Permit CITY OF TIGARD
: DEVELOPMENT SERVICES RESTRICTED ENERGY
PERMIT #: ELR98 -0326
DATE ISSUED: 12/04/98
PARCEL: 1S133AD -12200
SITE ADDRESS...:11329 SW SUMMER LAKE DR
SUBDIVISION -SUMMER LAKE ZONING:R -7
BLOCK LOT :003 JURISDICTN: TIG
Project Description: Add burglar alan.
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
R SMITH & S CADELL type amount by date recpt
11329 SW SUMMERLAKE RD PRMT $ 40.00 GEO 12/04/98 98- 311293
TIGARD OR 5PCT $ 2.00 GEO 12/04/98 98- 311293
Phone #:
Contractor:
FIRST RESPONSE SYSTEMS GROUP $ 42.00 TOTAL
4647 SW HUBER ST
REQUIRED INSPECTIONS
PORTLAND OR 97219 Low Voltage Insp
Phone #: 244 -5996 Elect'1 Final
Reg #..: 001117
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 started within 180
days of issuance, or if work is suspended for more 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- '.''.1 -0010 through DAR 952 -001 -0080. You may obtain copies of
these rules or direct questions (503)246-1987.
//X
Issued by, � il�1�i /.J Permittee Signature
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 : 1/;c7 DATE:
LICENSE NO: —
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
12/03/98 THU 17:15 FAX 503 244 9076 FIRST REPONSE PDX Ij002
CITY OF kIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: 6e.76-03R6
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
(FOR ALL SYSTEMS) .
JOB Street Address ' Ste It
ADDRESS I x;21 fix) ,trinstlitkiz. r. Check Type of Work Involved'
C /Slat Zip Phone # ❑ Audio and Stereo Systems
X 11!^ Q7 •32ic.i
N Burglar Alarm
VIA i�I Nadi} ❑ Garage Door Opener*
OWNER Mailing Address 2- arch 0- J
City /State `Zip I Phone*
El Heating, Ventilation and Air Conditioning System -
Name I El Vacuum Systems'
fir RPcpt?' i ❑ Other
CONTRACTOR M i ing Address 1
Uti al) IT1 (1j' TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a y/ fat Zip Phone # Fee for each system $40.00
copy of all licenses lAl'�! }Lt q - 5 YU1 (SEE OAR 918 - 260 -260)
are required if Oregon C ntr. Brd Lic. # Exp. ) Date
expired in C.O.T. 111 7L2D/ OD Check Type of Work Involved:
data base). Electrical Contr. Lic. # Date
- - r4.1 11, io i rei ❑ Audio and Stereo Systems
C.O.T. or M etro Lic. # Exp. Date ❑
Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip 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 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;
El
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.
Nate.
FEES:
- ENTER FEES $ tin `
Signature
� 5% SURCHARGE (.05 X TOTAL ABOVE) $ 2'
CS � lms (hrrr i nes .
Authority if other than Applicant TOTAL /� -71,5 5 ` t
I:ldstsVesele.doc 7/97 ,�-
47 e 1 / . 1 A_ f /1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ii
24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested 9 /20 0 AM PM BLD
Location i i 329 5L (f 1 ( are. Suite MEC
Contact Person Ph PLM
Contracto Ph SWR
_ �
= ILDI r' Tenant/Owner 7 S? .
- - aining Wall h'C� > III L -- t0�j
Footing
Foundation NOT REQUESTED FPS `'
Ftg Drain
Crawl Drain FOUND DURING RESEARCH — SGN
I
Slab NO INSPECTION(S) FOUND IN r�pp FILE II' � /,� 4!� — SIT
Post & Beam Ext Sheath/Shear �"7""" " ' �_!; �'
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
' AS' 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
E _
Service
Rough In
UG /Slab
Low Voltage
Fir- • larm
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 reinspe tion RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date v / 00 Inspector ' V s Ext
Other
Final
PASS PART FAIL DO NOT R MOVE this inspection record from the job site.
, 1.
L5QQa- 6Q-02 W1
yr J
03/03/2000 Activities for C ase #: ELR98 -00326
8:14:28 AM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
• ELRA003 Application received 12/04/1998 GEO FAX GEO 12/04/1998
ELRA010 Permit created 12/04/1998 GEO DONE GEO 12/04/1998
ELRA725 Low Voltage Inspection • GEO 12/04/1998
ELRA799 Elect'I Final 02/28/2000 TLP PASS AKJ 02/28/2000
ELRA500 (F) Issue permit 12/04/1998 GEO PASS GEO 12/04/1998
ELRA800 Case finaled 02/28/2000 AKJ DONE No Hold AKJ 02/28/2000
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