Permit CITY OF TIGARD
.4s�; DEVELOPMENT LOPMEN R SERVI ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97 -0145
DATE ISSUED: 05/22/97
PARCEL: 1S136DA -00100
SITE ADDRESS...:113O8 SW 68TH PKWY
SUBDIVISION • ZONING:MUE
BLOCK . LOT JURISDICTN: TIG
Project Description : instl protective signaling
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER . LANDSCAPE/ IRRI GAT. .
GARAGE OPENER • CLOCK MEDICAL
•
HVAC • DATA /TELE COMM..:X NURSE CALLS
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
KEY BANK type amount by date recpt
11308 SW 68TH PKWY PRMT $ 40.00 TAT 05/22/97 97- 294934
TIGARD OR 97223 5PCT $ cc.O0 TAT 05/22/97 97 -29493
4
Phone #:
Contractor:
PHILLIPS ELECTRONICS $ 42.00 TOTAL
(DBA FOR MASTER ALARM L.L.C. )
1110 NW FLANDERS REQUIRED INSPECTIONS
PORTLAND OR 97209 Ceiling Cover Elect'l Service
Phone #: 227 -0571 Wall Cover Elect'l Final
Reg #..: 000433 fin,,
This permit is issued subject to the regulations contained in the -� V V L b
Tigard Municipal Code, State of Ore. Specialty Codes and all other P e r m i i g n a t ur
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
j1 A4ai
within 189 days of issuance, or if work is suspended for more W.1
than 180 days. Issued By
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 �y
SIGNATURE OF SUPR. ELEC'N: U vl/ (p4/ 4 DATE: 5
LICENSE NO:
Call for inspection — 639 -4175
. agelA-41/1_,_)
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: A.M. - P.M. MST: • k ) . . 1 . - - - & - - ).
Location: ` 13O c (0 g BUP:
Tenant ■#� a ' A r L4j iJ Suite: ^^�� Bldg: -- 7 MEC:
Contractor. � � i Phone:. (D.-- - 0 -.5 / I PLM:
Owner: Phone: ELC:
ELR: G r - ['o I
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler .
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
,) FINAL FINAL FINAL FINAL FINAL
,_/ /�� ,, / / a./1 /!■L -. !/ �# �' i A - O A / is
� .___ /L. __. ,
/J _-
•
O Call for reinspect' O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: .e 4 Date: 6 ° / re- 97 Page of
3/6/00 Activities for Case #: ELR97 -00145
7:51:08 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received • 5/22/97 5/22/97 JDA 5/22/97
ELRC003 Permit Created 5/22/97 5/22/97 JDA 5/22/97
ELRC700 Ceiling Cover 5/22/97 JDA 5/22/97
ELRC720 Wall Cover 5/22/97 JDA 5/22/97
ELRC731 Elect'I Service 5/22/97 JDA 5/22/97
ELRC799 Elect'I Final 5/22/97 JDA 5/22/97
ELRA500 (F) Issue permit 5/22/97 TAT PASS TAT 5/22/97
ELRC725 Low Voltage Inspection 6/9/98 CD FAIL CD 6/9/98 key bank no longer exists at the
above address
ELRA560 Permit voided 12/15/99 JMT DONE No Hold JMT 12/15/99
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12/15/1999 Activities for Case #: ELR97 -00145
12:40:06 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 05/22/1997 05/22/1997 JDA 05/22/1997
ELRC003 Permit Created 05/22/1997 05/22/1997 JDA 05/22/1997
ELRC700 Ceiling Cover 05/22/1997 JDA 05/22/1997
ELRC720 Wall Cover 05/22/1997 JDA 05/22/1997
ELRC731 Elect'I Service 05/22/1997 JDA 05/22/1997
ELRC799 Elect'I Final 05/22/1997 JDA 05/22/1997
ELRA500 (F) Issue permit 05/22/1997 TAT PASS TAT I .
ELRC725 Low Voltage Inspection 06/09/1998 CD FAIL CD 06/09/1998 key bank no longer exists at the
above address
ELRA560 Permit voided 12/15/1999 JMT DONE % No Hold JMT 12/15/1999
6 ek 1)11'4`?-
7( 3 6 3
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