Permit CITY OF TIGARD
ia DEVELOPMENT SERVICES
Lj 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0132
DATE ISSUED: 05/07/98
PARCEL: 2S101DC -03800
SITE ADDRESS...:07180 SW SANDBURG ST
SUBDIVISION • dP ZONING:I —P
BLOCK • LOT . � JURISDICTN: TIG
Project Description: Print Service Inc tenant
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 • OUTDOOR LANDSC LITE:
OTHER: .• HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..:
••
TOTAL # OF SYSTEMS: 1
Owner: FEES
MCCORMACK PACIFIC type amount by date recpt
5000 S.E. 25TH AVENUE PRMT $ 40.00 JSD 05/07/98 98- 305577
PORTLAND OR 97202 5PCT $ 2.00 JSD 05/07/98 98- 305577
Phone #: 232 -4157
Contractor:
PROTEC INC $ 42.00 TOTAL
2920 SW DOLPH COURT
SUITE #4 REQUIRED INSPECTIONS
PORTLAND OR 97219 Ceiling Cover Low Voltage Insp
Phone #: 293 -2134 Wall Cover Elect'1 Final
Reg #..: 000554
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 a••.rdance with approved plans. This permit will expire if work is not sta ted within 180
days of issuance, or if work is suspended more than 180 days. ATTENTION: Oregon law requires you to follow rule dopted by the
Oregon Utility Notification Center. is-rules are set forth in OAR 952-001-00I0 through OAR 952- 001 -0080. Y i a obt opies of
these rules or direct question OUNCE -1987.
Issued by —411111111001Alie Permittee Sig -
'r
OWNER INSTALLATION ONLY
The installation is •eing 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 1IGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd •f
131 SW HALL BLVD RECE�V Date Rec'd W,Sa" !/S(
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 6394171 X304 MAY 0 7 1998 Permit #: i ' CAI
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
CO'"' °r!NITY CEVE! OP(.'ENT WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
R r N 1; C QK V l GE C' • (FOR ALL SYSTEMS)
JOB $40.00
SOB Street Address Ste # Check Type of Work Involved:
ADDRESS 1 i go S14 Sp,,,,p S i .
City /State . Zi Phone # ❑ Audio and Stereo Systems
T W -tLD J # ' i &'Z_ 911 C1 a — 7 Cag
Name ❑ Burglar Alarm
1 N. rAT Ste„ . `e _ l ❑ Garage Door Opener'
OWNER Mailing Address
City /State Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
�o T2c r� � , ❑ Other
CONTRACTOR ailing Address
1 a 5,,,, - t o otle, (T' S 4- TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a ity /State Zi Phone # Fee for each system $40.00
copy of all licenses OV�7l„c OIL, 9'1LV9 '11-7411- (SEE OAR 918 - 260 -260)
are required if egon Contr. Brd Lic. # p. ate
expired in C.O.T. 5 5-14-t � q (9 9 i j Check Type of Work Involved:
data base). Electrical Contr. Lic. # x . ate
3 4-1-‘ V? 1-E- 9 $ ❑ Audio and Stereo Systems
C.O.T. or Metro_ Lig # E �jp. ate
1 p `+ 1 1 9 g ❑ Boiler Controls
Owner's Name 111
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone #
El
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 El 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. I Number of Systems
The person signing for thi ; ermit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
a horized to bind the ap. nt.
1 I r FEES.
S • nature
ENTER FEES $ �L /
I L ^ 11, e 5% SURCHARGE (.05 X TOTAL ABOVE) $ 1 a
Authority if other than Applicant TOTAL $ LH .,—.--
i:tresele.doc 12/96 _
5110/00 Activities for Case #: ELR98 -00132 •
2:35:40 PM EXPIRED
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. ' Level By Updated Notes
ELRC001 Application Received 517198 JSD USPS JSD 5/7/98
ELRC003 Permit Created 5/7/98 JSD PASS JSD 5/7/98
ELRC700 Ceiling Cover JSD 5/7/98
ELRC720 Wall Cover JSD 5/7/98
ELRC725 Low Voltage Inspection ' JSD 5/7/98
ELRC799 Electl Final ST 2/4/00 2/4 /00- inspection request to
. Hap
ELRC110 HOLD (explain in notes) 5/7/98 JSD HOLD JSD 5/7/98 On my desk pending response
from contractor as to what to do
with incorrect check. jsd
ELRC500 (F) Issue permit 5/7/98 JSD PASS JSD 5/7/98 Requested refund via
• accounting. jsd
ELRA845 Request inspection research 2/4/00 JMT DONE No Hold JMT 3/24/00
ELRA845 Request inspection research 2/4/00 JMT DONE No Hold JMT 3/24/00
ELRA845 Request inspection research 3/30/00 JMT DONE No Hold JMT 3/30/00 SECOND REQUEST
ELRA580 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/18/00
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