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Permit gLIQ 95 - 06 I F(o Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION - 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT # --el -RCS 0) -3 -7— V ' P FAX (503) 6847 297 DATE ISSUED // - / - 95 _- TDD No. (503) 684 -2772 CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY [ Act e/P.c sC6.„ /;,//- PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 9# It 4. TYPE OF WORK / l®leS c) . Gil • Uu-ynn 11,1 lv. Add�ress_ ��Z RESIDENTIAL - Restricted Energy Fee $40.00 ,i I:7 Ca-'01 av - 9 (FOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ' ❑ Audio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y 180 DAYS. Burglar Alarm Garage Door Opener* 2. CONTRACTOR APP CATION g ,, �� * / / �� ❑ Heating, Ventilation and Air Conditioning System* n�tra ° c`to / Type 4/1 �� l /U"'� t!� ❑ Vacuum Systems* Address 0 S7 S.W l L .� 1/� 32x",„ ❑ Other Dat1 / /?5 COMMERCIAL — Fee for each system $40.00 (SEE OAR 918- 260 -260) Property Owner L Ic-• 4 '' l (A(1 i d e.e. . Check Type of Work Involved: 1 Contractor's Board Reg. No. �y� ❑ Audio and Stereo Systems* c , / _ O �� ❑ Boiler Controls Phone -[ l ❑ Clock Systems 3. OWNER APPLICATION `Q / ❑ Data Telecommunication Installations I 0 Fire : J ` 8 - o `l v ❑ HVACarm Installation Print Own is 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: 1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling 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 $ 99 ,. authorized to bind the applicant. b. 5% Surcharge (.05 x total above) $ — Signature 0 Authority if other than app ic TOTAL $ V2 ant ENERGAP.CHP 3/16/00 Activities for Case #: ELR95- 00186 8:17:54 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRA003 Application received 11/1/95 CJS RECD TMP 1/24/96 ELRA010 Permit created 11/1/95 CJS PEND TMP 1/24/96 ELRA730 Elect'I Service 11/1/95 TMP 1/24/96 ELRA799 Elect'I Final 11/1/95 ST 2/7/00 Inspection request (research) to Hap 9/29/99 . 2/7/00- inspection request to Hap ELRA500 (F) Issue permit 11/1/95 CJS PASS TMP 1/24/96 ELRA580 Expired by limitation 2/21/00 HAP 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 AM PM BLD Location �/LJ /l ! / •C � : Suite ii MEC Contact Person / Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC l�jl, Retaining Wall ELR � / g'b Footing Access: Foundation �� FPS Ftg Drain _ Crawl Drain I SGN • Slab �NofReguested Post & Beam — Found_During Research SIT - -- Ext Sheath /Shear No- i In File . 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 eXp MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE 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 Other Date 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 o Date Requested / U AM PM C I BLD Location 110 (p .7 ' t Ani r}'1p i e 19f • Site / 1 MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall LR s'oo j Footing / Foundation NOT REQUESTED Ftg Drain • FOUND DURING RESEARCH SGN Slab Crawl Drain I NO INSPECTION(S) FOUND IN FILE MCI v' _ Post & Beam /Z SIT Ext Sheath /Shear (� Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm �7 „ Susp'd Ceiling X 1 G ' / ` / /i / �9 6`V 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 p Gas eD V Smoke Dampers Final PASS PART FAIL , _ X11:t[__\ Service Rough In UG /Slab Low Voltage Fire Alarm PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA //8/0 V Inspector Approach /Sidewalk Date eCtOr / Ext Other /' 1 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.