Permit . A
CITY OF TIGARD
" ll , D OPMEN SERVICES (503)639 ELECTRICAL PERMIT - -4171
RESTRICTED ENERGY
PERMIT #: ELR98 -0303
DATE ISSUED: 11/05/98
PARCEL: 2S1O1DD -00708
SITE ADDRESS...: 06900 SW SANDBURG ST
SUBDIVISION •SALEM FREEWAY SUBDIVISION ZONING:I —P
BLOCK LOT °004 JURISDICTN: TIG
Project Description: Nextel
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM •X OUTDOOR LANDSC LITE:
OTHER: •• HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..:
TOTAL # OF SYSTEMS: 1
Owner: FEES
NEXTEL COMMUNICATIONS type amount by date recpt
10220 SW GREENBURG ROAD PRMT $ 40.00 JSD 11/05/98 98- 310585
SUITE 601 SPCT $ 2.00 JSD 11/05/98 98- 310585
TIGARD OR 97223
Phone #: 293 -5500
Contractor:
NORTHWEST FIRE PROTECTION $ 42.00 TOTAL
1815 NW 169TH
SUITE 400 REQUIRED INSPECTIONS
BEAVERTON OR 97006 Ceiling Cover Low Voltage Insp
Phone #: 645 -8977 Wall Cover Elect'l Final
Reg #..: 000886
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 • -00 You may obtain copi of
these rules or direct questions ,V I i a -.. •• •
Issued b 411. 10MOID■ Permitt.e Signature \
NO
OWNER INSTALLATION ON
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CIl'Y 4 f I GAR D RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by r
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE et.-V-0-10
V - 503 - 639 -4171 X304 Permit #:
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
NC)(T 6. (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 06 9 SAM SAND Ent
Check Type of Work Involved:
City /State I Zip Phone # ❑ Audio and Stereo Systems
T7(. A. 9 'iad3 a'i!3- Sco
Name ❑ Burglar Alarm
NE y. L ❑ Garage Door Opener'
OWNER Mailing Addres
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems'
NORM-WEST FIRE su?PRESS(t ❑ Other
CONTRACTOR Mailing Address
loaoo .sr..) Al LEN_ s4)ITC F TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses SEArV ELTGA) 47 co S 64Y - 77X (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. pop •g r . Check Type of Work Involved:
data base). Electrical C ntr. Lic. # Exp. Date
al 5 3--Lt- iv - - ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ 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.
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; El 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 El Outdoor Landscape Lighting*
inspector are done, and; .
El Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑✓ / Other F!R C j 'P4. ESfitri s Ys
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. I Number of Systems
The person signing for this permit must be the applicant or - person • No licenses are required. Licenses are required for all other installation
authorize. • •ind the applicant. /
FEES:
_ / ENTER FEES $
Signature � -
5% SURCHARGE (.05 X TOTAL ABOVE) $ -
Authority if other than Applicant TOTAL $
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 ST' BUP
ZS Date Requested //- 50-98
• CALL PM M BLD
Location 69.00 (Su) Sc t 1 / A . / uite MEC
Contact Person Ph ¢4 -7ZQ PLM
Contractor ■ _A/W ` ,Q cSafrA,A140A, Ph 7 17— /72, SWR
BUILDING Tenant/Owner k 6X7et-, ELC
Retaining Wall g -030 `3
Footing ��
Foundation Access: � eked- Celli FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab site
Post & Beam
c�T/lX_. two wtto/ J SIT
Ext Slab
Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
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
PASS PART FAIL
(LECTRICAL)
Service
Rough In
UG /Slab
•
owVot
ire Ala
in
PAR FAIL
E
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 `
Other Date i Inspector Ext
Final
PASS PART FAIL D • NOT REMOVE this inspection record from the job site.