Permit A t RD R ELECTRICAL ESTRICTED E ERG CITY OF TIGA RESTRICTED ENERGY
VIII DEVELOPMENT H O BMEN SERVICES 639 -4171 DATE PERMIT
7/2/01
001 -001 42
13125 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Low voltage for access control alarm.
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: CONT.ALARM X
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 Elect'l Final
PRMT CTR 7/2/01 $75.00 2720010000
5PCT CTR 7/2/01 $6.00 2720010000
• Total $81.00
•
This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 throu• h OAR 952 - 001 -0080. You may obtain copies of these rules or di ct questions to OUNC at (503)
246 - 1987 /� �
Issued by � i _ - Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
-' Electrical Per mit Application
r } '4 _ • • Date received: / �_=j
a t I . n Permit no / M` Z
.,t1-''� l City of Tigard RECEIVED projecilappl, no.: E y
rc¢i�u$ ate: » -
CirvujT;gard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued:
Phone: (503) 639 -4171 MAY 14 2009 By: Receipt nu
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: COMMUNITY DEVELOPMENT
TYPE OF PERMIT
U I & 2 family dwelling or accessory Commercial/industrial U Multi - family U Tenant improvement
LI New construction U Addition/alteration /replacement O Other: LI Partial
JOB SITE INFORMATION
lob address: • t. 411 GF1Y�. ` 0 Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision: • $ 5. 0
Project name: Description and location of work on premises: ' 1x 5 fill A/4a�
Estimated date of completion/inspection: l
,... - , .,C.O N ItACJ'OR, AJ'PWCATION E
Job no: 2.. , s.• Fec , ..
Max
Business name: HONE LL, INC - Descri•tion (ca.) Total no. insp
Address: 15495 SW SEQUOIA PARKWAY 100 New residential - single or multi-family per
dwelling rmit. Includes attached garage,
City: PORTLAND . — 1 StatcOR I ZIPS 7224 Service included:
Phone. 5039683300 IFax:9683398 I E -mail: 100u ft. or less 4
C ('CB no.: 57824 I Eke. bus. lie. no: 26 - 207CLE Each additional 500 sq ft. or portion thereof
Linn ted energy, residential ■- 2
City/ rctro IIiii . no.: Limited energy, non- residential ME
w, /� a ria Each manufactured home or modular d welting -
Signature of s . rinsing electrician (required) Date Service and/or feeder ■ In
Sup. elect. name (pont): STEVE MOREHOUSE License no: 941JLE Services or feeders — installation,
. PROPERTY OWNER aherationorrelocation: 1111
200 amps or less 2
Name (print): or II - r►rpm 201 amps to 400 amps 2
2
Mailin / • * 401 amps to 600 amps
l; address: 7� + � - „ r ! ' : '�� 601 amps to 1000 amps __
City: r , State& ZIP:' '2Z 2
Over 1000 ern or volts == 2
Phone: Fax: E -mail: Reconnect only
Owner installation: The installation is being made on property I own Temporary services or feeders '—
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
ORS 447, 455, 479, 670, 701. 200 amps or less
MI '
201 amps to 400 amps
Owner's signature: Date: — 401 to 600arn.s
ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each hranch circuit 2
City: State: [ ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit. 2
Phone: Fax: E Each additional branch circuit:
PLAN REVIEW' (Please check all that apply) Misc. (Service orteedernot Included):
U Service over 225 amps - commercial ❑ Health-care facility Each pump or imgation circle 2
U Service over 320 amps- rating of 1&2 ❑ Hazardous location Each signor outline lighting 2
lamily dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, r `
O System over6(X)voltsnominal more residential units in one structure alteration, orextcnsion& l r� 2
❑ Building over three stories 0 Feeders. 400 amps or more •Descnplion:
U Or.A.uparu load over 99 persons U Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
U hgress/lighung plan U Other.
Per inspection I 1
Submit sets of plans with any of the above. Investigation fee
The above arc not applicable to temporary construction service. Other
Permit fee $ r t9- ♦
Nut all junsdictions accept credit cards. please call jurisdiction for mare information. Notice: This permit application
Cl Visa O MasterCard expires if a permit is not obtained Plan review (at %) $
(',i,du card number: _ / / within 180 days after it has been State surcharge (8 %) $ . ` o► '' •
Expires accepted as complete. TOTAL $ y /
Name of cardholder as shown on credit card
Cardholder signature Amount
440-4615 (6/00 /CUM)
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST-
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1-3---10 / BUP
Date Requested I AM PM BLD
Location q'td k'19-- .5 11 Y`- Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner itirq-r ELC ..
Retaining Wall EL'
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath /Shear � �� `
Framing ) /r i .r / 7 G e r/
Insulation
Drywall Nailing / l�-C� 2 /'d 0/Y43 % 'ri 414GAinrZ_
Fire wall / � e / w / P C / J c-/'
Fire Sprinkler P r/ C
Fire Alarm / -�/ /' AOOD D �3 J �� ^ ,,,,�/ , / fe
ILII-
Susp'd Ceiling [� (-�/� (J , /�/ /�� (� /
Roof
Misc: /In/7 P / u. -1 / Co rp,'
Final ,,� A � 1
' D 'a /y2. /� :1.6'`g G ��Z'�/ ✓��G / ' 1
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service f • Ca MIL
Sanitary Sewer
Rain Drain s
Final
PASS PART FAIL
MECHANICAL
Post •Beam •
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
RICA).
s ervice
Rough In
UG /Slab .
Low Voltage
Fir- :farm
di
• • SS - ART FAIL _
'FE
Backfill /Grading
Sanitary Sewer
Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City Hall; 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA `�
Approach /Sidewalk
Other Date / Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.•