Permit . . ' - ' - , i., •
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/��,,,ar�� DE�V ®PMENT;SERVICES
• -' - - I' �,;`. - 13125 Hal lBlvd .,. Tigard, OR97223,(503)639.4171 E1E C,TRICFl1� ��E"rl'i7_T -
RESTRICTED.. ENERGY
'GRm °!I r � L 8'- 1 7 '
a
,SITE ' ADDRESS— . 07550' SW' TECH! CENTER DR ' #230 .
U l:t .+..% .; 7 _ - ? ON 1 h! El t, I L' ' . ' ' , . •
BL OCR . ... _ ... LOT........ . • JURIGDICTNi TIi3
F'r'et I eCt; De=cript ion Protect signaling
' A.. . RE S ] DENT I A!_.- .._._. - - -- -_ B. COMEf C I Al_ -------- ----
AUDI 0, ' & STEREO. . ., AUDIO £ STEREO, . INTERCOM .8 P't•G I PIS. , 7
BURGI:..AT ALARM. _ , . a DOT1I ER„ .:. „ .. , .. , . L1 NIDSC=:F'E:/ T',= F'IGAT; .
• 13AR l4BE 1 OPENER.... 1 (LOCK. , . , „ . MEDICAL_... a , , . '
. H VAC .- _ .......:. a .. , 'DATA / TELE COMM... NORSE CALLS.......,-„':
VACUUM SYSTEM, .. , 'FIRE ALARM, . '. .... OUTDOOR L.f NDb C- • L. I •rE.
OTHER; .'e I lVF;(v_ ... o . . -PROI T ECTIV•E GISh!f �L ., , ° X
INSTRUMENTATION-2: OTHER—:
TOTAL # OF SYSTEMS,: 1 • '
0wr,. e r , __...__ - -- - - -- - - -- - - -- _ _ _... -- -- -- - - - -- 1= E E; - __.._._.. - -- _. -.___
SONITROL PACIFIC type anount ' b Y - data ' recr ,:
1975, SW 6 I H AVE . ,• PINT . • 40, 00 U 6 /x_':.:5/'98 9iy-3 67 7.
ED n, RT-- - - ANY) - ri R ? s:= 1171 - - - -- - -- - -- - - - - - = C'f _, _ = Olin . - -i l-•° /'- fit C7 - 77 --
Phone , s"'1•• i 223-5822 ..
A .
SONITROL PACIFIC - • 4• _'. 1Z 0' TOTAL
._ 9" 7 5. Ei W 6; T H A V E .-
, • ' . REQU I RED. .INSPECT IONS - -- -- -• -• :"
'EJEi'TtW:Ai''? O R- 9'72 1 C ;Ls ii g L.oto V 171tr?C!e. In i,p ,
Ph c n 4 t - ` - + � 4 5, 4 2 2 • ' - W i 1 ], C n v e? r' "E 9: iI C;• 'F t '1 'Filial ' •
' Re13 ff. 00 6 7,5 - „
. .
,T iS p,er it 'is issued sGhiect to the regrilations in the. Tigard Municipal 'Code 5ta, e of Grp, apecialtp Codes 'and aii Other'
applicable laws.- Ali .work Will be hoe in accordance with approved it'an5. 'This p r'uit; t4il1 expire if wad; is - .irUr, started I,tiyhi" . i8k • ,days of''issr- ksnce or' if work is, suspended, fer'r3or "e than 1& %. days. ATTEi 1C ; 0 egon la =J:r'err'n11 es you to',fallor:" rule adopted tiy, t,ie
1- &ODD JtiLitt' Notification Centel. ihcse rriias are, set'forth in OAR r2 -°h 1 t - 10 through NI? 45 1- e:ak'. .Yo+ gay ,o htair copies of -
these pi es or° direct questions' to ,5 �'iC at' {50 1246 -1987, , '
1. 5 5 1_! L d ; by . , � �' Per n` 1 I v e C� r l'] gnat t -1 r" E (�h _ I !,( '� ��/ -' n
- .-- _- '.-- _--- _- _.__ - -_. ,___-.-_.. .- ____-- _•- ___•-- _..-- (J;•JiJER I NGTAL.i_H? ION ONLY -•_ _._...,_ -- - _ _ _ ____. ___. -, _._.__,.... -_ _.__
' •h e .•in ta at ion is be- inri rn c'le 6 'or:o.p,r-ty I- oc.n i.r, no t..intenoleei „for
sale:. • 1 ease, 'orr' rent.
' OWNER' S SIGNATURE:, ' i�r:i'E _�__ _._ _
--:._._.-.____..-.. ._- ___- .------- .._..CoNTRAC INSTALLATION ONLY-• _._- _- _--- __ -- _.--- _ .__- _ -.__ -_ __ --
S.i Gf�iR I Ir`rE G;= SUP R; ELE N e �/� • ' -- - - - - DATE ' _ -- - --
'L I CD SE, MD 9 ' ' _____L_L - - - _• — _ •__ __.— .- ^- --•
-I--!--6-4--F-t--N i. -• + + + -4 4-* -4 - /...00 S Fr+ + +, + Gr' - � '•+ x.r! r ++.4. ;- _ i ti--.1-1--i--i--1--1- +-F-1--i-++ -ti•4- I -±7-fr
�,
Cal” L'j s _ ion nl�edtad tl?'ze 'next arts �ai,es'~ dory ,
_: --1 - 1 1-- t-- FT•- t l 4 t-- t..{-1-,;,_!•.- t-4- -i--N•-f-•-i-+-V'-!-••1- -1.± -1- : --t• -1; 1 - ±:i-4 - i• °-I--'r- - 1- , -1-•r-F•+4 •- -i- -•;•- -;.•-i•- 1- •i•'±4.: 1.4 -_i. }- 1-.. .1- -14•'F•-t-.j7- 1-::.L_..1..
r ..
C f T Y OF TIGARD RESTRICTED ENERGY ELECTRICAL AF 4 1 D® Rec'd by: 6)
13125 SW HALL BLVD Date Rec'd: fa 23 -1q
TIGARD OR 97223 PRINT OR TYPE 1999 3 2 JUN
V - 503 - 639 -4171 X304 � N 2 3 Permit #: E LRO -61st
F - 503 - 684 -7297 INCOMPLETE IL NOT BE ACCE D� "LAITY D 1 V>:LOPMENT Cust.Call'd:
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
G_-►'1 en Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address ��1 Ste #
ADDRESS 1550 s c �� a3O Check Type of Work Involved:
it tate _ v d Zip c 3 l Phone_# ❑ Audio and Stereo Systems •
-1 I Name lD ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name L 5,S"-IA ❑ Vacuum Systems'
' l - 1 - K\ �� ❑ Other
CONTRACTOR M ess t3 �
"� J TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a ity/ t to Phone # Fee for each system $40.00
copy of all licenses ( VI 4-1a,, aa5-3 (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 5-6,39 Check Type of Work Involved:
data base). Ele�trical - Con I # _ , Exp. Date ❑
�� ��oo ICI l� 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 I 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 permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
authorized bind the applicant.
FEES: �'�(v
'�
'- I ENTER FEES $ 11, ^ 1• LJ
Sig r e /�
5% SURCHARGE (.05 X TOTAL ABOVE) $ ►Ql l
Authority if other than Applicant TOTAL $ L\. •m
i:\dsts\resele.doc 7/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
1 p
) /i 1 54 Date Requested 1 l g AM PM
` �, ;� A BLD
Location 75 Zxl 5D SW 1 (I CA, A'- Suite Z 30 MEC
CJ
Contact Person Jerkin. 1 Ph PLM
Contractor Ph 223 SWR
BUILDING Tenant/Owner -4J-01 S ? ELC p
Retaining Wall ,S" [i C 7 ' ' —0/57
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing, / _••
Firewall 0 / ' / �
Fire Sprinkler I Lam`
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final �l���
PASS PART FAIL F.1.--14.--- —`�
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer / 7 n
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
EC
Service
Rough In
UG /Slab
raow Vojg
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
Other oach /Sidewalk Date ? .2s/7
Inspector Z Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.