Permit CITY OF TIGARD ELECTRICALPERMIT -
RESTRICTED ENERGY
* DEVELOPMENT SERVICES PERMIT #: ELR2000 -00127
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/01/2000
•
SITE ADDRESS: 13939 SW PACIFIC HWY * ** PARCEL: 2S103DD -01000
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Fire alarm installation.
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
B C REAL ESTATE INVESTMENT JUSTICE COMMUNICATIONS
B C NORTHWEST L P #707 3335 SE HAWTHORNE BLVD
BY BURKE & NICKEL PORTLAND, OR 97214
TULSA, OK 74135
Phone: Phone: 503 - 232 -6163
Reg #: ELE 26 -211 CLE
LIC 67545
FEES Required Inspections
•
Type By Date Amount Receipt Low Voltage Inspection
PRMT GEO 06/01/200C $60.00 0002644 Elect'l Final
5PCT GEO 06/01/200C $4.80 0002644
Total $64.80 OR'1GNAL
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 through OAR 952 - • 01 -0080. You may obtain copies of these rules or direct questions OUNC at (503)
246 -1987.
Issued b � �/ 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 /l// DATE: If
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
UbIUi /UU FRI 09:53 FAX 503 598 1960 CITY OF TIGARD
Who')
•
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
• 13125 SW HALL BLVD Date Recd: /s-j
TIGARD OR .97223 PRINT OR TYPE
V - 503-639-4171 X304 Permit - 7 -
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. $so.00
W a l g r e e n Store
(FOR ALL SYSTEMS)'
• JOB Street Address Ste 4 •
•
ADDRESS 13939 S. Pacific HWY Ch Type of Work Involved:
/state
Tigard, , Or7 2 2 3 Phone e,40 ❑ Audio and Stereo Systems
• N AAA- F9rA t Fr - /mod %-JP d ❑ Burglar Alarm 0 � 00 ®
.. S AM /tS ee rlab/ AJ i � GF.x°-?e �k� ■
• OWNER Majii I Ad A �, ❑ Garage Door Opener* t �nd A. Q�
City/State phone ❑ Heating. Ventilation and AirL�on • • • g
rat 3l¢- �`
Name ❑ Vacuum Systems �?"
Justice Commnunications ��
❑ Other
CONTRACTOR Mailing Address
3335 SE Hawthorne Blvd. • TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone U Fee for each system ...... .. " ..... -_.
copy of ail licenses ?o r t - land , Or 197214 503-232 - 616 3 (SEE OAR 918 - 260.260) " " " " " " " " " "' " "' $60.00
are required if Oregon Contr. Brd L„
expired in C.O.T. 7 6 4 5 (o 7 -L� 6 .��/ 0 1. Check Type of Work Involved
data base).. Electrical Contr. l.ik: # �0
2 6 - 211 C L E 01 • ❑ Audio and Stereo Systems
0.2:7.9 r Metro Lac. �j
❑ Boiler Controls
Owner's Name
. OWNER - Mailing Address
❑ Clock Systems
APPLICANT n Data Telecommunication Installation
City/State I Zip I 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 tins ❑ HVAC
permit end to do the following:
1. Only use electrical licensed • ❑ Instrumentation
Y 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;
2. Call for Inspections when installation under this permit are ready for ❑ Landscape Irrigation Control"
inspection at 503 -639 -4175; ❑
Medical
3. Purchase separate permits for all installations that are not ready for an
Inspection when the Inspector is out to inspect under this permit ❑ Nurse Calls
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
inspector are done, and:
•
5. Assume responsibility for calling for a final Inspection when all of the ❑ Protective Signaling
corrections are completed. • ❑ Other
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 th - • be the applicant or a person • No licenses are required. Licenses are required for all other instaliarmns
• • rized to bind th = = • plicant. •
FEES:
'.,IL-4i ..?� /I...
Sigma Lire • ENTER FEES $ 60.00
8% SURCHARGE (.08X TOTAL ABOVE) $ 4 . 80
Authority if other than Applicant TOTAL $ 64.80
tkIstsvorrnstresele.doc wail
07/11/2000 Activities for Case #: ELR20O0 -00127
2:13:02 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 05/15/2000 DEB MAIL No Hold GEO 06/01/2000
ELRC003 Permit Created 06/01/2000 GEO DONE No Hold GEO 06/01/2000
ELRC725 Low Voltage Inspection No Hold GEO 06/01/2000
ELRC799 Elect" Final 07/06/2000 CD PASS No Hold CD 07/06/2000
ELRC500 (F) Issue permit 06/01/2000 GEO DONE No Hold GEO 06/01/2000
ELRC800 Case Fineled 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- f� AM PM BLD
Location 13 l3 P —5411 P4 C/ e / c c H Suite MEC
Contact Person P .t.,< Ph j G — q S / PLM
Contractor Ph '(2,3 - O G y SWR
BUILDING Tenant/Owner /A)Al y �'e— "; ELC
Retaining Wall / ELR /z 7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab /7,2e. 2e. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
•
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING , (90/63 ,_
J
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final •
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Sm a Dampers
FAIL
ELECTRICAL
Rough In
UG /Slab
Low Voltage
Fire Ala ii
• S - ART 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 00 Inspector 1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.