Permit CITY OF TIGARD
...
. DEVELOPMENT SERVICES ELECTRICAL PERMIT — Hall Blvd., Tigard, (503)639-4171 RESTRICTED ED EMErr:y
PERMIT fl: EL_R97- -02:.4
DATE ISSUED: 08/07/97
PARCEL: 2:S 104BA -1 1900
SITE n r. Cr . : 1 354': SU L I DEt )R
SUBDIVISION -CASTLE HILL NO. 3 ZONING:R -12 PD
BLOCK • LOT...,....¢ .... :149 J'URISDICTN: TIS
Proj ect Description: Add burglar alars
n. RESIDENTIAL--------- 1_':, CONNERC I AL- - - - - - -- - - -_ _ - -._ — _._ - - -- ----- _
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM.:, .. X LAG' T LER. a _ ° ...�� , ° LANDSCAPE / I RR I GAT.. :
GARAGE OPENER CLOCK MEDICAL
HVAC... ... ........ . DATA /TELE COMM..: NURSE CALL_S..... , .. .
VACUUM SYSTEM FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. IVPC °, ,... °.. PROTECTIVE SIGNAL..;
INSTRUMENTATION. OTHER..: ..
TOTAL_ # OF SYSTEMS: 0
------- - - - - --
TIM R SILVER type amount by date recpt
13503 SW LIDEN DRIVE PRMT $ 40.00 GEO 03/07 /97 97- -293'247
TIGARD OR 97223 JPCT $ 2.1210 GEO 08/07/97 97- 298047
Phone #:
- - - - - --
WESTAR SECURITY $ 42.00 TOTAL
WESTINGHOUSE SECURITY SYSTEMS
9655 SW SUNSHINE CT #1100 •- - - - - -- REQUIRED INSPECTIONS ---
BEAVERTON OR 97005 _
Phone #: 350 -2700 _
Reg #..: 110542
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ,thee
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within x80
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 - 01.0012 through OAR 952 -'i 1-0080. You say obtain copies of
these rules or direct que .'on to OUNC at (503)245 -1987.
Issued by __ 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 : DATE: ' ;
7
LICENSE NO: . _ _ --^
!`- + ++•r +- 1- 4.4.4 -1- i- i= +-1--F 1- + +++- 1- ++- i- 4 = +-F++ 9--i 1- -t--F-F-i + -+++-- +- 1-++ +•1••-1- 1-4-+ 1 + ++ ++ +-i +++ + +-I ++-1-^F++- F- + ++-t -I-+
Call 639-4175 by C:00 P.M. for itI .i.n pecti.on neeJed the next business day
-} + ++-1 +++++ + + + + + ++ ++ + + + ++ + + ++++ +++ + ++++ +-f +++++ + + ++ ++ ++ + ++ + ++ ++++ + + ++ + +++ ++ +-i + + + +.4
•
CITY QF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd: `
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: f4119 -6 a /e{
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: 1
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS I 3Eo3 lid-en DID Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
TG Pr12i7 , ca_ 9422-3 _5 559Yo
N e Burglar Alarm
7 S I U112, ❑ Garage Door Opener'
OWNER Mailing Address
CANVlt . El Heating, Ventilation and Air Conditioning System'
City/State Zip Phone #
Name
W ❑ Vacuum Systems*
EST SP /A) 2 l T V ❑ Other
CONTRACTOR Mailing Address f � + j
9145 SSW Suv/C14;1e C— -# Jlrx> TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a ity /State Zip Phone # Fee for each system $40.00
copy of all licenses W aJQL - (a/) he_, 917:x6 ,U a (SEE OAR 918- 260 -260)
are required if Oregon Contr. B rd Lic. # x D to
expired in C.O.T. fig 5z-12._ / 3 1 /14 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. I6ate
3/-431- ece tz 3l/ 93- ❑ Audio and Stereo Systems
C. or Metro Lic. # D�
O ! ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip I 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
El 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.
Signature ENTER FEES $
00
/ / c2
C ` _c-- � � ---S _ c 5% SURCHARGE (.05 X TOTAL ABOVE) $ •cAl, 4 TOTAL $ ` � • 00
if other than Applicant
i:\resele.doc 12/98 —
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location /�.3 j 'J ! o ) 1• • Suite MEC
Contact Person C� Ph PLM
Contractor We-SA-r-- -r-- Ph 366 --Z2c SWR
BUILDING Tenant/Owner i vf? S /(.7e,r ELC
Retaining Wall ELR
Footing
Foundation NOT REQUESTED FPS
Ftg Cr awl l Drain FOUND DURING RESEARCH SGN
Crawl Ij
Slab I NOINSPECTION(S) IN FILE, SIT
Post & Beam
Ext Sheath /Shear C-D (. /i - /✓vrii-rii/r D,r° - LG) /7312 ad/
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall •
Fire Sprinkler ► - �__
Fire Alarm
Susp'd Ceiling
Roof
Misc: 6 O
Final
PASS PART FAIL
PLUMBING
Ca
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
F'•.
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 / Date Z � I
Other ! Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.