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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY At DEVELOPMENT Tigard, ) 639 -4171 DATE SSU 1/12/2005 ELR2005-00012 00012 13125 SITE ADDRESS: 10220 SW GREENBURG RD 6.0e' to Is PARCEL: 1S135AB -01004 SUBDIVISION: TWO - TOWN OF METZGER ZONING: C -P BLOCK: /1 LOT: JURISDICTION: TIG Project Description: 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: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST HONEYWELL INC ONE SW COLUMBIA #300 15495 SW SEQUOIA PORTLAND, OR 97258 STE 100 PORTLAND, OR 97224 Phone: Phone: 968 - 3300 Reg #: SUP 941 LEA LIC 150191 ELE 26- 207CLE APP. SAYS CI FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 1/12/2005 $75.00 Elect'I Final [TAX] 8% State Surcharl 1/12/2005 $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 :/� f r.,'_Z l ) Permittee Signature ,2 e, cake 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 JAN -12 -2005 14 :11 HONEYWELL 503 968 3398 P. 02/02 Ejei trical Permit Application, ' p , - -FOR OFFICE -USE- ONLY - - - -- - -- - ---•• - - - -- City Sri and ® �G � 922B Plan A Received / / /� �y� > �' g DaDate/13y: Date/13y: (' / P NC : 6 J`-� OC Q 1, �I 13125 SW Hall Blvd., Tigard, OR 9 Review F i a r . a fi ' 4 \ Other Permit: Phone: 503,639.4171 Fax: 503,593.1960 0 Dat . _ Inspection Line: 503,639 -4175 1 A N '1 O ro r 200 ' ' 11 ,.. Date Ready/By; keen ® See Page 2 for w Internet: ww,ci.tigard.or.us Notified/Method; i i (r Supplemental Information ..,�> .....N % v.; r a n +;! ° r,.:..: ...r ,r. a �,��,� ,..:: n.. ,rhr::,. .'� "., ..�.0 �'. ii� �: ' ird. : i�L• ,. � � i Lia.:,:`:.. - •liili»s ❑ New construction C .74' 'ti ���g�} o't .1a s *• ' Please cheek all that apply: �Tvv [Service over 225 amps, comrn'1 ❑Hazardous location 0 Demolition 6 Cr: ❑Service over 320 amps - rating OBuildng over 10,000 sq. ft., ;'J ,, .. d ,17,` t: :, y"�,' i i;. -ta p .� 4§7% r (j{�p `;i%ta i, :.0 ,.. . 5 r . •;:: , : ` , .. i, e , Of 1 - and 2- family dwellings 4 or more new residential , err : li:.,,. q.:.? 1+:4t. "::ii ti?"r . 2._ 1' 1. aTW ''eS,f,.:NnY.r,:•Yr1.j•L'e_ °:: L,..r:.an.: •;: ^.=L'�:.: ': t.;a- Fv:!� „ham. ❑ I- and 2- family dwelling Z Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories OFeeders, 400 amps or more ❑ Multi - family ❑ Master builder 0 Other: ❑Occupant load over 99 persons ❑Manufactured structures or � n.:t. , . 'Tt� s / ins”' " w . ;:. ... �i' . $a' n ip ,.1.toy l r t RV park _ � .. �'i• a ? . k' C'• , �95Li t t � a . s , 4 ;' , :; �, .. , Li .' 1 k�' ' M. 1,A Siti ifi l : 055/11 Sill ian' P '::: ;j"r.�ti 9ht; ;;J�t3:, ?�1t� "4 ` 4 .r.w ,� �„ . °,.� . 'i � ; k'a ,fl, ❑:3ealth -care facility ©Other: Job no.� 'j �, t r1 Job site address; 101.-1_ 0 61N (� rl�P � " ''spa Submit? sets of plans w any of the above, City /State/ZIP: 1 IaV1.0(t 0 2 ill 21-3 t i ' The above are not applicable to temporary construction service, Suite/bldg./apt, no.: }4'9_n;i h rlO. =�' I' ; I.'�' -._'. 'r �- I Project name: f j l'6 FrArlICA 1 ;' 1 De° cdDtian Qty. flee. Total Cross street/directions to job site: New residential single- or multi- family dwelling unit- - Includes attached garage 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft or portion 33.40 1 Lirnited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 St; ^r pi , ; TOO ..0001- • O - i,'94 'R . , k ,' i V i . . ; : - 'f . .•. : :3 ' ' Each manufactured or modular • • . «r `.:: {. "�`{�`, }n} �. _ .gin. ip� +p, ..., :.- ��.i'•: .�. �. r:-:!G'�N.'.� ..... -, � ) '�. . {: w!i,�Lt ..., .rv7�t:...... dwelling, service and /or feeder 90.90 2 I vIdl119 A I'alrm eotSie Services or feeders installation, alteration, and/or relocatio UV_ 200 amps Of less 80.30 2 q . ,, .-y.�,.. 201 amps to 400 106.85 2 rain '.4� "�M1 r'It I � FL ' , �.:� •u 74%.::;! , ,... : ...g,, , r' • :; .. ;; _ ?t.r!, . , R ti "'T ` . `W1N" `'I .. s..::.e 1. , ' . `iPE' ''1: :.' - . ' 6:. ' :;; ��:_'!' c, 4{ pr �...,.y,. * , : :•. , 1 1 '..°�T.�ru .r;"iWR,. � , .aW- �:'':4..., .e• �� .,...tl)Wl�s.....t,,:;� �...,. -. , : :• 403 amps to 600 amps 160,60 2 mP Name; ,tiU. � ra-- 601 amps to 1,000 amps 240.60 2 i Address: 41.01 op t W 6 Pm Over 1,000 amps or volts _454.65 2 Reconnect only 66.85 2 City /State /ZIP: LAw C '('O[O i OR ai _ Temporary services or feeders installation, Alteration, and/or relocation Phone: ) 491/1„....11,00 Fes: ( ) 200 amps or less _ 66.85 1. Owner installation: Th installat i s being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ,4: : !..il., , •, i' • a. . :%� "• ; +; ryr +;' , - r.., a v : t' ,q. Fee for branch circuits with •di "' -, if s: .! :..•'.4:.1.,- . t.t. -m .. , 11, H n: J: ' ' h .. • 1 ,r[y- Ft S 1 t • f ' " .:J ,1�'. ,. ��. ... ,,:ri }ri ��t� :�t . !y �. a ,,,n -.1 .�i .r. _ . o .�, : . service or feeder fee, each 6,65 2 Business name: _branch circuit _ • . B. Fec for branch circuits Contact name; without service or feeder fee, each branch circuit 46.85 2 Address: • - Each add'l branch circuit 6.65 2 City /State/ZIP: • Miscellaneous (service or feeder not included) '— Pump or irrigation circle 53.40 2 Phone: ( ) Fax; . — - ( ) Sign or outline l 53.40 2 E -mail; Signal circuit(s) or limited - ; :'c. -y5 i �1I $ , •'d!i` - t - ^•' � energy panel, , alteration, or 'st %'y., ':;iiL `e~ :'.,L � _ri 4.i:. i. ...`It.. ��1'r . �: i.fcl, �, - i :ta., i e " ... , I Page � " � �� extension. Describe: Pa e 2 IS 2 Business name: 1 Yiel� Address: 1 LH 5 s Y V Segi(/1,D Io1 ivi iv 1D o Each additional inspection over allowable in any of the above (� Per inspection 62,50 City /State /ZIP: -- p ol ligtvol 1 OR 0 112j4 Investigation per hour (3 hr aria) 62.50 Phone: (JGb�J) ( , 2 /� r-t� 8 3'1 � Industrial plant per hour W�''(J3�V Fax: (7• 6 1 ti 8 - J I Industrial .. 3.7 :.;;.... ,: )� :'EG'RICAh:I*r........ `F?ErES CCB Lie.: 15 0 Iai 1 Electrical Lie.: 'Up - � G(,i Suprv Lie 61141 > Subtotal ni Suprv. Electrician signature, required: '„ -/f Plan review (25% of permit fee) r! 5i � . ��'n l• ' v l /1 n 1 f State surcharge (g% of permit fee) (0 Print name: I 7�'C. Date: 1 — - L. PERMIT FEE 3.1 t Authorized signature: '• ?/ This permit application expires if a permit Is not obtained within ISO 'v I ` L [lays after it has been accepted as complete Print name: frl i m, • ' . r '4 ` ' ; I I DG • ' Fee methodology set byTri.County Building indutry Service Board •" Number of inspections per permit allowed. TOTAL P.02 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005.00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2005 Phone: (503) 639- 4171�'ii�Npup�lf�h Inspection Requests (24 Hrs.): (503) 639 -4175 :. INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 76 SITE ADDRESS: 10220 SW GREENBURG RD 615 CLASS OF WORK: SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE: PROJECT NAME: FIRST FRANKLIN i DESCRIPTION: Alarm system. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: HONEYWELL INC PHONE #: 968 -3300 Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 005740.01 503-793-2470 N Corrections /Comments /Instructions: (7 )1 1! ° / X PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7_7 Date: Phone #: (503) 718 -