Permit CITY OFTIGARD DEVELOPMENT SERVICES
='l+L �-• 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR99 -0023
DATE ISSUED: 02/10/99
PARCEL: 26109BR -- 06800
SITE ADDRESS... :13900 SW LEAH TERR
SUBDIVISION..... :HILLSHIRE SUMMIT NO. 2 ZONING :R -7 PD
BLOCK...... - ...: LOT.. .... . ....... :054 J"URISDICTN: TIG •
Project Description: Installation of burglar aura,
A. RESIDENTIAL_ --- B. COMMERCIAL.--- __ -__. ____._ _.__ -_ _.-
AUDIO & STEREO.....: AUDIO & STEREO..: INTERCOM & PAGING....:
BURGLAR ALARM..... :X BOILER..........: LANDSCAPE /IRRIGAT..:
GARAGE OPENER....... CLOCK...........: MEDICAL............:
HVAC............. .. DATA /TELE COMM..: NURSE CALLS........:
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANOSC LITE:
OTHER: 0o HVAC............: PROTECTIVE SIGNAL..:
INSTRUMENTATION.: O "'r 1E R....: a UM
TOTAL # OF SYSTEMS: 0
Owner:
BRIAN DUNAHUGH type amount by date recpt
13900 SW LEAH TERRACE PRMT $ 40.00 DLH 02/10/99 99- 31.2822
TIGARD OR 97224 5PCT $ 2.00 DLH 02/10/99 99-- 312822
Phone #: 261 -7776
Contractor: ----------------------- -------------- - -.
Al_.LTEC SECURITY fi 42.00 TOTAL
PO BOX 55310 - REQUIRED INSPECTIONS - - --
PORTLAND OR 97238 -5310 Low Voltage Ins
Phone #: 331-2620 Elect'! Final.
Reg #. „ : 00118L3
•
This pernit 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 pernit will expire if work is not started within 180
days of issuance, or if work is suspended for eor"e than l82 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon 'fication Center. Those rules are set forth in OAR 952-00l-OOlt through ORR 952-M1280. 280. You Day obtain copies of
these rd es or direct estionsnq �OINC at (53)246- 1987.
Issued by.. / , /b[s�.1/1� Permittee Si gnat urre41/Ufej. 7 /�
---..---_._--- .._..-- _---- ..--- _- _- _._. - -- __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: _
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.- _.---- .---- __-- ._.__C.ONTRACTOR INSTALLATION ONLY _ -__ .__. _-- _____.•_____.._.______.__._.
SIGNATURE OF SUPR. EL_EC' N: DATE:
LICENSE NO:
. ¢.. ++ +"+_ h +..p..+ + +±+++±± + + + ++±++±±.++±_ ++_l ++ .. V 4 ._ ` _ + . q .._- 1 - ±+±±±+++++ +++ ++ + ++++.11_.. .. 1- + +.f± + ++
Call 639.4/75 by 7 :00 P.M. for an. a _ ion needed the next business day
++ + + ++ + +-+ + + + + + +-+- + + + + + ++ + + + ++ + + +-+- +-+-+ --+- + +++ + + + + + ++++ + +++. +- + ++ +- + + + ++ +"•€ ++ + + + + + + + + + +-+-+
. _Se 2_q&
Community DevelopniCEIVED RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT # 1;-1-la 99 Q ®oZ-3
Tigard, OR 97223 EB 1 ®1999
/a, , I Phone (503) 639-417f TE ISSUED /so/9
�0ryl> .. I FAX (503) 684 -7297
-p '' I .4 TDD No. (503) 684 Vf 1NlTY DEVELOPMENT
CITY OF TIGARD Inspection (503) 639 -4175 .11 SUED BY _ -44t74
PLEASE COMPLETE ALL SECTIONS
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1. LOCATION OF INSTALLATION 4. TYPE OF WORK .
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I30,0 ` �--Y ` 5 W L-e I -e. rra ( RESIDENTIAL — Restricted Energy Fee 40.00
Ad + Q rod D n 9 - 7 2_Z, ` (FOR ALL SYSTEMS)
City State 1 ` Zip " Check Type ofk Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR Burglar Alarm
180 DAYS.
' ,,. Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System'
Contractor Al ltec Security Type ❑ Vacuum Systems'
❑ Other
Address PO Box 55310 Portland. OR 97238 -5310
Date Z ^ 5 -.9 C f • COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner r (& . 1 CL.% feu r Waard Check Type of Work Involved;
Contractor's Board Reg. No. 118839 ❑ Audio and Stereo Systems
co
El Boiler Controls
Phone # . 331- 2620 2_(. (- 711 ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address ❑ Landscape Irrigation Control"
City State Zip ❑ Medical
❑ Nurse Calls •
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following: ❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Other
residential and other transactions are exempt from licensing. These have
asterisks(*). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503- 6394175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES 0 - 60
corrections are completed. l
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the zpp ,z i (" j -
a l -- 6 - y\o1/4.. \ Fily‘ot.:As._
b75% Surcharge (:05 above) — $
Signature TOTAL $
Authority if other than Applicant
ENFRCAAP,CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
.-1/3— BUP
Date Requested I AM V� PM BLD
Location 1 3 )O 6) tiA-6-4-) 1//1) Suite MEC
Contact Person ll "" P,I ,P,J Ph 3 I - /.24 7 PLM
Contractor Ph SWR
BUILDING,;;: r.. : Tenant/Owner ELC
Retaining Wall ELR 99 DO 3.3
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab LAJ r5 , 7 :9-r /4-74ZrYi SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing — " =� �.! r
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: �.//-/t it t
Final
PASS PART FAIL
PLUMBING;
Post & Beam ����
Under Slab
Top Out /
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL': ,'s 4
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS -PART FAIL
E L E CTRICAL 1 : 7 k, , .''4- M
Service
Rough In
UG/Slab
Voltage
i
A 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 Date f 7/ ?9 Inspector l -L,l,� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.