Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
- i l l ' DEVELOPMENT SERVICES PERMIT #: ELR2002 -00185
' 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/13/02
SITE ADDRESS: 07550 SW TECH CENTER DR 220 PARCEL: 2S101 DC -04000
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
Project Description: Low voltage
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAJTELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
RREEF MATRIX COMMUNICATIONS
720 SW WASHINGTON ST STE 710 4243 SE INTERNATIONAL WY
PORTLAND, OR 97217 STE C
PORTLAND, OR 97214
Phone: 503 - 295 -5555 Phone: 654 -3000
Reg #: LIC 00074332
ELE 26- 694CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 9/13/02 $75.00 2720020000 Elect'I Final
5PCT CTR 9/13/02 $6.00 2720020000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules 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 (JJ Al,84, 41 6ui VOL Permittee Signature a
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: Cc42_P DATE:
LICENSE NO: (,
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
07/27/2002 08:43 513 -9352 MATRIX PAGE 02
07/10)i -302 11:45 FAX 5035981860 CITY OF TIGARD 0002 •
Electrical Permit A►pplycation OFFICE USE ONLY
-.- , — Date received:' _ _ g, ' G >0 ,0 a1g5
,,, _ - Pro ect/ 1 no.: Expire date:
.,,t0- -4— City of Tigard ,S�, i �p
Address: 13125 SW Hall Blvd; Ti , a 97223 �; � ay Receipt oo,:
City of Tigard
Fax: ( (503) 595-1960 (503)
5 98 -]960 6394171 SEP f •
p r • t t' ' Case the no.: Payment type:
Fa
• Land use approval: ( :i t 1 t 1 Y -1 t / • •
TYPE OF PEIL1.111
O I At 2 family dwelling or accessory 0 CommexoiaVindustrial Cl Multi - family 0 Tenant improvement
O New construction Cl Addition/alteration/replacement CI Other_ CI Partial
AOB SEII. tNFOBM.-UION
lob address:. - t . • R , i L4 :7411111 Bldg. no.: . • 4 Tax map /tax lot/account no.:
Lot: Block: Subdivision:
Project name: r e. / �1 ����; Description and location of work on prem ises:
Estimated date of completion/inspection:
CONTRACTOR APPLICATION FEE SCHEDULE
Max Job no: par •
'I Dommiodon • oo •�'
Buavt¢ss name. /Ijj MS IIl /]mil 4
�, /� _ Ntaidet•tin 1.0,..„1,1,&,,,,k g
Addte34•� i" I w..E
� i/ PL do o n it .Iaotvdeaatiachedenrage.
es "waA
Phone , �:� b Elec. . bu rr E•m Amy i" ll / /Ut // 7�� e • ,, • .sal 500 w. ft, or portion thereof — MONO
say Elec. bus. lie. II O' � i i �le!!'I tamped - • •
., , mrteesusi —1.11 2
Ct /metro lc. no.:
I.IWISII ooeegy, narrmldentiol r 2
r •VG -/ - gash, rtm,erwolrod beet. or modular dviviarl6
3 •
/'!� rc uired Dar Service and/or fader }! t Yi supetns ��i elcctricixn (q Services or feeders — iastthadon, II x �'�'j
��� ill 1 °A'• = ' sdtatolioaorreMeadosu
PROPE,R 011'N Fit 200 anpt or ion 2
201 amps to 400 amps � � 2
Name (print): 401 • to 600..• • 2
Idalain : address: 601 Mu to 1000 atop, 1111111111MMIll 2
State: ZIP: Ova 1000 maps or volts 2
City: -
Phone: Fax: 1E-mail; R acoenaa only - 1
Owner installation: tent= or &edam -
on: The installation is being made on property i own Mea»adegalteratim,e.retotaGee . 1111
which is not intended for sale, lease, lent, or exchange according to Mot , or ann
ORS 447, 455, 479, 670, 701. 201 • .a to 400 arrt• r ... 2
Owner's signature:. Date: 401 to 600 are 2
ENGINEER Emma • circuits • men, alteration,
oreateealon per p■nea:
Name: _ - A. Fm for braeeb eireeite With pie of 2
Adelman: - write se flatlet fee oath branch comic
` State: [ZIP: B. Fm for broach oirewith= nits n= purchase
Cary: l of soviet m lbeder fee. Sat btmreb vitrulu 2
Phone: Fax: Bath additional beexd citcait
PLAN REVIEW (Please check all that Apply) l► site .(Sen'tce or feedereattoctudod): M■ 2
eommadal L I Haalductas lbciliry Poet • or Irrigation 'circle
0 Service over 225 amp+ _
0 Service ova 320 ac�pa -t*dn6 of 112 0 Hazardous Hazardous location Each sign or outline lighting 2
fwdly dw'efirgp 0 Build* over 1o.000 aquae feet tour or Si�eftetrtt(s) or a limited energy panel, 2
0 System ova 600 volts Lumina! mom: raidotltiol units in ono savc4ua aJ 4
Cl n 1m drool over three shim t] Faders, 400 turps or mere • Dedcti.t ( e: Mola /i L .. —_..
0 Oeaupron load over 99 persons Cl Ma" theurrad strummer at RV pant Enda additional inspection ovartbo ■uetinbl le arn of above:
a e sNiaa Plan - la Other. Pa inspection
Submit , asp of plaza - re th any of the above. 1,,.eerdgaaleo lea - ---
he above art not applirabla to temporary emedruction aervlee. Other $
. _ Permit fee
Me all Jurisdiction. aeeepta'edit�r. please cell jun.:Uera+ men infant. Notiem Tbia permit epplioadon ply review (at „ %) $ -- -
0 v152 Cl Maslrseerd t if a permit is not Obtained e
/ / within in 130 days eta it bus been Slate surcharge (a%) S
Credit cord mirth= F„aitea TOTAL S
accepted as complete.
Noma ea/dhows an shown an eredi: care
.5
Ate 410 (61110/COM)
Cantlwldas aipraWry
CITY OF TIGARD 24 -Hour
BUILDING - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re ed 02 6 ' AM PM BUP
�7
Location r SS G2 Suite 2- Zd MEC
Contact Person Ph ( ) / 3 - PLM
•
Contractor � .I. —A .. C6.4.2 c.:Yaw - Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: c 2 _ � pp
Ftg Drain � ELR 0
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
•
Fire Sprinkler v "''"' ' ' •
Fire Alarm
Susp'd Ceiling
Roof
Other: '
Final P i
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
w Volta e
Fire Alarm
Final PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
IfFP Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 Inspector/ yr/ Grp Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL