Permit "CITY OFTIGARD
►.. ��
• DEVELOPMENT SERVICES
� " ����� I ELEC RICAL PERMIT
!�- 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 RESTRICTED ENERGY
HERMIT #: ELR98 -0084
,( % eATE ISSUED: 03/27/98
PARCEL: S11 DD -01600
SITE ADDRESS. 75 SEQUOIA Y
.:155 SW SE OIA PKW L
SUBDIVISION • Q` ZONING:I -P
BLOCK • LOT \ JUR I SD I CTN : T I G 6
Project Description : Installation of data telecommunication system. 16" - - 1D6
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..:X NURSE CALLS •
VACUUM SYSTEM . FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACTRUST type amount by date recpt
15115 SW SEQUOIA PKY PRMT $ 40.00 DEB 03/27/98 98- 304448
STE 200 5PCT $ 2.00 DEB 03/27/98 98- 304448
TIGARD OR 97224 ' -Q\/(k
Phone #: 624 -&
Contractor:
CHRISTENSON ELECTRIC INC $ 42.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Low Voltage Insp
Phone #: 241 -4812 Wall Cover Elect'1 Final
Reg #..: 000458
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 -110 through OAR 952- 001 -0080. You may obtain copies of
these rules • •ire • questions to OUNC at 1503)246 -1987.
Issued by ` , • al.%At Permittee Signatureayl,.v./!a .QOP .
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
La
CITY Oj{TIGP* RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b ell - i� /�(e!
13125 SW HALL BLVD Date Rec'd:
3 4-9
TIGARD OR 97223 PRINT OR TYPE RECEr
v_ 503 - 639 -4171 X304 Permit #: �L ,e Q zi - Oev y
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS cust.cili;dp 2 6 a9
JOB: 509 - 5573 WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - Rg §IDENTIAL, ,
AIRTOUCH CELLULAR Restricted Energy Fee $ � I 1" I
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 15575 SW SEQUOIA PARKWAY Check Type of Work Involved:
City /State Zip . Phone # ❑ Audio and Stereo Systems
TIGARD OR 97224
Name ❑ Burglar Alarm
OWNER Mailing Address 1 Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems'
CHRISTENSON ELECTRIC, INC. ❑ Other
CONTRACTOR Mailing Address
111 SW COLUMBIA, SUITE 4 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses PORTLAND OR 97201 241 - 4812 (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 458 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
26 - 34C ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Xg 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 ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required. I--I
Certain residential and other transactions are exempt from licensing. I I 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. 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.
FEES:
`V % _ wfM1 `'. ENTER FEES $ 40. •
Signature 3 /20/98 ( 2.
5% SURCHARGE (.05 X TOTAL ABOVE) $
42.
Authority if other than Applicant TOTAL $
iAdsts\resele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
4 / ,,,//jj BUP
K Ul,Oate Requested / - 5_ 9 AM PM BLD
Location _ ■ A ■ / ./l 4 i ,_-_ __ Suite 0) MEC
Contact Person /%,, '��S.f i Ph PLM
Contractor (AI 1//7 en .gt (. Ph •l e SWR
BUILDING Tenant/Owner ELC
Retaining Wall < y qr--
Footing Access:
Foundation FPS
Ftg Drain .6,6‘27-6/ /J SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam , �� / / / S
Ext Sheath /Shear
Int Sheath/Shear
Framing
Drywall g r/ le 1466 l P c/
D all Nailing �1�/ S � . (7 2 L° 1't �D � .
Firewall
Fire Sprinkler i' V r d -- 7- 1'144 C S
Fire Alarm , , / YS J D ���
Susp'd Ceiling ! y� ,!■. r A e .,
Roof
Misc: a -
Final
PASS PART FAIL
PLUMBING S Oa /1kJAgw.,:! r1. •
Post & Beam
Under Slab D C0 ; `--..—
Top Out
Water Service
Sanitary Sewer
Rain Drains �AIA L
Final
PASS PART FAIL
MECHANICAL �
Post & Beam @----
✓
Rough In
Gas Line
Smoke Dampers
Final
4 S PA FAIL
L ECTRICAL
Service
Rough In
UG /Slab
Low Voltage
- _ • larm
a *
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 l _ G /�
Approach/Sidewalk D / — 06 — F
Other o Inspector &rt 2 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.