Permit CITY T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY PERMIT
^.���'��I�j" DEVE H Tigard. R 9 2 639 -4171 - — - - DATE - ISSUED: ED: - E �R20 -00254
SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD A -1 PARCEL: IS135BA -00102
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: Install Alarm System.
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: FIRE ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PPR SQUARE TOO LLC HONEYWELL INC
BY MACERICH COMPANY 15495 SW SEQUOIA
ATTN: JANET FISHER, ASSET MGMT STE 100
SANTA MONICA, CA 90407 PORTLAND, OR 97224
Phone: F- 968 -3398 Phone: F- 968 -3398
968 -3300 Reg #: S9118- 330041LEA
LIC 150191
ELE 26- 207CEP
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 11/22/02 $75.00 Elect'I Final
[TAX] 8% State Tax 11/22/02 $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 a „ LE,4_,,t 4 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 L . O . L ,I L ' _ ' DATE:
LICENSE NO: cL
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
NOV -19 -2002 10 07 HONEYWELL 503 968 3398 P.03/03
' -V ` � I L lectricalPermit Application
Date received // -Oi • Permit no 1(Ja5y"
t'� I City of TIg:I1r•d Piojecvappl. Eltplrc /
C,Irv u1 r 7'i1 tied Address: 13125 SW Hal lR E�� Date issued: 8y Iteccipt no..
Phone: (503) 639 -4171
Fax: (503) 598 -196U NOV 1 9 2002 Case file no.: Payment type:
•
Land use approval: GUY OF TIGARD
;j L'7'; 't)P PERM1iir
O 1 & 2 family dwelling or accessory • Commercial/industrial ❑ Multi- family 0 Tenant improvement
❑ New construction 0 Addition /alteration/replacement 0 Other: 0 Penial
ROB SITE INFORMATION
Job address: p / p i / ►,j 4 id '. l'1 Bldg. no.: (Suite no.: Tax map/tax lot/accounl no.. -
Lot: Block: Subdivision:
Project name: �4 e, / Description and location of work on premises: .1" / ,Jf1 Asi 44/ .Ii
Estimated dale of completion/inspection; Gj 6r.
CONTRACTOR APPLICATION FEE SOILDULL
Job no: 1 Z). f- 01-1-(, 0 Fee Mx. Business name: HONEYWELL Diacriltilon Qty. OM) Total no. trip
Address: 15495 SW Sequoia Pkwy, # #100 r wellin rdenttn -slick nactie t
d�INng orrlLlneladasanaeb� gata(�
City: Por ian d , Statc:CR i ZIP: 97224 ' Service included:
Phonc603- 968 -3304 Fax: 968 - E -mail: lo sq. Ti. or less 4
S D 1 ci I Elec. bus. tic. no: 26- 207GEP low Each additional 500 sit ft or portion thereof L
CCB no.: Limited enerpy, residential 2
Ci /. /metro ic. n • . 4 619 Linuied energy, non - residential 2
// jf F I I r0 Each manufactured home or modular dwelling r
�''•:ture of supervising electrician (te9uited) Da a Service and/or feeder 2
�A Selrvires orfeeders– installation,
�rlp:'elect. morale (print): ' Srf<VB "Ol'Si1011S6 "' -•• ten` 1-b alteration or relocation:
PROPER O11'NI R 200 amps or less 2
T
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps
Mailing address: _ r 60i amps to 1000 Gimps l 2
City: I Stale: I ZIP: Over 1000 amps or volts [ _ 2
Phone: I Fax: I E-mail: Reconnect only I. _
Owner installation: The installation is being made on propcny I own 'temporary anklet or Feeders -
which is not intended for sale, lease, rent. 01 exchange according to histallan°°'alrerullon'°r ' etocation:
200 amps or kW 2
ORS 447, 455, 479. 670, 701. 201 amps to 400 amps _ 2
Owner's signature: Date: 401 to 600 amps 2
I;NGINEJi1 Branch circuits - new, alteration.
or ertewilon per panel:
' Name: A. Fa for branch circuits with purchase of
Address: service or feeder ire, web branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, find branch circuit: 2 ,
Phone: Fax: B•matl: Inch additional branch circuit:
PLAN I{L 'IL11'(Piease check all that apply) misc. (Service or larder not included):
D Service aver 22S tulips- commemial O Health -case facility Each pump or irrigation circle 2
Each sr n of outline lighlinp 2
O Service over 320 amps rating of 1 &2 U Ha7nrrl(rus location P _
family dwelling* D Building oval 10,000 square feet four of SiPtial circuit(s) or a limited energy Pal. 1 ' 15 / 2
O System over 600 volts nominal nand reaidemiat units in one strut-me ahcration. co ex ( _ r�J
O Ruilding over three stones O Feeders. 400 amps of more • r)w.aipdon:
Cl Occupant load over 99 parsons ❑ Manulacrured structures or RV pad. Each additional Inspection over the sllonabk in any of the above:
0 F .press/liphtingplan Ll Other Pei inspection I 1 1 1
Submit _ sets of plain with any of the above. lnvesti ?ation lee
'171r shoe are not applicable to temporary cornitruttion service. Other .
-- Permit fee S 1
Nd an nnf..thn iiyn+ =cep eredn cards. Iry c t Junsmrunn la rum? inlarnrorian Notice: This'ximil application
D V1613 u Mi:SterCard '' , I Q expires if a permit is not obtained Plan review (at _ %) $
tRGir card limbo: . _ 1704 -1 - 1129 711 /D within IRO din atcr it bas been State surcharge (8%) •.•• $
rat bapiret acccpird as empiric. TOTAL 5 • U
name ., ..`..1 holds as 6tMwh• On nedil end GI. VO
Cmdlwtdcr sipnarore — uAmounl 440.4613
`
TOTAL P.03
CITY OF TIG,. 24 -Hour •
BUILDING, Inspection Line: (503) 639 -4175 MST J ''
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ' ) AM PM BUP
Location /0 1 /9 w 0 ff' 5 • i -P. Suite - -- MEC
Contact Person 0/1 Ph ( ) q93-.9 PLM
Contractor � SWR
BUILDING Tenant/Owner 2i ELC
Footing ELC
Foundation Access: r L
Ftg Drain ELR �� °� `T
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
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
�, El Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
AS PART FAIL
SITE [J Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line /
ADA D ate ' — /
U Q � /
Approach/Sidewalk Inspector � —
Other:
Final DO NOT REMOVE this Inspection record from the job ite.
PASS PART FAIL