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Permit CITY OFTIGARD DEVELOPMENT LOPMENT SER ICES ELECTRICAL PERMIT Hall Blvd., Tigard, OR 97223 ) 639-4171 RESTRICTED ENERGY PERMIT #: ELR98 -0138 DATE ISSUED: 05/19/98 PARCEL: 2S 1O 1 AC -21 1400 SITE ADDRESS...:07125 SW HAMPTON ST SUBDIVISION....:BEVELAND NO. 2 ZONING:MUE BLOCK LOT °220 JURISDICTN: TIG Project Description : Installation of a protective signaling device. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM....: BOILER LANDSCAPE/ IRRI GAT. . GARAGE OPENER....: CLOCK MEDICAL HVAC ° DATA /TELE COMM..: NURSE CALLS ° VACUUM SYSTEM FIRE ALARM......: OUTDOOR LANDSC LITE: OTHER: .. HVAC PROTECTIVE SIGNAL..:X INSTRUMENTATION.: OTHER..: On TOTAL # OF SYSTEMS: 1 Owner: FEES EQUITY GROUP type amount by date recpt 7125 SW HAMPTON STREET PRMT $ 40.00 GEO 05/19/98 98- 305871 TIGARD OR 97223 5PCT $ 2.00 GEO 05/19/98 98- 305871 Phone # Contractor: SONITROL PACIFIC $ 42.00 TOTAL 1975 SW 6TH AVE REQUIRED INSPECTIONS PORTLAND OR 97201 Low Voltage Insp Phone #: 223 -5822 Elect'1 Final Reg #..: 000535 This permit 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 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 rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-' 4-0010 through OAR 952-001 -0080. You may obtain copies of these rules or direct questions OUN t (503)246 -1987. Issued by Permittee 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: • CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N: /(� DATE: 5�/ / ?-- LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + ++ RECEIVED CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SW HALL BLVD MAY 1 1998 Date Rec'd: TIGA13D OR`�97223 P RINT OR TYPE V - 503 - 639 -4171 X304 Q;�Fnf� Inti�TV ralci npaarq�q Permit #: f�G, 953 -0 V375 F - 503 - 684 -7297 `INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY aQ Y;) Restricted Energy Fee $40.00 (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS 1 iaj 5L3 v-10_0 Check Type of Work Involved: ty /State Zip Phone # ❑ Audio and Stereo Systems Name ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener* City /State Zip Phone # n Heating, Ventilation and Air Conditioning System* _L, ❑ Vacuum Systems* Name SQY1 Cho 1 c C1,-.\ ❑ Other CONTRACTOR Maif g Address s 1 L 1 W TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a ity/ t to Q [Zip Phone # Fee for each system $40.00 copy of all licenses WIArklat1C1 , Or Pun DO\ (7) -5 (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Exp. Date expired in C.O.T. 5 3535 Check Type of Work Involved: data base). Electrical Contr. L # n (( Exp. Date cD -310 Q-+1e ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing 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 make only restricted energy installations (100 volt amps or less) under this n HVAC permit and to do the following: ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. n 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; . X .,. Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. n 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 applican // 1 / FEES: l ENTER FEES OF $ "1o' �'�d a ture 5% SURCHARGE (.05 X TOTAL ABOVE) $ 2 , In Authority if other than Applicant TOTAL $ `- 1 ,t is \dsts \resele.doc 7/97 – 1 (0 C (0 '(f CITY OF TIGARD BUILDING INSPECTION DIVISION • 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: I c — /O D A.M. P.M. MST: Location: 1 l Z5) BUP: Tenant: Fail rr 7 61-',In Suite: Bldg: MEC: i p. Contractor: a E l l L/A. i _� / 1L. I . i Phone: 2- J - 5 t) 22- PLM: I I Owner: Phone: ELC: ELR: ^( ''' SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL ) SITE Site Post/Beam Post/Beam Post/Beam ` Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C a Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump •w Volt 4 / CQ/J Approved Approved Approved ro ed - Approved Appr /Sdwlk Not Approved Not Approved Not Approved ed Not Approved FINAL FINAL FINAL FIN FINAL £4 5 Q k` ` • • O Call for reinspe o O Reinspection fee of $ required bef re next inspection O Unable to inspect Inspector: , .,� 4 Date: 4' /© �., Page _ of