above, Investigation fee The above are not applicable to temporary construction service. Other . Not a0 judadtcliona swept credit cards, please cull jurisdiction for more information. Notice: This permit application Permit fcc $ ' O Visa O MasterCard expires if a permit is not obtained Plan review (at %) $ y State strrchar e 8 �` Credit card number: / / within 18 0 da s after it has be g (`�) $ Ex accepted as complete_ TOTAL $ ` Name of cardholder as shown on meths rate $ i( • .4 /6:9 -e cardholder signature amount 4406 ( OM) CITY OF TIGARD 24 -Hour • s -BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested l <9 b,2 —O2 AM PM BUP Location f 1 74.C- Ci, � q. Qnl - Suite MEC Contact Person Ph (_603_) 1 14 1 7 - "' ')43 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ,VW ,j /A ELC Footing ELC Foundation g Access: Ft ELR ac Drain Crawl Drain Slab Inspection Notes: ff SIT Post & Beam c543i'- 4 , 0, [.) - Shear Anchors Ext Sheath/Shear 47 2 'f' v2 Ca)r LJS L Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - � �. I Fire Sprinkler Fire Alarm � • Susp'd Ceiling /Oa Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains - Catch Basin / Manhole r ' Storm Drain Shower Pan Other: • Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab o age Fire Alarm ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -- PART FAIL SI ❑ Please call for reinspection RE: • ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date /0 02 0 Inspector _ � _ s - - _ Ext Other: • Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP Received -7 Date Requested / l0 AM PM BUP r Location c /�`7 S lf/," -,S� • ( P Suite 17— MEC Contact Person Ph ( )o cf — 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 7 ' ELC Footing Foundation ELC g Access: ELR —9e2‘ U� d' Ft Drain Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall•Nailing Firewall 7111.17a Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other:- Final PASS PART FAIL I� `–� r. PLUMBING i I r - A Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fi - larm inal 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. J7. PART FAIL S Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA � ` Approach/Sidewalk Date 111 ' ' n f Inspector �y cJ Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL