Permit CITY OF TIGARD
�. .iill DEVELOPMENT Hall SERVICES R � ELECTRICAL PERMIT —
/3125 SW RESTRICTED ENERGY
PERMIT #: ELR98 -0313
DATE ISSUED: 11/13/98
PARCEL: 25112DD -01600
SITE ADDRESS.. °:15575 SW SEQUOIA PKWY #180
SUBDIVISION ° ZONING:I —P
BLOCK • LOT • JURISDICTN: TIG
Project Description: Add protective signaling.
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
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKWY #300 PRMT $ 40.00 GEO 11/13/98 98- 310799
TIGARD OR 97224 5PCT $ 2.00 GEO 11/13/98 98- 310799
Phone #: 624 -6300
Contractor:
HONEYWELL INC $ 42.00 TOTAL
15495 SW SEQUOIA
STE 100 REQUIRED INSPECTIONS
PORTLAND OR 97224 Low Voltage Insp
Phone #: 968 -3333 Elect'1 Final
Reg L. : 000578
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- ' -0080. You may obtain copies of
these rules or direct • esti ons to 'I! at (503)246 -1987.
Issued by ./�i «�� Permittee Signature /oft-144P
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: /f /jr" I
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
6 tipgc6_ o -oaf
RECEIVED
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLIC O Rec'd by:
1312 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 OCT 2 6 1998 PRINT OR TYPE NOV 1 3 1998
"V - 503 - 639 -4171 X304 Permit #:0 7 —o 3/3
F - 503 - 684 -7297 COMMUNITY DEVELOPr + tiMPLETE OR ILLEGIBLE APRTO1l IRDN51ELOPMENT Cust.Call'd:
- WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
Commerce p.7111 Trod/ flnn. (FOR ALL SYSTEMS)
JOB Street Address / Ste #
Check Type of Work Involved:
ADDRESS / $S 5 xL ' SG] Se an ' ,s ll/Qo
.ity /Stat I Zioi' Rbene # ❑ Audio and Stereo Systems
/ / q arcL.- / OR I97 4.2f- 741 .2 3 - 333
Nap 5e El Burglar Alarm
hB Ili /'!7 f) j) 7 ,,d . - n Garage Door Opener'
OWNER Mailing Address /
/ . S s s S u,a) r �� #1 go ❑ Heating, Ventilation and Air Conditioning System*
CCit' /Sta 117.229-7 j i Ph #
41^ (M - �' 1 ❑ Vacuum Systems*
Na
CONTRACTOR Hon t.(///.r t rib ❑ Other
Mailing Adslfiess ��
/5Y 9.5 .cf, -Se r in / kb,i/ # /OO TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City/ State p Pifone # Fee for each system $40.00
copy of all licenses �o // OR 2.2 y 9G' 3300 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Bfd Lic. # Exp. Date
expired in C.O.T. r) 57 gzy / -.,y- 9q , Check Type of Work Involved:
data base). Electridal Contr. Lic. # Exp. Date ,//
6 - a2.0 d LE /o - / - 97 R ❑ Audio and Stereo Systems
C.O.T. or etro Lic. # Exp. Date
c 7y _ / - / -9 9 ❑ 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 ❑ 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;
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. J 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:
/� 7
�� " (.J 4 ENTER FEES $ 7 O .O 0
S g na e
5% SURCHARGE (.05 X TOTAL ABOVE) $ c.2.
. OD
CLd v J czazu.a.L.
Authority if other than Applicant TOTAL $ 4 / r2. 0 0
i:tdsts\resele.doc 7/97 —
2/22/00 Activities for Case #: ELR98 -00313
4:50:01 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 11/13/98 GEO MAIL GEO 11/13/98
ELRC003 Permit Created 11/13/98 GEO DONE GEO 11/13/98
ELRC725 Low Voltage Inspection 12/8/98 CD FAIL CD 12/8/98 unable to perform inspection,
no one on site knew anything
about installation.
ELRC799 Elect' Final 12/11/98 CD PASS CD 12/14/98
ELRC500 (F) Issue permit 11/13/98 GEO PASS GEO 11/13/98
ELRC800 Case finaled 12/11/98 CD PASS J *H 12/17/98
•
Page 1 of 1
Page No. 1 CASE HISTORY FOR CASE NO.:.ELR98 -0313
PACIFIC REALTY ASSOCIATES
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 / / / / 11/13/98 MAIL GEO 11/13/98 GEO
ELRC003 Permit Created / / / / 11/13/98 DONE GEO 11/13/98 GEO
ELRC500 (F) Issue permit / / / / 11/13/98 PASS GEO 11/13/98 GEO
ELRC725 Low Voltage Inspection / / / / 12/08/98 unable to perform inspection, no one on FAIL CD 12/08/98 CD
site knew anything about installation.
ELRC799 Elect'1 Final / / / / 12/11/98 PASS CD 12/14/98 CD
ELRC800 Case finaled / / / / 12/11/98 PASS CD 12/17/98 J *H
•
•
•
•
7/27/99 Activities for Case #: ELR98 -00313
• 5:17:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 APPlication Received 11/13/98 GEO MAIL GEO 11/13/98
ELRC003 Permit Created 11/13/98 • GEO DONE GEO 11/13/98
ELRC725 Low Voltage Inspection 12/8/98 CD FAIL CD 12/8/98 unable to perform inspection,
no one on site knew anything
about installation.
ELRC799 Elect'I Final 12/11/98 CD PASS CD 12/14/98
ELRC500 (F) Issue permit 11/13/98 GEO PASS GEO 11/13/98
ELRC800 Case finaled 12/11/98 CD PASS J *H 12/17/98
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p p BUP
'7- I 1- 1 - ",W Date Requested /2 - 5'r / � 7 0 AM PM BLD
Location LS -1 5 s kJ �i�gl4o i Pf P i j Suite / £'0 MEC
Contact Person --6VI' Naeran Ph 4 368 - 33 B 6 PLM
H „
Contractor ` U) eA f Ph SWR
r
BUILDING Tenant/Owner Commerce P� -�rnd'dasELC
Retaining Wall ELR '1 ?-03 - 03 L5
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam GZ V6S' �- q (o
Ext Sheath /Shear eeli , T� � / ” /G eAl c o -ib �sr,,,J 9 A /Oke <
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �irrizt��
Fire Alarm 77
Susp'd Ceiling
Roof
Misc:
Final �� I
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
BA —2 RT FAIL
- Z L ELECTRICAL0
Service
Rough In
UG /Slab
' „Low Vol
Fir- arm
PART FAIL
BBa�ckkfi /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 Date /2. /l 7 Inspector Xt
Other
Final
PASS PART FAIL DO.NOT REMOVE this inspection record from the job site. .