Permit •
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
A h � l � DEVELOPMENT SERVICES
PERMIT #: ELR2000 -00157
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/22/2000
SITE ADDRESS: 13939 SW PACIFIC HWY * ** PARCEL: 2S103DD -01000
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of Data Telecommunication System in commercial building.
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: 1
Owner: Contractor:
BC REAL ESTATE INVESTMENT GATES ELECTRONICS + SECURITY
BC NORTHWEST LP #707 PETER N GATES
BY BURKE & NICKEL 6818 SW CAPITOL HWY
TULSA, OK 74135 PORTLAND, OR 97219 O R I G I N A L
Phone: Phone: 246 -9951
Reg #: LIC 0076878
SUP 922JLE
ELE 34 -316CL
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 06/22/200C $60.00 0003225 Elect'I Final
5PCT KJP 06/22/200C $4.80 0003225
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 started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 thro,ug OAR 952 - 001 -0080. You may obtain copies of these rules or dire t quest in o OUNC at (503)
246-1987.
Issued by Permittee Signature k / 1
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 �'(� C` 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:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: eLaa000-- i)015
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $60.00
4�4 , i #57 (FOR ALL SYSTEMS)
JOB tre ddress Ste #
ADDRESS l cJ 7 S � r/. l 3 l / Check Type of Work Involved:
�jf tate , hone # n Audio and Stereo Systems
Z i �
N the � ❑ Burglar Alarm
11 ❑ Garage Door Opener`
OWNER
e i-4,9,,
� d / 6 i
7, /St e Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Na e30' Afeet y7 9N 3 �// El Vacuum Systems*
. 'E�� /,4 74...../e.)71 ❑ Other
CONTRACTOR Mailin Addre
6,8? 5f� /4/4.„, TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a ;r tat / �Zi 11,,o e Fee for each system $60.00
copy of all licenses 7 /y�/ �� (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # D
expired in C.O.T. 7/07f / 6 Check Type of Work Involved:
data base). Electrical Co tr. Lic. # a
y -3 � C � / jJ�cc ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp ate
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT d Data Telecommunication Installation
Atr
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 n 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. n Intercom and Paging Systems
These have asterisks( *). All others need licensing;
2. Call for inspections when installation under this permit are ready for
n Landscape Irrigation Control`
inspection at 503 - 639 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an n 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. n Other
Permits are non - transferable and non - refundable . i d expire if work is not
started within 180 days of issuance or if work is - fspended for 180 days. / Number of Systems
The person signing for this ermit st be t : pplicant or a person * No licenses are required. Licenses are required for all other installations
authorized to bind the ca t
FEES: /
Signature ENTER FEES $ �j� �.
8% SURCHARGE (.08X TOTAL ABOVE) $ ,�
J
Authority if other than Applicant TOTAL $ ‘0 ,
is \dsts \forms \resele.doc 3/98
07/11/2000 Activities for Case #: ELR2000 -00157
2:13:11 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 06/22/2000 KJP RECD No Hold KJP 06/22/2000
ELRC003 Permit Created 06/22/2000 KJP DONE No Hold KJP 06/22/2000
ELRC725 Low Voltage Inspection No Hold KJP 06/22/2000
ELRC799 Elect'I Final 07/06/2000 CD PASS No Hold CD 07/06/2000
ELRC500 (F) Issue permit 06/22/2000 KJP DONE No Hold KJP 06/22/2000
ELRC800 Case Finaled 07/11/2000 HAP DONE No Hold HAP 07/11/2000
• Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line:. 639 -4175 Business Line: 639 -4171
BUP
Date Requested '7— to AM PM BLD
Location /3139Sw(1 /44w4 Suite MEC
Contact Person 9�' -v� Ph , (1 -f1 f1 3 1 PLM
Contractor Ph q23 G k 1 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR Z&(/U—O,') /5 -7
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 s�
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 PA FAIL
LE�LECTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire• -m
4.40 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 • Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.