Permit A CITY OF TIGARD
� DEVw LOPMEN R SERVI ELECTRICAL
ENERGY
PERMIT #: ELR98 -0059
DATE ISSUED: 02/23/98
PARCEL: 18135DD -03301
SITE ADDRESS...:11945 SW PACIFIC HWY #236
SUBDIVISION °HOFFARBER TRACTS NO.1 ZONING:C —G
BLOCK • LOT °002 JURISDICTN: TIG
Project Description : Add protective signaling to a commercial tenant occpy.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: 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..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
RINCONCITO NORTENO VIDEO type amount by date recpt
11945 SW PACIFIC HWY PRMT $ 40.00 GEO 02/23/98 98- 303514
SUITE 236 SPCT $ 2.00 GEO 02/23/98 98- 303514
TIGARD OR 97223
Phone #: 624 -6194
Contractor:
ADT SECURITY ALARMS $ 42.00 TOTAL
703 NE HANCOCK
REQUIRED INSPECTIONS
PORTLAND OR 97212 Low Voltage Insp
Phone #: 284 -3265 Elect' 1 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 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 952- 001 -0080. You may obtain copies of
these rules or direct que tions o OU t (5031246 -1987.
Issued by ,/ Perm ittee 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: p2 —o2=3 igr
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
�a
`CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW H c ALL BLVD Dat Rec'd:
TIG�ARG OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 0 ff ,3 — 0...17// - Permit #: 0Q,�
y�f' V
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
�/ I 1 �, Restricted Energy Fee $40.00
/Ne ( }tea ,UO p- �N Y UU y o (FOR ALL SYSTEMS)
JOB Street Address . l (n Ste #
ADDRESS //f' 5 w 1" jp� a0 Check Type of Work Involved: Pho
71 / � ex 3- _ #� � ❑ Audio and Stereo Systems
Name (�+ ❑ Burglar Alarm
k ovamluT? Na ter ""' " V I "' . El Garage Door Opener'
OWNER Mailing Address
City /State I Zip 1 Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name El Vacuum Systems*
•
ADT SECUM1Y SYSIDAS ❑ Other
CONTRACTOR Mailing Addres3 N.E. thitCOCk
i .. , 97212 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State , i c, . , . Phone # Fee for each system $40.00
copy of all licenses (SEE OAR 918 - 260 -260)
are required if Oregon ont L Br Lic. # ye
expired in C.O.T. T Check Type of Wor k Involved:
data base). Electfj�q,( Co r L4 # n ❑ ��,((6 Audio and Stereo Systems
C.O.T. or Metro Lic. # e
❑ Boiler Controls
-Away s.blacne f j T p ie / . _ �` ❑ Clock Systems
OWNER - Mailing Address �LK►�+
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 • pended for 180 days. Number of Systems
The person signing for t ' pe • it must a applicant or a person • No licenses are required. Licenses are required for all other installations
authorized to bind the a ■pl'. • nt.
FEES: /f /f'J�
7ff3J�� ENTER FEES $ 4/V ' " -
Signature
5% SURCHARGE (.05 X TOTAL ABOVE) $ c2' - c7
Authority if other than Applicant TOTAL $ ya .-lJ u
i:\dsts\resele.doc 7/97 —
3-II/ 7 7
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3 ") c) q A.M. P.M. MST:
Location: //q d W / Ak BUP:
Tenant: R / / V 604) C/ TO V// ED Suite: Z 36 Bldg: MEC:
C o n t r a c t o r . Q1 c u A- ®/ Pho (C/ 2 9 — 6/ 9 PLM:
Owner P? 7 Phone: ELC:
Q.Cah ..13- ELR: 7F-DO,57
r 3 " SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL `' CTRICAL SITE
Site Post/Beam Post/Beam Post/Beam . • - - • 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 .w ' o afaArin .�
Approved Approved Approved • .. . v.. Approved
Appr /Sdwlk Not Approved Not Approved Not Approved .... .. oved Not Approved
FINAL FINAL FINAL I� FINAL
i �• — P__,_..,
, :
i
Q .:. r-
O Call for reinspection O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: 3 - / Z - 97 Page of