Permit N
ihroik CITY OF TIGARD l p1/4\...ERLE...TTRRiiccTAELcipEENREmRiTGy_
,�I DEVELOPMENT SERVICESQck` PERMIT #: ELR2000-00041
13125 SW Hall Blvd.. Tigard, OR 97223 (503)839 -4171 DATE ISSUED: 2/24/00
SITE ADDRESS: 10751 SW 130TH AVE PARCEL: 1 S133AC -80001
SUBDIVISION: KNOWLEDGE BEGINNINGS DAYCARE C ZONING: R -25
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: Installation of low voltage for HVAC system.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD K B ASSOCIATES LLC BEND HEATING & SHEET METAL INC
10751 SW 130TH AVE PO BOX 5727
TIGARD, OR 97223 6.1540 AMERICAN LN
BEND, OR 97702 -9403
Phone: 590 -6840 Phone: 541 - 3821231
Reg #: LIC 8653
ELE 9- 128CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 2/24/00 $60.00 00- 321827 Elect'l Final
5PCT DEB 2/24/00 $4.80 00- 321827
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 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -19
Issued y L n "IS Permittee SignatureJ4 , 9,L e ie-1---
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: „ QQ.Q, i .o-.--� DATE:
LICENSE NO: R 7 3 S
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
02/17/00 THU'09:15 FAX 503 598 1960 CITY OF TIG.ARD WO 02
- CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:�
13125 SW HALL BLVD Date Rec'd: / 2.. 0 -
TIGARD OR 97223 PRINT OR TYPE
V - 503- 6394171 X304 Permit #: EL O /
F - 503 - 598 -1950 INCOMPLETE OR ILLEGIBLE APPLICATIONS CustCall'd:
• WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Knowledge Beginnings Daycare ( ALL Energy Fee $60.00
(FOR ALL SYSTEMS)•
JOB -- Street Address Ste#
ADDRESS 10751 SW 130th Ave . Check Type of Work Involved: RECEIVED
gard OR C ( 5rd n # 590 -6840 D Audio and Stereo Systems
Name C Burglar Alarm FEB 2 2 2000
Tigard K.B. Associates LLC
d El Garage Door Opener COMMUNITY DEVELOPMENT
OWNER i rgt, 130th Ave .
Git /State Zi p C Pleating, Venthatior and Air Conditioning System'
Tigard OR 97223 l l 590 -684h
Name LJ Vacuum Systems'
su I Ber TPat & ' e t Metal , Inc. u O'hor
CONTRACTOR 1V(4iiir ox s5727
Y l' a TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a C.y/Stale 7 e a for each system 560.00
copy of all ecenses eri O R ` / 708 mill l 3 32 -123 EE OAR 918 - 260 -260)
are required if Oreg9, C Brd Lie. # Exp. D t
expired in C.O.T. v8�� 1�Ara) Check Type of Work Involved:
data base). E4c_ � wit Lic. # E.xm / p�t� �Ul1 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date '
❑ Boller Controls
Owner's Name
❑ Clock Systems
. OWNER - hiding 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 rray
make only restricted energy installations (100 volt amps or less) under thls iki WAG
permit and to do the following:
❑ Instrumentaticr
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;
1:1 Landscape Irrigation Control'
2. Call for inspections when installation under this permit are ready for
inspection at 503 - 8394175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an 71 Nur� Call
inspection when the inspector ie cut to inspect u :tier this permit; �--- -
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done, and;
El 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 we required ror all Miler Installations
authorized to bind the applicant.
FEES:
Signature
ENTER FEES S 60.00
8% SURCHARGE (.08X TOTAL ABOVE) S 4.80
Authority if other than Applicant TOTAL S 64.80
I:%dstslformatreaele.dcc 3/08 .
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2S �� AM PM BLD
Location 1 D S l / 3at .c6rtfe_ Suite � MEC
Contact Person 19.-0() 19.-0() in t S Ph Sq0 -coo D so PLM
Contractor Ph SWR
+:.0. Tenant/Owner _ ELC
- etaining Wall ELR ',O " fY:110 S S
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Framing th /Shear EL/L 199f _ £ D 2-,c.
Insulation
Drywall Nailing (L2 1 iv ff - (pow)
Firewall 1
Fire S•ri ler eL,L Z ` £)O q ( /Y 4 / d9cL /
u •' Ceiling E L_2 241719 — () d , ar9
Roof e Lf Z-e v ( 7 ., 43- 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
TLECTRICXD
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
.41 020
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 d
Other Date ,.1 Inspector - xt
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.
04/28/2000 Activities for Case #: ELR2000 -00041
8:45:54 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 02/22/2000 DEB DONE No Hold DEB 02/22/2000
ELRC003 Permit Created 02/22/2000 DEB DONE No Hold DEB 02/22/2000
ELRC725 Low Voltage Inspection 02/22/2000 02/22/2000 No Hold DEB 02/22/2000
ELRC799 Elect'l Final 02/22/2000 02/22/2000 04/26/2000 CD PASS No Hold AKJ 04/26/2000
ELRC500 (F) Issue permit 02/24/2000 DEB DONE No Hold DEB 02/24/2000
ELRC800 Case finaled 04/26/2000 AKJ DONE No Hold AKJ 04/26/2000
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