Permit CITY OF TIGARD
.e„, DEVELOPMENT SERVICES ELECTRICAL PERMIT —
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0167
DATE ISSUED: 06/30/98
PARCEL: 2S1O2BA -01000
SITE ADDRESS...:O9538 SW TIGARD ST
SUBDIVISION •NO.TIGARDVILLE ADDITION AMEND. ZONING:I —P
BLOCK LOT •057 JURISDICTN: TIG
Project Description: I.S. Properties
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: ::
TOTAL # OF SYSTEMS: 1
Owner: FEES
I S PROPERTIES type amount by date recpt
9538 SW TIGARD ST PRMT $ 40.00 JSD 06/30/98 98- 306938
TIGARD OR 97223 5PCT $ 2.00 JSD 06/30/98 98- 306938
Phone #: 802 -1235
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1975 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Low Voltage Insp
Phone #: 223 -5822 Wall Cover Elect'1 Final
Reg #..: 000535
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes an 11 other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not s ted ithin 180
days of issuance, or if work is suspended f .ore than 180 days. ATTENTION: Oregon law requires you to follow rul adopt d by
Oregon Utility Notification Center. Thrules are set forth in OAR 952401 -0010 through OAR 952-001 -0080. You may ob in cop s of
these rules or direct questions to I i, (5031246 -1987.
Issued by 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: DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD 1RECEI\FRESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: „_
13125 SW HALL BLVD Date Recd 1' c; S
TIGARD OR 97223 Hum r • :. � PRINT OR TYPE )� ` (J 0�/
V - 503 - 639 -4171 X304 Permit #C:��
F - 503 - 684 -7297 MPL
I ETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
COP�iuiU1�1TY UEUf:LOP'' q Q WILL NOT BE ACCEPTED
Name of J- •s Development Development Project , TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
• � Q < Restricted Energy Fee $40.00
V 1 (FOR ALL SYSTEMS)
JOB Street Address �a� . Ste #
Q
ADDRESS 1'5 g s ,. - v 9Q� 31 Check Type of Work Involved
City /State ,, hone # ❑ Audio and Stereo Systems
k t °bUKk `1 -1)35
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State I Zip 1 Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name I ❑ Vacuum Systems'
ZO \i\roI Stcu_H ❑ Other
Ad
CONTRACTOR Mailin res e
1°► - � (j (11.0— (flI)Q TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a • ity /S( to ip Phone # Fee for each system $40.00
copy of all licenses `' y' /\ , Y - c aa3- € (SEE OAR 918 - 260 -260)
are required if Oregon Contr Brd Lic. # Exp. Date
expired in C.O.T. 5353.5 Check Type of Work Involved:
data base). Elec ical Cor Lic # Exp Date
(p "" 1 O �_� ❑ Audio and Stereo Systems
C.O.T. or Metro 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;
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 •ermit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
authorized bind the a! ; i'�= nt.
I / FEES: �J�
g ':ture ENTER FEES $ 4o 01)
5% SURCHARGE (.05 X TOTAL ABOVE) $ • l C)
Authority if other than Applicant TOTAL $ 4 ).,,c0
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 / AM PM BLD
•
Location 95.3 �' 5 L/ �G -S77 Suite MEC
Contact Person U Ph PLM ' n�
Contractor ��/7r / e SO 7) 6/ Ph r V/ ` / /oZ SWR v
BUILDING Tenant/Owner C /Lil�'1 imi 176//72,,r/ ELC
Retaining Wall / ELR 9f- /' 7)
Footing
Foundation Ai FPS
Ftg Drain NOT REQUESTED SGN I
Slab
Crawl Drain in FOUND DURING RESEARCH
N O INSPECTION(s) IN FILE / SIT ' ry
Post & Beam _ 1 ,1 0
Ext Sheath /Shear
Int Sheath /Shear
Framing / 6 YQ
Insulation
Drywall Nailing (W''•
Firewall
Fire Sprinkler
Fire Alarm / l /
Susp'd Ceiling v/ lam+ t 1 4 j S V4 CCc � e al - ar ke_ oi
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
. Under Slab /
O
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
ELECTRICAL
Service
Rough In
UG /Slab
Low o a.
- • arm
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
Other oach /Sidewalk Date Y 2 1 O Inspector �•� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.