Permit CITY OF TIGARD
�� J II ;� DEVELOPMENT L SERVICES ELECTRICAL PERMIT - -4171
13125 RESTRICTED ENERGY
PERMIT #: ELR98 -0100
DATE ISSUED: 04/07/98
PARCEL: 1S133DB -11900
SITE ADDRESS...:11374 SW PALM PL
SUBDIVISION •SCHOLLS FERRY ROAD TOWNHOMES ZONING:R -25
BLOCK • LOT •045 JURISDICTN: TIG
Project Description : Residential burglar alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM •X BOILER • LANDSCAPE /IRRIGAT..:
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: 0
Owner: FEES
BOWEN REAL ESTATE GROUP type amount by date recpt
BANK OF AMERICA BUILDING PRMT $ 40.00 DLH 04/07/98 98- 304749
121 SW MORRISON #1000 5PCT $ 2.00 DLH 04/07/98 98- 304749
PORTLAND OR 97204
Phone #:
Contractor:
8O59 C DR SECURITY ����� $ 42.00 TOTAL
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Low Voltage Insp
Phone #: 641 -0574 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 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 rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-001 -0080. You may obtain copies of
these rules or direct questions to OUNC at (503)246 -1987.
Issued by Permittee Signature "1' /L E
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: D /9" DATE: t /7`P6P
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N: //9 DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- -- • -- - -- - - . - - - Community Development.. _. RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # &7— R. -- 0 9� � /t?O
/��eip. li �� Phone (503) 639 -4171 t�
�w�j ;'��� FAX (503) 684 -7297 DATE ISSUED //
- --� - TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 I I V ISSUED BY LW
•
PLEASE COMPLETE ALL SECTIONS . p
1. LOCATION OF INSTALLATION p / L &Ce" . 4. TYPE OF WORK
j 1,37 ,: / alp
Ad ess .00
RESIDENTIAL Restricted Energy Fee $40
eiI 9 77 Z (FOR ALL SYSTEMS)
ity / „/) , , 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. .L Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning Systems
Contracto HOME SECURI. ALARM ❑ Vacuum Systems*
Address `/ � 05 S.W. CIRRUS DRIVE, BEAVERTON 97008
❑ Other
Date r/ ( off COMMERCIAL — (SEE ee for a 918-260-260) at 1_42.0
Property Owner --"To Check Type of Work Involved:
Contractor's Board Reg. No. O/i i ii 21 ❑ Audio and Stereo Systems
❑ Boiler Controls .
Phone # (503) 641 - ❑ Clock Systems
3. OWNER APPLICATION EXPIRED ❑ Data Telecommunication Installations
�ED ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ 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 rand to do the ❑ Outdoor Landscape Lighting*
following:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain
residential and other transactions are exempt from licensing. These have ❑ 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. ❑ 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 $ 'l`
authorized to bind the applicant _
b. 5% Surcharge (.05 x total above) $ G.1
Signature
TOTAL $ 99
Authority i other than applican
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Oc I5 Date Requested l C — - q AM PM BLD
Location 1 1374 42,43 Jodi Suite MEC
Contact Person P �` � Jo Ph 524 -- 2314 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC /�
Retaining Wall LR �0 '' 0100
Footing Access:
Foundation `, ` cr 1 A � A p i l l , p / RD � S
Ftg Drain IV c7�1`w�►\ VV V1,0 t'�7 SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing Z " i x Q
Fire wall
Fire Sprinkler / [ir/`• JLr�" [�+.,��/
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
T FAIL
LECTRICAL
Service
Rough In
UG /S
m E . ow Voltage
arm
PASS PART 0 42
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D InS Inspector Ext Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.