Permit „_,_
Ai CITY OF TIGARD
^
!Ifri
DEVELOPMENT OPMEN R SERVICES 6CE RESTRICTED ENERGY
. PERMIT #: ELR98 -0306
DATE ISSUED: 11/06/98
(/) PARCEL: 2S113AA -00800
SITE ADDRESS...:1647O SW 72ND AVE B -06
SUBDIVISION -ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK . LOT •O0D JURISDICTN: TIG
Project Description: Add 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: FEES
SAVIN type amount by date recpt
16470 SW 72ND AVE PRMT $ 40.00 GEO 11/06/98 98- 310641
TIGARD OR 97223 5PCT $ 2.00 GEO 11/06/98 98- 310641
Phone #: 598 -0982
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1975 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Low Voltage Insp
Phone #: 223 -5822 Elect'l Final
Reg #..: 000535
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 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 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 esti>>.- • OUNC 503)246 -1987.
�T T .�
Issued by � / . ✓�L /� Permittee Signature
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: I -- 01fir
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
'CITY OF TIGARD REcffRSTBICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 f'!OV U 6 1998 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: 1Z r?i -03e3
F - 503 - 684 -7297 CDr ^ DEVELICO OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
3-c \ Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS I (p 10 StAl la B ICIN (Q Check Type of Work Involved:
"` C9y-Ot I Zip � 5 ig- nct Qa ❑ Audio and Stereo Systems
Name U ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name El Vacuum Systems*
0Y VNI ` 1 SQ.C.-k-U-'\A-Uy ❑ Other
CONTRACTOR Mailing d ress
t ( t± Qom, TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a /Sta ;41„ Phone # Fee for each system $40.00
copy of all licenses c `O,Yd NY Q, aa.2)- a s (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 5 3535 Check Type of Work Involved:
data base). Electrical Contr. Lic. # � Exp. Date
a o ' -3 ( 0 1 dc,- 1 - l ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ 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:
0 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 ❑ 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. ❑ 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 n bind the applicant.
//
g :ture ENTER FEES $ 4(1 • 0
5% SURCHARGE (.05 X TOTAL ABOVE) $ 2. . CYO
Authority if other than Applicant TOTAL $ 4 k
is \dsts\resele.doc 7/97
• CITY OF TIGARD BUILDING INSPECTION DIVISION MST
; ,244-Iirur Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date l R�equested . AM PM BLD
Location f c0 L / 7 o •7 7 y nA d ,�-i'(Ae Suite 6 MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ` C
aA) 17\- ELC p
Retaining Wall ELR 1& - OOO4 ,
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH
Crawl Drain NO INSPECTION(s) IN FILE — SGN
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 Z4)(pp
Under Slab
Top Out rre 0
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTRI
Service
Rough In •
UG /Slab
Low Voltage
Fire alarm
PASS 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
Otheoach /Sidewalk Date ZZ,01 Inspector �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
03/29/2000 Activities for Case #: ELR98 -00306
10:48:59 AM t
Assigned Hold Updated .4
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes '
ELRC001 Application Received 11/06/1998 GEO MAIL GEO 11/06/1998
ELRC003 Permit Created 11/06/1998 GEO DONE GEO 11/06/1998
ELRC725 Low Voltage Inspection GEO 11/06/1998
ELRC799 Electl Final GEO 11/06/1998
ELRC500 (F) Issue permit 11/06/1998 GEO PASS GEO 11/06/1998
ELRA920 Miscellaneous action 02/11/2000 JMT DONE No Hold JMT 02/11/2000 research inspection request
ELRC580 Expired by limitation 03/28/2000 HAP DONE No Hold AKJ 03/28/2000
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