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10120 SW NIMBUS AVE C3
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMITUUMM —
13125SWH811Blvd., T198rd,OR97223 (583)839.4171 RESTRICTED ENERGY
PERMIT 11: ELR98-0021
DATE ISSUED: 02/03/98
SITE ADDRESS. . . : 10120 SW NIMBUS AVE {1C-3 PARCEL: 1S134RA—P1800
SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONINGsT—P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s002 JUR-SDICTN: TIG
Gro J ect Description: Add protective signaling to an existing commercial suite.
------•----•--------.-----•----------------------------•---
A. RE.S I DENT L AI---------- B. COMMERCIAL-----------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : IN-fERCOM & 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. . iX
INSTRUMENTATION. : OTHER. . s s :
TOTAL # OF SYSTEMS: 1
Owner: --- --- ---------------•------------- ___ ------ -- — FEES
EVANS ELECTRI' type amount by date------------- —
recpt --
10120 SW NIMBLi AVE PRMT $ 40. 00 GEO 02/03/98 98-302974
BLDG. C•-3 SPCT i 2. 00 GEO 02/03/98 98-302974
TIGARD OR 97223-0000
Phone M:
Cnntractor: ----- ------------------------------- __
SONITROL PACIFIC f 42. 00 TOTAL
1975 SW 6TH AVE
------ REQUIRED INSPECTIONS ----- --
PORTLAND OR 97291 Low Voltage Insp
Phone #: 223-5822 E l ect' l Final
Reg #. . : 000535
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cods and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not s'.arted within 1NO
days of issuance, or if work is suspended for sore th&: 180 days. ATTENTIft Oregon law requires you to follow rule aduted by the
Oregon Utility "Itification Center. Those rules are set `orth in OAA 9M-M-019 through MR "1-M. You may obtain copies of
these rules or direct quer to at 15031246-aQ87.
IssE.ied 'L- Permittee Signature
-----------------------------OWNER INSTALLATION ONLY------------------------------------------------
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OW';E R' S SIGNATURE: DATE: _
f>O ------------------------CONTRACTOR INSTALLATION ONLY-------------
lu
-J SIGNATURE OF SUPR. ELEC' N: DATE:
LICENSE NO:
++++++++++++++++++++++++++-�. -++++++++++++++-}++++++++-L++++++++++++++++++++++++++++
Cail 639-4175 by 7:00 P. M. for an inspection needed the next business day
+++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT # ..
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
1 DD Nr, (503)684-2772 ---"-----
CITY OF TIOARD Inspection (503)639-4175 ISSULD BY
PLEASE COMPLETE ALL SECT IONS
1. LOCATION OF INSTAL ION 4. TYPE OF WORK
M 12
Addr RESIDENTIAL—Restricted Energy Fee. . 140,
e (FOR ALL SYS IFMS)
City State Zip k Type of WQrkjnyWyed:
PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems*
IS Ni I I STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
Ino DAYS ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener"
i
❑ Heating,Ventilation,nd Air Conditioning System'
Cuntratio - ��� - EJVacuum Systems'
Address�99 ILZe— _s5id A - ❑ Other— ------—
Date -1 — 114� — fO - COMMERCIAL—Fee for each system . . . . . . . . . ; jQfl
�/ (SEE OAR 918-260-260)
Propertyrr )w��V14//S �L f C-Tie( C ick Tyne of Work Involvgd
Cootrar tor's Board
>Reg. No. �� ❑ Audio and Stereo Systems*
Phonc# ❑ Boiler Controls
-- - - ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
---- —. __ ❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address —' - ❑ Intercom and Paging Systems
❑ Landscape Irrigation Cnntrol"
City State Zip ❑ Medical
This permit Is Issued ender OAR 918.320-370.This applkanl agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or leu)under this permit and in do the
following: El Outdoor Landscape Lighting*
�7{
1. Only use electrical licensed persons to do installations where required.(Certain ��Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisksM.All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
N (or inspection at 503.639.4175. ❑ Number of Systems
3. Purf-hdse separate permits for all installations that are not ready for inspection
when the inspector is out to Inspect under this permit. •No Iirrnses arc required tirrnses are required for all other Installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
(; 5. Assume responsibility for calling for a final inspection when all of the corrections ..5. FEES
IL are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $
authorized to b e applican )
p?/3 b. 5% Surcharge(05 x total above) $— `
Signat
TOTAL $ �
Authority if other than applicant
ENERGARCHP
I CITY OF TIGARD BIIII,DINO INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone:639-4171
Date Requested: ,;� —/0 A.M. P.M. MST:
[.ovation: 201 L��, _ BUP: —
Tenant: — 4-r; Ir-& _ Suite: Bldg: c MEC:
Contractor:_ Phone _ PLM: —
ovmer: Phone: SLC:
BUILDING BLDG(con't) PLUMBING MECHANICAL, tLECTRICAL SITE __—�
Site Post/&wm 1'03913cam Post/Beam ver. ice Sewer/St(xm
Footing Roof UndFVSlab kough-In Ceiling Water Line
Slab Framing Top()ut (ias Linc Rough-hit UO Sprinkler
Fotmdation Insulation Sewer IDood/Irwt Reconnect Vault
13smt Damp Drywall Ston" Furnace Temp Scrvioe MISC. /J
Masonry Ceiling Rain Drain A/C UC Slab '
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ikat Pump !!Not
_Approved Approved Approved pprovedAppr/Sdwlk Not Ap;iovtA Not Appinvoi Not Approved N _-red ApprovedFINAL FINAL FINAL /NAI. INAL
a
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O -II for reinspection Reinspection fee of S —required before next' eon O Unable to inspect
Inspector:` _� Date: -----•- Par --_—