Permit CITY OF T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
A fIra DEVELOPMENT SERVICES PERMIT #: ELR2002 -00171
„4,1,V AT
I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/28/02
SITE ADDRESS: 13005 SW PRINCETON LN PARCEL: 2S104DA -22700
SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5
BLOCK: LOT: 053 JURISDICTION: TIG
Project Description: Limited energy for audio /stereo.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
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:
Owner: Contractor:
BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC
12670 SW 68TH PKWY P.O. BOX 508
STE 200 WILSONVILLE, OR 97070
PORTLAND, OR 97223
Phone: 503 - 598 -7565 Phone: 503 - 639 -0110
Reg #: ELE 36 -94CLE
SUP 2312JLE
LIC 145828
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 8/28/02 $75.00 2720020000 Elect'I Final
5PCT CTR 8/28/02 $6.00 2720020000
Total $81.00 EXPIRED
/ A/2 1 r
C"
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 wo
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 -0 -0010th • gh OAR 95 001 -0080. You may obtain copies of these rules o it ct questions to OUNC at (50 )
246- 987.
Issu d by L ) %1 .. , A � , _� 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: DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
1.11
1
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By ti Inspection Description Date Passed By
Footing /Setback Underground cover _
Foundation walls Wall cover
Footing drain _ Ceiling cover
Waterproof bsmt walls — Electrical rough-in _
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
_ Roof nailing - 4 Inspection Description Date Passed By
Firewall Low voltage .FL,3e7A - , 1
Tilt -up panel Electrical final
Masonry /Reinforcement _
Framing _
MFG - Structure set -up _ MEC - Mechanical Permit
Insulation _ 4 Inspection Description Date Passed By
Drywall nailing _ Post/beam mechanical
Suspended ceiling Gas line
Engineered soils
- Mechanical rough -in
_
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
_ Structural observation Mechanical final
Fireproofing Lab Final
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
/ Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in _ Plumbing top -out
Sprinkler final _ - RP /backflow preventer
Fire alarm final - - _ Rain drain
- Storm drain
Water service _ _
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By - Culvert/catch basin _
Footings - Pump /fill septic tank
_ Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab _
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description _ Date Passed By
Engineering acceptance _ Sanitary sewer
Final inspection _ Final inspection _
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \1nspRecordBUP.doc 04 /17/01