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Permit ELECTRICAL PERMIT - CI TIGARD RESTRICTED ENERGY i DEVELOPMENT SERVICES PERMIT #: ELR2000 -00187 -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/10/00 SITE ADDRESS: 11330 SW IRONWOOD LP PARCEL: 1S134AB-01000 SUBDIVISION: ENGLEWOOD ZONING: R -4.5 BLOCK: LOT: 009 JURISDICTION: TIG Project Description: Installation of irrigation controller. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ;ONTROLLER : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: SIMNITT, N KNOL + ANGELA S J OWNER 11330 SW IRONWOOD LOOP TIGARD, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT BLD 8/10/00 $60.00 0004413 5PCT BLD 8/10/00 $4.80 0004413 Total $64.80 • 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 o • irect question to OUNC.at (503) 246 -1987. Issued by X r . • Permittee Signature wiwr 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: � c 13125 SW'HALL BLVD Date Rec'd: , /iolerr) TIGARD OR 97223 PRINT OR TYPE V - 503 - 639 -4171 X304 Permit #: E — 0O/8'7 F - 503 - 598 - 1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $60.00 /1330 SW I roh W a-a c 10-dp (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS Check Type of Work Involved: -Gity /State 1 Phone # Audio and Stereo Systems / / airy S�9 qi�S Nartp ❑ Burglar Alarm Kr/ 6I— Si MN (TT ri OWNER Maili dres Garage Door Opener* J ' y � r�� �`' °° d 14°1° e n Heating, Ventilation and Air Conditioning System* i ity /State /� Phone (a r " � ��"�Iz� n Vacuum Systems* Narile Other la/td.sGy //r'`j Xl7di'7 6).1/2 / CONTRACTOR Mailing Add ss TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City /State Zip Phone # Fee for each system $60.00 copy of all licenses (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Exp. Date expired in C.O.T. Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date n Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date 0 Boiler Controls er's Name �` J � n a S 1 r» n El Clock Systems OWNER - Mailing Address APPLICANT / f'3 a SKI l rblT/V p Ltr©f n Data Telecommunication Installation /State J 43 R P"G` . hone e/ n Fire Alarm Installation This permit is issued underjAE 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: n 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; n 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 n Outdoor Landscape Lighting* inspector are done, and; n 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 th applicant. / 0, FEES: / �� t ie 6 ENTER FEES $ 0, ,o-z) 8% SURCHARGE (.08X TOTAL ABOVE) $ 4 /, cPa Authority if other than Applicant TOTAL $ G y- Po is \dsts \forms \resele.doc 3/98 ■Otjo y CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 /z7 BUD ' •. Date Requested AM PM BLD Location `13..3® -�� 'Z GJ add Suite MEC Contact Person N6 I l ArT2.A & Ph PLM Contractor S t It Ph SWR BUILDING' , n `,` . Tenant/Owner ELC / Retaining Wall ELR 2 ' 00/P7 Footing Access: Foundation r FPS Ftg Drain (� � `� SGN Crawl Drain Inspection Notes: p " _ 4 eLrl � , Slab � 1 SIT Post & Beam Ext Sheath /Shear 6 0 -' /� 6 Int Sheath /Shear Framing Insulation Drywall Nailing 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 Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL (LECTRICAL) Service Rough In 1 � �1 UG /Slab w o a ire — Alarm F' ASS PART FAIL SITE 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 D • .a, i i, Inspector Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.