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Permit • CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY °L' DEVELOPMENT SERVICES PERMIT #: ELR2001 -00201 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/03/2001 SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD BOF A PARCEL: 1S135BA -00102 SUBDIVISION: OAKBURG ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Installation of burglaar 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: BURG.ALA X TOTAL # OF SYSTEMS: 1 Owner: Contractor: PPR SQUARE TOO LLC ADT SECURITY SERVICES, INC BY MACERICH COMPANY 2815 SW 153RD DR ATTN: JANET FISHER, ASSET MGMT BEAVERTON, OR 97006 SANTA MONICA, CA 90407 Phone: Phone: 503 - 469 -7244 Reg #: LIC 59944 ELE 26- 209CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 08/03/2001 $75.00 2720010000 Elect'I Final 5PCT CTR 08/03/2001 $6.00 2720010000 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 thro gh OAR 952-001-0180. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by _ , , Al!), 1 Permittee Signature O> /Oft 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: Cc DATE: LICENSE NO: \77. 3rd Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 08/01/2001 16:02 FAX 5034697110 ADT SECURITY 0001 Electrical Permit A c ' lion 1 . - Allb • Date recely . ©� Permit no.: ,r'_ a4 -00 ot / • . ii o : •'1,�• : „ 1 City Tigard Projtxt/eppl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: Emir, Rece d no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF 1 IT O 1 & 2 family dwelling or accessory 1ik'C 0 Multi- family ❑ Tenant imps cement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: Cl Partial .1011 SITE INFORMATION lob address: 1010 SO 1 OK st. NI. Bldg. no.: Suite no.: Tax map /tax lot/account n..: Lot: I Block: Sub ision: - • Project name :SNAk of A 785q I Description and location of work on premises: ,t11(1k Ak it Estimated date of completion/inspection: l CONTRACTOR APPLICATION FEE SCHEDOIL Imo, Job no: • 2 i $- Q [[ $$ Re Max Business name: L; n y IN Description Qty. (ea.) Total no. insp Address: 2S15 S.W. 133 Dr. New residential - single orniultl- fatauyper dwelling mitt. Includes attached garage. City: Be erton, CDRt 700 : Servieeinduded: . Phone:LJj,pQ - :7 qL F ax. , 1 7-1// f E -mail: too0 sq. ft. orless 4 CCB no.: t i 41 Elec. bus. lic. no: (� ( t Each eadditional energy. 500 sq. ft. or portion thereof Limited energy, residential 2 City /metro Ii . no.: Limited energy, non-residential 2 A A/ , ` 4 7/3/ , Each manufactured home or modular dwelling — Signature . supervising el= . clan (required) Da / Service and/or feeder 2 Sup. elect. name (print): , - & ' (A License no ' ' 1 . ✓ Services or feeders -Installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps 2 • 401 amps to 600 amps • . 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E - mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders -- which is not intended for sale, lease, tent, or exchange according to allatioo , alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or leas 2 • 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 am .s 2 ENGINEER Branch cheeks - new, alteration, • or extension per panel: Name: A. Pea for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee, first branch circuit: 2 • Each additional branch circuit: --.1_ PLAN REVlEI1' (Please check all that apply) Misc. (Service or feeder not Included): • 0 Service over 225 amps-commetcial 0 Health-care facility Each pump or irrigation circle • 2 ❑ Service over 320 amps- rating of I &2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, I 0 System over 600 volts nominal more residential units in one structure alteration, orextension• 2 0 Building over three stories 0 Feeders, 400 amps or more *Description: O Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional taepectloa over the allowable is any of the al. we: ❑ Egresa/lightingplan 0 Other Perinspection 1 l Submit _ sets of plans with any of the above. . Investigation fee The above are not applicable to temporary construction service. Other , Not all jurisdiction accept credit cads, please call Jurisdiction for more information Notice: This permit application Permit fee $ _ T T `� C O 0 Visa 0 MasterCard expires if a permit•is not obtained Plan review (at — %) $ _ Credit card number: _L _L_ within 180 days after it has been State surcharge (8%) $ _ Expir0s accepted as complete. TOTAL $ _• t� Name of cardholder as shown on credit card $ • Cardholder signature Amount • 40 -4615 (6/00ICOM) CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G� BUP I Date Requested / — 0 '1 AM PM BLD • Location [ (0 1 t' - SG1 'RD Suite MEC Contact Person 2:A,J Ph €46 7a- 9 PLM Contractor A /) I Ph SWR BUILDING Tenant/Owner - ELC Retaining Wall ELR D-Ge/ 6'4, o Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing � C YI 1 Q r / 1 D Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab F-7 4/0, �(_ Top Out D Water Service Sanitary Sewer Rain Drains 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 Fire Alarm 4a - ASS PART FAIL SITE • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before ne 'nspection.. Pa : Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Ple call for reinspection RE: 411, d n - .le to inspect - no access ADA Approach /Sidewalk / Other Date Inspector k iii E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.