Permit CITYOFTIGARD
� "pi DEVELOPMENT SERVICES
!+L , � � � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ELECTRICAL PERMIT --
RESTRICTED ENERGY
PERMIT #: ELR98 -0289
DATE ISSUED: 10/19/98
PARCEL: 1S136CD -00200
SITE ADDRESS... :11705 SW PACIFIC HWY #L
SUBDIVISION....: ZONING :C -G
BLOCK LOT JURISDICTN: TIG
Pro.j ect Description: Electrical TI
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
PACIFIC CROSSROADS PROPERTIES type amount by date recpt
BY WYSE INVESTMENT SERVICES CO PRMT $ 40.00 B 10/19/98 98- 31010E
200 MARKET STE 345 5PCT $ 2.00 B 10/19/98 98- 310102
PORTLAND OR 97201
Phone #: 294 -0400
Contractor: • . -•
ADT SECURITY SERVICES INC $ 42.00 TOTAL
703 NE HANCOCK .
REQUIRED INSPECTIONS
PORTLAND OR 9781E 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 more than 188 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 952 - 001 -0ur. You may obtain copies of
these rules or direct questions o OUNC at (503)246 -1987. ` ,___
I ssued by
e P ermittee SignatureQ1n � k-et -����
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:
LICENSE NO:
+ ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day
+ ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
4 1.
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD /0/(0 • Q g 3 —, .05 3 -0 ( Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: agog -O2_461
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
f 2 i7 ( -( - 1 WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
5 4r2 :e
/ � Restricted Energy Fee $40.00
�
� / (FOR ALL SYSTEMS)
JOB Stre Address 4 . 11 Ste # Check Type of Work Involved:
ADDRESS / f D, j 5t,d • � p,
City/ ate d f 0 0 ,� i Y one # ❑ Audio and Stereo Systems
IA
Name ❑ Burglar Alarm
OWNER Mailing Address n Garage Door Opener*
City/State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ACT Y , INC. ❑ Vacuum Systems*
103 SECURIT NE HANCOCK SERVICES Other
PORTI AND. OR 97212 ❑
CONTRACTOR Mailing Address (503) 284.3265
TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses (SEE OAR 918 - 260 -260)
are required if Oregon Contr Bra I�. # Exp. Date
expired in C.O.T. ' L� l� Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
I —
GIir ,-0 q I —I I 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 n HVAC
permit and to do the following:
n Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. n 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 a . on -r- undable and expire if work is not
started within 180 days o ' y' : ance . • if work is suspended for 180 days. Number of Systems
The person signin. o pe it must be the applicant or a person * No licenses are required. Licenses are required for all other installations
authoriz- to bin. - - ,.p' ant.
/ FEES:
I 7S 33-L+ ='
Sign= " re IVEDENTER FEES $ T ?�
D
5% SURCHARGE (.05 X TOTAL ABOVE) $ 9 / `m
OCT 1 9 1998
TOTAL $ L /g i vV
Authority if other than Applicant
i:\dsts\resele.doc7/97 COMMUNITY DEVELOPMENT -
3/7/00 Activities for Case #: ELR98- 00289
8:47:13 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 10/19/98 B RECD BON 10/19/98
ELRC003 Permit Created 10/19/98 B DONE BON 10/19/98
ELRC700 Ceiling Cover 10/27/98 BRP PASS B *P 10/27/98
ELRC720 Wall Cover 10/27/98 BRP PASS • B *P 10/27/98
ELRC725 Low Voltage Inspection 10/27/98 BRP PASS B *P 10/27/98
ELRC799 Elect'I Final 10/27/98 BRP PASS B *P 10/27/98
ELRC500 (F) Issue permit 10/19/98 B PASS DST 10/19/98
ELRC800 Case finaled • 10/27/98 BRP PASS J *H 11/2/98
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST A �.
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 I ��
/ / BUP
/LvDate Requested , Q' I AM X PM BLD
Location SA i uite L__ MEC
Contact Person /,fitA../ Ph PLM
Contractor 7_ Ph v � SWR
BUILDING �
_ ` ° .w } Q `A Tenant/Owner ,t, Lj ELC
R etaining Wall / 9 Footing Access: (
/
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation l
Drywall Nailing J� C r 1 Y' t/(' ��II4 — DT-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL rte: rv�� !iii = ���►TI____ S.�i /i' iCir'
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service / ? D 5't/ (6 icry) —
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
.Low Voltage
Fi Alarm
S PA
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 /7) 2 / — 9 Date 2 t� ( Inspector A. /1� � /i. '� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.