Permit 410 CITY OF TIGARD
.-�
DEVELOPMENT SER ELECTRICAL F'ERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0231
DATE ISSUED: 08/24/98
PARCEL: 2S112DD- 01600
SITE ADDRESS...:15575 SW SEQUOIA PKWY #180
SUBDIVISION • ZONING:I —P
BLOCK • LOT • JURISDICTN: TIG
Pr De : Installation of data telecommunications system.
A. RES I DENT I AL-- B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING.. :
BURGLAR ALARM BOILER LANDSCAPE/ IRRI GAT. .:
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: 1
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY STE 300 PRMT $ 40.00 DEB 08/24/98 98- 308547
TIGARD OR 97224 SPCT $ 2.00 DEB 08/24/98 98- 308547
Phone #: 624 -6300
Contractor:
INFRARED TECHNOLOGIES $ 42.00 TOTAL
465 NE 181ST AVE
STE 471 REQUIRED INSPECTIONS
PORTLAND OR 97230 Low Voltage Insp
Phone #: 800 -552 -8100 Elect'1 Final
Reg #..: 000725
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 , • • • fication Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952 -'0'1-0080. You lay obtain copies of
then rules or direc :uestions to 0 at (503)246 -1987. ♦/
I ss _ ed byl /• AL,►�.'! 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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd byC i ii-AA•
13125 SW HALL OR97 2 VD 3 PRINT OR TYPE )f : rc� ' l °G° Date Rec'd: O'v'�eigg
V4.503-639-4171 X304 Permit*: 2-4Q q -Oa 3/
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
C6 Hn Nn 4 v` Lt . •-•N‘' \ (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 1 75 s U. S Check Type of Work Involved.
city/State Zip Phone # ❑ Audio and Stereo Systems
Name ❑ Burglar Alarm
C,. T; `' S ( ❑ Garage Door Opener'
OWNER Mailing Address S w . Sec L.. 4 "iT� O
—C lty /State Zip Heating, Ventilation and Air Conditioning System'
1 cr.r O I Phone #
❑ Narrlis Vacuum Systems'
_13,„- em,,,r�4... ` 1 �e._V„, *C ttS ❑ Other
CONTRACTOR Mailing Address s „ f J
q 6s ltJ 0 ►4�.-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 v- 'kr\t.tv.a _ O . ( -0- S J 1 OQ (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exg. Date
expired in C.O.T. 6 ? ZS - 3S - 3/z,6Sig Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
3(1-3T c L 6 4.6 /Q 4'- ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT [r 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 p 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. 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; .
0 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.
C7' a FEES: / O
Signature
,,,,/ ;� ENTER FEES $
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ ya °Q
is \dsts \resele.doc 7/97 —
2 /22 /00 Activities for Case #: ELR98 -00231
4:49:44 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 8/24/98 DEB RECD DST 8/24/98
ELRC003 Permit Created 8/24/98 DEB DONE DST 8/24/98
ELRC725 Low Voltage Inspection 12/30/98 CD PASS J'H 12/30/98
ELRC799 Elecrl Final 12/30/98 CD PASS CD 12/30/98
ELRC500 (F) Issue permit 8/24/98 DEB DONE DST 8/24/98
ELRC700 Ceiling Cover 8/27/98 CD PASS CD 8/27/98
ELRC800 Case finaled 12/30/98 CD PASS J *H 12/30/98 •
•
Page 1 of 1
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0231
PACTRUST
15575 SW. SEQUOIA PKWY Unit: 180
01/20/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
-- -- - -- -- -- -- -- ---
•
ELRC001 Application Received / / / / 08/24/98 RECD DEB 08/24/98 DST
ELRC003 Permit Created / / / / 08/24/98 DONE DEB 08/24/98 DST
ELRC500 (F) Issue permit / / / / 08/24/98 DONE DEB 08/24/98 DST
ELRC700 Ceiling Cover / / / / 08/27/98 PASS CD 08/27/98 CD
ELRC725 Low Voltage Inspection / / / / 12/30/98 PASS CD 12/30/98 J *H
ELRC799 Elect'l Final / / / / 12/30/98 PASS CD 12/30/98 CD
ELRC800 Case finaled / / / / 12/30/98 PASS CD 12/30/98 J *H
•
7/27/99 Activities for Case #: ELR98- 00231
5:17:39 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 • Date 3 To Done By Disp. Level • By Updated Notes
ELRC001 Application Received 8/24/98 DEB RECD DST 8/24/98
ELRC003 Permit Created 8/24/98 DEB DONE DST 8/24/98
ELRC725 Low Voltage Inspection 12/30/98 CD PASS J *H - 12/30/98
ELRC799 EIecrI Final 12/30/98 CD PASS CD 12/30/98
ELRC500 (F) Issue permit 8/24/98 - DEB DONE DST 8/24/98 •
ELRC700 Ceiling Cover 8/27/98 CD PASS CD 8/27/98
ELRC800 Case finaled 12/30/98 CD PASS J'H 12/30/98
•
•
•
Page 1 of 1 •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
2k 12-3 Date 0 - p AM PM BLD
Location 5 5 e I ' ° MEC
Contact Person EA Le &/Lu t 0 Ph an ) PLM
d`J
Contractor W i A Ph 503 -0360 SWR
BUILDING Tenant/Owner CI)M / 4i1-1 ELC
Retaining Wall s nO 3
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes
Slab V/ 11 7 /e- /C et-v.44 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
PA RI FAIL
LECTRICAL ,
Service
Rough In
UG /Slab
/Low Volta. -
F wa
AS PART FAIL
E
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 0 ` Other Date /9P Inspector ,_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /2/30 9' AM PM BLD
Location .5 ,J — 1 : uite / So MEC
Contact Person $('r C QO7nl Ph 94 ?- 9/ PLM
Contractor S Ju- /, 0.-,..1 Ph 72i - n34/ SWR
BUILDING Tenant/Owner ELC
Retaining Wall 4. 0 9' - Q,2 1
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab n� /
0 /- SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 1 '
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
t eASS PART FAIL
(
�ervitx
Rough In
UG/ . • 910,474
•w olta•e
,, Fi�Alarm
J, - ART 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
Approach /Sidewalk
I '
Other Date 2 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.