Permit CITY OF TIGARD
DEVELOPMENT SERVICES
11 SW Hall Blvd. Ti 503 1 ELECTRICAL PERMIT _
.13125 Tigard, OR 97223 ( J 639 -417 RESTRICTED ENERGY
PERMIT #: ELR98 -0310
DATE ISSUED: 11/12/98
PARCEL: 1S136CD -00200
SITE ADDRESS... :11705 SW PACIFIC HWY
SUBDIVISION ZONING :C -G
BLOCK - LOT...... ..... o.: JURISDICTN: TIG
Pro.j ect Description : Add audio and stereo systems.
•
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO.. :X INTERCOM & PAGING..:
BURGLAR ALARM....: BOILER - LANDSCAPE/ IRRI GAT. .:
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: 1
Owner: FEES
BIG 5 SPORTING GOODS type amount by date ' recpt
11705 SW PACIFIC HWY PRMT $ 40.00 GEO 11/12/98 98- 310737
TIGARD OR 97223 5PCT $ 2.00 GEO 11/12/98 98- 310737
' Phone #: 620 -7882
Contractor:
ENTOUCH SYSTEMS INC $ 42.00 TOTAL
3732 SW MOODY
REQUIRED INSPECTIONS
PORTLAND OR 97201 I_ow Voltage Insp
Phone #: 624 -6500 Elect' 1 Final
Reg #..: 000692 •
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 1 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 -010 through OAR 952- 001-0080. You may obtain copies of
these rules or di questi ' OUNC a k 3)246 -1987.
I s s u e d . /
L /1/ Permittee Signaturda .
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: /l/ DATE: // /7'-�' 25
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call'639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + ++
. s r
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13.125 SW HALL BLVD Date Rec'd:
r , TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: e--e-R 0 3/x_
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
�� Restricted Energy Fee $40.00
5 PDN /1�rI ` fC (71)00s•
, t OO Cj (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS I f /O5 Sid fUllit4 /J (uf Check Type of Work Involved:
- City/ ate �� q ill OD- Phone Zi Ph ❑ Audio and Stereo Systems
�� 112
Name
}�,� El Burglar Alarm
" "'r n Garage Door Opener*
OWNER Mailing Address
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
FQUCN SysrFll4s, Ne. ❑ Other
CONTRACTOR Mailin , lew mow
54 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /S(itg� Z' P ne # Fee for each system $40.00
copy of all licenses r6K Et// 11201 1 ,- �pu (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # 61CO� Exp. Date
expired in C.O.T. $ Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
Yr Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
n Boiler Controls
Owner's Name I Rua UW y
❑ Clock Systems
OWNER - Mailing Address
APPLICANT [(105 SIN P Aisii ❑ Data Telecommunication Installation
City /Stag. 4 �+ d 2� �� latTlY2 ❑
7� Fire Alarm Installation
WO
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;
n 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. I 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.
FEES:
ENTER FEES $ — J'" �/ Sig \ - eQi
ur
5% SURCHARGE (.05 X TOTAL ABOVE) $ �l
2ATRICK.M - LYNCH
Authority if other than Applicant TOTAL $
i:\dsts\resele.doc 7/97 —
3/7/00 Activities for Case #: ELR98 -00310
8:47:30 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 11/12/98 GEO RECD GEO 11/12/98
ELRC003 Permit Created 11/12/98 GEO DONE GEO 11/12/98
ELRC725 Low Voltage Inspection GEO 11/12/98
ELRC799 Elect'I Final 2/2/00 BRP PASS AKJ 2/2/00
ELRC500 (F) Issue permit 11/12/98 GEO PASS GEO 11/12/98
ELRC800 Case finaled 2/2/00 AKJ DONE No Hold AKJ 2/2/00
•
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ,- /0 0 AM ' I BLD
Location. I I '7( S B' CC r .. $- Suite MEC
Contact Person _ Ph PLM
Contractor Ph SWR
�` t/Owner �t ELC
BUILDING •. , . .1_: °.;
Retaining Wall �� Oo Ri o
Footing f NOT REQUESTED .
Ft u Dra non FOUND DURING RESEARCH j FPS
Crawl Drain I NO INSPECTION(s) IN FILE — SGN
Slab te X N — SIT
Post &Beam I s
Ext Sheath /Shear 1. 0 ) C / 7 // 6 K1
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling G 7 /�
` J `s S 76- kvt
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
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
ECTRIC l.—
Service
Rough In
UG /Slab
Low Voltage
Fire A -rm
411
S PART FAIL
Sll
•
t
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 te
Da�� /�
Other �� Ins pector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site