Permit CITY O TIGARD
ELECTRICAL PERMIT -
RESTRICTED ENERGY
b4-4 11141 r;� DEVELOPMENT SERVICES PERMIT #: ELR2002 -00153
� J� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/9/02
SITE ADDRESS: 16100 SW 72ND AVE B -18 PARCEL: 2S113AA -00500
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L
BLOCK: LOT: OOA JURISDICTION: TIG
Project Description: Low voltage: 1 System- Data telecommunication and 1 access control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: ACCESS PNL X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
PACIFIC REALTY ASSOCIATES APPLIED TECHNICAL SYSTEMS INC
15350 SW SEQUOIA PKWY #300 -WMI 6024 SW JEAN RD
PORTLAND, OR 97224 STE E -200
LAKE OSWEGO, OR 97035
Phone: Phone: 752 -3548
Reg #: LIC 89511
ELE 2 -71CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 8/9/02 $150.00 2720020000 Elect'I Final
5PCT CTR 8/9/02 $12.00 2720020000
Total $162.00
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. /,
Issued by 10_,L � IA, Permittee Signature 1(A,I ,,Q 6f -
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: er"1 C(42.0 . DATE:
LICENSE NO: IL (17--
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
O fd / .2�^i� 00 :15 FAX 5035981960 CTTY OF TIGARD 0002
Electrical Permit
Application •
•
` ���` \J PegjeWappl - Expire Mu:
a y ga d Addrestc 13125 SW Udall B1vd.'Zig OR 97223
Rhone: (S03) 6394171 X011 B7.BP �ipt
Fax: (503) 599-1900 Oh 5 2002 Camille ao,; ttype:
Laud use approval: . • , . tr 11 D ti 31 els - ate ,
"1 1x1'..1'
O 1 * 2 family dwelties or =essay 0 Coaoer cisl/hdnsuial 0 Muld..fmnUy 0 Tenant impravcment .
O New construction X 0 Other: 0 Panda]
.101.1 SITE INIO1t :11ATION
•
Job address: 14 10 SW 12. w 0 Bldg. no.: Suite no.: Tax mapItax tothemouct no.:
Loc Imlee.L `Subdivision:
Pteje t it 1 Desodption and location of walk on premises: yo Ice t OAO CWgL14i
Estimated date doom ., - .. , . • - ... •
CONTICAd,1OR APPLICATION FEE SCHr111.: L
Job our » Mart
Bath as aaamF A fU '1'60.14Mt af-. Sy s �+ Qrs. (via.) Toot ee. auk
Addre�c 02 Se+u sw'. i'•0 E' 0 — ��uu e°r beer
City: 114.K6- OS ...moo State o;C ZrP: 47035 6 ' t om
Phone: 6 ea. 4 1 4 ft I Fax: S9a • 0416I B -maid 1000 e4• n &lass _ 4
CO3 no.: a s $ % 1 > • II)* u '(J Elec. bus. ha no: 'A -�'� 1 j, L�,v _ ' oast SOO p. (c orpoallon cbdoo!
City /mehvlic. no.: f.�i 55 /Mt _ r p� 1.tAasedeoaSnee�W
�t 2
�SY.
.. • « • �
. _ 6erh anonlecktad home of modular
Date . p Service ®d/or fonder • 1
Sep-ehhot name (Pen ' NCK OWE 11aweewe 1474 31.0 6en/egi rfaders-- 1--'1' ' . .
&made er releeatloce
1'I(!: i f'ERTI' O1I7V1:1t 200 amps orlon
2
N2me (Fiat): ?Ayt CSS D2uGS. 201 m coo impo 2
address:
s_ vt a s o0 ... 1
ompa to 1000 amps 2
City: I State: ..... ZIP: Ova 1000 or sobs 2
Phone: (Fax: IE -mail; Reconnect I
Owner installation: The installation is being made on property I own INhporary services or
Which is not intended fur sale. laate, runt, or exchaage according to aennatteghatteradoa,errelecatleas
ORS 447, 455, 479, 670, 701. 2a0 amps or lw 2
201 saps to400maps 2
Otvni's signatur Date: 401 to 600 , - 2
EN C I :N f rR Braeeh oledlala- thew,dtstllttion,
Name:
or Wend* perpnad
A Re fair/nub circuits with pweboseet
Addle ss: service or theft each branch dteuit 2
City: State: ZIP: L RIO for same elradar vAdzaatparchosa ■
Pbone: Pas: g I: ofsnylosor 6eedertce. Best le o 2
Bonn addineaet broom amnia
PLAN ltLVIFW (Plca.tir. cued: all [lint app)v) 'i Werriceor 77 . , ass •
0 Betviceover2 5ampoeo®ehdal 0 IfciJ ►oorcfeaiay Each pomp Dr irrigating circle _ 2
0 Semi= ova f �aapagatiagof 1&2 o Ha�paalooadon Bach sip montane lighting . 2
O Bulldog over 10000 amnia rerefbaror Ming dredge) eaa limbed energy peed. a
O Systeinov�a600voltsnotnine1 mare maidanda! salts laons ro alteada .arch on' 2
0 Barba rim three etcher 0 Feedas. 400 amps or 112076 .. a
O Occupant lard over 99 pawls C Mated suer ens orRY pith Erb oddiHooa3 bspoodou ohxrt3e allowable Fo oitlts slime O Bhdagp 0 Oder. P� ce7
Submit _ariofpbmswith swords above. — ;.. �"1 1 I
The above are not •pptltatblp to tempotary eon dina service= Ocher
Ie+1�au emm saw care arnk ptg■ calf Jceintl don for mom In tannoloo. Notion: Mee petmk application _+Curds !ce $ ii-.72_ 06 _
0 Vba O expbel if a pamft th nor obtained Pl tm =now (at _ %) $
amass cavil wow= .—..—/--L—... within 160 days air aces been $ (8%) -.•- $ a
Nu= ateswievidsr Esc divvy en abases ass es complete. TOTAL ................. $ , I .O
caea —
411341615 (moaaoaa)
200/T00 - d 096186S20S :01 8600- 86S -20S SIWNONd 62 :60 2002- S0 -9fld
CITY OF TIGARC 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION 9 Business Line: (503) 639 -4171 MST
��� BUP
Received Date Requested AM PM BUP
Location 4 d 7 ( Suite d - / g MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) F SWR
BUILDING Tenant/Owner "_d ELC
Footing
Foundation ELC
Ftg Drain Access: ELR /
Crawl Drain
Slab Inspection Notes: SIT ► _
Post & Beam �►
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation v a Drywall Nailing � ' 1 1���
Firewall
Fire Sprinkler
Fire Alarm 1 \\(\i
Susp'd Ceiling
Roof
Other:
Othe
Final � 1
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
,g -
e •
Fire Alarm
F' n 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS ART FAIL
SIT Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA G
Approach/Sidewalk Date 4 O Inspecto Ext
Other:
Final DO NOT REMOVE this Inspection record from the ob site.
PASS PART FAIL