Permit �,� ` CITY OF TIGARD
���� DEVELOPMENT SERVICES ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT *: EL.R98 -0257
DATE ISSUED: 09/16/98
PARCEL: 25101 DC -03900
SITE ADDRESS .e :07150 SW SANDBURG ST
SUBDIVISION.... :SALEM FREEWAY SUBDIVISION ZONING :C —F'
BLOCK,,,,,,,,,. LOT,,,,,,,,,,,,, :004 JURISDICTN: TIG
Project Description: Installation of fire alaro.
A. RESIDENTIAL Be COMMERCIAL -- ---
AUDIO & STEREO.. e : AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM..,.: BOILER,,...,,.,. LANDSCAPE /IRRIG:AT..:
GARAGE OPENER....: CLOCK...........: MEDICAL.00000......o
HVAC.,,,,,o.. .... : DATA /TELE COMM..: NURSE CALLS........:
VACUUM SYSTEM FIRE ALARM...... :X OUTDOOR L.ANDSC LITE:
OTHER: OD HVAC000000,.,..,: PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER: - : o
TOTAL t!• OF SYSTEMS: 1
Owner: --- - • - - - - -• --- .- •-- - - - - -- - - -- -- - - -- FEES - - - -- -
BACHOFNER DATACOM, INC type amount by date recpt
55 SE MAIN PRMT ¶ 40.00 DLH 09/16/98 98- 3009183
PORTLAND OR 97214 5PCT 2.00 DLH 09/16/98 98- 309183
Phone ',:: 233-7873
Contractor: -- --
BACHOFNER DATACOM INC 3 42.00 TOTAL
55SE MAIN ST
- - - - -- REQUIRED INSPECTIONS
PORTLAND OR 97214-3346 Ceiling Cover Low Voltage Insp
Phone *: 233 -7873 Wall Cover Elect' 1 Final
Reg #..: 011197
This peroit 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 peroit will expire if work is not started within 18
days of issuance, or if work is suspended for oore 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 -CO1 -Z 10 through OAR 952- Col -0080. You oay obtain copies of
these rules or direct questions to Olt at (50246-1987. Issued by Permittee Signature /// /LE/' /67/
/9 L /69-7
70V
- --- -- - - -- - - -- OWNER INSTALLATION ONLY -- -- The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: A/ DATE: __
•- - -- --CONTRACTOR INSTALLATION ONLY----- .. - - - -- -------------
SIGNATURE OF SUPR. ELEC'N: A7/11- DATE:
LICENSE NO:
+••-+--++++±++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 P.M. for an inspection needed the newt business day
+ ++ + + + + + + ++ + + + + + + + + + ++ ;• + + ++ + ++ - +• ++++++++++++++++ + + + + + + + + + + ++ + + + + + + + + ++ + ++ + + ++ ++
UN OFTIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: .- L-ht
13125 SW HALL BLVD Date Rec'd: 9//6/9,
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 ' I ' Permit #: E .257
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
Progressive Insurance (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 71 50 SW Sandburg RD Check Type of Work Involved Lam; - CEVELD
Cit /State Zi Phone # ❑ Audio and Stereo Systems
Tigard, OR 91224 - - � , 1998 Name ❑ Burglar Alarm C "
I L::....'..'' ' 9 ..
,._ ..0 °I.,,_i
OWNER Mailing Address I I Garage Door Opener'
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems*
Bachofner Datacom, Inc. ❑ Other
CONTRACTOR Mailing Address
55 SE Main TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses Portland, OR 97214 233 -7873 (SEE OAR 918-260-260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 1 1 1 9 7 8 4 / 2 2 /01 ' ' Check Type of Work Involved:
data base). Electrical Contr. Lic # Exp Date
2 6- 9 5 3CLE 1 0/ 1/ 93 ✓ ❑ Audio and Stereo Systems
C O.T or Metro Lic. # Exp Date
4382 6/ 1/ 9 9 ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip Phone #
Ill 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 I I 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; ❑
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. 1 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.
� FEES:
Signature
ENTER FEES $
40.00
5% SURCHARGE (.05 X TOTAL ABOVE) $ 2 . 0 0
Authority if other than Applicant TOTAL $ 42.00
i \dsts'resele doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ) 2-(41/4,e AM PM BLD
Location `7/ -53 •06.-v7 ,Cp Suite MEC
Contact Person Ph PLM
Contractor 67 Grt /-e-i Ph SWR
BUILDING Tenant/Owner ry pre—gSi tJG /A./S. ELC p (�
Retaining Wall 7 4 0,7„5
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ���
Slab �/ L� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ;A/./Q-'234
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
PA FAIL
ECTRICA
Service
Rough In
UG /Slab
Polta
Fire arm
F
PART FAIL
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 c
Other h /Sidewalk D ate / V/ Insp ector
Other Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.