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Permit CITY OF T I GA R D ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2003 -00275 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/03 SITE ADDRESS: 09665 SW WASHINGTON SQUARE RD C -2 PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of protective signaling. 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: PPR WASHINGTON SQUARE LLC ALLPRO SYSTEMS BY THE MACERICH COMPANY 1137 HARBOR LN 9585 SW WASHINGTON SQ. RD. KEIZER, OR 97301 PORTLAND, OR 97223 Phone: Phone: 1 - 503 - 566 - 7207 Reg #: L1603- 566-2/31E2 ELE 24- 489CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 9/10/03 $75.00 Elect'I Final [TAX] 8% State Tax 9/10/03 $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 Permittee Signature ��/ 47 _,p - 77d " / 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 FROM : R_B_Enterp PHONE NO. : 5035667202 Sep. 08 2003 04:38PM P1 y 1 09 /Ub /LUlia 10 :0L Tye. JVadaulavv ••.. — -..— .EleCtrical Pe t A IiCafi u r is 01, F it_ E ! :St', °NI_X' CP-' of Tigard ED , , Da. Sigu .: Psr iitNa.; 13125 SW Ilan B lv d Four Review Other .r 'a; Oregon 97223 SEP 0 8 20R1 Dew P_,,,0 No: Phone: 503- 639 -4111 Fax: 503 - 598-1960 , ;. v� l Cie No. Inteatet www.ci- tigaadaiDI OF TIGARQ Lj.- � I Coact . _ ∎2 seeFan2fo 2441.our In4pecioa f� 78 N Aka' s • „ • ml Info : on. IIIP ' .'a _ I ?i:.... I _,.::., ' .ul. { I I. - c.. 2 ' - , i il ' ' i' 1 :i2j; I Z_il,rl IN New construction N Demolition r Service a'er225 amps• i Heatth•cmr fatality aaamtetcial 0 3ta:udeva locator • ■ •; tion/alterat io . Women: 1■ Ott CI Service over 320 aeopsaadag of I stalling over /0,000 cute feat. • !''r `I.,, ! __ . ., ,`_.: -. 1 & 2&mrdydwoUtuge • four ormoraresidenitaltin w r -•a= • - • t r52I R contraezoi4l ndu ial 8 b�starnevatsouvolts =raisel eae struoane ■ - 1 B .1 I . r 3 -F :11. • 1 over three aeries Feeders, 409 amps or mere 0 Oaocgaai load over 99 perms Mainfhssue3 otrrutures c r RV t'ar'e • ■ 1, Builder IM Other: ❑ Egresallisloiz,3 plia Other IF ,I C: i , + ^ r .7'.-.'1.' Submit &pines wittift� of tie above. ._ .. _. _, .. � � llcaDle tern r tnaaciaettan stroke. .. — ` Job site address: - a ; ! ' � Suite #: , , •- Bld • JA • O. Number of las -- • , as ■ malt allowed Prt jeot Name: RAC &A& n" qt. Seecma mg C street/Directions job site: xewt or _teat _ a°* 1 I a mat l ottee I Q ! Tram' - :" .,. ,', ss_ , -__ a 59 -40 111111=1111111 Subdivision: ' Lot # : '_ r�r E1 FF ,�. : :.. .... - t� ii PI 4... , .. c '.... 1 t'.,1 , --� f . 2 . ,. _ .� h _ cos or *deco - 4 ILtion n wetlooidoni 200 ...• eelw I 5020 2 rl . . TO `, . 11.. =min ' I _. -. G1 �. :: - .,. ` . ;', rl • 7v--: l - !! � ''',,',77 t 601 �. .. to 111 . En 240.6' -1Q .IA Name: .. _ __.j - Vii. 2 Address: I Tcmpor.r .er.hes or feeders • insmeadoa, I I nttgroelen, or relocation! 1 I La /State/Zip,, 100 _,. dG•BS or ivies [1I Phone: 201 ..._m.IS IA- : Fax: 49110 ' +' MINI 133, i © .. , ,. > , � ,, . Breach eiremlt•1- sew, alteration, or Name: I aleasion par bock A. Fee tar breach wpmobaee of Address: ' - • • or feeder '• erd ibteeeb ekeuit illIM 2 City/State/Zip; I a Fee •. Wadi circuits with s racioase of • 11111111111111 Phone: PUX S , 4,Oae. rrl r , ; . ; t .., ... . „ 3 .40 2 Job id Q • s s/nraestma,' Panel, . I Business Name: l /PAO Sy•S v aaa 11111 111 Address: / • _, . . • a over the allowable is : of the above - Ci /Stat&Zi ' . : .. � ty 11• �Ce� s« � Q 7 3.9 / ' • , , 6210 MN Fax: fir. F T• .....,.... _ �_ CCB Lis. #: ��,�� ; - _ ..... ; a s _1 SapervL uig eleotricisas , i o Stl • tetst S — Si - • = bnre re • abed: �����j�a � P Xavier/ % vFPmmit Fee S Print Name: �w ve• i t iftl "lS�i3%j� iA Sego � o�PatmTt l ea ' • tit 4V. OM � � .�. M Notice: Tt 1s permit sDDUeadon taping if a permit is sot obtained within el D st ��-" f " `° "" 186 data after It has been ae�oeDtcd as complete. / *Pei meihodelagy set.by 1erCeunty!Wilding Y Service Board. (Pinar. print •.,.• ) i.acrellsarvmt £omffi�EIcPe�ltApp doC GI/C: c'c - — /x.3&3 6,c'41yo � /30 /oy FROM : R_B_Enterp %witio /Luus PHONE NO. 5035667202 Sep. 08 2003 04:39PM P2 �.- 1J•dd t'L1L Vv�vwrvr+ • - -- •• ctrical permit AA>plicatiion - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: s ara u »nt, WORK ONLY: Fee far mums »«........ ..�..».».» ».....�....._. Clintaype of Work Involved: ❑ Audio and Stain Byrum • �; Single; Alain r G o Door Opener* Roaring, Ventilation mad Air Conditioning system 0 Vacuum banes* 0 Other • Mmicalc WORK ONLY: Bee for egg sy3tece S75400 (SEB OAR 918460 -260) Che ek Typo of Work lavolved: L J Audio and Stnso Syatama D Railer Controls , • Clock SYms U Data Installation • • Pied Alarm installation ❑ VvAC Instnnamettion Q Lonaws p e tr iptiencomrol- a medial ❑ » Calle ❑ Ova Leedgeape Lighting rmtacve Monahan ❑ Otbor __Number of Systeme * No Licenses are required. Licenses are required for all atlas; !manhattans • ittDenTornit FoneeS1oPcrodeApoPadae 01/03 CITY OF TIGARD 24 -Hour . BUILDING Inspection Li :- (503) 639 - 4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / - 9 AAM � PM BUP Location q dos wa.S� ■�'5 « +"Y1 9t44 . r`O�Su�e (( �� MEC • Contact Person v Ph ( ) 5 Co &' - 7a- 0 7 PLM Contractor B 9 ( Me Ph ( ) SWR • BUILDING T enant/Owner ELC Footing Foundation ELC Access: Ftg Drain 3 0 02.75 Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath/Shear ' Int Sheath/Shear Framing Insulation Drywall Nailing • Firewall 6_ (— 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 Slab Low Voltag� Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. �ASS� PART FAIL Please call for • inspe lion RE: Unable to inspect — no access Fire Supply Line t / ADA Approach/Sidewalk Date - 40 Inspect° ■ Ext Other: Final DO NOT REMOVE this inspection record rom the ob site. PASS PART FAIL •