Permit CITY OF TIGARD
J a4Y l ��l DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: ELR98 -1004
DATE ISSUED: 08/ 19/98
PARCEL: 25111CB -05300
SITE ADDRESS...:10060 SW LADY MARION DR
SUBDIVISION.... : ULWELL I NG MLP96 -0015 ZONING : R -3. 5
BLOCK • LOT............ °:003 JURISD,ICTN: TIG
Project Description: Alteration to single family residence.
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:IRRIGATION::X HVAC ............: PROTECTIVE, SIGNAL..:
INSTRUMENTATION.: OTHER..: an
TOTAL # OF SYSTEMS: 0
Owner: FEES -- —
GASSY NOSLER type amount by date recpt
10060 SW LADY MARION DR PRMT $ 40.00 DLH 08/18/98 98- 308352
TIGARD OR 97224 5PCT $ 2.00 DLH 08/18/98 98-308352
Phone #:
Contractor;
TREE CARE UNLIMITED INC $ 42.00 TOTAL
PO BOX 156E
REQUIRED INSPECTIONS
' LAKE OSWEGO OR 97035 Ceiling Cover Low Voltage Insp
Phone #: 635 -3165 Wall Cover Elect'l Final
Reg #... 62635
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- 001 -0010 through OAR 952 1 -0080. You may obtain copies of
these rules or direct questions to OUNC at 6031246 -1987.
Issued b y 4>CT --= Perm i t t e e Signature /yep/ L-EZ,
OWNER INSTALLATION ONLY — 4`� �� L../e4-77
The installation is being made on property I on which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: A9/9— DATE: -
CONTRACTOR INSTALLATION ONLY---- -
SIGNATURE OF SUPR. ELEC'N: A" DATE: _
LICENSE NO: _ .�
+++++++++++++- i-+ + + + + + + ++ + + + + + + ± ++ + + + + + + ++ +' + +-F ++++ + + + + + + + + +=1- + + + + + + ++ + + + + + + + + +=F +-1= ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
U0/10/00 111U 1J..)1 FA.A. .iU.) Jy0 1OV 1,111 Ur Llk,AIU • L/�f. UUZ
•
' Cj .' OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION' Rec'd by: ..A-L
13125 SW HALL BLVD Date Recd: /
A , TIGARD 'OR 97223 PRINT OR TYPE 4US 1 7 1998
v X304 Permit #: E /DOy
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICrATIO.NS' DEVELOPivlr1Oust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
i
ADDRESS i/ODt'o0Stt9LAJ7f NtAc�ioN Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
n Dg. 9022.
Name n Burglar Alarm
I:f . \/ /WS I.ec
OWNER Mailing Address Garage Door Opener`
/6000 640 L4d mAr, bi Oc�
E] / l Heating, Ventilation and Air Conditioning System'
City/State c Zip I Phone #
T r5A -4'd / C 4- ' r ,2 t-1 , I rO2 4 / - ti' grq f J Vacuum Systems'
Name / L_l /� j j
pe_4ac 44.0 U41, ii ?ecl /we, Other :fry' ∎ sift is - l d N - !'ndf Lei
CONTRACTOR Mailing Address
p0 g i 5�( TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City/ /State n Zip Phone # Fee for each system $40.00
copy of all licenses L L q Ke0404 9735 a 316 (SEE OAR 918- 260 -260)
are required if Oregon Contr.`grd ic. # Exp. Date
expired in C.O.T. ,2 35 / frVol7) I -00 `---- Check Type of Work Involved:
data base). Contr. Lic. # Exp. Date ,
�lPs 9 L - 9Np SC411 4 /_95 y ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
2. 1)62 /' 5'1 n Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT n 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:
Li 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 El 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.
-- R iNc.. FEES:
Sig ture ENTER FEES $ 4/0 ,00
5% SURCHARGE (.O5 X TOTAL ABOVE) $ Z d O
Authority if other than Applicant
TOTAL $ o .DO
i:\dsls\resele.doc 7197
AUG -13 -1998 15:39 583 598 1968 97% P.02
CITY OF TIGARD BUILDING INSPECTION DIVISION A MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
j ( S7 Date Requested q AM PM BLD
Location (0 6 0 Sw Actzud Akamiyu Suite - MEC
Contact Person (7)"..; Ph (035 - 3/b5 - qO -v 1 V 0�
Contractor Ph SWR
BUILDING, 2Y 2 .` ; ° Tenant/Owner ELC
Retaining Wall ELR 5 — / 0
Footing
Foundation Access: the) Q
�.� e) O � ()e P Ftg Drain
Crawl Drain Inspection Notes: ' — SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
ptft� FAIL
PLU P
MBING% `'4 m 4 tieq
Post & Beam
Under Slab
Top Out
Water Service 1;4
Sanitary Sewer
Rain Drains •
PAS PART FAIL
MECHANICALa'o-` r },
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL` t.4.
Service
Rough In
U•
w Vo
owVoae
Fire arm
`i a
S ART FAIL
SITEA s.r
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 9
Approach /Sidewalk D �" ,F C. s 2 �_ I �i�b` V
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.