Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR1999 - 00082
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/15/99
SITE ADDRESS: 07320 SW HUNZIKER ST 310 PARCEL: 2S101DB 00100
SUBDIVISION: ZONING: C -
BLOCK: LOT: JURISDICTION: TIG
Project Description: Add data telecommunication.
•
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
ROBINSON DEVELOPMENT CHRISTENSON ELECTRIC INC
21360 NW CORNELL RD 111 SW COLUMBIA
HILLSBORO, OR 97123 STE 480
PORTLAND, OR 97201
Phone: Phone: 241 - 4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26 -34C
FEES Required Inspections
Type By Date Amount Receipt Elect'l Final
PRMT GEO 4/15/99 $40.00 99- 314532 Low VacM U' usP 1
5PCT GEO 4/15/99 $2.00 99- 314532
Total $42.00
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 �J /' / 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: N/ - DATE: /5
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
•
REC VE1
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD APR 1 /.1999 Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X3Q6MMUNITV DEVELOPMENT Permit #:Fl--R/ - a 2
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
JOB: 50 - 00875 WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
WESTERN STATE MORTGAGE Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address 3RD FLOOR Ste #
ADDRESS 7320 SW HUNZIKER ST 310 Check Type of Work Involved:
1P16RWB 223 Phone # ❑ Audio and Stereo Systems
Name ❑ Burglar Alarm
LEE ROBINSON
OWNER Mailing Address n Garage Door Opener*
City /State Zip Phone # n Heating, Ventilation and Air Conditioning System*
645 - 2867 ❑
Name Vacuum Systems*
CHRISTENSON ELECTRIC, INC. ❑ Other
CONTRACTOR Mailing Address
111 SW COLIIAIBIA,SUITE 480 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses PORTLAND, OR 97201 241 - 4812 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 458 5/1/03 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
26 - 34C 10/99 n Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
5246 1 9/Q9 n Boiler Controls
Owner's Name
n Clock Systems
OWNER - Mailing Address
APPLICANT 3 2 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 ❑ 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;
n 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 n 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; .
❑ 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. 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 applicant.
-- __ FEES:
C --- _ .----0 - ENTER FEES $ 40 .
Signature
4/12/99 5% SURCHARGE (.05 X TOTAL ABOVE) $ 2.
Authority if other than Applicant TOTAL $ 42.
is \dsts \resele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
•
Date Requested - W-CP l AM PM BLD
Location � PIA-f' ! Iii - & • Suite 'F Q MEC
Contact Person Ph - 2q d 2L/ ! PLM
Contractor Ph SWR
BUILDING:m: , P¢° Y° 3' a Tenant/Owner ELC
Retaining Wall ELR
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 :f■-e
Firewall
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 aa:r` =. _`; y
Post & Beam
Rough In
Gas Line
Smoke Dampers •
Final
• • SS PART FAIL
'1144cig
Service
Rough In
• UG /Slab
Low Voltage
Fire Alarm
'` • S' 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
Other 7/9y Date /� z. Inspector — Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.