Permit CITY OF TIGARD
�,��j� DEVELOPMENT SERVICES ELECTRICAL PERMIT —
'- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR97 -0370
DATE ISSUED: 12/31/97
PARCEL: 25112DC -01500
SITE ADDRESS...:15615 SW 74TH AVE #130
SUBDIVISION :FANNO CREEK ACRE TRACTS ZONING:I —P
BLOCK LOT •006 JURISDICTN: TIG
Project Description: Add protective signaling to a tenant occpy.
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
JIM CASTILE type amount by date recpt
8100 SW DURHAM ROAD PRMT $ 40.00 GEO 12/31/97 97- 302171
TIGARD OR 97224 SPCT $ 2.00 GEO 12/31/97 97- 302171
Phone #: 639 -1395
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 questions ti OUNC at (5031246 -1987.
Issued by 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: g
LICENSE NO: _...� _.. _
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
'el
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. /�
Tigard, OR 97223 PERMIT # ,e 6 /G �I -O3
040100 h Phone (503) 639 -4171
■ FAX (503) 684-7297 DATE ISSUED
c v TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/5Z4 7 a,ie, .\,,--; iotli
Addres RESIDEN — Restricted Energy Fee $40.00
/C /�
;14 R 6 5 7 (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK . ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPL C ATION
❑ Heating, Ventilation and Air Conditioning System*
Contrac or -�'o, % 761-. ige- /164 ✓ ❑ Vacuum Systems*
Address i ".--5..(/- - er P L4A0) ❑ Other
Date 42 - — 14) ° , 7 COMMERCIAL — Fee for each system $40.00
/ /// (SEE OAR 918 - 260 -260)
Property Owner ( 7 7 fi24,2"J FooDS Check Type of Work Involved:
Contractor's Board Reg. No. .� <\-5'� ❑ Audio and Stereo Systems*
--)�� �� ❑ Boiler Controls
Phone# eA of o ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
•
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain
Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks( *). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503 639 - 4175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. * No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
G
The person signing for this permit must be the applicant or a person a. Enter Fees $ /fi
authorized •bind the applican� /q
i� / z C:1 b. 5% Surcharge (.05 x total above) $
Si: .ire A G �
TOTAL $
Authority if other than applicant
ENERGAP.tHP
•
RECEIVED
DEC 3 1 1997
COMMUNITY DEVELOPMENT
\/'
,,//�
12 �° CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / // 1 ` � ' , ` ? A.M. P.M. MST:
Location: V l �' vV 7 / 3,0 BUP:
r -I
Tenant: ' r / / < . 4 Suite: k (� r Bldg: MEC:
Contractor: ,r.Q...e,p Phone: e.-- a 3 r .5" PLM:
Owner: 'I t � 4 Phone: ELC:
ELR:g
SIT:
BUILDING BLDG (con't) PLUMBING MECHAN ELECTRI 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
Bsrnt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/FoundDr Heat Pump .• •• V o 00
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved • • :•.roved Not Approved
FINAL FINAL FINAL : r' 1 • FINAL
K2 //1 C 6_, Al
i'P2C
y c_s
• .
•
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: Page of
l
06/02/2000 Activities for Case #: ELR97 -00370
12:27:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 12/31/1997 GEO RECD GEO 12/31/1997
ELRC003 Permit Created 12/31/1997 GEO DONE GEO 12/31/1997
ELRC725 Low Voltage Inspection 12/31/1997 12/31/1997 GEO 12/31/1997
ELRC799 Elect'I Final 12/31/1997 01/05/1998 BRP PASS J *H 01/06/1998
ELRC500 (F) Issue permit 12/31/1997 GEO PASS GEO 12/31/1997
ELRC800 Case finaled 01/05/1998 BRP PASS J *H 01/06/1998
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