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Permit A CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 4. .�; DEVELOPMENT SERVICES PERMIT #: ELR2004 -00082 13125 SW Hail Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/29/04 SITE ADDRESS: 06650 SW REDWOOD LN 200 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Rerouting wiring -low voltage, remount smoke /mps horns 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: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL INC 15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PORTLAND, OR 97224 STE 100 PORTLAND, OR 97224 Phone: Phone: F - 968 - 3398 Reg #: S9f8- 330041LEA LIC 150191 ELE 26- 207CLE APP. SAYS CI FEES Required Inspections Description Date Amount Ceiling Cover, [ELPRMT] ELR Permit 3/29/04 $75.00 Wall Cover Elect'I Final [TAX] 8% State Surcharl 3/29/04 $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 throuc Issued by �.P/! 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 MAR -29 -2004 12 05 HONEYWELL 503 968 3398 P.02/03 ,7 El ectrical Perini1 Application A Date received: Permit no. e4 �''i l City of Tigard �i ?ob g.00 ea__ it Project/appl. no.: 6spica4184e: Cm F a 7t ard Address: 13125 SW 11x11 gPR 97223 - — • / ^` Date issued BY: Receipt no.: Phone: (503) 639 ( � .--- Fax: (503) 5% 44, 1. 0 Case file no.: Payment type: Land use approval : �' g GP �N 11 OF 'I . 0 1 & 2 lamily dwcllinp or accessor � \ '.• ommercial/indnstrial U Multi - family 'Tenant improvement _ Cl New construction U Addition /alicration/replacemcnt ❑ Other: ❑ Partial JOB SITE INFORMATION , Job address: 6 6 Co .5 W 7 2.dw004 L, . Bldg. no.' Suite no.: Tax map /tax lot/account no.: Lot: (Block: (Subdivision: ■ QQ _ Project namc: "Cpl E !Description and location of work on prem p ty • % , /.;) • _ low U&I. , f Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCHEDULE Job no: • Fee Mow Business name: HONEYWELL Description Qty. (ea) Total no. map Address: 15495 SW Sequoia Pkwy, New residential-giggle or multifamily per e9 y r dwelling unit. Includes enacted garage, City: Pg j t l an d (State:CR I ZJP: 97 224 ' Seniorinebsd d Phone503- 968 =3344 I Fax: 968 -3398] E -mail: 1000 aq, ft. or ICE!. 4 CCB no.: b I 9 Elec. bus. lie. no: 26-207CLE Each additional 500 sq. ft. or portion thereof Limited energy. residential 2 City/ IrO IIC, no . 4619 limited energy, non- residential 2 . Each manufactured home or 'nodular dwelling Si WC of supervising electrician (required) Date Service and/or feeder 2 J'� Services or feeders - installation, Sup. elect. name (print): Steve Morehouse License no: 94 1 4ti+ liberation or rrluraliun: PROPI:11T1' 01FNER 200ampsorless 2 Name (print): 1 4-C r e. U S r 201 amps to 400 amps 2 401 amps to 600 amps . 2 Mailing address: /S S 5 O S• W • Sic. uA•cC.. tqC 601 amps to Moo ampa �w 2 City: 1-7 yez J State' I ZIP: 5 Over 1000 amps or volts 2 Phones 6 . 2_y-- 7 7 e 7 ( Fax 3. 62/''17( E-mail: Recorn ect only ■ 1 Owner installation: The installation is being made on properly 1 own Temporaryaervicesor - which is not intended for sale, lease, rent, or exchange according to 'll°rion,aheration , orrelocation: • ORS 447, 455479, 670, 701. 200 amps or lax 2 . 201 amps to 400 amps 2 Owne>'S Sig nature: Date: 401 to 600 amps 1.-1--.—.. 2 ENGINEER 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' 1 State: 111P: B. Fee for branch circuits without purchase Phone: Fax E of service or herder tee, first branch circuit 2 • i Each additional branch circuit: PLAN RF :VIM'(PIease check all that apply) mIse.(Service or feeder not included): Each um or irrigation circle 2 ❑ Service over 225 amps�onurtertaal Q Healdrearc facility ___- _ _ O Service over 320 •r rnpa•re tine of )&2 O 11ararrious Ineatimm Each sign or outline lighting 2 family dwelling' O Building over 10,000 aquare lest four or Sipnal circuital or a limited energy panel, O System' nver 600 volts nominal more residential units in one structure alteration. or extension" , J 2 Cl (e 0 Building over three stories edaa, 400 amps or more •t)esenption ttt.p.3•.► r S rke r a /itP.311-,#E g40l O Occupant load ova 99 persons O Manufactured structures or RV park Each additional hnspcetion over the allowable in any of the above: CI Egress/lightingplan O Other: Pet inspection Submit sets of plans with any of the above. Investigation fen _ The above are not applicable to temporary construction service- Other • n, all tdiction ac credit cods, leas' call jurisdiction In, mom i nformation. Permit fee N r� r Notice: This permi application CI Visa StriasierCad expires if a permit is not obtained Platt review (at _ %) $ Cretin teed nrtmhem t9 StoY- b60 - C1CilJfW- c +)8,f - 0 7/ /O V within 180 days after it has been State surcharge (8%) .... $ — ., Benito l'OTAL $ 7 a 1tit,_IZL �' ., accepted Its complete. Timor bl IOW as amyl' amyl' amyl' on cred .._, l cod 5 0 J. 00 t And .t sib 1u anwutn 440 -4615 tnuorcont) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested-S\ AM v PM BUP Location fP ‘S 5 w ,M Suite a..b0 MEC Contact Person <7f PIf4) ) ` PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR © 3 0v 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 P PART FAIL Service Rough -In UG/Slab mow Voltagq Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SI 111 Please call fir rei " pection RE: n Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat a Inspector Ext Other: Final ' '0 NOT REMOVE this Inspection record fro the Job site. PASS PART FAIL