Permit t � C ITY OF TI GARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2003 -00350
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/03
SITE ADDRESS: 10215 SW HALL BLVD PARCEL: 1 S135AA 01400
SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N
BLOCK: LOT: 037 JURISDICTION: TIG
Project Description: Landscape irrigation control. Low Voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: X
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: 1
Owner: Contractor:
INTEGUMEND LLC LANDGRAPHICS INC
9495 SW LOCUST ST 9005 SE ST HELENS ST
PORTLAND, OR 97223 CLACKAMAS, OR 97015
Phone: Phone: 503 650 - 0590
Reg #: LIC 5037
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 11/14/03 $75.00 Elect'I Final
[TAX] 8% State Surchar€ 11/14/03 $6.00
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 throuc
Issued by &A 61 Permittee Signature On L ,4 A
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
•
11./13/2003 13:57 5036500484 LANDGRAPHICS INC PAGE 02
, .T 1J, GUY.) 14: au ri►J 10 J611811)UU CITY OP TIGARD) Z 003
E1eariCal .Permit�Ji• 41 @ l •
Mtliolved
t30 - t ■ / 1 Election
£3 L,R, aeic,3 —r , O Sign
City of Tigard tl 1 3 200 l7ate�r raga No.:
13125 SW H411 Blvd. 1 � Non ame W Othci
ha 03- x39.4171 Pax: 503- 50131 `P k�eview La
P)
Internet: www.ex ctgard.ol.uB $UILDING D ' • j Date/Dy: _ . Gtsaxi.
■ i .•4 � , Contact x sv ris.= Se x page' 2 for
24 -bout' Inspection RcqueSL: 503- 639 -4175 _ -- Name/ .4rd. ''r l � � 1(%� 1 Stipplem In - la-
effacem
$7i ew coustr eliaz1 Dt iolition w Savie. own. 2z5 up s xeslth- ouefadlity .
commercial 0 klas dour leaden
, ■ Ad ditior ent IN Or t': f {
Cl Ser*rice over no ozpa -recle o ding w 1 ,009 sg4ato feet
-' L
� ,.:, _ � � . r.. �,..; _ .. �� ,- -• • . � ,.. I 1 8Y 2 fa:My dtved'rogo four ar more residrrtdal >fnit5 in
■ I. at 2 .-PalsiiilLdwellin-. kZq' C' -ammercialJlnduatrial , l over 60o voalts nomfml oae strucnffe
ildir#_ Ivlul#i Fli ❑ ❑ Build over;Val =riot Feeders, 400 amps o 11102C la 4LGBSsv 13u
Occupant load over 99 parsers 1�'fangfacturcd atructtitres or RV vaxk
1 1 Master Builder Other: 00 Bgrooaltis 4 plate a Odtar : ,
..!L ,• : . ,. 1�1 - 'f : ' r _ 'T Submit,__ t{eet of plans with nay of the above.
t The above are not hctable to , a c , atteration stroke
Job S> tt' address! •
•__ ^, �_ '� �. i ,i; y } . . .", ; .., :
.ST�h r •Ti J.{�
Suite ##: 1Bld • JA'pt. #: _ Number of i ecttaas�e allawa
Project Ndr1'i,o: '�..y) • , l )0/0 / Qtr I Om ju. Teal
Cross 6"tCCet/jJ2I eC1lOt1$ t X1.17 SitC: New rwidaoul -einSe or awttl.lati y per L
dwaEyiag Wilt tooludp armaiatd gang*.
Semite ine2u4sdt
I i to. -tt micas 145.1,5 4
' - • • additional 00 • or • • :ott ::li:.: = S3 -0 MI
513 t9i0i1: T,Ot ##: L.-,'t.:: mtr, u .
.... ,., „ ii
Tax ma Mel #.: , , . horse or moo4ler dwelling IIII
A
III
LL. ...
ti 5 @ r 9 �M''' c nt .,., . .. 1. T.: 1 ,7' . r . ul .. . _: , i:' ^'] a7 90.90
- h ,•• dw.ia
Service' or ' +der3 •• ialt'afiatimM1
alteration or reloeadan:
I
+ , „'. o¢';ata 11 80,70 2
, am.. t. 400 • Med i+•.g5
�( 101 atppa o 0 t{ . {.6 liiiii
Name: ce or r i3
Nam I AMA , A / !, I C .. I Reconnect only { -85
:Address; 'I1 1 �''� -• !'f €( : 'I` s services or feeders - iaitillailoa, 1
1 alteration, or reloeattoo:
Cif JStALC /Zl a ; i a e, / / 0 200 amp; or less 66.35 1
Phone / s • r 4 ‘. wi a.is to 400 min _39 -1 2
402 m d00hm�s 13175 x
�l'� 1,5 "'i R? It ' „ ", --,ila , t, V .....- . �......,.. ._... - _. • :, B1•Aatb dreldtl -nqw, alterttl4W, or l
{ Name: __ exisso#ea per panda
Address: A _ PO! for bezel) ci w p utr a' vtee of 1111 2
City /State/Zirr -, =.o , .r •, , aucwo withazr of MIMI
4„, e 7 t 1 " It bnmct� , ,
Phone: FAX: - up.
.,.�„ ..... MMIn
F. Email 1 Mtlgsssvios or • . included}:
, . . . . Y - II
i 53.40 '�
}�. 41103 of online Illilatal
Job No; i Sepal a1 aa(a) or a d messy pstul, + � I
Business Nome _
t oretaauttm Prsc t - 4.1
AddTt:35: 'Each additional • t mil • n aver the allowable le sit of the above:
C ity /aStlite /Zip, ll # 6
Phone; ax: is - , ,n :
GCB l ia. #F' a _ Inc. #: %Ase o _. , . 1
Supervising elm,triviari A— Sl E Tf_J — 1-6.00
si • attire ■ ' iraci: ������� ��s�■ Pier Review (25% ofPe t+it } ee) V )
brill' a — • c if idlrii�.a Stars ' umber : a !19/3 of Permit Fee 6 -(.1')
om TOTAL PERMIT PU.. E 1J
Autl oris;e4 4 a l ien' Fisic ger[ait Application enlPrel tt tr permit tb tarit o sd'w the : I � /, 00
Signature: !MA.. • ate 180 days after it has heats accepted as Ritllstti-
'pee methodology aet,by Trl- Cvpoiy Building Industry Service, Benrd.
O printoantC) (& V /. 00 -
4:lDaraiplttt2itF:yrlu4 \Elcp4mu pp_doa atl01 11/ / 0 Ouvi,\,
/6 3e)
r
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50?) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received ,! 2- g 3(1 ,4-01 to Requested / ` ��JJ / _O 4AM PM BUP
Location /07j .J I /. U Suite MEC
Contact Person AV4' ) Ph ( �l� �� '' Oc - W) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner A/ . ELC
Footing I ELC
Foundation Access:
Ftg Drain ELR' 3 003 52
Crawl Drain
Slab Inspection Notes: J SIT
I
Post & Beam LL, .��.f.,D�..t.LS
Shear Anchors l ,� UU
Ext Sheath/Shear `'e COi
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �J \§U VIDN CA 2
Fire Alarm
Susp'd Ceiling
Roof
Other: q —t ( Final :JV \S\ t j 6 (J d� � {
PASS PART FAIL
PLUMBING 19
Uo Under Slab � � I ' �� II '' 1
Rough -In ( �+ G S ' �� f�Y_L , ∎1\J`' f 0
' 0,\)\&d h!S
Water Service
Sanitary Sewer
1�' � `, ` Dv) PRY\
Rain Drains `�"� ,4
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: C
Final
PASS PART FAIL
-
MECHANICAL //11Y
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS:
EL CAL
Service
Rough -In
UG /Slab
L-6�i Volt
Fire arm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
OASPART FAIL
SITE E Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /- / 3 - Inspector ector Ext
Other: Final DO NOT REMOVE this Inspection record f e job site.
PASS PART FAIL