Permit CITY OF TIGARD
- L,��' DEVELOPMEN RSERVICES — 13125 SW Hall Blvd., Tigard, J ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR98 -0338
DATE ISSUED: 12/30/98
PARCEL: 251O1DD -00600
SITE ADDRESS...:067O0 SW SANDBURG ST
SUBDIVISION °SALEM FREEWAY SUBDIVISION ZONING:C —P
BLOCK • LOT •003 JURISDICTN: TIG
Project Description : Installation of data telecommunications system. Job no.
50 -00431
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: FEES-
WESTERN FAMILY FOODS, INC type amount by date recpt
6700 SW SANDBURG PRMT $ 40.00 DEB 12/30/98 98- 311820
TIGARD OR 97223 5PCT $ 2.00 DEB 12/30/98 98- 311820
Phone #: 639 -6300
Contractor:
CHRISTENSON ELECTRIC INC $ 42.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Low Voltage Insp
Phone #: 241 -4812 Wall Cover Elect'1 Final
Reg #..: 000458
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 Mil' otifica ' Center. Those rules are set forth in OAR 952-001-0010 through DAR 952- 001 -0080. You may obtain copies of
these rul s or direct quests to OUNC at (503)246 -1987.
n
Issue by Per mitt e e Si g n a t �_i r e, �o ` �j �� , /. / /�
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 b 11.4 � 1
13125.SW HALL BLVD � ,1' Date Rec /9- -.3. --e --e 'TIGARD OR 97223 PRINT OR TYPE Q beigq-
O
V - 503 - 639 -4171 X304 "' Permit #: EL/2-9f -6133e
F - 503 - 684 -7297 _ __ INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
JOB:50 -00431 , - / WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
WESTERN FAMILY FOODS, INC. Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 6700 SW SANDBURG ST Check Type of Work Involved: ADDRESS
City /State Zip 223 RE Phone #
TIGARD OR 97 ❑ Audio and Stereo Systems *COE
Name ❑ Burglar Alarm
WESTERN FAMILY FOODS, INC. DEC 3 ®1998
n Garage Door Opener*
OWNER Mailing Address ���������� �EVE LOWM
6700 SW SANDBURG ST ❑ Heating, Ventilation and Air it∎t I ..ming System*
T OR
9 23 Phone#
(1U1;5'PtUNSY Name
❑ Vacuum Systems'
CONTACT
RANDI GROSS CHRISTENSON ELECTRIC, INC. ❑ Other
CONTRACTOR Mailing Address
111 SW COLUMBIA SUITE 48.0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State I Zip Phone # Fee for each system $40.00
copy of all licenses PORTLAND OR 241-4812 (SEE OAR 918- 260 -260)
are required if 9 9 Oregqp gontr. Brd Lic. # E Date
expired in C.O.T. 4� 5 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date I -- I I
26 - 34C 10/99 I Audio and Stereo Systems
C.O.T. or Metro Lic. # Ex Date
5246 1/ 99 ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT nix 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 ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required. IT Certain residential and other transactions are exempt from licensing. I I 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 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:
40.
ENTER FEES $
Signature 12/28/98 2.
5% SURCHARGE (.05 X TOTAL ABOVE) $
42.
Authority if other than Applicant
TOTAL $
is \dsts\resele.doc 7/97 —
4/24/00 Activities for Case #: ELR98 -00338
2:44:51 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 12/30/98 DEB MAIL DRA 12/30/98
ELRC003 Permit Created 12/30/98 DEB DONE DRA 12/30/98
ELRC700 Ceiling Cover DRA 12/30/98
ELRC720 Wall Cover • DRA 12/30/98
ELRC725 Low Voltage Inspection DRA 12/30/98
ELRC799 Elect'I Final 2/11/99 CD PASS CD 2/11/99 DATA WIRING
ELRC500 (F) Issue permit 12/30/98 DEB DONE DRA 12/30/98
ELRC800 Case finaled 2/11/99 VLN 2/11/99
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