Permit k
CITY OF TIGARD
^ , oiii;it DEV SERVICES ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0169
DATE ISSUED: 07/06/98
PARCEL: 2S1O9AB -06700
SITE ADDRESS...:13O98 SW STARVIEW DR
SUBDIVISION •FORAN ZONING:R -7
BLOCK LOT -009 JURISDICTN: TIG
Pr Descr : Installation of audio /stereo system B burglar alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE /I
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
RICK DAVILLA type amount by date recpt
31836 SW FAIRWAY VILLAGE LOOP PRMT $ 40.00 DEB 07/06/98 98- 307086
WILSONVILLE OR 97070 5PCT $ 2.00 DEB 07/06/98 98- 307086
Phone #: 694 -2125
Contractor:
QUADRANT SECURITY $ 42.00 TOTAL
(GARY NEDELISKY)
P 0 BOX 86508 REQUIRED INSPECTIONS
PORTLAND OR 97286 Ceiling Cover Low Voltage Insp
Phone #: 234 -5558 Wal Cover Elect'1 Final
Reg #..: 000968
This per.it is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. R11 work will be done in accordance with approved plans. This per.it will expire if work is not started within 180
days of issuance, or if work is suspended for sore 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 .. 'A1-0080. Yo . o.tain copies of
these rules r direct = estions to I at (503)246 -1987. 4 Issued by
At a/ igi .! Ar Permittee SignatureA 4. • Al i jAAAA
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 STALLATION ONLY p�
SIGNATURE OF SUPR. ELEC' N : l //1 DATE : - 7r CO - �0
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 byQ.9--
13125 SW HALL BLVD Date Rec'd: -7-6 -/
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: C.-IG /a --0 / &q
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS D y lj 'likl V ; tid10 � Check Type of Work Involved:
1111) /State Zi Phone # Audio and Stereo Systems
wrtiI 77- a B Alarm
OWNER Mailng Address ❑ Garage Door Opener*
Mailing
City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name C ❑ Vacuum Systems*
�Uir;171 G El Other
CONTRACTOR 3 l4AIYA14-
ailin Address
0 � 16in5 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a City /State ip Phone # Fee for each system $40.00
copy of all licenses Fbi+1 1 , A i)g° 41,3b Z. M05 (SEE OAR 918 - 260 -260)
are required if Ore on Conti. Brd Lic. # Exp. Date
expired in C.O.T. `R2i,7 Check Type of Work Involved:
data base). Ele Contr. Lic. # Exp. Date
/2_� —[�,S C." ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # / Exp. Date ❑
R � Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip I 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;
❑ 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:
X41., A A `__ 4 ENTER FEES $ LID
Sig - ur
5% SURCHARGE (.05 X TOTAL ABOVE) $ Z
•
Authority if other than Applicant TOTAL $ If-2—
i:\resele.doc 12/96 —
•
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0169
RICK DAVILLA
13098 SW STARVIEW DR
12/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- --- - - - -- - --
ELRA003 Application received / / / / 07/06/98 RECD DEB 07/06/98 DST
ELRA010 Permit created / / / / 07/06/98 DONE DEB 07/06/98 DST
ELRA500 (F) Issue permit / / / / 07/06/98 DONE DEB 07/06/98 DST
ELRA725 Low Voltage Inspection / / / / 10/01/98 PASS BRP 10/05/98 J *H
ELRA799 Elect'1 Final / / / / 10/01/98 Alarm, security, HVAC & low voltage PASS BRP 10/05/98 J *H
pass. Also see MST98 -0025.
ELRA800 Case,finaled / / / / 10/05/98 PASS BRP 10/05/98 J *H
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST s
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G � /� BUP
�/ S- 38. Daate / r / — 7, AM PM BLD
Loca ion , 9 (f ��w Suite MEC
Contact Person g- w Ph rp 4 cZl a,5 PLM
Contractor Ph 3/ 3— oZ S I L - SWR
BUILDING ] Tenant/Owner ,b0 (o /- 'i' `I' /5 ELC
Ret� aining Wall _ T ELR ?g-C) /6 7
Footing Access: ,
Foundation ' , - FPS
4 V/,
Ftg Drain . ef(�X d f
Crawl Drain Inspection Notes: n / SGN
Slab Q' ! i '/L SIT
Post & Beam
/� Ala Ext Sheath/Shear It /0 kV SV� &I pN - l(), . il /O f `Z vl•(_ 3O' /7bip
Int Sheath /Shear
Framing f V rcj /4-4._ /41,4 rrr e 4 u � O 4 .S'1ere.o
Insulation
Drywall Nailing
Firewall
Fire Snrinkler
f=ire Alarm ` j �
Susp'd Ceiling .! /
Roof P � s s
Misc: 4 L —
final
PASS PART FAIL
PLUMBING
Post & Beam �ff // f 1 / ,�
Under Slab *la r'I'N — �'e c rJ Y I F y - /1V�C 1...Q I' (/O /F. t'6:5"
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
-
Rough In
Gas Line
Smoke Dampers
Final LC-
RT FAIL
ELECTRICA ti
Rough In
UG /Slab
Low Voltage
Vir ilk
CD PART FAIL
SI
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 i
Approach/Sidewalk 9
Other Date [[ Inspector / / , 4 — 4. ■ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.