Permit A �_ CITYOFTIGARD
„,,o�i DEVELOPMENT SERVICES ELECTRICAL PERMIT -
RESTRICTED ENERGY
PERMIT #: ELR98 -0262
DATE ISSUED: 09/17/98
PARCEL: 2S113AA- -01000
SITE ADDRESS... :16550 SW 72ND AVE #B -09
SUBDIVISION....:ROSEWOOD ACRE TRACTS ZONING:I -L
BLOCK............ LOT .............:00C JURISDICTN: TIG
Project Description: PacTrust Bldg 9
A. RESIDENTIAL -- B. COMMERCIAL--- ---
-
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER..........: LANDSCAPE /IRRIGAT..:
GARAGE OPENER ° CLOCK...........: MEDICAL °
HVAC • DATA /TEL_E COMM..: NURSE CALLS........ :
VACUUM SYSTEM • FIRE ALARM ° OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL.. :X
INSTRUMENTATION.: OTHER..: ::
TOTAL # OF SYSTEMS: 1
Owner: -.- -. - --- .______ -.__._ FEES ___.___ -_. ----
PACIFIC REALTY ASSOC type amount by date recpt
15350 SW SEQ(JOIA PKWY PRMT $ 40.00 JSD 09/17/98 98- 309237
STE 300 5PCT $ 2.00 JSD 09/17/98 98- 309237
TIGARD OR 97224
Phone #: 824 -7787
Contractor: - -- -• -- - - - - -- - - - - - -- _. _.
HONEYWELL INC $ 42.00 TOTAL
15495 SW SEQUOIA
STE 100 -- REQUIRED INSPECTIONS --- - - - ---
PORTLAND OR 97224 Ceiling Cover Low Voltage Insp
Phone #: 968 -3333 Wall Cover Elect'1 Final
Reg #..: 000578
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 ies are set forth in OAR 952 -001 -0010 through OAR 952 -001 -0080. Yo' may obtai- copies of
these rules or direct questions to OU 0/,503)246 -1987. P
Issued by � '� Permittee Signature C.
r
--- - - - -- - - -- -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: DATE:
LICENSE NO: _ ______
++++++++++++- 1++- 1-+++++++++++++++++++++++++++++++++++ + + + + +++ + + + + ++ + + ++ + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + ± + + + +++ + + + + ++ + + + + + + ++
Recd by: ��/
...CITY-OF TIGARD REST IAY §NERGY ELECTRICAL APPLICATION
13125 SW HALL BLVD Date Rec'd: ..: ,llr, USe<
TIGARD OR 97223 S EP PRINT OR TYPE J �
V - 503 - 639 -4171 X304 1 7 199 Permit #: -.°06
F - 503 - 684 -7297 Ca", 7t1 I,N,C r A TE OR ILLEGIBLE APPLICATIONS Cust.Call'r AIM',
vr Via NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
y '7�� 1 / Restricted Energy Fee $40.00
-
/ Qr./rUS1 -3L . #7 (FOR ALL SYSTEMS)
JOB Street Address Ste # Check Type of Work Involved:
ADDRESS / ;55e) SLJ 7.7nd. Ave
fi ty /State Zip Phone # ❑ Audio and Stereo Systems
ir f land- nR _`77 Q y 629. 7757
Name ❑ Burglar Alarm • 0 1 1 7 CLIa s l - 0,06 // - 14..) . h lr, z • ❑ Garage Door Opener*
OWNER Mailing Address i535 - w) -
iic■- eAmm-iirzawanrvim Heating, Ventilation and Air Conditioning System*
,...y/State // c/ Zip Phone #
O rf/anel. nX 9 72 2 / ❑ Vacuum Systems*
Name
H O,, P h'Pi i , El Other
CONTRACTOR Mailing Address.)
is (17 S SGl Sirloin 17 I OD TYPE OF WORK INVOLVED - COMMERCIAL ONLY
� .A !
(Prior to issuance a ty /Sate Phon Fee for each system $40.00
copy of all licenses ror H ,OR 122 y 961.3300 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Bfd Lic. # Exp. Date
expired in C.O.T. n S 7 0.25 //:2 09 Check Type of Work Involved:
data base). Electrical Contr. Lic. # 'Exp. gate
.2 1, .20 7 � / E /o /i I ' ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # E p.'
(o O 7 y 1 / / 79 ❑ 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. ❑ 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. 1 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:
Si atur
4`���" ` A / J f %`� ENTER FEES $ y 0:0 a
5% SURCHARGE (.05 X TOTAL ABOVE) $ .2-00
( .rru�rJ • ^ ., 'i
Authority if other than Applicant TOTAL $ 4 /2 • OZ
i:\dstsvesele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171
• BUP
Date Requested �1 AM /2� PM BLD
Location I (' SS �) 2! 4��� Suite 6-0 1 p MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC �`''=
Retaining Wall ELR • o — P UZ(.92
Footing Ar _____
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH
Crawl Drain In SGN
Slab NO INSPECTION(s) IN FILE
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation - O 024,7 F ,
Drywall Nailing 7 d
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 Jrp
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line •
Smoke Dampers
Final
PASS PART FAIL
EECE
Service
Rough In
UG /Slab
Low Voltage
Fir- Alarm
*ASS 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 reinspection RE: [ ] Unable to inspect - no access
ADA ^�
Approach /Sidewalk
Other J Date Ins Ext �
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.