Permit CITY OF TIGARD
., t . ET DEVW LOPMEN R SERVI ELECTRICAL ENERGY
RESTRICTED
PERMIT #: ELR98 -0129
DATE ISSUED: 05/06/98
PARCEL: 2S111CA -1100
SITE ADDRESS...:O9532 SW SATTLER ST
SUBDIVISION •LAKESIDE PLACE ZONING:R -7 PD
BLOCK • LOT •003 JURISDICTN: TIG
Proj ect Description : Installation of burglar alarm in single family residence.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM •X BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Owner: FEES
JIM FREAD & DEBBIE FREAD type amount by date recpt
9532 SW SATTLER PRMT $ 40.00 DLH 05/06/98 98- 305520
TIGARD OR 97223 5PCT $ `.00 DLH 05/06/98 98- 305520
Phone #:
Contractor:
PHILLIPS ELECTRONICS $ 42.00 TOTAL
(DBA FOR MASTER ALARM L. L. C. )
1110 NW FLANDERS REQUIRED INSPECTIONS
PORTLAND OR 97209 Ceiling Cover Low Voltage Insp
Phone #: 227 -0571 Wall Cover Elect'1 Final
Reg it..: 001253
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 952-001 -0080. You may obtain copies of
these rules or direct questions to OUNC at (503)246 -1987.
I ssued by Permittee Signature A9" /1._E/\
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: i✓ /- DATE :1
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. t� 9? O c
Tigard, OR 972$�ECEIVE® PERMIT # /
/��:�) , ;\ Phone (503) 639 - 41
41 � II I I TDD
FAX No. (503) 68 777 5 mac DATE ISSUED �/�9�
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
COMMUNITY DEVELOPMENT
PLEASE COM. P.LETE ALL SECTIONS r
1. LOCATION OF INSTALLATION . • • ' :` :4. TYPE OF WORK
Address RESIDENTIAL Energy Fee $40.00
7 (FOR ALL SYSTEMS)
City � J � 2 [`, State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK I SUSPEND DOFOR El udio and Stereo Systems* EXRE IF
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractor A.t� / / �� Type -,f is ..- ,4 -1C.e6 t, ❑ Vacuum Systems*
Address NO �f, + G(1 � (.p�vc �r� cd 'f (Y 7 Z4 ❑ Other
n
Date `r1- -•1 k� COMMERCIAL — Fee for each system $40.00
/ (SEE OAR 918 - 260 -260)
Property Owner 6eac J :/-? c.4 G Check Type of Work Involved;
Contractor's Board Reg. No. 61 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone # .72-.7?---
❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑
HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks(*). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503- 639 -4175.
❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person $
P g g P PP P a. Enter Fees
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $ 2 - 5?
Signature
TOTAL $ �' ,_
Authority if other than applicant
ENERGAP.CHP
•
3 /6 /00 Activities f or Case #: ELR98- 00129 -
8:59:52 AM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By • Updated Notes
ELRA003 APPlication received 5/6/98 DLH RECD DLH 5/6/98
ELRA010 Permit created 5/6/98 DLH DONE - DLH 5/6/98
ELRA700 Ceiling Cover - DLH 5/6/98
ELRA720 Wall Cover DLH 5/6/98
ELRA725 Low Voltage Inspection DLH 5/6/98
ELRA799 Elect I Final ST 2/4/00 2/4/00- inspection request to
Hap
ELRA500 (F) Issue permit 5/6/98 DLH PASS DLH 5/6/98
ELRA580 Expired by limitation 2/23/00 RB DONE No Hold AKJ 2/23/00
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Pagel of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location q 532 SCUHA,A. Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner EL -7p
Retaining Wall ELR [ G� 6 p� tee/ G 7
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH — SGN
Slab
Crawl Drain II NO INSPECTION(S) FOUND IN FILE Post & Beam — SIT
Ext Sheath /Shear t/ ?.1,(1..4
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 EXPIRE
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTRI2At /
Service
Rough In • si �-
UG /Slab '
Low Voltage 4 -
Fi
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
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L,,