Permit CITY OF T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
A "AN OI DEVELOPMENT H BMEN ) 639 -4171 DATE PERMIT #: ISSUED: E �R20001 -00278
SITE ADDRESS: 11999 SW PACIFIC HWY PARCEL: 1S135DD -05106
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of date drops and patch panel.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
WEIREX CO INC + POWERCOM INC
CCC PROPERTY MANAGEMENT LLC PO BOX 3205
14001 WILLAMINA CREEK RD SPOKANE, WA 99220 -3205
WILLAMINA, OR 97369
Phone: Phone: 509 - 535 -5533
Reg #: LIC 148214
ELE 37-391CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 11/7/01 $75.00 2720010000 Elect'I Final
5PCT CTR 11/7/01 $6.00 2720010000
Total $81.00
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 • • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-P01-0010 thro . • h OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 1987.
Issu - . by �rnw i /'� Permittee 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:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
11/02/2001 12:47 FAX 505081980 CITY or TIG.ARD 41DU
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ry Mahe'. (503) 639 -417: 1)ureutued: R -.« +1.1 •
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r NU. wY t,VttML•Mt. W.... .vale •gods elem. • al ..........rw A, elan �...�., «. Natioe• Tl.;t perm u
it appltdoo I'e ttt>il Re .. Y Z •Oo —
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C 0 rdmteCete ` a tpin+ if a permn Is not obtafoat PlIn re (Ai _ %) S
Coe!! cr:a evrJ.': -r: _• l / • w thlr. ;SO Ctys any it wits bear. St= bu.:hugc •6i') --- 3 _ ao
t (••ur v(. ru.•w�. �t +•: dA .CAA: FG:t ti E . surpeC'd as coro tine TOTAL .
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. t____ "'` L � roar.: • 640-+61)(6VOtC'01.4)
CITY OF TIGARD BUILDING INSPECTION DIVISION /2-13
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested /, 74 AM PM BLD
Location //9f S U) / 11, , y Suite / MEC
c.
Contact Person ! //r ' Ph �t - '/0 -Oak PLM
Contractor giy Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR Z z /-c ) Z7?
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
Sprinkler l .c l b � r jf r
Fire Alarm
Susp'd Ceiling
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
Service
Rough In
UG /Slab
ow Vo
ire Alarm
Fi
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 Date J / `� '" O I Inspector • _ lia J Ext
Other //
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.