10260 SW NIMBUS AVENUE BLDG M STE 7A V'LW 3Ad SIIHWIN M.S 09ZOI
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10260 SW NIMBUS AVE M7A
ELECTRICAL PERMIT-
CITY O F T I G A R D
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT*: ELR2000-00067
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/30/00
SITE ADDRESS: 10260 SW NIMBUS AVE M-7A
PARCEL: 1 S134AA-01800
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: I-P
BLOCK: LOT: 002 JURISDICTION: TIG
Prolect Description: Install protective signaling system in existing commercial building
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO&STEREO: AUDIO&STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER. HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTM_ 1
Owner: Contractor:
ROBINSON, CCNSTANCr A + ADT SECURITY SERVICES, INC
ROBINSON, LYNN+ BE AY ET 2815 SW 153RD DR
BY INSIGNIA COMMERG GROUP BEAVERTON, OR 97006
BEAVERTON, OR 97006
Phone: Phone: 503469-7100
Reg f!: uc 00599aa
ELE 262MLE ORIGINAL
FEES Required Inspections
TypeY By Date Amount Receipt Low Vol!ape Inspection
PRMT KJP 3/30/00 $60.00 0001058 Elect'l Final
5PCT KJP 3/30/00 $4.80 0001058
Total $64.80
This Permit is issued subjact to the regulations contained in the Tigard MUnicipal Code, State of OR. 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 180 days. ATTENTION: Oregon law
a requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forih in OAR
Fes- 952-001-0010 througl,�'��R 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
N 246-1987.
lasued by / ��' J _ Permittee Signature 7�Pt
J_
m OWNER INSTALLATION ONLY
W 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: �x— 6'-- DATE--
LICENSE
ATE-LICENSE NO:
Call 6394175 by 7:00 P.M.for an Inspection needed the next business day
CITY OF TICTARD RIESTRICTED ENERGY ELECTRICAL APPLICATION_ Recd by:
13125 SW HALL BLVD 61 Date Recd:
TIGARp OR -97223 PRINT OR TYPE '� 1
V- 501-639411711 X3 Permit 0:b, I QIt11-(,(, .
r" •50 -598-1960 ��-1'� ����CpMPLETE OR ILLEGIBLE AppLICATIONS Cust.C:rl'd:
?JAi1JW WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED-RESIf1ENTIAL ONLY
RostricMc!E —_—
nergy Fes........................................ fti0 00 -
_ (FOR ALL SYSTEMS)
.106 Street Address Ste rK p
ADDRESSc Check Type of Work Involved: RECEIVED
�C�ity/State Zip Phone N ❑ A,K1;o and Stereo Systems
N i ,- MAR Z 3 2000
me Burglar Alarm
CJ f3,vtSo COMM ITY DEVELOPMENT
OWNER Mailing Address ❑ Garage Door Onener'
City/StateZip phone* El Heating.Ventilation and Air Condkloning System'
Name ❑ Vacuum Systems-
4bT SECURI7YSERVICES,INC, ❑ Other
;ONTRACTOR Mailing Address --
BEAVERTONN OR 97 _TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Prior to Issuance a City/State (50 );p9-7100 Phone 0 Fee for each system................................. "—
:opy of all Licenses $60.00
(SEE OAR 91&260-26(1)
are required if Oregon Contr.Brd�Lk0 Exp,
r!xpired in C.O.T. f��� y 7 �' Check Type of Work Im oived:
data base). Electrical Con c.4 9 E p. ate L.
11 r'0 ❑ Audio and Stereo Systems
C.O.T.or Metro Lic.0 Exp.Date
---- ❑ Boiler Controls
Owner's Name —"
OWNER- Maaing Address -- [] Clock Systems
APPLICANT ❑ Data Telecommunication Installation
City/State Zip -- Phone A ❑
_ Fire Alarm Installation
46 rmfl Is issued under OAE 916-320-370 This app&:ont agrees to
ake only restricted energy installations(100 volt amps or less)under this ❑ HVAC
?rmft and to do the following:
Only use electrical licensed persons to do installations where required. EJ Instrumenottion
Certain residential and other transactions are exempt from licensing. El Internum and Paging Systems
These have asterisks('). All others need licensing;
Cell for inspections when installation und.,r this permit are ready for E] Landscape Irrigation Control'
Inspection at 503-639-41:6; ❑
Medical
Purchase separate permits for all installations that are not ready for an
inspection when the inspector is out to inspect under this permit; ❑ Nurse Calls
a I Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and,
N VJProtective Signalin(I
Assume responsibility for calling for a final inspection when all of the _
corrections are completed. ❑ Other
_3 •rmfts are non-transferable and non-refundable and expire if work is not
(3 dted within 160 days of issuance or if work is suspended for 160 days.
W ---Number of Systems
--1 a person signing for this permit must be then li�ant or a
PP parson No Ncx!rte are required I-kxnses are required/or dl oewx InfM9at nm
horired to bind the applicant.
_ FEES:
gnatur �� _. �" ENTER FEES f O, 00
.CIO/,6
MR SURCHARGE t.05 X TOTAL ABOVE) f 90
,thority if other than Applicant TOTAL = o
tslforms%resele doc 7/99
CITY OF TIGARG 3UILDING INSPECTION DIVISION M9T
24-Hour Inspection Line: 639-4176 Business Line: 639-4171 —
BUP _
Date Requested ��AM� PM
._ - BLD
Location 1(��(4' 0 Y) l M ��� Suited- A MEC _
Contac' Person Ph _y f� �I-�G!L_ PLM
Contractor _ n_ Ph _ SWR
�h:.
BUILDING Tenant/Owner A Yy�T 4V,-,, ' (, —�� ELC
Retaining Wall ELR
Footing Access:
Coundation FPS
lF.'tg Drain -�-
Crawl Dry, Inspection Notes: SGN --
Slab -- --- ---- - — SIT
Post&Beam
Ext Sheath!Shear _
Int Sheath/Shear `----�
Framing
Insulation ---
Drywall Nailing --
Firewall
Fire Sprinkler --,_- ;q• —_ _ _ _.�._
Fire Alarm
Susp'd Ceiling
Roof i
Mise --
Final —
PASS PART FAIL -
PLUMBING
Post&Beam -- "'-� --�---- --
(lnder Slab
Top Out - -- ---- - - -- -- ------
Water Service
Sanitary Sewer ---- - - -— — -
Rain Drains _
Final - - -- ---
PASS PART FAIL ------_-- --- _ --_
MECHANICAL
Post& Beam ---- -- --
Rouqh In
Gas Line ----- — - ----
Smoke Dampers
Final ---
PASS PART FAIL
E CTRI -- — — --
d Service
� Rough In — �-
0) UG/Slab
Low Voltage -
J Fir Alarm
i
PART FAIL �-
W
J Backfill/Grading ------- -- - --- ------ —
Sanitary Sewer
Storrs Drain [ ]Reinspection flee of$ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call f0 reinspection RE: _ - ( j Unable to Inspect-no access
ADA
AppOtheroach/Sidewalk — Date '' /Zj�k--Inspector—__L _ �� Ext
Final
PASS PART FAIL j 0
NOT REMOVE this Inspection record from the job site.