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12700 SW NORTH DAKOTA STREET STE 160 09►1 31S 1S d10V0 HMON MS OOIZ� i 0 r H- H YO Q O z S N 1700 SW NORTH DAKOTA ST STE 160 CITY OF TIGARD DEVELOPMENT SERVICES A ' 1125 SWHaff Bh1d,Vpard,OR07223 (W)6364171 ELECTRICAL PERMIT — Rf3ThICTED ENERGY PERMI1 #.. ELR97-0301 DATE ISSUED: 10/221/97 SITE ACDRESS_ . . : 1:'7p10 SW NORTH DAKOTA ST �J�` PPRCELs 1S133AD-16200 SUBDIVISION. . . . :MLP94-0013 ZONING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTN: TIG Project Descriptions Add protective signaling to an existing tenant occpy. ---------------------------------------------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAL--------------------------------------- AUDIO & STEREO. . . .. AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .. HVAC. . . . . . . . . . . . . . DATA/TELE CC;MM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITEs OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :X INSTRUMENTATION. : OTHER. . : as TOTA'_ # OF SYSTEMS s 1 Owner: ----- --- --- — . _..._.----- -__ __ FEES ------------------ GREAT CLIPS type amount by date recpt 831 NORTH SHORE RD PRMT i 40. 00 GEu 10/21/97 97-300259 LAKE OSWEGO OR 97034 5PCT $ 2. 00 GED 10/21/97 97-300259 Phone #: 635-2219 Contractor: ---------------------------------------------------------------------- W I L SONV I LLE LOCK & SAFE $ 42. 00 TOTAL PO BOX 517 ------ REQUIRED INSPECTIONS - ------ 'WILSONVILLE OR 97070 Low Voltage Insp Phone #: 6822-2323 Elect' l Final Reg #. . : 000493 This permit is issued s,sbject to the regulations contained in the Tigard Municipal Code, State of Orr. Specialty Codes ind all other applicable laws. All work will be done in accordance with approved Flans. This permit will expire if work is not startri within 181 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those ruler are set forth in OAR 952-!11-9I1e through ON 952-01-1181. You may obtain copies sof these rules or dirert wstionsJo UK at (513)246-1987. Tsso-led by _ _ �-- Permittee Signature_ a - OWNER INSTALLATION ONLY-------------------------------- T11p installation is being made or property I own which is not intended for ->_ale, lease, or rent. OWNER' S SIGNATURE: DATE: _m INSTALLATION ONLY--------------------_—_.-----_— J T GNATURE OF SUPR. F_L.EC' N: _ _ DATE: �?Z LICENSE NO: .....+++++++++++f-+++++++++++++++++++++++++++++++i+++++t+++.....+•F4tt++++++++++++ Call 639- 4175 ny 7:00 P. M. for an inspection needed the next business day ++f f++++•F+++f++.....+++++i-+4........... .....+t..... .....4......... ............ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. PERMIT#r F ?; -3v/ Tigard,OR 97223 — Phone(503)639-4171 DATE ISSUED FAX(503)684-7297 TDD No. (503)684-2772 CITY Of TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK ��y�5,>� ND1eth �nR'afaaS+ . Address RESIDENTIAL--Restricted E�er�Fee. . 4i J C i7�aa3 (FOR ALL SYSTEMS) Cit a State Zip Chad j jp d Work Invahmd: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR If WORK IS SUSPENDED FOR 110 DAPS ❑ Burglar Alarm ❑ Garage Door Opener* 2. CONT,R,, TOR APPLICATION ❑ Heating Ventilation and Air Conditioning System* wll�j�G''��VL1r,r,G Contractor �ck 4N -UQI Type --40 ❑ Vacuum Systems" ❑ Other Address W. 26X 50 aM-yy1V*I IQ 6 "7`1010 ---_ Date COMMERCIAL—Fee for each system . . . . . . . . . 14111LQQ /1 --L—,L m (SEE OAR 918-260-260) Properly Owner 61w '� e1 f P5'C'JCi(S Fevr—ll r6.rk Type of Work Involved_, Contractor's Board Reg. No. �m I��' e�"� _- __� ❑ Audio and Stereo Systems n 2 _ El Boiler Controls Phone# 000 �_ = ✓ _ ---. ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging Systems Address ❑ landscape Irrigation Control* City State 71p, ❑ Medical El Nurse Calls This permit is issued under OAR 918.320.370.This appi,ant agrees to make only restricted energy installatinns(100 volt amps or less)under this permit and to do the L, Outdoor Landscape Lighting' following: a Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain ❑ Other residential and other transactions are exempt from licensing.These have IL asterisks(*).All others need licensing). it 2. Call for an inspeciion when all of the installations under this permit am ready m for inspection at 503-639-4175. W _Number of Systems :1. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No licereses are required U enses are required for all Meer Irtstallatlarts. 4. Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume msponsibility for calling for a final inspection when all of therj, FEES ul J corrrrtions are completed The person signing(or this permit most he the applicant or a person a. Entef Fees Alagnatu ,11rr, a llCant. b. 5%Surcharge(.05 x total above) $_ aUU TOTAL S Fa6a _ Authority if other than applicant EWRW.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 6394171 BUF Date Requested AM PM _ BLD Locations.2700 SGv /�iUY-rel AA-&-Al SV Suit f(D0 MEC Contact Person Ph PLM _ Contractor � (� l�r,E_ �.��'� i ts_ Ph X07-.5F4-,.P SWR BUILDING Tenant/Ownerl/f'd� �� {,� ELC Retaining Wall ELR 157 7—e Footing cc Foundation ANOT r"QUESTED FPS Fig Drain FOUF ,. DURING RESEARCH SGOI Crawl Drain Slab Insl NO INSPECTION(S) IN FILE SIT Post&Brum Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL --- - PLU150 Post&Beam — Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Spam — Rough In Gas Line — - ----- Smoke Dampers Final — — PASS PART FAIL ELECTRICAL IL Service 17 Rough In F UG!Slab W - Low Voltage ^ Fire Alarm L AS PART FAIL J Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inapecdon. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for Fire Supply Line [ 1 reinspection RE: [ j Unable to inspect-no socase ADA Q� Approach/Sidewalk Dlte D IRapAC�Or Other Ext Final PASS PART FAIL DO NOT REMOVE this `'nspsaden nwoird hem filo job d6s.