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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY ,I DEVELOPMENT H BMEN 1639 -4171 DATE PERMIT #: ISSUED: 5/22/00 0 -00117 SITE ADDRESS: 13939 SW PACIFIC HWY * ** PARCEL: 2S103DD -01000 SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of landscape irrigation control. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: X GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: • INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: BC REAL ESTATE INVESTMENTS CEDAR LANDSCAPE BC NORTHWEST LP 14145 SW GALBREATH DR BY BURKE & NICKEL SHERWOOD, OR 97140 TULSA, OK 74135 Phone: Phone: 625 -3700 Reg #: LIC 75535 FEES Required Inspections • Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 5/22/00 $60.00 0002341 Elect'I Final 5PCT DEB 5/22/00 $4.80 0002341 Total $64.80 { (� t , ��v � v 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 -0010th ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1 8 Issue by � • . - 1 J6 Permittee Signature O J o 4. 9, b p p 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 APPIi ON Rec'd b /i 13125 TIGAR O R HALL 97 2 3 D PRINT OR TYPE ( 65) Date Date Recd: S - i �-o V -5O3- 639 -4171 X304 `�, „ Permit #: & lecR 00 610//7 F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLI * ON �� V Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE ORK INVOLVED - RESIDENTIAL ONLY � Restricted Energy Fee $60.00 WI CA ri..zr T 1 (FOR ALL SYSTEMS) JOB Street Address 1 Ste # ADDRESS I '59 31 SO PorC.i fi c.'W'r Check Type of Work Involved: Cit !S ate Zi Phone # ❑ Audio and Stereo Systems 'YTS FtSLA ` 23.3 Name t ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener' City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System* Name ❑ Vacuum Systems' C d . L./�� . ❑ Other CONTRACTOR ng Address c.11 45 S 1 AIbr _ TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a �!S J Ph # Fee for each system $60.00 copy of all licenses 1 C I 4o hz5 -37L0 (SEE OAR 918 - 260-260) are required if Oregon Contr. Brd Lic. # Ex . Dat expired in C.O.T. ' 7 S S 3 S 1 7 -t IO) Check Type of Work Involved: data base). Electrical Contr. Lic. # p. Date 1 1 I ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Ex Da C (../30 Do ❑ Boiler Controls Owner's Name 8-ii ❑ 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 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 must be the applicant or a person - • No licenses are required. Licenses are required for all other installations authorized to bind the applicant. FEES: Signature ENTER FEES $ 60 90 -- S 813 URCHARGE (.05 X TOTAL ABOVE) $ /, /- � Authority if other than Applicant TOTAL $ & �' is \dsts \forms\resele.doc 3/98 07/11/2000 Activities for Case #: ELR2000 -0011 7 2:12:55 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 Application Received 05/18/2000 DEB MAIL No Hold DEB 05/22/2000 ELRC003 Permit Created 05/22/2000 DEB DONE No Hold DEB 05/22/2000 Delay in creating due understaffing. ELRC725 Low Voltage Inspection No Hold DEB 05/22/2000 ELRC799 Elect'I Final 06/26/2000 CD PASS No Hold CD 06/26/2000 ELRC500 (F) Issue permit 05/22/2000 DEB DONE No Hold DEB 05/22/2000 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 �0/2(o AM PM BLD Location I 3 ,3 Suite MEC Contact Person Ph PLM Contractor Ph SWR (A.) BUILDING Tenant/Owner Al re ELC Retaining Wall ELR �7 00/ Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: / r' ( _ ' �h SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler � i _ _ � �� 1��_• _ Fire Alarm Susp'd Ceiling Roof Fina F P al 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 ART FAIL LECTRIC Service Rough In UG /Slab Low Voltage Fire Alarm Fi • 4PART 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 I ADA Approach /Sidewalk Date - Inspector Ext Other p Final PASS . PART FAIL DO NOT REMOVE this inspection record from the job site. Awn Information /r` .To Build On Engineering • Consulting • Testing June 6, 2000 • Mr. Joe Dickson JMD Architecture 121 Spear Court Suite 250 San Francisco, California 94105 Subject: Pacific/Gaarde Walgreens Theoretical Maximum Density PSI Report No. 702 - 90445 -78 PSI Laboratory No. 00 -0263 Dear Mr. Gum: As requested, Professional- Service Industries, Inc. (PSI); has determined the Theoretical Maximum Density on a sample of Morse Bros. (Coffey Lake) ODOT "B" Mix. Sample was obtained by a PSI representative from Highway 99 cut out and delivered to our Portland Laboratory on June 5, 2000. Test was performed in general accordance with the indicated AASHTO standard. The following table summarizes our laboratory's test result. Morse Bros. ODOT "B" Mix Theoretical Maximum Specific Gravity and Density of Bituminous Paving Mixtures AASHTO T209 -94 Maximum Specific Gravity 2.467 Theoretical Maximum Density 153.9 We trust this information is sufficient for your present needs. Please don't hesitate to contact us if you have any questions or comments. Submitted by, PROFESSIONAL SERVICE INDUSTRIES, INC. Mark Warren, EIT Andr =w V. Goode La • • ratory Supervisor - roj - t Manager c: B. Poskin, B. Yamamoto. R. Isackson. A. Murray, B. Berry • S:\cs lab re P orts \00- 0263Rice.doc • These test results apply only to the specific materials tested and may not represent any other locations or elevations. Reports may not be reproduced, except in full without the written permission by PROFESSIONAL SERVICE INDUSTRIES, INC. Professional Service Industries, Inc. • 6032 N. Cutter Circle, Suite 480, P.O. Box 17126 • Portland, OR 97217 • Phone 503/289 -1778 • Fax 503/289.1918 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 - AM PM BLD Location / 9 l 3 y / Suite MEC Contact Person Ph 57 f 33q PLM Contractor � �--.r I P Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR - 6 U 11 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab Ar(y Ccfh..+" SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler �� i�' Fire Alarm 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 PART FAIL ELECTRICAL Service Rough In U(' S ow Voltage S n 1 r .I 1 " 1 / 4 . ire rm 3_ 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 J Other Date 7X/76 Inspector . _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.