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Permit I CITY OF TI GARD ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT SERVICES O PERMIT #: ELR2000 -00025 °� 11 ± 13125 SW Hall Blvd.. Tigard, OR 97223 (503) DATE ISSUED: 1/31/00 SITE ADDRESS: 13939 SW PACIFIC HWY "* v /A/ PARCEL: 2S103DD -01000 SUBDIVISION: j/ �/ ZONING: C -G BLOCK: LOT: !JURISDICTION: TIG Project Description: Installation of restricted energy system for HVAC. 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: BC REAL ESTATE INVESTMENTS ALLIED MECHANICAL BC NORTHWEST LP #707 14275 NW SCIENCE PARK BY BURKE & NICKEL PORTLAND, OR 97229 TULSA, OK 74135 Phone: Phone: 350 -1963 Reg #: LIC 5807 ELE 103LHR FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 1/31/00 $60.00 00- 321498 Elect'l Final 5PCT DEB 1/31/00 $4.80 00- 321498 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 ap• licable laws. All work will be done in accordance with approved plans. This permit will expire if work is no arted within :0 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law r uires you to follow ules adopted 6 the Oregon Utility Notification Center. Those rules are set forth in OAR 52- 001 -0010 through vAR 952 -00 1080. You may obtain copies of these rules or direc quelons to OUNC at (503) 46 -1987. - sued by _ __I ,Aa / „ j Permittee Signature Y 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 APPLICATION Rec'd C • 13125 SW HALL BLVD Date Rec'd: / - 5/ - 00 TIGARD OR 97223 PRINT OR TYPE V - 503 - 639 -4171 X304 Permit #: ft.Q.8o - oc&.5" 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 VV' at 9 r cc-v, 5 (FOR ALL SYSTEMS) JOB Street Address Ste # Check Type of Work Involved: ADDRESS 13 e( 3 a( 5w PA-L7f Yi - Y City/State Zip Phone # ❑ Audio and Stereo Systems `FA. G, -,v4 # l? Z2.- Name� ... ❑ Burglar Alarm if i a c e-- EL-1. ( •5 OWNER Mailing Address ❑ Garage Door Opener* 5 µt-5 &-t 5÷ it 2. o City/State Zip Phone # (FP Heating, Ventilation and Air Conditioning System' 5 n. F■-a•,,, 4 u• fos Name ❑ Vacuum Systems* 41 1 id A e-0-„, , f ❑ Other CONTRACTOR Mailing Address I ( t21 6 /N v/ 5c e c Pwe TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City/State Zip Phone # Fee for each system $60.00 copy of all licenses p.-,r- f10_,. j 47 7-24 5sD - 4 3 (SEE OAR 918 - 260 -260) are required if Ore on Contr. Brd Lic. # x .pate • expired in C.O.T. 5Ro7 3 G aO Check Type of Work Involved: data base). Eltctri a1 Contr . /03 4A Exp. ate //�4 o •� ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date ❑ 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 X 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 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 appli . person • No licenses are required. Licenses are required for all other installations authorized to bind the applicant. d i d.c FEES: ,,/� v° Si • ire '.-4 NTER FEES SY .oir $ lO� go We SURCHARGE (95 X TOTAL ABOVE) $ I • / Authority if other than Applicant TOTAL $ (7 , 're;) i:\dsts \forms\resele.doc 3/98 07/11/2000 Activities for Case #: ELR2000 -00025 2:12:44 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • ELRC001 Application Received 01/31/2000 DEB DONE No Hold DEB 01/31/2000 ELRC003 Permit Created 01/31/2000 DEB' DONE No Hold DEB 01/31/2000 ELRC725 Low Voltage Inspection 05/09/2000 CD PASS No Hold AKJ 05/09/2000 hvac lim energy wiring ELRC799 Elect/ Final. 01/31/2000 01/31/2000 07/06/2000 CD PASS No Hold CD 07/06/2000 ELRC500 (F) Issue permit 01/31/2000 DEB DONE No Hold DEB 01/31/2000 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 AM PM BLD Location /3f 3 9 3 w plc-A( C Suite MEC Contact Person .Sz Ph 3 5 -- /90 3 PLM Contractor 4/(1 Ph SWR BUILDING Tenant/Owner ELC � Retaining Wall ELR /'Zc'U v— G OO 2. ) 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 CD1 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 UG Slah • , Voltage r= •lar F' - PASS PART FAIL IT 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 r inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other p D 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 / OD BUP Date Requested p S/ ( AM PM BLD Location I 9 1 t" Cl ��( .() cl Suite MEC Contact Person c( VYV. Ph 350-1 / PLM Contractor , (/ z' �C�l � .¢ , ✓, «,s C Ph 6 SWR BUILDING Tenant/Owner ELC �J,� Retaining Wall ELR IG » 000 2- S Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab f 6.- SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation c Drywall Nailing �� Z / / r, 2./V-e—!7 tzlj/,�/f 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 Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Ct ECTRICAT Service Rough In UG /Slab Fire Alarm i � F �CT 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 -5 ! ? CIO Inspector . Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.