Permit fi CITY OF TIGARD
47,,,,,,,,,,,, DEVELOPMENT SERVICES ELECTRICAL PERMIT —
I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0130
DATE ISSUED: 05/06/98
PARCEL: 2S1O9AB -06400
SITE ADDRESS...:13O6O SW STARVIEW DR
SUBDIVISION •FORAN ZONING:R -7
BLOCK • LOT :006 JURISDICTN: TIG
Pro.j ect Description : Installing residential backflow prevention device.
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:IRR CONTRO::X HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Owner: FEES
JACK REMLEY type amount by date recpt
13060 SW STARVIEW DR PRMT $ 40.00 B 05/06/98 98- 305535
TIGARD OR 97224 SPCT $ 2.00 B 05/06/98 98- 305535
Phone #: 620 -8429
Contractor:
PROGRASS LANDSCAPE SERVICES $ 42.00 TOTAL
29895 SW KINSMAN RD
REQUIRED INSPECTIONS
WILSONVILLE OR 97070 Low Voltage Insp
Phone #: 682 -6076 Elect'1 Final
Reg #..: 6136
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 start-' within 1:
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to fo low r e .,. ed b e
Oregon Utility Notification Center. Those rules are set forth in OAR 952- 00l -0010 through ORR 95240l 1'.0 may ai opies of
these rules or di t que tions o OUNC at (503)246 -1987. /
Issued by , ■ 141 '--- Permittee Signature illi . r I /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is of intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: KM
DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
04/30/98 THU 12:55 FAX 503 598 1960 CITY OF TIGARD ra 003
■ CITY OF T1dARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
1312 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE � j ��� � QI �jD
Permit #:
V - 503 - 639 -4171 X304
F - 503 - 684 - 7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Cali'd:
WILL NOT BE ACCEPTED
Name of Development Project TYP OF WORK INVOLVED - RESIDENTIAL ONLY
a e 4 fey Res Idenee. Restricted Energy Fee ....._ .............. $40.00
1300 5'W S4Qn/Itu) Dr. (FOR AU. SYSTEMS)
JOB Street Address Ste # Check Type of Work Involved:
ADDRESS turd 0k.
City/StAfe I Z U Phone # c3 Audio and Stereo Systems
Name ''ii ❑ Burglar Alamo •
J a C - ge vn i ❑ Ga rage Door Opener'
OWNER Mailing Address
I D 1p0 sW Sle►v1 P,N18 ' ❑ Heating, Ventilation and Air Conditioning System`
City/st]eaar De 1 9 Phone #
7 2 2 4 (ado 4842.1 El Vacuum Systems'
Named I �I,, �,/
1 �SS LindS s &�S E✓ Other 1 rrr9a lioN eijfttrolter -11114s eige-
CONTRACTOR Mailing Address TYPE OF WORK INVOLVED - COMMERCIAL ONLY
2-q0/5 2-q0/5 alb ���� Rd Fee for each system 540.00
•
(Prior to issuance a City/Rate Zip Phone # �-
copy of all licenses s m v i 1 lei OR I g707o 002 -leno (SEE OAR h 918-260-260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 1P/369 85 Check Type of Work Involved:
/1+ 98
data base). Electrical Contr. Lic. # Exp. Date ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # X032 I Exp. Date ❑ Boiler Controls
Owner's Name ❑ Clock Systems
OWNER - Mailing Address • El Data Telecommunication Installation
APPLICANT
City /State I Zip I Phone # ❑ Fire Alarm Installation
This permit is issued under OAE 918- 32 00 Th This
s a pp l i essg under this E] HVAC
make only restricted energy installations
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; El
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 ❑ Other
corrections are completed.
Permits are non - transferable and non - refundable and expire if work is not Number of Systems
started within 180 days of issuance or if work is suspended for 180 days.
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.
�,� j �r ''��� FEES:
� 1'4 !r(/GLi>C� a ENTER FEES $ 4-0J00
Signature
5% SURCHARGE (.05 X TOTAL ABOVE) $
TOTAL $ 441 OP
Authority if other than Applicant $.
i:'dsts \esele.dac 7/97
X 53
CITY OF TIGARD BUILDING INSPECTION DIVISION
p�' 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
U rT p
Date Requested: i 1 p P.M. , 0 ■ MST:
Location: ,,A1 ar r �Je J l . / - - / �o BUP:
Tenant: Suite: / Bldg: MEC: '
Contractor: ICS . �`A y�_al imp Phone: , f --�� //�� - 6 6976 PLM: q2 ) f
V Owner': Phone: ./ o�f:J r C� — • ELC: /� /�
'e F' �' � i>?7I �.�/� J�Th' % ;O� ELR: g 0/3 l l . /. / _
I/. , _ . / /�i/ ~ /41 ' / l SIT:
B I ■ I G BLDG (con't) / a t f��Ce k . MECHANICAL • LECTRICAL SITE
Site Post/Beam 'os► : eam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab , ,
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Lo . . i
Approved • pproved Approved Approved Appro
Appr /Sdwlk Not Approved -. ^ , 7.r. •ed Not Approved �i' •ved Not Approved
FINAL I AL FINAL FINAL FINAL
Pltaat. do I45AP - '0-e /fir t a ae I (1 U
O Call for rein #11111, I 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: AP 09/ Date: Page of