Permit 14
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2000 -00054
-. rl -! 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 03/13/2000
SITE ADDRESS: 07180 SW SANDBURG ST 100 PARCEL: 2S101DC -03800
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Install 2 HVAC in existing commercial building.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
TREND CONSTRUCTION CO ARROW MECHANICAL
7190 SW SANDBURG ST 10330 SW TUALATIN RD
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Phone:
Reg #: LIC 00005193 ORIGINAL
ELE 34 -47CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 03/13/200C $120.00 0000624 Elect'I Final
5PCT KJP 03/13/200C $9.60 0000624
Total $129.60
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
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 thr OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by Permittee Signature X
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 n-�- DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
r C� +J' i 8 %,r�, ' -1s3 ='F �0.OJ 684 2287. ' CITY OF :�,TI -��:.;-. ' - - _r 1 10 • ' S _s:
°f _ i . t S :,;Vii k: rr."i r S i'(. ? ?s .�� - t ; .� � t ! x.. (r S � : • 'A . , , ; +, t � - t,,:: N
r . . rc k �`' ` �4 "r ` � x ° te r { ��. , y lt - r l� f , e i L +:- 447t..._sl 4 -. r -.
.` „ps . .; 4 ra i :: :f _;r y i G`s, .ie�f. r .i i F r i . ' • tg� { ? r .. RC44 � : � , ;r .,.
CITY,O TIGARD ` .- RESTRITED ENERGY ELECTRICAL APPLICATION -- by:
1312 SW HALL BLVD - . -------: - - • - - • - • j� =` :; ' - - ::'�-' - Date-Redd: - - - • -
TIt,ARD OR. 97223 _” _ ~ PRINT OR TYPE
---- ------- ._...- .. • ___ Permit* Cf i/'r✓�v�" (1b5�
V _ 503 -639 -4171 X304 - - .
F - 503 - 684 -7297: INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Caird: •
_
WILL NOT BE ACCEPTED - 0000 Co z4
• - Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL -
= Restricted Energy Fee ......... ..........- .- _ --_-. $40.00 •
Ca t'1441t CDt-t D 1111>NI I Nir (FOR ALL SYSTEMS)
J09 Street Address Ste* Check Type Of womb, lnvohred: •
ADDRESS 71 C3uR � . re .
C _ � 1_ f , Phone 0 ❑ Audio and Stereo Systems
- Name - - ❑ Burglar Alarm
1 COI LI nevcri ol.4 Co. ❑ Garage Door Opener' •
OWNER Mailing A.toresa7 ((��
t� t� ' 1 0 , s p � Ncett 5 r 13 Heating, Ventilation and Air Conditioning System*
C - II6A - R-3) 1`172 3 I (o24 - 21A7 '_1
Name I__I Vacuum Systems' •
AS 2 - . )_Ka..t AM I(A 1 _ ❑ Otter
CONTRACTOR Mailing r Ti A A. tirrim TYPE OF WORK INVOLVED • COMMERCIAL
(Prior to issuance a City/State t Phone # Fee for each system - -. --. __s4 0If
copy of all licenses Il%itZ, 9 4,A (SEE OAR 919 -280 -280) .
are required if Oregon Contr. Brd Lie. # Exp. Date
expired in C.O.T. 51 l I-1 3-00 Check Type of Work Involved:
data base). Electrical Contr. Lio. # Exp. Date
2 —(.F7� IF kOO o fr 0 Audio and Stereo Systems • -
C.O.T. or Metro lac # 2' - E -O a
c�i' (J / Boiler Controls
Owner's Name ❑
Clock Systems •
OWNER • Mailing Address
APPLICANT ❑ Data Telecommunication Installation
Clty/State I Zip I Phone # ❑ Fire Alarm Installation -
This permit is isbued under OAE 918 -320 -370. This applicant agrees to 'I�l� HVAC
make only restricted energy Installations (100 volt amps or less) under this �J,
permit and to do the following: ❑
Instrumentation
I. Only use electrical licensed persons to do Installations where required.
Certain residential and other transactions are exempt from licensing. a Intercom and Paging Systems
These have asterisks('). All others need licensing;
El Landscape Irrigation Contror
2. Call for inspections when Installation under this permit are ready for
inspection at 503 - 6394175; n Medical
3. Purchase separate permits for all installations that are not ready for en ❑ 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 parson sly g for this permit must be the applicant or a person • No lion are required. Licenses are required for all other inslanadons
authorized t nd the apple ant.
r . - ERE:
nature - ENTER FEES S '
9 , 61
. 5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority „oilier than Applicant TOTAL . s A2-9 . �d
r vacate dock r : -
06/09/2000 Activities for Case #: ELR2000 -00054
10:29:25 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received . 03/13/2000 KJP RECD No Hold . KJP 03/13/2000
ELRC003 Permit Created 03/13/2000 KJP DONE No Hold KJP 03/13/2000
ELRC725 Low Voltage Inspection No Hold KJP 03/13/2000
ELRC799 Elect'I Final 03/30/2000 CD PASS No Hold AKJ 03/30/2000
ELRC500 (F) Issue permit 03/13/2000 KJP DONE No Hold KJP 03/13/2000
ELRC800 Case finaled 03/30/2000 AKJ DONE No Hold AKJ 03/30/2000
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Page 1 of 1 . .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 f30/00 AM PM BLD
Location 1(g S Llt0, Suite / cc / MEC
Contact Person J Ph 012 .Sco S PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR aY)S
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
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
CTRIGD
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
("Final)
�I'FFE� 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 [ ] Please call for reinspection RE: nable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date 3� -- Inspector t
Final
PASS PART FAIL 0 N T REMOVE this inspection record from the job site.