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Permit CITY OF T I G A R D ELECTRICAL ICAL ENERGY RESTRICTED ENERGY ey DEVELOPMENT SERVICES PERMIT #: ELR2000 -00102 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/05/2000 SITE ADDRESS: 10230 SW WASHINGTON SQUARE RD O PARCEL: 1S135BA -00102 SUBDIVISION: OAKBURG ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Install 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 SQUARE TOO LLC ALLIED SAFE + VAULT INC BY MACERICH COMPANY AKA ALLIED SECURITY ATTN: JANET FISHER, ASSET MGMT 1609 NE MARTIN LUTHER KING BLV SANTA MONICA, CA 90407 PORTLAND, OR 97232 Phone: Phone: 281 -1177 Reg #: LIC 0064465 SUP 373JLE ELE 26- 243CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT GEO 05/05/200C $60.00 0001966 Elect'I Final 5PCT GEO 05/05/200C $4.80 0001966 Total $64.80 ORIGINAL 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 OA' 95 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. , / /_� Issued by % `�j Permittee Signature AY/ / � ��� /A, . , / // 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 /t// DATE: 5 - 1 0 LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE �p � V - 503 - 639 -4171 X304 Permit #: O-^ a0 °°' ° / F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $60.00 / v to � y t (FOR ALL SYSTEMS) JOB Stre Address Ste # Check Type of Work Involved: ADDRESS /pAgD 51 CJdS S . R City State Phone # ❑ Audio and Stereo Systems Tar�'- 97da 3 e ❑ Burglar Alarm OWNER Mailing Address I ❑I Garage Door Opener* City /State Zip I Phone # I Heating, Ventilation and Air Conditioning System' Name ❑ Vacuum Systems* 4 / //r c i Sec u v. t ' �/ ❑ Other CONTRACTOR Mailing Address f 9;4 SF 41- lA y TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a ty /Sta Zip Phone # Fee for each system $60.00 copy of all licenses f y 7/ a r y ) Iv I y 45 _ ySczj (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # f Exp. Date expired in C O.T. 91/ 4-5- ,`Z- �?'� -0a2 Check Type of Work Involved. data base). Electrical Contr. Lic. # Exp. Date v? aY3 CLE /4 --/ -60 ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp Date Fl Boiler Controls Owner's Name n C lock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City /State Zip Phone # ❑ Fire Alarm Installation This permit is issued under OAE 918 - 320 -370. This applicant agrees to make only restricted energy installations (100 volt amps or less) under this n HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ Landscape Irrigation Control* 2 Call for inspections when installation under this permit are ready for inspection at 503- 639 -4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an n N urse Calls inspection when the inspector is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* inspector are done, and, P rotective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non - transferable and non - refundable and expire if work is not ( started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations authorized to bind the apple - t. ,� I , . � FEES: / : _ _ _A : /l — i. n =ture ENTER FEES $ 6 ©� Q (/ 0 *SURCHARGE (O X TOTAL ABOVE) $ y • S. D Authority if other than Applicant TOTAL $ 6 I I ' if? 6 i \dsts \forms \resele doc 3/98 Cis s� F./ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 AM PM BLD Location (OZ-30 OA— SU led Suite C -/2__ MEC Contact Person Ph PLM Contractor 01//7 L j l2 S it.) Co Ph I 3D23 SWR BUILDING Tenant/Owner Stfi LC l 4 44 4 — 2 Ob Ste' Retaining Wall Qro= l��f✓c 1( LAi I rex ELR ow— Dv / 02-- Footing Access: Foundation �-� FPS if-0 0.3 1 Ftg Drain Crawl Drain Inspection Notes Ay -1„/ 0MA Slab � L i,.._ - e - f' r Post &Beam /41- �� r \ Ext Sheath/Shear Int Sheath /Shear c Framing Insulation Drywall Nailing / RN u AA: •( Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: �LC ) 9 4r /.✓� - `C = am Final PASS PART FAIL /� PLUMBING ' L 2e� "' 00/ Z — /�A: Post & Beam Under Slab Top Out Water Service Le- /9f? - r Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Low Voltage Fir Ala a p PART FAIL 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 7 Lf Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.