Permit CITY OFTIGARD . ,
., .
.,,r , • � DEVELOPMENT SERVICES ELECTRICAL PERMIT —
' � � .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0258
DATE ISSUED: 09/16/98
(4400000
PARCEL: 2S112DA -01400
SITE ADDRESS° ° ° :06650 SW REaDWOOD LN #333
SUBDIVISION. ° ° °:PP1996 —O43 ZONING:I —P
BLOCK LOT °002 JURISDICTN: TIG
Proj ect De scr i pt i. on : Installation of data telec000unication equipoent, .
A. RESIDENTIAL -- B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM ° BOILER ° LANDSCAPE /IRRIGAT..:
GARAGE OPENER....: CLOCK...........: .MEDICAL ° ° ° ° ° ° ° ° °. ° °°
HVAC - DATA /TELE COMM ° °:K NURSE CALLS °
VACUUM SYSTEM ° FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: °° HVAC - PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: °°
TOTAL # OF SYSTEMS: 1
Owner: ••- . -- - - -- FEES - - --
BACHOFNER DATACOM, INC type amount by date recpt
55 SE MAIN ST PRMT $ 40 °00 DLH 09/16/98 98- 309196
PORTLAND OR 97214 5PCT $ 2.00 DLH 09/16/98 98- 309196
Phone #: 233-7873 .
Contractor: -- -- -- --
BACHOFNER DATACOM INC $ 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 180
days of issuance, or if work is suspended for sore 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 OAR 952 - 001 -0080. You oay obtain copies of
these rules or direct que • s to OUNC at (503)246-1987. Issued by Permittee Signature 1/11 -6"�/ �/' / �
------ OWNER INSTALLATION ONLY • - -- The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: /7/41- DATE:
--------- ----------CONTRACTOR INSTALLATION ONLY-- ------ •- ------ - - - -.. - - -._—
SIGNATURE OF SUPR° ELEC'N: N// DATE:
LICENSE NO:
+ 4.4- + + + + + + + + + + +• +• + + ++ + + + + + +- +++++++++++++++++++++++ + + ++ + + ++ + + + + + + + + + ++ + + + + + ++ + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection ,needed the next business day
+ ++++++++++++++++++++++++++++++++++++++++++++++++ + ++ + + + + + + ++ + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd: 9/ 4/9,p'
TIGARD OR 97223 PRINT OR TYPE ,(
V - 503 - 639 -4171 X304 ` I Permit #: -9 t5.2 Si
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
Imagebui lder Software (FOR ALL SYSTEMS)
JOB Street Address Ste # /13
ADDRESS 6 6 5 0 SW REdwood Ln , OM
Check Type of Work Involved: RECEIVED
Cit /State Zip hone # ❑ Audio and Stereo Systems
T OR 9 7224 684 -51 51 SEP 1 G 1998
Name ❑ Burglar Alarm
O
n Garage Door Opener'
OWNER Mailing Address COMMUNITY DEVELOPMENT
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems'
t3achofner Dataco n, 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 9721 4 233 -78 (SEE OAR 918- 260 -260)
are required if Or � aQ` tr. rd B Lic. # Ex Date
expired in C.O.T. I, 111978 1 /1 / 98 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp ✓ A udio and Stereo S stems
26- 953CLE 4/22/0 Date ' n v
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 # ❑
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.
,Fr■. .....- / FEES:
Signature ENTER FEES $ 4 0.00
5% SURCHARGE (.05 X TOTAL ABOVE) $ 2.00
Authority if other than Applicant TOTAL $ 42.00
r\dsts\resele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION r MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / AM PM BLD
Location 6 6‘s 6 � i.vOD L Suite 33 MEC
Contact Person / Ph PLM
Contractor ICacii 92 >72 r c , Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR ` c 9 — 1)061
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation /� L
Drywall Nailing � JR 4 ( d �/ / e `! 5
Firewall
Fire Sprinkler
Fire Alarm
Ceiling 1 1
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
• AS FAIL
ELECTRICAL
Rough In
UG /Slab
ow Voltag
Fire Alarm
Fi
IA* PART FAIL
BackfilVGrading
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
Approach /Sidewalk D ate /N' A D - Q 1 Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.