Permit CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT —
eutp_tifr 13125 SW Hall Blvd., Tigard, RESTRICTED ENERGY
PERMIT #: ELR99 -0068
DATE ISSUED: 03 /25/99
PARCEL: 25112DA -01400
SITE ADDRESS...:O665O SW REDWOOD LN #160
SUBDIVISION •PP1996 -048 ZONING:I —P
BLOCK LOT •002 JURISDICTN: TIG
Project Description : Data Telecommunication installation.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:
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: FEES
PACIFIC REALTY ASSOCIATES, LP type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 40.00 GEO 03/25/99 99- 313977
SUITE #300 SPCT $ 2.00 GEO 03/25/99 99- 313977
PORTLAND OR 97224
Phone #: 624 -6300
Contractor:
ADVANCED COMMUNICATION TECH. $ 42.00 TOTAL
12010 SW GARDEN PLACE
REQUIRED INSPECTIONS
TIGARD OR 97223 Low Voltage Insp
Phone #: 670 -7777 Elect'1 Final
Reg #..: 000716
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 1:
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 9524011010 through OAR 952-001108e. You may obtain copies of
these rules or direct qu tions to I' at (503 -1987.
Issued by 1 / _ _ Permittee Signature,411, O1L C
i� , '
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: /U /� DATE: 3"..Z5 9
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 by:
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: 0•‘, O d 6
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Loy c+ ��� I ( / 1 /( 'c Restricted Energy Fee
(FOR ALL SYSTEMS) $40.00
JOB 1
Street Address Ste
ADDRESS (JL.do u � n W Check Type of Work Involved:
ott / iR 117zzq o e ✓or 0t/ ❑ Audio and Stereo Systems
Name ❑ Burglar Alarm
?tic ThA s-L ❑
OWNER ddre _ Garage Door Opener*
Mailin.
.._ _ �. a 1 # 86D ❑
Heating, Ventilation and Air Conditioning System'
4 t-te v 0r, s - z P7L- SO
Name I/� /� Vacuum Systems*
A (x (n C . ❑ Other
CONTRACTOR ailin Ad dre
'f(n q( �� )1 ace, TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a i n 2 Pho e # Fee for each system $40.00
copy of all licenses 1A. ELI! �� 22 l (i1O - Ti (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic # � T Exp. Date
expired in C.O.T. Ol - 2 )0 VL_ E Check Type of Work Involved:
data base). ElectOlfiochic p. D to
5.x / 0l ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems OWNER - Mailing Address j _ V i \,/() I APPLICANT Data Telecommunication Installation /
City/State Zip Phone # ❑ V 1 Ce / d a (�,
Fire Alarm Installation lV
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 p 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 r this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
authorized to bind applicant.
i.I ,)ate �Le EMI:
��
t ie ENTER FEES $
6 0
5 %SURCHARGE (.05 X TOTAL ABOVE) $
4 Oo
Authority if other than Applicant TOTAL $ � (
i:Vesele.doc 12/96 _
7/15/99 Activities for Case #: ELR99 -00068
9:39:30 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 APPlication Received 3/25/99 GEO DONE DST 3/25/99
ELRC003 Permit Created 3/25/99 GEO DONE DST 3/25/99
ELRC725 Low Voltage Inspection DST 3/25/99
ELRC799 Elect I Final 3/25/99 CD PASS CD 3/25/99
ELRC500 (F) Issue permit 3/25/99 GEO PASS DST 3/25/99
ELRC800 Case finaled 3/25/99 AKJ PASS AKJ 3/25/99
•
Page 1 of 1
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -417 Business Line: 639 -4171
BUP
Date Requested 3 Z S/?9 AM PM BLD
Location ((o. 'O 3 CDt4J Suite /6 D MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 7 Q
? 0067
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 D 4
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final V
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
P T FAIL
ECTRICA
Sery
Rough In
UG /S - •
•
Volta.
- •arm
Final
PASS PART FAIL
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 Date Other 3 7 09 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.