Permit '
�
/
'- CITY OFTIGARD
DEVELOPMENT SERVICES
,,,,..,,,,..„,,,,,\ ~°"� � �~n���x .�nu~n� " "�"�" "° "~�»�~� �� ELECTRICAL PERMIT —
� ��^ 0 1. 13125 SN/ Hall 8kd.. Tigard, OR 97223 808 039-4171 RESTRICTED ENERGY
PERMIT #: ELR96-0399
DATE ISSUED: 12/31/96
• PARCEL: 1S133CD-15100
/ SITE ADDRESS...: 11577 SW TALLWOOD DR
SUBDIVISION....: PEBBLECREEK,#3 _ . � _ ZONING:R-25
BLOCK..........: LOT.......... ^41
Project Description: INSTALL BURGLAR ALARM
— -- ----------- ----- , --------
A. RESIDENTIAL--------- B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM....:X BOILER..........: LANDSCAPE/IRRIGAT..:
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 -------
WM/SARA DAVIS, .. � _ _ ' type amount by date recpt
11577 SW TALLWOOD CT PRMT $ 40.00 TAT 12/31/96 96-288300
5PCT $ 2.00 TAA 12/31/96 96-288300
_ .
TIGARD OR 97223
Phone #:
Contractor: --- — ------- ---
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTI
BEAVERTON OR 97008 Ceiling Cover Elect'l Service
Phone #: V-641-0574 Wall Cover Elect' I. Final
Reg #..: 44421 `
This permit is issued :subject, to the?eg4latioms contained in the ^~_ _ • �~42 _
Tigard'Itunicipal Code, State,of Ore. ,apmuialty.Codes.and All qther . P ignat Lire ,
applicable laws. All work will be done in accordance with
\ y /
approved plans. This permit will expire if work is not started,
within 180 days of issuance, or if work is suspended for more ' i^^~/ 1 ` ~/
than Madays. ` Issued By
--------------OWNER INSTALLATION ONLY----"---------- -------
The installation is being made on_propert\( % own. which is pot intended for
sale, lease, or rent.
OWNER'S SIGNATURE: _ _ DATE: ____
— CONTRACTOR INSTALLATION ONLY -----------------
SIGNATURE OF SUPR. ELEC.' W DATE,:
LICENSE NO: _______ _ ' _
. _ Call for inspectiAr\ _ 639-4175 .
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # 9('' (-) 3 ?/ Q
-/ , 1IN ,� Phone (503) 639 -4171 d
I) ;- FAX (503) 684-7297 DATE ISSUED �3 / 9 k
TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INST LLATIO,f l.-. 4. TYPE OF WORK
??
S . _r- a-,Qv e
Ad RESIDENTIAL — Restricted Energy Fee $40.00
, 6t Ot (9-71 97 v J (FOR ALL SYSTEMS)
City ( State Zip G 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
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
7 � ❑ Heating, Ventilation and Air Conditioning System*
Contract° HOME SECURLTY• ALARM *
❑ Vacuum Systems
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 - ❑ Other
Date /2— / ,. / 7 c COMMERCIAL — Fee for each system $40.00
/ (SEE OAR 918 - 260 -260)
Property Owner i 1 ( _,c t .,p,�, 4 12--✓&_ >V(5. Check Type of Work Involved:
Contractor's Board Reg. No. 044/121 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # .(503). 641 -0574 ❑ 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:
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-
0 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 5. FEES
corrections are completed.. /
The person signing for this permit must be the applicant or a person a. Enter Fees $ a /y
authorized to bind the applicant.
b. 5% Surcharge (05 x total above) $ r
■
Signature
� 1„ ,., TOTAL $ V2-
Authority i other than app lican
ENERGAP.CHP
03/03/2000 Activities for Case #: ELR96 -00399
8:44:55 AM `
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 12/30/1996 12/30/1996 TAT 12/30/1996
ELRA010 Permit created 12/30/1996 12/30/1996 TAT 12/30/1996
ELRA700 Ceiling Cover 12/30/1996 TAT 12/30/1996
ELRA720 Wall Cover 12/30/1996 TAT 12/30/1996
ELRA730 Elect'I Service 12/30/1996 TAT 12/30/1996
ELRA799 Elect'I Final 12/30/1996 ST 02/07/2000 2/7/00- inspection request to
Hap
ELRA500 (F) Issue permit 12/31/1996 TAT PASS TAT 12/31/1996
• ELRA580 Expired by limitation 02/23/2000 RB DONE No Hold AKJ 02/23/2000
•
•
•
• 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
1 (
Location S 7 - 141036,061 or Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING, Tenant /Owner EL
Retaining Wall l&-663q,
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Slab Crawl Drain , NO INSPECTION(S) FOUND IN FILE
SIT
Post & Beam
Ext Sheath /Shear
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
MECHANICAL
Post & Beam
Rough In
Gas Line
•
Smoke Dampers
Final
PASS PART FAIL
EOCTRICAt k-
Service "
Rough In ;°,.'=
UG /Slab Vtr1
Low Voltage `'` `
Fire Alarm p
in
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.