Permit CITY OF TIGARD ELECTR ERG
RESTRICTED ENERGY
asl DEVELOPMENT I
� SERVICES 639 -4171 DATE CES ISSUED: ELR1999-00235
9 -00235
- 13125 SW
SITE ADDRESS: 13080 SW PACIFIC HWY PARCEL: 2S102CB -02600
SUBDIVISION: FREWINGS ORCHARD TRACTS 1 ZONING: C -G
ar
BLOCK: LOT: 020 JURISDICTION: TIG
Proiect Description: Installation of burglar alarm 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: BURGLAR AL X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
ANTHONY M CAPONE BRINKS HOME SECURITY
13056 SW PACIFIC HWY 8059 SW CIRRUS DR
TIGARD, OR 97223 BEAVERTON, OR 97008
Phone: Phone: 641 -0574
Reg #: SUP 2650JLE
LIC 00044421
ELE 34166CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 10/7/99 $60.00 99- 318900 Elect'l Final
5PCT DEB 10/7/99 $4.80 99- 318900
Total $64.80
•
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 sta 80 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
. req • es you to follow ules adopted by the Oregon Utility Notification Center. Th. - rules are set forth in OAR
95 - 001 -0010 through "AR 952 -00 o 80. ou may btain copies of these rules o direct questions to OUNC at (503)
2 6 -1987. ,
Is ed by _ �L ./ Permittee Signature , 1 ,, j S _ �.�
OWNER INSTALLATION ONLY O
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 b : /D�0
13125 SW HALL BLVD Date Rec'd: / -7 17'
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: l/ jy
- 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
( n r , S � n `41J,1,'J .� / ( A LL SY F $60.00
(' IM .K� t/ Jvvp 7 (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS MR() tJ , S'tO Pan �AI jf Check Type of Work Involved:
1Ci fa te '
1 ' 4 ' 1c2t MI/4g ❑ Audio and Stereo Systems
Na ❑ Burglar Alarm
❑ Garage Door Opener*
OWNER %ag Address /) � '/ ` r �Jy
Cate 1�p0 El Heating, Ventilation and Air Conditioning System'
" '
Name . O 2 I p 7 3 I Phone #
❑ Vacuum Systems'
Name •
1
Erink 11- m fb&bi ❑ Other
CONTRACTOR 76Mdtess
) Nx .{g Y. TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a �6 i I b . , Pngne , I Fee for each system $60.00
copy of all licenses ��' �—( jJ ILf (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd_Li>r #, .xp. / -
expired in C.O.T. �L� (� Check Type of Work Involved:
data base). Electrical Contr. �� E /0'1-00
t �� -jb� L%l.0 El Audio and Stereo Systems
C.O.T. or Metro Lic. # /q L L / IP. Di/ ❑
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. ❑ • 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 " Bk9 & rm
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 t pp nt. a ntxxxsz A
� � FEES: j �]� 771
Signature ENTER FEE $ LL/ - V � D
5:4-S RCHARGE (.05 X TOTAL ABOVE) $ ' / . Eb
Lod
Authority if other than Applicant TOTAL $ 0
i:\dsts \forms resele.doc 3/98
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested – 2 — AM PM BLD
Location /30 SO Suite MEC
Contact Person GG Ph FSO O — 57.53 ;S 7y PLM
Contractor Ph SWR
BUILDING � ��� L' �• 1.. La ELC
Retaining Wall .4_- _[ A- i _:�� _' .�4. • LR cl q —d d S
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes:
SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing L° 0 / I/ c / Q v7 ■
Firewall
. Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof •
Misc:
Final
PASS PART FAIL
PLUMBING
-
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer (OM
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
•w Volta. -
Fire arm
PASS RT 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 D ��22 ? / Inspecor Air: wit Other t_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.