Loading...
Permit CITY OF TIGARD 1 . ° fi Tigard, (503)639-4171 n , i 1 DEVELOPMENT SERVICES ELECTRICAL PERMIT - RESTRICTED ENERGY PERMIT #: ELR98 -0275 DATE ISSUED: 09/29/98 PARCEL: 2S112AC -01000 SITE ADDRESS... :07319 SW KABLE LN #500 SUBDIVISION....: ZONING :I —L BLOCK..........: LOT - JURISDICTN: TIG Project Description: Data teleco®munications system 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.,: 40 TOTAL # OF SYSTEMS: 1 Owner: -- FEES AMERI SERVE type amount by date recpt 7319 SW KABLE LANE PRMT $ 40.00 B 09/29/98 98- 309585 TIGARD OR 97224 5PCT $ 2.00 B 09/29/98 98- 309585 Phone t: 800 - 737 -4423 Contractor: -- - - - -- $ 42.00 TOTAL REQUIRED INSPECTIONS - -- Ceiling Cover Low Voltage Insp Phone #: Wall Cover Elect'l Final Reg #..: 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 Not Those rules are set forth in OAR 952- 1- A10 through OAR 952 - 001- 80. You may obtain copies of these rules or d ct cuestion t OUNC at (503)246 -1987. /// Issued by �-'� Permittee Si gnat �_�re.. //y 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 :fr DATE: __ LICENSE NO: +++++- F+++++++++++++++++++++.++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ 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: I N ,, 13125 SW j -ALL BLVD Date Rec'd: "( TIG4RD OR 97223 PRINT OR TYPE �p V - 503 - 639 -4171 X304 Permit #:_12J7 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 Restricted Energy Fee $40.00 A ve", Vf (FOR ALL SYSTEMS) JOB Street Address / Ste # ADDRESS � 3 I C( S Kf L.6 Sc © Check Type of Work Involved: �� State � n Zip Phone # n A udio and Stereo Systems 'C.._ ecx)-73 Name c l7 GZ `1 4 /4/23 ❑ Burglar Alarm . 5I UC ❑ Garage Door Opener* OWNER Mailing Address '72 1 `- K./4.3e.. p ❑ Heating, Ventilation and Air Conditioning System* City /State l n Zip , / Phone # / 19 '1A L d /<- � I7 2 - Z 7 - ° a A n Vacuum Systems* Nam¢ / 9p4ed 7-e a°. ,L.,-/ 5 - kk n O ther CONTRACTOR Mailing Address 6c;. - 1/Sw ,7ex-rc -1 IQ. e -Xo 0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City/State Zi Phone # Fee for each system $40.00 copy of all licenses LCa- Os - o 0 E- 5 7 7 O g W-% /( (SEE OAR 918 - 260 -260) are required if Oregon Contr. rd Lic. # Exp. Date expired in C.O.T. Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date n B oiler Controls Owner's Name ❑ C lock 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 ❑ 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. ❑ 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; . n 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: ��� /j ENTER FEES $ q� Signature I ,z, r 5% SURCHARGE (.05 X TOTAL ABOVE) $ 7 Authority if other than Applicant TOTAL $ 4� 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 H S' ` 1 AM PM BLD Location 7 3LA 1. (ite Suite sc MEC Contact Person Ph PLM Contractor ,oPh SWR er Owner (14f2AA CP�l> ��-,> ELC q7 Retaining Wall ELR qt — 02:/ S Footing Access: Foundation � FPS Ftg Drain J WSJ q4- l ' SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing • Drywall Nailing Insulation �� c-7 - Fire wall �� 9e _ ©2� " / Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL #7/t/09-6 Post & Beam Under Slab Top Out Water Service • Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL` " " #.° •Y .._ . Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL EL ECTRICAL, x " berme Rough In UG /Slab bOffa Fire Alarm ASS 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 Date / - 7 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.