Permit RESTRICTEDE
CITYOFTIGARD ERG
RESTRICTED ENERGY
a ;�r
DEVELOPMENT SERVICES PERMIT #: ELR1999 -00267
Ai- '�J I 13125 SW Hall Blvd., Tigard, OR 97223 (503) TE ISSUED: 11/16/99
eRtGINAct. PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 200
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Installation of data telecommunication system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: 'AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY CHRISTENSON ELECTRIC INC
15350 SW SEQUOIA PKWY 111 SW COLUMBIA
SUITE 300 STE 480
TIGARD, OR 97223 PORTLAND, OR 97201
Phone: Phone: 241 -4812
Reg #: LIC 000458
SUP 3289S
PLM 2468S
ELE 26-34C
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 11/16/99 $60.00 99- 319799 Elect'l Final
5PCT DEB 11/16/99 $4.80 99- 319799
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 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
require • s • • llow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 .01 -0010 thro ► � h OAR • 2- 001 -0080. You may obtain copies of these rules or di ect que -lions to OUNC at (503)
24. -1987. r i
Is ued by \ , .�c;�1 _ � i ` 2_/ /1. I Permittee Signature L , , �� _ /� ,� . /,/ • ;
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
.11Y OF TIGARD - r Y RESTRICTED ENERGY ELECTRICAL Ap RL'f 1 I Rec'd b i.! `/ ' uL
13125 SW HALL BLVD Date Rec'd: -
TIGARD OR 97223 c _ 97223 / 24 1 /a PRINT OR TYPE NOV 16 1999
V - 503 -639 -4171 X304 P ` r Permit #: ii,2/999 a5A 7
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE gatalleNTIONWPMENT CustCall'd: ---
JOB: 50 WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
IMAGE BUILDER Restricted Energy Fee._.......----.......... ....... - $80.00
All (FOR A SYSTEMS)
JOB Street Address Ste #
ADDRESS 6650 SW REDWOOD LANE 200 Check Type of Work Involved:
pUESTIONS? C'�y/State z� El Audio and Stereo Systems
CARL STENSRUD PORTLAND OR 197224 Phone #
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City/State I Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems"
. CHRISTENSON ELECTRIC, INC. ❑ Other
CONTRACTOR Mailing Address
111 SW COLUMBIA, SUITE 480 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State ZZtpp Phone • Fee for each system................. ....... . . -......- ..... .. $60.00 .
copy of all licenses PORTLAND OR .197201 241 - 4812 (SEE OAR 918-260-260)
are required if Oregon Contr. Bid Lac. # pate
expired in C.O.T. 45 tt 5 )( f l Check Type of Work Involved:
data base). Electrical Corur Ce. # tt ❑ Audio and Stereo Systems
C.O.T. or Metro lac. # Exp. Date
5246 12/99 ❑ Boller Controls
Owner's Name
OWNER - Mailing Address ❑ Clock Systems
APPLICANT X La 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 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;
•
2. Call for inspections when installation under this permit are ready for ❑ Landscape Irrigation Control*
Inspection at 603-639-4175; ❑ 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: 60 .
- '�A •1 _ .... ENTER FEES $
Signature
j� XeSURCHARGE ( fX TOTAL ABOVE) $ 4.80
E7 O
Authority if other than Applicant TOTAL $ 64.80
11dstavormsvesele.doc 3/98
•
( 7,S/ ? / 71,
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
,r BUP
Date Requested /?( � 2 � Q AM PM BLD
Location (o,s La/)<-e--- Suite 33.3 MEC
Contact Person 5c3 /7CZG C-- Ph ?- 33- a0 PLM
Contractor Ph SWR
BUILDING Tenant/Owner .1f1Gt ELC / ? 9"4v
C
Retaining Wall ELR / L Q - rm 2t,
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 r/ – I • J A
Susp'd Ceiling
Roof irr
Misc: F /14 qt
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service 4 - - —
Sanitary Sewer
Rain Drains UPP
Final PASS PART FAIL /1/jq / —
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL �
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
S 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 /2 _ (,�, 7q' inspector Q
Other Date l (( p gz_ Ext
c� /f 1'L l�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.