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Permit
A ELECTRICAL RESTRICTED PERMIT - E C ITY OF TIGARD ERG RESTRICTED ENERGY MA — 13125 DEVELOPMENT H P Tigard, 639 -4171 DATE PERMIT 9/20/00 00 -00218 SITE ADDRESS: 13410 SW 129TH AVE PARCEL: 2S104DA-03200 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 018 JURISDICTION: TIG Project Description: Installation of audio and burglar alarm. • A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: - CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: PRINCE, STEVE & DENISE USA SECURITY 13410 SW 129TH AVE PO BOX 424 TIGARD, OR 97223 CANBY, OR 97013 Phone: Phone: 266 - 6465 Reg #: LIC 120537 ELE 3- 415CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection 5PCT CTR 9/20/00 $6.00 2720000000 Elect'l Final PRMT CTR 9/20/00 $75.00 2720000000 Total $81.00 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 -1987. Issued by 401 A, Permittee Signatur h i 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: 2;>G/f • 13125 SW HALL BLVD ate Rec'd: 9/247/90 TIGARD OR 97223 I ' ' ' Permit #: 02.42.4-DD - ' /f Incomplete or illegible applications V - 503 - 639 -4171 X304 will not be accepted Cust.Call'd: F - 503 - 598 -1960 Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $75.00 JOB Street Address Ste # (FOR ALL SYSTEMS) ADDRESS F3L /(� SW I + Avg Check Type of Work Involved: „Qty./State Zip Phone # 1 e / csi,c)\ _ )xr Audio and Stereo Systems Nam Burglar Alarm ev e_a-1 'Pry c -ir< OWNER Mailing Address PI Garage Door Opener* City /State Zip Phone # n Heating, Ventilation and Air Conditioning System* Name I—I Vacuum Systems* CONTRACTOR cling A;) n Other L i Z (Prior to issuance a City /St TYPE OF WORK INVOLVED - COMMERCIAL ONLY at � copy of all licenses CO i Phone # '.4 c 3 ©E l 7O/Z Z(7.- c,c+65 are required if Oregon Conte. Brd Lic. # Exp. Date Fee for each system $75.00 2_0 expired in C.O.T. / Q 5 02� , �0 (SEE OAR 918 - 260 -260) database). Electrical Co tr. Lic.� / Exp!Date • . S ti/- C_ E is /. p /l Check Type of Work Involved: C.O.T. or Metro Lic. # . Exp. D e Audio and Stereo Systems Owner's Name n Boiler Controls OWNER - Mailing Address APPLICANT n Clock Systems City /State Zip Phone # Data Telecommunication Installation This permit is issued under OAE 918 - 320 -370. This applicant agrees to n make only restricted energy installations (100 volt amps or less) under this Fire Alarm Installation permit and to do the following: n HVAC 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. n Instrumentation These have asterisks( *). All others need licensing; n Intercom and Paging Systems 2. Call for inspections when installation under this permit are ready for inspection at 503 -639 -4175; ❑ Landscape Irrigation Control* 3. Purchase separate permits for all installations that are not ready for an • n Medical • inspection when the inspector is out to inspect under this permit; 4. Assume responsibility for assuring that all corrections required by the n Nurse Calls inspector are done, and; Outdoor Landscape Lighting* • 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. n Protective Signaling Permits are non - transferable and non - refundable and expire if work is not I I Other 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 author ed • • ind the applicant. * No licenses are required. Licenses are required for all other installations FEES: ��/ i, .. i ENTER FEES $ 2 , ere Si•,P -tore 8% SURCHARGE (.08 X TOTAL ABOVE) $ (v ,a \ TOTAL . $ 49/, O v Authority if other than Applicant iAdsts\formstresele.doc 8/00 • 4•.` , frr• r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 6' 24- Hour,.lnspection Line: 639 -4175 Business Line: 639 -4171 4111 -, Aline Date Requested / �' AM PM BLD Location LW() S w Suite MEC Contact Person 5` P 6 7^-- Ph C) 7) PLM Contractor — es C Ph SWR BUILDING Tenant/Owner EL Retaining Wall J -Uri g t -'r� //� 2 ELR 2 64 - 61 O — R2(9,-2/2 Footin Access: J 4( � J Foundation .� ?'` GCi L Ftg Drain Crawl Drain Inspection Notes: ` � SGN 6 , - Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing ,/ ����..tL�!/ WI F L Firewall IWIg %/ W.K4r# Fire Sprinkler rift/WM 17� Fire Alarm Fit TV ���� FP r Susp'd Ceiling �ruLL /' - - ,.l . _cL - r Roof , E/I ∎ , - 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 LECT Service Rough In UG /Slab Low Voltage Fire Alarm 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 V27/5 O t he oach /Sidewalk Date I Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. c-- . CIT?"O•TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST • OUP Date Requested 7-71 AM PM BLD Location / ,3 fU . w /Z•7 Suite 2 MEC Contact Person Ph 5D3-,- z� /zz7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 02.000 -0 0 . 2 /k Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall e:<-71L 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 PASS PART FAIL MECHANICAL Post & Beam • Rough In Gas Line • Smoke Dampers Final PASS PART FAIL 4 LE .RICAj� ervice Rough In UG /Slab Cow V9ltagn- Fire Alarm Final 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 r inspection RE: [ ] Unable to inspect - no access ADA _ Approach /Sidewalk Date Inspector Arl° Other - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit 4 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 I Inspection Description Date Passed By Firewall Low voltage Z/ — a W. Tilt -up panel Electrical final / Z — 2$ 0.0 Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Al Inspection Description Date Passed By Drywall nailing 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 J 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 final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 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 RECORD - BUP P LM SWR ELC ELR M EC SIT PERMITS INSPECTION REC , , , , , , ELECTRICAL PERMIT CITY OF TIGARD RESTRICTED ENERGY j I�j DEVELOPMENT H BMENa r 639 - 4171 DATE PERMIT #: ISSUED: 9/20/00 00 0021 8 SITE ADDRESS: 13410 SW 129TH AVE PARCEL: 2S104DA -03200 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 018 JURISDICTION: TIG Project Description: Installation of audio and burglar alarm. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: PRINCE, STEVE & DENISE USA SECURITY 13410 SW 129TH AVE PO BOX 424 TiGARD, OR 97223 CANBY, OR 97013 Phone: Phone: 266 - 6465 Reg #: LIC 120537 ELE 3- 415CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection 5PCT CTR 9/20/00 $6.00 2720000000 Elect'I Final PRMT CTR 9/20/00 $75.00 2720000000 Total $81.00 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 isll . not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law v �. 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- d'rect questions to OUNC at (503) 246 -1987. Issued by d Permittee Signatur .we -, J 4/1' 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 DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 1110,