Permit I "
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
..� DEVELOPMENT SERVICES PERMIT #: ELR1999 -00086
„ ��a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/19/99
SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 PARCEL: 2S112DA -00300
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Fire alarm installation
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:
Owner: Contractor:
PACIFIC REALTY ASSOC GRINNELL FIRE PROTECTION
15350 SW SEQUOIA PKWY 2870 NW 29TH AVE
STE 300 PORTLAND, OR 97210
TIGARD, OR 97224
Phone: Phone: 223 -1525
Reg #: LIC 63205
ELE 26- 946CLE
FEES Required Inspections s � " �
Type By Date Amount Receipt Elect'l Final - kk<<� o2a(J (
PRMT BON 4/19/99 $40.00 99- 314643
5PCT BON 4/19/99 $2.00 99- 314643
Total $42.00
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987,_
Issued b �
Issued 1, Q.,1r Permittee Signature G'.2
OWNER INSTALLATION ONLir
—
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. ELECN: ! J /r DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
0,19/99 MON 08:55 FAX 503 598 1960 CITY OF TIGARD Ij002
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 1■
13125 SW HALL BLVD Date Rec'd: a- l 1-1!
TIGARD OR 97223 • PRINT OR TYPE
V - 503 -6394171 X304 Permit #: els. I°( - c roup
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Catl'd:
WILL NOT BE ACCEPTED
Name of Development Project n L TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
V AMot�l Clug�(oas� KEST. Restricted ORALL SYSTEMS) $40.00
JOB Street Address ' Ste #
ADDRESS 15xla SW er6 Mlk PKwl Check Type of Work Involved:
C /Sta 14 !i P one # 9v ❑ Audio and Stereo Systems
f O tbt. Phone
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City/State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name
1 ❑ Vacuum Systems*
GI P-41313 E Ll.IL.E i e4 . ❑ Other
CONTRACTOR Mailing Address
2'b70 N W Za M E TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a Citate I Phone # Fee for each system $40.00
copy of all licenses O i Imo! r4 a � }( 0 US- 62 5 (SEE OAR 918 -260 -260)
are required If Oregon Contr. rd Lic. # p. Date
expired In C.O.T. C7 j • 2 Q S � It. OO Check Type of Work involved:
data base). Electrical Contr. Lie. # p. Date
IA 3 ft ` Zio - p-1 -1 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
• _ - - } _ _ ❑ Clock Systems
OWNER - Mailing • ouross
APPLICANT . _ _ - _ I ❑ Data Telecommunication Installation •
I City /State I Zip I ahr,ne # Fire Alarm Installation
ri This permit is issued under OAE 918-320 -370. This applicant agrees to v.
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. Cali 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 ❑ 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. 1 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
authoriz to bind the applicant.
FEES:
0 1— ENTER FEES • $ aiO• Da
igriature 2 • o d
5% SURCHARGE (.05 X TOTAL ABOVE) $ • •
• Authority if other than Applicant TOTAL $ V R • D‘
Bdstslresele.doc 7/97
•
6/6/99 Activities for Case #: ELR1999 -00086
9:26:41 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 APPlication Received 4/19/99 BON DONE No Hold BON 4/19/99
ELRC003 Permit Created 4/19/99 BON DONE No Hold BON 4/19/99
ELRC731 Elect'I Service 4/19/99 4/19/99 No Hold BON 4/19/99
ELRC799 Elect'I Final 4/19/99 4/19/99 5/6/99 CD PASS No Hold AKJ 5/6/99
ELRC500 (F) Issue permit 4/19/99 BON DONE No Hold BON 4/19/99
ELRC800 Case finaled 5/6/99 AKJ DONE No Hold AKJ 5/6/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
C Date Requested 5 AM y PM BLD
Location I SZ3n `,(4bCt- - Suite 1 (50 MEC
Contact Person Ph q4D9 -(4)/p� -I PLM
Contractor Ph SWR 4 �cn�
BUILDING Owner j0 �,o}�s ELC rig 7Ii 3
Retaining Wall ELR Iggq -co &,
Footing Access:
Foundation Drain e t t n ,� n ei/A FPS
F tg Drin �/ / LitX v SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing L� /9 q - O
Firewall
Fire Sprinkler
Fire Alarm T'
Susp'd Ceiling C C C ??_ m/a. y A a./A E0
Roof
Misc: Final ( ELc 99q -?.13 /^), �p /�.Ci
PASS PART FAIL
PLUMBING t cz;,sj /N S /we a.4 fives -
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
P RT FAIL -
LECTRI
Se
Rough In
UG /Slab
Low Voltage
Fir- Alarm
PASS PART FAIL
SITE
BackfilUGrading
Sanitary Sewer
Storm Drain [ J 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 D ate S - 6 - 9 9 I nspector
Other Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.