Permit ....
,. CITY OF TIGARD
,„„, , DEVELOPMENT SERVICES ELECTRICAL PERMIT -
RESTRICTED ENERGY
PERMIT #: ELR97 -0226
DATE ISSUED; 08/005/97
PARCEL: 25101 AA -0 9300
SITE ADDRESS...:12370 SW 69TH AVE f200
SUBDIVISION :MLP95 -0013 ZONING:MUE
BLOCK!........... LOT. ° ...........:01Z11 JL'RISDICTN; TIG
Pr ect De scr i pt i. on : Tenant improvement: Bellanca
A. RESIDENTIAL -- B. COMMERCIAL-------- - - -• - - ---- - - - - --
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..
BURGLAR ALARM BOILER..........: LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER..... CLOCK........... MEDI CAL ,........°..,
HVAC DATA /TELE COMM. .:X NURSE CALLS......,,:
VACUUM SYSTEM • FIRE ALARM. .°°..: OUTDOOR LANDSC LITE;
OTHER: .. HVAC • PROTECTIVE SIGNAL—:
INSTRUMENTATION.: OTHER..: SEC SYS ; X
TOTAL #k OF SYSTEMS; 2
Odyner: -- - - -___ ___----- - - - - -- ---------- - - - -•. -- - - - - -- -- - - - - -- FEES - - -- ..._ _ ____ ._. .
J T ROTH JR type amount by date recpt
12600 SW 72ND STE 200 PRMT % 30. 00 DST 08/05/97 97-297985
TIGARD OR 97223 SPCT $ 4.00 DST 08/05/97 97- 297985
Phone #: 639 -2639
Contractor: --- ________-------- _- __ -_ -• --------------------
ADVANCED FIRE PROTECTION $ 84.00 TOTAL
4742 FUTURE DRIVE
------ REQUIRED INSPECTIONS ---- - - - - --
SALEM OR 97305 Wall Cover
Phone #: Elect'l Final
M
Rg $ ..: 47874
a
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All wcrk 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 rule 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)245 - 1987.
Issued by ,�i(/ Perrrlittee Si onatur ^a `
•----------- .. ..------ - - - - -- -OWNER INSTALLATION ONLY•---- •---- - - - - -- - __ - •. - .__ - _ — _ — __. — _ - ._-
The installation is being made on property I on which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE: _
---- • - - - -- ------ -- -• - - --- CONTRACTOR INSTALLATION ONLY----_-------._.-_----.___-_.__-_.--.-.--._..---.-
SIGNATURE OF SUPR. ELEC' N: &III DATE :
LICENSE NO ; . _ _ _____ ___.
+ ++ 1-- I-+-I - + +•i + ++ 5- + +-I- +-I ++ +- - +++ + + +-t+ +-I--; + ++++ + +- + ++ + +-i + +++ +-I + ++ + + ++ ++ + --4 -1- (-1 +- F+ + + + + ++
Call 639-4175 by 6:00 P.M. for an :inspection; needed the next business day
+ - F•- 1- +-I--} +.4 -r-•:- 4 -1-1-k• +-I- +-: -{•--}-•d-+1- +•;-4-4-1- -l-- f•+ -!-- -I--t-+ I-++++++++++++ + + + + ++ + + + +++ + + ++ ++ + + ++ +-f--.1 -1 1-4.
CSTY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Recd: ( 9�7
TIGARD OR 97223 PRINT OR TYPE
V - 503 -639 -4171 X304 Permit* E (.RR 7- G '
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project f (LW 0 paa TYPE OF WORK INVOLVED - RESIDENTIAL
` _� Restricted Energy Fee $40.00
ZU k W∎- ' (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS VZ-- S1 0 SW (p 2...D 0 Check Type of Work Involved:
y /State Zip Phone # El Audio and Stereo Systems
i U A -p2.N\ Ox 4 17223
Name ❑ Burglar Alarm
Z 7 4, d C n>^ R +-4.0 c. ❑ Garage Door Opener*
OWNER Ma' inp.Address
J t- I SW G g lOk W ❑ Heating, Ventilation and Air Conditioning System*
City /State Zip I Phone #
T ih tl2 cl c t')u
A - Q2 .3 13 covi
❑ vacuum Systems*
Name
t ca0o,nrer>) F re Pni-(=H- ❑ Other
CONTRACTOR pcajlipgAgdiess ��
` )) gd��7� , 5 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a pity /State I Zip Phone # Fee for each system $40.00 Ur copy of all licenses `cj1 ` , 1.0 (SEE OAR 918 - 260 -260)
are re required if O_rgggn on to. $rd Lic. # p�
expired in ee C.O.T. L I Check Type of Work Involved:
data base). �Iec�tr Qtr. Lj� # F ;R: ❑ pr,�" � c . Audio and Stereo Systems
C.O.T. or Metro Li q, —7 A Exp. Date ❑
d �( Boiler Controls
Owner's Name r
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Q• Telecommunication Installation •
City /St Zip I 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. ❑ 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 503439 -4175; ❑ 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 ❑ 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. 111.- Other S Q.-CUv . l.t y S y Sri"
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.
....... ,(..a_:\r . z:\
EEO: � _
Signature ENTER FEES $ 0 0
5% SURCHARGE (.05 X TOTAL ABOVE) $ 4 Li �
�/ D
Authority if other than Applicant TOTAL et c74 $ g I
i:tresele.doc 12/98 b' / -
Cgel sC a_,k2-..a\,
CITY OF TIGARD BUILDING INSPECTION DIVISION
•
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 1 `Q. ` A.M. P.M. MST:
Location: / 5 7 d 6 9 A A __ e-- BUP:
Tenant: Suite: .100 Bldg: MEC:
• •
,
Contractor: 0-41 i /4' c • ' . lone: 50 3 (' 4 d(,s1 PLM:
Owner: Phone: ELC:
ELR: q -) D °" 1/4e
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cov �..ce Sewer /Storm
Footing Roof UndFl/Slab Rough -In Water Line
Slab Framing Top Out Gas Line •� ,c7 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 • ppro :• Approved
Appr /Sdwlk Not Approved Not Approved Not Approved • • Approved Not Approved
FINAL FINAL FINAL ` 1411■11M FINAL
. EINNEWIIIIIMaloi
x.-
0 (::: (N V14
\(
C Q -( i C..6 r ) e r _
O Call for reinspection Reinspection fee of $ required before next inspection 0 Unable to inspect /
v
Inspector: / aa >! 1 Date: 3 7"--- ) '� ( R,,,..„-.4 CC U— Page of (
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 10 ' () 1 -97 A.M. 71` P.M. MST:
Location: ._ • A / . e -C4/ BUP:
Tenant: } — Suite: Bldg: MEC:
Contractor: \J / � 771 Phone: / 7 '/ h -',.2 q
Owner: Phone: EL�. ! 7 -Q
%�% -_ia e� /-_.,41 � '/' -- 7-36
��1 _,, 0, l, fft i! _ _ SIT s1.1-
BUILDING BLDG (con't) PLUMBING MECHANICAL ' LECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/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 i c�
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump (�w Vol
Approved Approved Approved • km lived Approved
Appr /Sdwlk Not Approved Not Approved Not Approved w�• Not Approved
FINAL FINAL FINAL 1 • •. FINAL
.
C e5 f f e ci J en s e- ® A c'
1 4 _______/,, c f). G.e) _ . cf.) 4,,,i r / .y' -3 a2 7ee/
ii en 5 4-r ��`P� ^ < e--1 I s 1 P
� r r
ct pi cp1 , , / ,. ,
2 . , 9,, ,Y s �' ,.. i/� g,a tic 74c,
e ve -R k e pi •�/D .e.5 -.4 r
i C'cle ey-c=. IA =f r
� s • - Cc l,p
1 � � ?IX
0 Call for reinspection I , 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Ac e%�c,`'e Date: 6'~ ON"? j 7 Page of
0 -1
D
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 10 ° f (1 , r � c 1 7 A.M. P.M. MST:
Location: ! 2570 Su) / / C l a) be • BUP: V •
Tenant: _ 200 Bldg: MEC: 10
Contractor. d i L eV i .10i/rut .f &1AJ 4l1 Pho 5� d� q 5 PLM: 1
Owner � ELC: e _ j'
{ m
��,/,, �� ,, ` � � �d L lC.lf ,(.f4 ,1 -' .<M' lX. _ 7�'°I�� �.% 'I��� G.7 ELR: I . �. - r
U' ii- c V� c t - CAALt . n . ' -' D U S `1 I C 41, .PSI'I
BUILDING BLDG (ton't) PLUMBING MECHANICAL — - ELECTRICAL ) SITE
Site Post/Beam Post/Beam Post/Beam 'Cover /Service " Sewer /Storm
Footing Roof UndFl/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 /AIm Crawl/Found Dr Heat Pump — Low Volt a
Approved Approved Approved Approve Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL ---? FINAL') FINAL
_
.)1 A al er / i
•
400
O Call for reinspection O Reinspection f of required before next inspection D Unable to inspect
f / �/
Inspector T" c." 4 �! x (,( c-i /e1) r" y ` Date: � � Page of