Permit CITY OF TIGARD
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DEVELOPMENT SERVI ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0141
DATE ISSUED: 05 /26/98
PARCEL: 2S112DA -01400
SITE ADDRESS...:1535O SW SEQUOIA PKWY
SUBDIVISION •PACIFIC CORPORATE CENTS ZONING:
BLOCK • LOT JURISDICTN: TIG
Project Description: Bidtek
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
PACTRUST type amount by date recpt
15115 SW SEQUOIA PKWY, SUITE 200 PRMT $ 40.00 JSD 05/26/98 98- 306014
PORTLAND OR 97224 -6300 5PCT $ 2.00 JSD 05/26/98 98- 306014
Phone #: 624 -6300
Contractor:
HONEYWELL INC $ 42.00 TOTAL
15495 SW SEQUOIA
STE 100 REQUIRED INSPECTIONS
PORTLAND OR 97224 Ceiling Cover Low Voltage Insp
Phone #: 968 -3333 Wall Cover Elect'l Final
Reg #..: 000578
This peruit 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 peruit 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 rule .re set forth in OAR 952-001 -8010 through OAR 952-601 -0080. You ea o in copi s of
these rules or direct questions to P.'. '246 -1987.
Issued by - -at'_C Permittee Signature
" 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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
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i(CITY OF TIGARD ICTED ENERGY ELECTRICAL APPLICATION '�/
` 13125 SW HALL BLVD REC�� Rec'd b :
Date Rec'd: f/-
„�: OA
TIGARD OR 97223 MA Y 2 6 1998 PRINT OR TYPE �! , /
V - 503 - 639 -4171 X304 Permit #:(/ 9 b' /`/ /
F - 503 -684 -7297 INCOMPLETE I
OMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
COMMUNITY DEVE
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
3 / / 1 e k (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 15350 S4J Scquo /C1:7 .-5.0 Check Type of Work Involved:
City/State (/ Zip ) Phone # ❑ Audio and Stereo Systems
• • f-1ai,cL ok 972 a Y
Name
Burglar Alarm
/ / e-i< 0 Garage Door Opener*
OWNER Mailing Address it
i..6.3.50 SO Se / /.1+-/ .,,-5.c ❑ Heating, Ventilation and Air Conditioning System*
ty/State ^ v� Z P4One #
flfr nd 2. y
Na me / l l/C 9 Vacuum Systems*
Na
Hon �l (-IL El Other
CONTRACTOR Mailing Ad • �/
ISY 5 Si.J Seo /o /ct� kr yy /00 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a /S t (f Zip Phone # Fee for each system $40.00
copy of all licenses r l�t!/c/ OE 972 2 U % $ 33ac (SEE OAR 918 - 260 -260)
are required if Oregon Contr. rd Lic. # Exp. Date
expired in C.O.T. 057 fi'2J/ //,2.7/9 9 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
(o - .2 0 7 e L F /c /j /9 0 Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp! Date
609 9 f i 99 E 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 0 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;
2. Call for inspections when installation under this permit are ready for
O Landscape Irrigation Control*
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 Outdoor Landscape Lighting*
inspector are done, and;
10 P rotective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. 0 O ther
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 a person • No licenses are required. Licenses are required for all other installations
authorized to bind the applicant.
� Q FEES: (�
ar ne -” J / ENTER FEES $ Lin, C
Signa ure
/ j /�, , 5% SURCHARGE (.05 X TOTAL ABOVE) $ 0 s � . .0D
Authority if other than Applicant TOTAL $ q 2. 0 0
i:\resele.doc 12/96 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
�7
I Oo v �,rn U Date Requested / - ).- - q? AM PM BLD
Location ) 5 350 Q ' I ‘U 4' � uiite R MEC
Contact Person �, - �.Q C 9- PLM
Contractor `4.6- Ur e // � Ph S - 33 3 3 SWR
BUILDING Tenant/Owner .° y id leart. G� ELC
Retaining Wall ELR 7,
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab �p SIT
Post h Beam 2 /M // if cka/n y ce o
Ext Sheath /Shear / L�
Int Sheath /Shear
Framing
Insulation /�
Drywall Nailing C .lam � . ��Il CC2r
Firewall
Fire Sprinkler 464—
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab CO:D
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
7RICAL
ervice
Rough In
UG/ Iah
ow Voltaggg.
Fire Alarm
Fina
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Other oach /Sidewalk Date 7/2/9 A Inspector 4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
02/08/2000 Activities for Case #: ELR98 -00141
10:27:16 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 05/26/1998 JSD USPS JSD 05/26/1998
ELRC003 Permit Created 05/26/1998 JSD PASS JSD 05/26/1998
ELRC725 Low Voltage Inspection 07/02/1998 CD PASS J'H 07/02/1998 Added control box for alarm
system - pass.
ELRC500 (F) Issue permit 05/26/1998 JSD PASS JSD 05/26/1998
ELRC799 Elect'I Final 06/30/1998 CD FAIL CD 06/30/1998 left message at 968 -3333 (ej) to
res. with proper suite number or
directions as to where work was
done, no such suite as 1725.
ELRC799 Elect'I Final 07/02/1998 CD PASS CD 07/02/1998 control panel added to alarm
system
ELRC800 Case finaled 07/02/1998 CD PASS J *H 07/02/1998
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