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Permit a CITYOFTIGARD .,L i DEVELOPMENT SERVICES ELECTRICAL PERMIT - RESTRICTED ENERGY PERMIT #: ELR99 -0067 DATE ISSUED: 03 /25/99 PARCEL: 2S1O2CB- -00302 SITE ADDRESS...:13185 SW PACIFIC HWY SUBDIVISION -NORTH TIGARDVILLE ADDITION ZONING :C —G BLOCK • LOT •033 JURISDICTN: TIG Project Description : Installation of one low voltage security system. 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..: INSTRUMENTATION.: OTHER... :SECURITY ::X TOTAL # OF SYSTEMS: 1 Owner: FEES CINDY WINKLE type amount by date recpt 13185 SW PACIFIC HWY PRMT $ 40.00 DEB 03/25/99 99- 313975 TIGARD OR 97223 SPCT $ 2.00 DEB 03/25/99 99- 313975 Phone #: Contractor: BRINKS HOME SECURITY $ 42.00 TOTAL 8059 SW CIRRUS DR REQUIRED INSPECTIONS BEAVERTON OR 97008 Ceiling Cover Low Voltage Insp Phone #: 641 -0574 Wall Cover Elect'1 Final Reg #..: 000444 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable law ?. 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 Utili 1 1 •on Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952 - 001-0080. You may obtain copies of these rule or direct ques •ons to OINC at 1503)246 -1987. Issue by U� , )0A,yvt .JlQ Permittee Signature di. ez t i 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 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ' RECEIVED Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION PERMIT # ' Ilk 1999 13125 SW Hall Blvd. Tigard, OR 97223 99- 006' calm ✓o,, ;,, cr PMENT Phone (503) 639 -4171 t l - � -5 . -' 9 w FAX (503) 684 -7297 DATE ISSUED / �] TDD No. (503) 684 -2772 C--, s72-4� CITY OF TIGARD Inspection (503) 639 -4175 . ISSUED BY QO PLEASE COMPLETE ALL SECTIONS . 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 131R5slo 1 RESIDENTIAL — Restricted Energy Fee $44.40 d , 97,2A8 - (FOR ALL SYSTEMS) City ( State Zip Check Type of Work Involved: PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm ❑ Garage Door Opener* 2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System* Contract° HOME SECURL ALARM ❑ Vacuum Systems* 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 ❑ Other Address ��? em Date t 3 orc3 - ' / COMMERCIAL — Fee for each system $44.40 ///� ,,,,,,�,,//// . /' /,, (SEE OAR 918- 260 -260) Property Owner C //'J� u0 /rl�c I� Check Type of Work Involved; Contractor's Board Reg. No. OA A/121 ❑ Audio and Stereo Systems ❑ Boiler Controls Phone # (503) 641 -0574 ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation e.And ba nkie, ❑ HVAC Print Owner's me Phone No ❑ Instrumentation ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ❑ Nurse Calls restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting` following: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required. (Certain L / �C,(�tM r �] c (J A/ 1 !� residential and other transactions are exempt from licensing. These have l. V Other asterisks(*). All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503 - 639 -4175. al Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations. 4. Assume responsibility for assuring that all corrections required by the inspector -- are done, and 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ I/0. DO authorized to bind the applicant. b. 5% Surcharge (05 x total above) $ d . D Signat TOTAL $ 02. by Authority irother than appli a ENERGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q BUP Date Requested I L "1 -9 I AM PM BLD Location 1 31 g S f i.0 ! R o \\ Suite [ - S� MEC Contact Person C� W! C / Ph /D ' I A `7 O PLM Contractor .���� i SWR V'� �' n! 1�. S Ph BUILDING t!R t - 4 ,c �I � - ELC n Retaining Wall ELR 9q Footing Access: Foundation • FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab > C- c./ y _97/S-74/4--( SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ,�/ Susp'd Ceiling / r O P 1" e° G' c�y f o Y / Y) 5' c4 D ' — 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 EL Rough In UG /Slab Fire Alarm Final PASS PART AIL 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 [ I Please call for reinspection RE: [ ] Unable to inspect - no access ADA • Approach /Sidewalk 4-o 7- 99 Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 E 2-9q BUP Date Requested n E � 2 l 1 AM PM BLD Location l �l S. C ��++ ', Y4 .e , ¢ L Suite 0—S MEC Contact Person c� `'n Ph (D$- 8 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR q 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 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: /rt S �P curl/ 52( Final h4 / �� SS 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 Fire Alarm a .‘ PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk , c ! / Other Date V ` Inspector '∎ I_ i /�. !A Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.