Permit 1, CITY OF TIGARD
DEVELOPMENT SERVICES
� j
� �-. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ELECTRICAL PERMIT -
RESTRICTED ENERGY
PERMIT #: ELR99 -0050
DATE ISSUED: 03/18/99
PARCEL: 1S126C0- 01403
SITE ADDRESS...:O93O0 SW WASHINGTON SQUARE RD
SUBDIVISION . ZONING:C-G
BLOCK LOT JURISDICTN: TIG
Project Description: Install protective signaling.
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
MEIER & FRANK type amount by date recpt
9300 SW WASHINGTON SQUARE RD PRMT $ 40.00 GEO 03/18/99 99- 313797
TIGARD OR 97223 5PCT $ 2.00 GEO 03/18/99 99- 313797
Phone #:
. Contractor:
ADT SECURITY SERVICES, INC $ 42.00 TOTAL
703 NE HANCOCK •
REQUIRED INSPECTIONS
PORTLAND OR 97212 Low Voltage Insp
Phone #: 503 -284 -3265 Elect'l Final
Reg #..: 005994
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 1: days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952- w.1- v You may obtain copies of
these rules or direct, sti� � C�. 1246 -1987.
Issued by /,/ ✓,,, Permittee Signature ...-011r-seee_Ja
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 : Ai/4- DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
RU IVE®
CITY" OF TIGARD y R � ESTRICTED ENERGY ELECTRICAL APPLICATI Rec'd by:
y . -,131A SW HALL BLVD � .� Rec'd
18 X99 Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 0 ‘e3 -Q 4 r/ -07 Permit #: E =6705-c)
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICPI DEVELOPM East.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
/r , w ) i � n
Restricted Energy Fee $40.00
(�rGe:e4./ Lcircf/LrC, (FOR ALL SYSTEMS)
JOB Street Address q 7�- #
ADDRESS 9,3,0 Scd &.- / , t_i._ Check Type of Work Involved:
City /State s(' 7�7 -y one # ❑ Audio and Stereo Systems
�^ r eS oV
e ❑ Burglar Alarm
OWNER Maili Address / ❑ Garage Door Opener'
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems'
AOT SECURITY SERVICES. INC. ! ❑ Other
7 03 NE HANCOCK
CONTRACTOR Mailing Address PORTLAND, OR 97212 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
r ) 28a -3265 (Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # // Exp Date
expired in C.O.T. ,c-99& Check Type of Work Involved
data base). Electrical Contr. Lic # Exp Date
- 9 ❑ 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 n. -ref dable and expire if work is not
started within 180 days o ' - anc- or work is suspended for 180 days. Number of Systems
The person signing • is per - must be the applicant or a person • No licenses are required Licenses are required for all other installations
authorized -.. ind, • appl' • = .
FEES:
IIC—_____ 7 S 3.7 C cfp -
Signat ,' ENTER FEES $
5% SURCHARGE (.05 X TOTAL ABOVE) $ 4
Authority if other than Applicant TOTAL $ 1 /oZ •
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...C . 4? AM PM BLD
Location ?300 Suite MEC
Contact Person Ph PLM
Contractor /9i3t 0;- 074 c Ph 4 —33// SWR
BUILDING Tenant/Owner ,`;_ ELC
Retaining Wall 42 pp
ELR /' 7 - 045-0
Footing Access:
Foundation ,4� 7 FPS
Ftg Drain 32 6 SGN
Crawl Drain Inspection N tes:
Slab r D D , SIT
Post & Beam -c�(�C F1 aiB/1/0s`—
Ext Sheath /Shear �, __`�
Int Sheath /Shear � � , Dock. Framing n �J��
Insulation
Drywall Nailing
- Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Final 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
FAIL •
ELECTRICAL `\ -
ervic
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin
A 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 //__
Opproach /Sidewalk D 6 • Inspector
Other � Ext
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
_ qC{ BUP
Date Requested ' l 1 AM PM BLD
Location q 300 u0e0 I gt • Suite MEC
Contact Person -': =r , Ph PLM
Contractor C l j — bvl 5 ' Ph £ '2—b I ( SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR qq-ooso
Footing Access: P � �3 FPS
Foundation /
Ftg Drain ct,„ y1 SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam 4 i 2 � n � _ L6i<
Ext Sheath /Shear �S
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
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
cffiaP
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] inspection fee of $ required before next inspection. Pay at C Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ Please call for reinspection RE: L Lk eft? d oso [ nable to inspect - no access
ADA (072
Approach /Sidewalk Date I nspec t or E x t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.