Permit CITY OF T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
_ • ..
., r., DEVELOPMENT SERVICES PERMIT #: ELR2000 -00214
"I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/18/00
SITE ADDRESS: 15705 SW 116TH AVE PARCEL: 2S110CD 07600
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT: JURISDICTION: KIN
Project Description: Installation of 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: Contractor:
TOBIAS INVESTMENT CO AMERICAN SECURITY ALARMS
300 SE SPOKANE ST 5411 SE MCLOUGHLIN BLVD
PORTLAND, OR 97202 PORTLAND, OR 97202 -4898
Phone: Phone: 231 - 0303
Reg #: LIC 00058640
ELE 26- 283CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 9/18/00 $60.00 2720000000 Elect'I Final
5PCT CTR 9/18/00 $4.80 2720000000
Total $64.80
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 -Q0TO t ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987 I_ ^ • ,
Issued by___ �. iQ.kJ Permittee Signature 1 .___, 0 I / dirzeij,2. /
ri
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:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: fr est
13125 SW HALL BLVD Date Rec'd: 57-5;
. TIGAkD OR 97223 PRINT OR TYPE �LIQ 2c�c�Gtod1(fL
V - 503 - 639 -4171 X304 Permit #:
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
' 6,4 C .!_ �� /1 / � Restricted
A SYSTELL SYSTE MS
S) FO $60.00
JOB Strdres
I(I s ( J ] ! / � Ste # Check Type of Work Involved: O
' ADDRESS � 0 SW l / la v 4Z)-7
Cam' let _,J 4 71 . 24 Phone # ❑ Audio and Stereo Systems i •0%
Na (� ` ❑ Burglar Alarm `Q � � ��OQ
❑ Garage Door Opener' �`�� \ "\s'
OWNER Mailing Address
City /State Zip Phone # ❑ Heating, Ventilation and Air Con�o System*
Na am me ny�(��In (�''� Ir,�- y1/�/� `�jy� ❑ Vacuum Systems*
I I UU t C^M l S QW" `�/ a `W 1 ► "J ,1 i.. ❑ Other
CONTRACTOR rs, Ad r ss r I I ,, ,�
`t L 1 VY�C�OUG (�U�L t�( voi • TYPE OF WORK INVOLVED - COMMERCIAL ON,Y
(Prior to issuance a Ci tat Z ip �l Pho Fee for each system $§.0:D0 /
copy of all licenses or ( aut o O R o' )I -O w 3 (SEE OAR 918 - 260 -260) - P
are required if Ore on Contr. Brd Lic. # Exp. Date
expired in C.O.T. 5(4 (.0 .4 , . 7+0/ Check Type of Work Involved:
data base). Electrical Contr. Lic. # xp. D ate
/. ( CL, F - / _ �lv ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls 'ti,
Owner's Name
o- Clock StBmSk ' ���� IjJ
.. -:'r.
OWNER - ' Mailing Address 4 � < � ;>
• APPLICANT - ❑ Data Telecommunication Installation
City /State Zip Phone # i S p�"
❑ Fire Alarm Installation q- u (/
This permit is issued under OAE 918 - 320 -370. This applicant agrees to p , U�' \/ f
make only restricted energy installations (100 volt amps or less) under this ❑ HVAC
permit and to do the following: �r V ❑
Instrumentation
1. Only use electrical licensed persons to do installations where required. Kin
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 to bind the applicant.
0.1/ 4 ',� / 4 FEES: 7'
Sig
Si 1" re /(� " Ia.- E ER FEES $ _.1/01.. � p
%i URCHARGE (.05 X TOTAL ABOVE) $ =—lamf 4•
Authority if other than Applicant TOTAL $
is \dsts \forms \resele.doc 3/98 — /� / • CO
.r —
CITY OF TIGARD BUILDING INSPECTION DIVISION _ MST
24 -Hou' Inspection Line: 639 -4175 Business Line: 639 -4171
3 �12�- � BuP
Date Requested I � AM PM BLD
Location_ / S 71 `^ ?.(.) // 4 Suite MEC
Contact Person Ph PLM
Contractor �/ r _ �T�-! _ - . SWR
BUILDING Tenant/O ner <<J?'? � l
ELC
Retaining Wall ELR tRO — 00 �/
Footing Acces
Foundation W J 1 _ . -Q FPS
Ftg Drain � �'f'` -�� SGN
Crawl Drain Insp tion s:
Slab P /S al eivo-- ae3.�'7� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing - r -7 —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ��
Fire Alarm / /
Susp'd Ceiling — _
Roof
Misc:
Final Cv
PASS PART FAIL �f�'
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
�A FAIL
�'E�E"C 121CA
�S
Rough In
UG /Slab
Low Voltage
Fir m
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 Date /Z� / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing J Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final 3//7.-/40 /
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing - NI Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm fmal Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
Ak CITY OF TIGARD ELECTR ERG
RESTRICTED ENERGY
1 1,, DEVELOPMENT SERVICES PERMIT #: ELR2000 - 00214
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/18/00
SITE ADDRESS: 15705 SW 116TH AVE PARCEL: 2S110CD 07600
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT: JURISDICTION: KIN
Project Description: Installation of 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: Contractor:
TOBIAS INVESTMENT CO AMERICAN SECURITY ALARMS
300 SE SPOKANE ST 5411 SE MCLOUGHLIN BLVD
PORTLAND, OR 97202 PORTLAND, OR 97202 -4898
Phone: Phone: 231 - 0303
Reg #: LAC 00058640
ELE 26- 283CLE
FEES Required Inspections
, Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 9/18/00 $60.00 2720000000 Elect'l Final
5PCT CTR 9/18/00 $4.80 2720000000
Total $64.80
i; 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 I 6 0 t' *ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questio s to OUNC at (503)
246 - 198 I , 1 11 Issued by_; I y dJ fro Permittee Signature ,`, 6 //_ �!- m[%.. /i"
r/
OWNER INSTALLATION ONLY
8
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
I l a
CONTRACTOR INSTALLATION ONLY MID
SIGNATURE OF SUPR. ELEC'N: DATE:
"
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day