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Permit
CITY OF TIGARD ELECTRICAL ENERGY RESTRICTED - ENER 1`y'� DEVELOPMENT SERVICES PERMIT #: ELR2000 -00174 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/31/2000 SITE ADDRESS: 12123 SW 69TH AVE PARCEL: 2S101AA- 02900A SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE BLOCK: LOT: OOA JURISDICTION: TIG Project Description: Access Control /CCTV A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X 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: TOTAL # OF SYSTEMS: Owner: Contractor: TIGARD CORPORATE CENTER LP C3 // COMMUNICATION CNNCT CNTR 15400 SW MILLIKAN WAY 10950 SW 5TH BEAVERTON, OR 97006 SUITE 110 BEAVERTON, OR 97005 Phone: Phone: 503 - 643 -1922 Reg #: LIC 0117658 ELE 24 -373E FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT JMT 07/31/200C $60.00 0004104 Elect'l Final 5PCT JMT 07/31/200C $4.80 0004104 Total $64.80 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 OAR 952 - 001 -0080. You may obtain copies of these rules or direct,questions to OUNC at (503) 246 -1987. Issued by 4)/01V/IC Permittee Signature 'l \\ (DIJ Q p 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 CITY ©F TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SW HALL BLVD Date Rec'd: ,j / —ef7p TIGARD OR 97223 PRINT OR TYPE C � ` V - 503 - 639 -4171 X304 Permit #: EA, ,26 /0 (7L/ 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 2 D. Restricted Energy Fee $60.00 4.414Q 1 5 5A Ace 1 -1009, A.)1.5 (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS ' L I Z 3 S i...) / (,� g Check Type of Work Involved: City/State /State Zip Phone # ❑ Audio and Stereo Systems T'G 0 , e4_ 4 7223 Name l Burglar Alarm OWNER Mailing Address `❑ Garage Door Opener' City /State Zip Phone # I I Heating, Ventilation and Air Conditioning System' Name C3 . C' a►a17ty /«'r-/ pHs ❑ Vacuum Systems* C 0►1 4 Gc, r1 0vis Colt 7 12.4- cubes / A'C ❑ Other CONTRACTOR Mailing Address 1 0 q5 0 5,,,j 5 77, TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City /State Zip Phone # Fee for each system $60.00 copy of all licenses BQ 4- I/e.f•re) W' 7cO 5 6v3 "/S 22 (SEE OAR 918- 260 -260) are required if Oregon Contr. Brd Lic. # Ex . Date expired in C.O.T. 117 &Se I t�i�O/ Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date 2 373 CL(G /G// /oo 0 Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. ate 1 17q0 11/ / / of ❑ Boiler Controls Owner's Name ❑ Clock 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 ❑ 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. F 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; n Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit; 4. Assume responsibility for assuring that all corrections required by the pi Outdoor Landscape Lighting* inspector are done, and; ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. p Other Aese55 cob / cc T d 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 applicant. FEES: 447i,viivevkt.e... ENTER FEES $ Signature 8% SURCHARGE (.08X TOTAL ABOVE) $ Authority if other than Applicant TOTAL $ is \dsts \forms \resele.doc 3/98 CITY OF TIGARD BUILDING INSPECTION DIVISION - ° MS7 In 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1/--/ AM PM BLD Location / i, / Z 3 .5&i, 6 7 Suite MEC Contact Person Ph 5k3 lr 3Y /fez PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 32000 -DU 1 7 `� Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab &///' SIT Post & Beam / Ext Sheath /Shear • / Int Sheath /She Framing Insulation Drywall Nailing Firewall Fire Sprinkler �ivC Fire Alarm Susp'd Ceiling Roof 0 4 Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL C "Service Rough In UG /Slab Voltag. `Fire Alarm Z PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay. at City Hall, 13125 SW Hall Blvd . Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date / / Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' CITE( OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested // . �� 3 AM PM BLD Location / �/ Z _ 3 5(,) ( .91./e Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 7 019e) -49/7y 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 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final P FAIL TRICAL UG /Slab Low Voltage -rm - A D PART FAIL SITE 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 einspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 00 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.