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Permit CITY OF TI GARD ELECTRICAL PERMIT - RESTRICTED ENERGY 1ii� DEVELOPMENT SERVICES PERMIT #: ELR1999 -00085 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/16/99 SITE ADDRESS: 09277 SW LOCUST ST PARCEL: 1S126DC -06600 SUBDIVISION: MLP96 -0014 PP1997 -124 ZONING: R -12 BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Add burglar alarm to a new duplex. 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 LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: BERT LUNDMARAK PHILLIPS ELECTRONICS 3381 COEUR D' ALENE DR (DBA FOR MASTER ALARM L.L.C.) WEST LINN, OR 97068 1110 NW FLANDERS PORTLAND, OR 97209 Phone: Phone: 222 -5083 Reg #: LIC 00125364 SUP 329JLE ELE 26- 213CLE FEES • Required Inspections Type By Date Amount • Receipt Elect'l Service PRMT GEO 4/16/99 $40.00 99- 314595 �'D t2 Tom` mipRgc "—' 5PCT GEO 4/16/99 $2.00 99- 314595 Total $42.00 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 • 2- 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. e n � Issued by // / Permittee Signature / �y�or 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: /v DATE: y /G - C LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OrTIGARD RE CE%iErRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SW HALL BLVD bate Rec'd: TIGARD 503-639-4171 2 X304 pPR 1 PRINT OR TYPE Permit #: Q/'9 060 F - 503 - 684 -7297 WINIPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: MAMA MITV pEV 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 # 1 ,Q Check Type of Work Involved: ADDRESS / oZ 77 5.6./. 4 con — City /State ��/l Zip Phone # ❑ Audio and Stereo Systems 77 (94 . d A. Name Burglar Alarm L ov e m4A44 4' ❑ Garage Door Opener' OWNER Mailing Address 3 3 T/ Co F� U/eD 4 Ate 04 ❑ Heating, Ventilation and Air Conditioning System* City /State Zip Phone # 4/6Yri -1 ❑ Vacuum Systems' Name / 1dA /a r,e7Leila-�f ❑ Other CONTRACTOR Mailing Address /mill 0 N'• t4/'.n-444 '2j TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City /St e f _ A Zip Phone # Fee for each system $40.00 copy of all licenses OW _ 97.4-0, (SEE OAR 918 - 260 -260) are required if Oregon Contr. Lic. # Exp. D e expired in C.O.T. / ,2 -T 3 i6 SL' i / c /d'/ P Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp D e Co •-,7W Cam' / a /j f 99 ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # "5/ n Q np,1 �t� 7 t" ❑ Ai ' Boiler Controls Owner's Name ❑ Clock 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; ❑ 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. --,-1411>fri/i— FEES: Signature ENTER FEES $ 4 � © G o ' 5% SURCHARGE (.05 X TOTAL ABOVE) $ .02 0� Authority if other than Applicant TOTAL $ ' i:\dsts\resele.doc 7197 — 05/26/2000 Activities for Case #: ELR1999 -00085 1:37:23 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRA003 Application received 04/16/1999 GEO No Hold GEO 04/16/1999 ELRA010 Permit created 04/16/1999 GEO No Hold GEO 04/16/1999 ELRA725 Low Voltage Inspection 01/14/2000 BRP FAIL No Hold AKJ 01/18/2000 no access, unable to make phone contact ELRA500 (F) Issue permit 04/16/1999 GEO DONE No Hold GEO 04/16/1999 ELRA720 Wall Cover 04/19/1999 04/19/1999 04/19/1999 CD PASS No Hold AKJ 04/19/1999 ELRB799 Electl Final 05/16/2000 CD PASS No Hold AKJ 05/16/2000 ELRB800 Case Finaled 05/16/2000 AKJ DONE No Hold AKJ 05/16/2000 • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639.4171 BUP Date Requested 43 0 AM PM BLD Location 91-77 6 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR �� a °X Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall �{ Fire Sprinkler �./ 0 / S e-„,-i ArtlyA._ Fire Alarm t fCiO Susp'd Ceiling W N L Roof Misc: V y) rVL„ Final /_ /'!� PASS PART FAIL PLUMBING Post & Beam (OA)/ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final FAIL Rough In UG /Slab Low Voltage Fi e Alarm P 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 Other Date " /C - 6 1 0 Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.