Permit CITY OF TIGARD
� �,� DEVELOPMENT SERVICES
°'��� 13125 SW Hall Blvd, Tigard, OR 97223(503)639-4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0227
DATE ISSUED: 08/21/98
PARCEL: 2S113AD -01900
SITE ADDRESS. °.:16600 SW 72ND AVE #B -10
SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK LOT •009 JURISDICTN: TIG
Project Description : Add rptective signaling.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER LANDSCAPE/ IRRI GAT. .
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
FLIGHT DYNAMICS type amount by date recpt
16600 SW 72ND AVE STE B -10 PRMT $ 40.00 GEO 08/21/98 98- 308504
TIGARD OR 97223 5PCT $ 2.00 GEO 08/21/98 98- 308504
Phone #:
Contract or:
HONEYWELL INC $ 42.00 TOTAL
15495 SW SEQUOIA
STE 100 REQUIRED INSPECTIONS
PORTLAND OR 97224 Low Voltage Insp
Phone #: 968 -3333 Elect' 1 Final
Reg #..: 000578
This pereit 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 .uestio��'' at 5031246 - 1987. 0
Issued by _„,„4,0, �� _- �i_`` Permittee Signature /JZ�. -2� it
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: / //9 DATE: g
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL API LICATIOAI) Rec'd by:
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE ,,rrte��
V - 503 -639 -4171 X304 AUG 2 1998 Permit #: �r—�`- —0 oa
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPFEr(!F:ITY DEV LO'° °E T
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
• F f t /1 � 1/�/ na.rn i s Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Streetdress Ste #
Check Type of Work Involved:
ADDRESS /6600 ..S) 72 d i4yr .
Citv /State Zip Phone # ❑ Audio and Stereo Systems
I Q OR 972.c-7799
Naivb i ❑ Burglar Alarm
(Sarni* rnr n ' al. n tie, ❑ Garage Door Opener*
OWNER Mailing Address
City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
Nam ❑ Vacuum Systems*
L I On Pi rib ❑ Other
CONTRACTOR Mailing Address/ •
/-5 VS s S ia.J -- phwy #!oa TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a � tate Zip Phone # Fee for each system $40.00
copy of all licenses / 'r /7 / a O 97 2.2 y 96 8 :33oe (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Pird Lic. # Exp. Date
expired in C.O.T. 8$ 7 g .2. `/ 27/f9' / Check Type of Work Involved:
data base). Electrical Contr. Lic. # xp. date
24 - .2 o7C L E /0/ V98 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Ex i5. date
to 7 1 /1/77 ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip 1 Phone # ❑
1 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
aut ;f ized to bind the applicant.
�1 ��/ FEES:
■ 4 i f/ S�E!/e' At
.1,,
Signature ENTER FEES $ I O. D U
5% SURCHARGE (.05 X TOTAL ABOVE) $ c2. O O
Authority if other than Applicant TOTAL $ 4 /2 . 0 0
is resele.doc 12/96 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
`Z -� p ? UP
7 /DO
Date Requested d� ' ! S AM PM BLD
Location ior ►;' , (S61) 7c ri d_ a e, Suite 6 /? MEC
Contact Person ( - .00 Ph PLM
Contractor 9- Ph 9'' �O3- 3333 SWR
BUILDING c� Tenant/Own FLl CIy r DVA /4M /CS ELC a
Retaining Wall ELR q0 -N7
Footing A cess:
Foundation ( W 1D M i►USP, 1 1IY1 of FPS
Ftg Drain of
Crawl Drain Inspection Notes: CALL') SGN
Slab ` (G ! SIT
Post & Beam
Ext Sheath/Shear GAIL VL 10 AlLek d ACCeSS
Int Sheath /Shear
Framing
Insulation
Drywall Nailing P4.-4---s.--_
Firewall
Fire Sprinkler N
Fire Alarm
Susp'd Ceiling --« 44---&--0
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
PASS PART FAIL
< LECTRICA
Service
Rough In .
UG /Slab
Fire ' .,::,
Fi .
PART FAIL
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 Date Ins ,/ Ext
Final
PASS PART FAIL NOT REMOVE this inspection record from the job site.
■