Permit •
CITY OF TIGARD
DEVELOPMENT SERVICES
ELECTRICAL PERMIT _
L ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT 'i:o ELR97..._0 31'c
DATE I a,.��UED o 11/0.4/97
PARCEL: 1 S 135AB- 034¢0
97 ADDRESS... e 1l 260 SW SREENBURG RD #300
-3:'BITVI£ ION....:T:7WN OF M TZGER ZONING:C—P
3LOCK........... LOT ............. a 12:14 JURI SDI CTN 3 TIC
Project Description: Installation of data telecoecunication syste,
A. RESIDENTIAL B. COMMERCIAL_
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM &
BURGLAR ALARM....: BOILER........... LANDSCAPE;. TRRIGAT.. .
GARAGE OPENER..... CLOCK............
FIVAC..... a ........ DATA /TELE COMIC . a X NURSE CALLS........:
VACUUM SYSTEM.... o FIRE ALARM...... o OUTDOOR LANDSC L i TE
OTHER .. HVAC ............. PROTECTIVE SIGNAL...
INSTRUMENTATION.: OTHER..n ..
TOTAL * OF SYSTEMS: 1
Oran er .____._.,_— ___ --.__. __
DEAN WIT T ER type amount by date . ec;w
10260 SW GREENBUR., RI) PR"r:T 40.00 DRA !,1/04/97 97- 300621'.
STE 300 5PCT $ 2. ► 0 DRA 11/04/97 J r -30 631
T I GARD OR 9722c.,
•
Phone #:
Contractor: ----- _.__._.__._.__.___ .____.._ ----------------------------
TELEPHONE SERVICES & COMM. 'F 42.00 TOTAL
18438 SE PINE
REQUIRED INSPECTIONS ---
__.__..
PORTLAND CR 97223 Ceiling Cover Low Voltage Insp
Phone #g 665- -4902 Wall Cover E:;ect' l Final
Reg #. e 001117 48
This peroit 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 peroit will expire if work is not started within 182
days of issuance, or if :pork is suspended for core than 181 days. ATTENTION Oregon law requires you to follcw rule adopted by the
Oregon Utility Notification Center. Those rules are set fort. is OAR 952-201-MC through CRS 95241i- EZ;I'81 You nay obtain copies of
..
these rul s or direc questions CUNC at (T2.312116-:9S7. Issue.-! by. 11/ � � _ 4 _� _ 'errnittee 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:
•
INSTALLATIOti!
SIGNATURE CF ,UPR. EL EC' N DATE e -
L ICENSE NO:
-: ,�- 1- -:-- 1.1-- 1- +-: + + + ++-: +++++ + -1-1 -4 -1 -1-++ - -r ++ +- + - +++ +-c ++++++++++++++-++•+•- t-- r ++ ++ + + +;-+++ + + + +-r•..fr._:- ++
Call 633 -4175 by 7:00 P.M. for an inspection .needed the next business ay
.S- + ++ : ' +-1- ..;• + + + +-d--I••- +- - 1- + ++ +++ +-1. + +.+...'r-:-+++ + + + ++ ++ + +-#-.;...;.-F ^ + ++-6.. {_ + ++ +-'r- -6. ++r v - 1 1 - 4 - -1 -t +-
rM
FROM TELEPHONE SERVICES 10.28 .1997 10:13 P. 1
Cc8I U nunity Developn ent p l` � RESTRIC1 ED ENERGY
7 j��
C.
ENERGY JcL[CTRICAL APPLICATIO
1 3 1 2SS4ti ' I tall Blvd. �
l
1 igatd, OR 97223 • PERMIT At
Oet.t . I -� Phone (M)3) G — --
.t� FAX (A -7297 DATE ISSUED
1 L)D No, (S B3 �..__.. _... _— --
-
CITY OF TIGARD Inspection (503) 639 -9175 ISSUED BY
a- _
PIL4SE COMPL£7EALL SECTIONS
1. LOCATION OE INSTAL IAI ION 4. T OF WORK
it) 2 00 --- __ 6 t P L i 3 6 6 YPE
Addy (} /, r� <, RESIDENTIAL -- Restricted Ener y Fee 140111 .. 1Y' �{ I C (FOR Al I. SYSIMSJ
City Slat(' Zip gb>isklXkcsr[.k1r,?rttAY4llrGllt
PLRMI1t ARE NON•TMnsry:wit( ANO NON.RfftiNDABLE ANDEXl'IREIFWORK
IS NOT STARTED WIT -(IN 180 DAYS OF ISSUANCE OR IF WORK r$ SVSeENOtb BOR D Audio and Stereo Systems
160 UhYS ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
❑ Heating, Ventilation and Air Cmditioning System'
_
Contractor Type. �r +
— - U vacuum Systems'
Ad dress TE Unit) Nk_&EITVICES .&..Cittilalll _ ❑ oi'har
18438 S.E. PINE
Date_ _._ _. ---- ._.._._PDflTlAND.CBEGON. -$ _ —_- COMMERCIAL -- fee for earl' system 5_44,.0.11
(503) 885-4900 (SEE OAR 910.260•2(o)
I Property °Wrier � Check Type of Woris_ipvolved;
/` J r
Contractor's Board Reg. No `t 43.7 D ❑ Audio and Stereo Systems
' , 41 6(�
— O Boiler Controls Phone # `- [1.3 Systems
3. OWNER APPLICATION Data Telecommuriic Pion Installations
❑ Fire Alarm Installation
i _ ._ - _ .. ...._._....... - . _.. _.. _.� - .... — . _... O VAC
Print Owner's Name Phone NO
❑ Instrumentation
Address — — "" -- Intercom and Paging Systems
❑ Landscape Irrigation Control'
• CI Stair. .... Z 1p - Zip Medical
This permit Is issued under UAL; V 18.)y O.i7U. TMs applies st agree; to make only ❑ Nurse Ca115
restricted energy.nstnlhtlr,ns (100 .•eti (snip; or less) under this permit and IP do the ❑ Outdoor Landscape Lighting'
(olloa•ins:
1. Only use eloct•Icel licensed persons to do installations where required, (Ceneiis ❑ Protective Signaling
residential and other trhrtsaChons orr exempt from licensing. Their_ have El IDthef
attorlflss('l. All others need licensing). �..--- -, --
2, Call for an Inspection when all of the rnSlellitions url0or this permit are ready
for Inspection ar, g03 -b39- 4.1 0 3. purChasc separate permits (or l(l l ttions that are not ready for inspection U — Nurllll!'f Of Systems
when the Inspector Is out to Inspect under this permit
• No licenser pre required . Are ...
5. Assume responsibility fur calling for a float inspection when all id the S. FEES
Wrr'oe.ti,nt art. completed.
The person signing for this permit must be the applicant or a person a. Enter Fees 5 4
authorizz d to bind the ap Ilcant. •
L � ...._ _' j (� I/y/ b. 5% Surcharge l.f x total above) J S
SiFnaturi> � —_ ..
TOTAL.
c 4/.06
• ut t ity if other than applicant
Page No. 1 CASE HISTORY FOR CASE NO.: ELR97 -0310
DEAN WITTER
10260 SW GREENBURG RD Unit: 300
06/16/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received / / / / 10/28/97 RECD FAX 10/31/97 DRA
ELRC003 Permit Created / / / / 10/31/97 Finally received all licensing info, but MEMO DRA 10/31/97 DRA
still no money. Can issue once money is
received.
ELRC500 (F) Issue permit / / / / 11/04/97 PASS DRA 11/04/97 DRA
ELRC700 Ceiling Cover / / / / 11/18/97 cables on ceiling tile FAIL MJR 11/18/97 MJR
ELRC700 Ceiling Cover / / / / 11/19/97 PASS MJR 11/20/97 MJR
ELRC720 Wall Cover / / / / 11/03/97 need plates DIS MJR 11/04/97 MJR
ELRC725 Low Voltage Inspection / / / / 12/01/97 PASS MJR 12/01/97 MJR
ELRC725 Low Voltage Inspection / / / / 11/19/97 PASS MJR 11/20/97 MJR
ELRC799 Elect'l Final / / / / 12/01/97 PASS MJR 12/01/97 MJR
ELRC800 Case finaled / / / / 12/01/97 PASS MJR 12/01/97 J *H
•