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Permit CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 1.L. 13125 SW Hall Blvd., — Tigard, OR 97223 639-4171 RESTRICTED ENERGY PERMIT #: ELR97 -0359 DATE ISSUED: 12/16/97 PARCEL: 1S133DC -14200 SITE ADDRESS...:13122 SW SHORE DR SUBDIVISION •ARI GREEN ZONING:R -12 BLOCK • LOT •033 JURISDICTN: TIG Project Description : Installation of burglar alarm. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM •X 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: 0 Owner: FEES LINDA /JEFF MOORE type amount by date recpt 13122 SW SHORE DRIVE PRMT $ 40.00 TJH 12/16/97 97- 301827 TIGARD OR 97223 5PCT $ 2.00 TJH 12/16/97 97- 301827 Phone #: Contractor: PHILLIPS ELECTRONICS $ 42.00 TOTAL (DBA FOR MASTER ALARM L. L. C. ) 1110 NW FLANDERS REQUIRED INSPECTIONS PORTLAND OR 97209 Low Voltage Insp Phone #: 227 -0571 Elect' 1 Final Reg #..: 001253 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 952-001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)246 -1987. Issued by (`�74 Permittee Signat ?llz 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 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. ELR'.O S Tigard, OR 97223 PERMIT # yis� I�I, P FAX (503) 6847 297 DATE ISSUED �1 I � 1� ( �� `- TDD No. (503) 684 -2772 CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY sr% oitykst-v---- . : ;.. - ' PLE 'SttS ET A L L SECTIONS:-.,. . 1. LOCATION OF.-INSTALLATION - -- • --- -- " - ......_..,J, . TYPE OF WORK ( 31 2.2... Sig:%, ,a,,,,,,„ ,a,,,,,,„ - 'fl-- . Address RESIDENTIAL — Restricted Energy Fee $40.00 j f Q � 1 � r 1 7 2-2-? (FOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ J AIrclio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. g Burglar Alarm ❑ Garage Door Opener* 2. CONTRACTOR APPLICATION IL ❑ Heating, Ventilation and Air Conditioning System* Contractor�t = ((0y � ; 0 ( k( &att pe t( i�I / Wv' ttk ; %d ❑ Vacuum Systems* ❑ Other Address / (1 6 A, ,, ,f ric, Ltil. c -.] Date 1 2 It a/g 7 COMMERCIAL — Fee for each system $40.00 � -{— y ` (SEE OAR 918- 260 -260) Property Owner n ` C Ve � <. >c' 1 ` 1 ( 1t Check Type of Work Involved: Contractor's Board Reg. No. / ? 5 3 P C f ❑ Audio and Stereo Systems* ( ❑ Boiler Controls Phone # 2 2 7 -car ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit is issued under OAR 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting* following: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required. (Certain residential and other transactions are exempt from licensing. These have ❑ Other asterisks( *). All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503- 639 -4175. ❑ Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. * No licenses are required. Licenses are required for all other installations. 4. Assume responsibility for assuring that all corrections required by the inspector are done, and 5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ ,.. © , authorized to bind the applicant. (l Q b. 5% Surcharge (.05 x total above) $ 2 " Signature , TOTAL $ Authority if other than applicant ENERGAP.CHP I RECEIVED DEC 12 1997 COMMUNITY DEVELOPMEIa; 3/9/00 - Activities for Case #: ELR97 -00359 2:16:45 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRA003 Application received 12/16/97 12/16/97 TJH RECD TJH 12/16/97 ELRA010 Permit created 12/16/97 12/16/97 TJH PASS TJH 12/16/97 ELRA725 Low Voltage Inspection 12/16/97 12/16/97 TJH 12/16/97 ELRA799 Elect'1 Final 12/16/97 ST 2/4/00 2/4/00- inspection request to • Hap ELRA500 (F) Issue permit 12/16/97 TJH PASS • TJH 12/16/97 ELRA580 Expired by limitation 2/21/00 TLP DONE No Hold AKJ 2/21/00 • • • • • • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 2 41- 60 AM PM BLD Location /' � Z 2_ 5k) () t Dr: Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner EL Retaining Wall 97035 / Footing Foundation FPS Ftg Drain NOT REQUESTED Crawl Drain FOUND DURING RESEARCH SGN Slab ` _ NO INSPECTION(S) FOUND IN FILE I • SIT Post & Beam /� Ext Sheath /Shear H'1 Z" `'✓L . ` o Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm a /J,�� ' r' 7 a '1 p' Susp'd Ceiling �� / J I 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 PASS PART FAIL ETRICAT) Service ough In Rough E �p jN ough /� UG /Slab Low Voltage Fire Alarm PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I 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 (j Otheoach /Sidewalk Date 2 ///0c" Inspector / (Y� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 1.L. 13125 SW Hall Blvd., — Tigard, OR 97223 639-4171 RESTRICTED ENERGY PERMIT #: ELR97 -0359 DATE ISSUED: 12/16/97 PARCEL: 1S133DC -14200 SITE ADDRESS...:13122 SW SHORE DR SUBDIVISION •ARI GREEN ZONING:R -12 BLOCK • LOT •033 JURISDICTN: TIG Project Description : Installation of burglar alarm. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM •X 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: 0 Owner: FEES LINDA /JEFF MOORE type amount by date recpt 13122 SW SHORE DRIVE PRMT $ 40.00 TJH 12/16/97 97- 301827 TIGARD OR 97223 5PCT $ 2.00 TJH 12/16/97 97- 301827 Phone #: Contractor: PHILLIPS ELECTRONICS $ 42.00 TOTAL (DBA FOR MASTER ALARM L. L. C. ) 1110 NW FLANDERS REQUIRED INSPECTIONS PORTLAND OR 97209 Low Voltage Insp Phone #: 227 -0571 Elect' 1 Final Reg #..: 001253 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 952-001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)246 -1987. Issued by (`�74 Permittee Signat ?llz 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 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++