Permit CITY OF TIGARD
� ^ !��,� j � l l�, DEVELOPMENT SERVI ELECTRICAL PERMIT —
13125 SW RESTRICTED ENERGY
PERMIT #: ELR98 -0330
DATE ISSUED: 12/10/98
PARCEL: 291O2CP -02500
SITE ADDRESS...:13O9O SW PACIFIC HWY
SUBDIVISION •FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK LOT -007 JURISDICTN: TIG
Pro .j ect Description : Jack -in- the -box drive through intercom system
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..:
INSTRUMENTATION.: OTHER..:DRIVE THRU::X
TOTAL # OF SYSTEMS: 1
Owner: FEES
FOODMAKER, INC. type amount by date recpt
4500 KRUSE WAY PRMT $ 40.00 JSD 12/10/98 98- 311431
SUITE 270 5PCT $ 2.00 JSD 12/10/98 98- 311431
LAKE OSWEGO OR 97035
Phone #: 503 -636 -4785
Contractor:
ENTOUCH SYSTEMS INC $ 42.00 TOTAL
3732 SW MOODY
REQUI RED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Low Voltage Insp
Phone #: 624 -6500 Wall Cover 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 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Tho rules are set forth in OAR 952- 001 -010 through OAR 952- 001 -8080. You may obtain copies of
these rules or direct questions to Ili : '(503)246 -198 ,
_ 4 � '�' J .i,
Issued by Permittee Signature % ii
IV"
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd: / 710
TIGARD OR 97223 PRINT OR TYPE —� 9g-63
V - 503 - 639 -4171 X304 Permit #: / `- /� -5 0
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: /�_C_
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
Ja1.1C tvt f 1 x (FOR ALL SYSTEMS)
JOB Street Address Ste # Check Type of Work Involved:
ADDRESS / o Sh $w /�u /( c- tf u
C { i y / `a`er 'C
` �n Zip Phone # ❑ Audio and Stereo Systems
Name `C — / L2j ❑ Burglar Alarm
f OC1d1/1/ta ce-/ —Ai ❑ Garage Door Opener*
OWNER Mailing Address
7 50O �CYU Se 14- ❑ Heating, Ventilation and Air Conditioning System*
Cit /State Zi Phone #
,� 0.5 j a � 3S_ 436 - 21 s ❑ Vacuum Systems*
Name
Z l '1 T 61tc k 5 ❑ Other
CONTRACTOR Maili Address 1
77 Stv M TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a /St to ,( i. -/ Phone # Fee for each system $40.00
copy of all licenses r0 ✓ � ' (Gk./ OM _� -f y'l2ci 22-3-20W (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # E x Date
expired in C.O.T. 9 2 - 0 Check Type of Work Involved:
data base). Electrical C n Lic. # xp. at
2 (0 (o L / - ' - / -- ,7 ❑ 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. l i Intercom and Paging Systems
These have asterisks('). All others need licensing;
0 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 G(r/ .� �r'ru, /4 3 �`
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. Number of Systems
The person signing for this permit mu be the applicant or a person • No licenses are required. Licenses are required for all other installations
authorized to bind the applicant. 1
`� l FEES: / ;;/ % /—/./
Signature ENTER FEES $�
5% SURCHARGE (.05 X TOTAL ABOVE) $ ✓ /
Authority if other than Applicant - r+ TOTAL $ parr -
i:klstskesele.doc 7/97 f tk1( 5 u — 6 3
i. / U
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0330
FOODMAKER, INC.
13090 SW PACIFIC HWY
12/28/98
•
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received / / / / 12/10/98 PASS JSD 12/10/98 JSD
ELRC003 Permit Created / / / / 12/10/98 PASS JSD 12/10/98 JSD
ELRC500 (F) Issue permit / / / / 12/10/98 PASS JSD 12/10/98 JSD
ELRC725 Low Voltage Inspection / / / / 12/11/98 Speaker menu board finaled PASS CD 12/17/98 J *H
ELRC799 Elect'l Final / / / / 12/11/98 speaker menu board PASS CD 12/11/98 CD
ELRC800 Case finaled / / / / 12/17/98 PASS CD 12/17/98 J *H
4
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
2 10/1 I � Date Requested J v� � (- 1 AM �C PM BLD
Location J 7 0 cS - 1 2 1 / • Suite MEC
Contact Person 4!! l /. %- _4A Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner . 1A -lL t/\3 71 8O ELC
Retaining Wall ?J- 0380
Footing Access:
Foundation CUM_ �� a /t�C
FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing ; D ywal on ~���`�
Drywall Nailing �f
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post Beam
Undder r Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains •
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
RT FAIL
ELECTRICAL
Service
Rough In
`L Volt
Fire Alarm
calp
PART FAIL
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 �
Other Date l I //7, Inspector I� E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.