Permit A CITY OF TIGARD
,�,,�,X DEVELOPMENT S ERV SERVICES ELECTRICAL PERMIT — 97223 (503) RESTRICTED ENERGY
PERMIT #: ELR98 -0117
DATE ISSUED: 04/22/98
PARCEL: 15136AD -04000
SITE ADDRESS...:115O7 SW PACIFIC HWY #D
SUBDIVISION •VILLA RIDGE ZONING:C —G
BLOCK LOT •007 JURISDICTN: TIG
Project Description : Add protective signaling to existing couuercial tenant
occpy.
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: .. HVAC PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
BENCHMARK MORTGAGE type amount by date recpt
11507 —D SW PACIFIC HWY PRMT $ 40.00 DLH 04/22/98 98- 305158
TIGARD OR 97223 5PCT $ 2.00 DLH 04/22/98 98- 305158
Phone #:
Contractor:
ADT SECURITY ALARMS $ 42.00 TOTAL
703 NE HANCOCK
REQUIRED INSPECTIONS
PORTLAND OR 97212 Ceiling Cover Low Voltage Insp
Phone #: 284 -3265 Wall Cover Elect'l Final
Reg #..: 000599
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 sore 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 952101 -0080. You say obtain copies of
these rules or direct questions to OUNC at 1503)246 -1987.
Issued by Permittee Signature rf' /L- TL
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: A / ??
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
,C4-TY,C) RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: .Z Lfri
/13125 SW HALL BLVD diW%i A.8 Date Rec'd: V22 -9 TIGARD OR 97223 ETA/ PRINT OR TYPE o83 073 / 9-aa.
V - 503 - 639 -4171 X304 4 Permit #: TL/??-e9//
F - 503 - 684 -7297 APR 2 1N PLETE OR ILLEGIBLE APPLICATIONS ,ii 0 Cust.Call'd:
WILL NOT BE ACCEPTED / 6IL' 9 1- 00 7 7
Name of t ntemyggt gPMENT TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
&te-Lrada FLL Energy Fee
( $40.00
. ems (FOR OR ALL SYSTEMS)
JOB Street Address 1 t # so ���D7 -,D 5a) Check Type of Work Involved:
C i /Stale o t a � ) i _n Audio and Stereo Systems
a J ce Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name SECURITY SYSTEM INC, ❑ Vacuum Systems*
703 HANCOCK
PORTLAND. OR 9na ❑ Other
CONTRACTOR Mailing Address (503) 284.320
TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State I Zip Phone # Fee for each system $40.00
copy of all licenses (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd iJ Ex . Da
expired in C.O.T. .5 g `7• Y % 2? 92 Check Type of Work Involved:
data base). Electrical Contr. Lic. # . Date
o� - ,9Q p /0/ iv ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ 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- transferabl . d no mendable and expire if work is not
started within 180 days o an yf work is suspended for 180 days. Number of Systems
The person signing f• • i it must be the applicant or a person • No licenses are required. Licenses are required for all other installations
authorized to bind t• : • • I :nt.
4 ure FEES:
ENTER FEES $ go .
5% SURCHARGE (.05 X TOTAL ABOVE) $ a i
Authority if other than Applicant TOTAL $ 4 .
i:\dsts\resele.doc 7/97 —
•
Iiir 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: (5 /) 1/ A.M. P.M. MST:
Location: 11507 Ali) �4 ^ f le- (/ BUP:
Tenant: Suite: Bldg: MEC:
Contract �� 60 ^^-�� � �a P hone: �� PLM: -
Owner: 7' 3 O 9 Phone: 41117/// /4 1 a...... ELC:
I � i ' ELR: D /I
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL / CTRICA SITE
Site Post/Beam Post/Beam Post/Beam Cover/service Sewer /Stone
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump 'w Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
A te, Do J ... 6Ri 62 YL .s"- 2- P9
•
•
0 Call for r2 O Reinspection fee of $ required before next inspection 0 Unable to inspect 4 Inspector: reinspectio
� _ Date: S - / Z - 9, e Page of
1507
CITY OF TIGARD BUILDING INSPECTION DIVISION J
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 5- O -- (78 / A.M. P.M. MST:
Location: / 1 5 0 arj�() Jy P.t/Zr BUP:
Tenant: G . � Syite: �} p Blddg: MEC:
Contractor: '-fil4JL 4 C Q CI: Phone: I0 9 7— 6 7 / PLM:
Owner: Phone: ELC: qs 1 5
,__ 'L C.:1,.. r5 Gt- � x l D ' ELR: 9 Q.- 0 I t 7
(�..F/� GO C.... / STT:
BUII.DIN BLDG (con't) PLUMBING MECHANICAL LECTRIC SITE
Site Post/Beam Post/Beam Post/Beam over /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approv:• Approved
Appr /Sdwlk Not Approved Not Approved Not Approved • v.iw•roved Not Approved
FINAL FINAL / FINAL FINAL ' FINAL
O CmiSIYl4 t-'t i1 Cyea_l�e_c/ Ohl/ 6 J
r_o r roc ofri 5 0 I
n D 7 4_y- m , (r �L-"2 ' 0l1 7 -- /4..--.,
O Call for reinspection / Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: j Date: Q Page of