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6655 3W HAMPTON 3T. , #220
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CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 REsTRICTED ENERGY
PERMIT #: ELR97--0254
DATE ISSUED: 09/03/97
PARCEL: 2SIOIAD-00400
SITE ADDRESS. . . :06655 SW HAMPTON ST #21.'0
SUBDIVISION. . . . :WEST PORTLAND HEIGHTS ZONING:MUE
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .34 JURISDICTN: TIG
Pr-o j e c t De scr i pt i on : Add data telecommunicatioo installations.
---------------------------------------------------------------------------------------- -----
A. RESIDENTIAL_---_- - -- B. COMMERCIAL--------____---______________________-_
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOF-ER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FARE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : .1 :
TOTAL # OF SYSTEMS: I
Owner,: FEES
LUTHERAN BROTHERHOOD type amount by date recti.
6655 SW. HAMPTON PRMT $ 40. 00 GEO 09/03/97 97-298917
SUITE C-120 5PCT $ 2. 00 GEO 09/03/97 97-298917
TIGARD OR 97223
Phone #:
Coritt-:Rrt or-, -------------------------------------------------------------------------- -
MATRIX COMMUNICATIONS $ 42. 00 TOTAL
4243 SE INTERNATIONAL WY
STE C REOUIRED INSPECTIONS -------
PORTLAND OR ?721 '+ Low Voltage Insp
Phone #: 654-3000 Elect' l Final
Reg #. . : 000743
This 7areit 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 arcordance with approved plans. This peroit will expire if wo0 is not started within 18P
days of issuance, or if work is suspended for sore Shan 188 days. ATTENTION: Oregon law requires you to follow rule adopted by tk�
Oregon Utility Notification Center. Those rules are set forth in OAR 952-MI-010 through OAR 952-@01 -0080. You say obtair copies of
these rules or direct qu do ?50246-1987.
Issued by Permittee Signature
INSTALLATION ONLY-_.--.------___..___________._____..
The installation is being made on property I own which is not, intended for
sale, lease, or rent.
OWNER' S SIGNATURE.- DATE:
---__------------------__CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELECINt DATE
f f
LICENSE NO:
..........................1-++-+4++++-$.............................................f
Call 639-4175 by 6:00 P. M. for, an inspection needed the next business day
....................................... 4•.........4...............................
L
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. G 7
Tigard, OR 97223 PERMIT# j6��OC
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772 — —
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
re-ssI la
�,-��y r RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00
`Y A
� laL � A l 9 (FOR ALL SYSTEMS)
City State Zip
Check Tie of Work Involved:
S
PERMITS ARE NON-TRANSFERNIILE AND NON-REFUNDAfILE AND EXPIRE IF WORK F1 Audio and Stereo S stems
INOT Sl'ARTEl1 WITHIN 180 DAYS Or ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. [JBurglar,Alarm
Jolt*-' 1 70 �'2.�'-�1a��
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System'
Contractor to AtMTyPe` `�lp '= u n0Vacuum Systems*
Address E I l wa,,u ❑ Other_
COMMERCIAL—Fee for each system . . . . . . . . . 540.00
���C�C4 Y7 Y l (SEE OAR 918-260-260)
Property Owner rLJTIIQ, n Chick 7vne of Work Involved:
Contractor's Board Reg. No. ❑ Audio and Stereo Systems
C1 Clock
Controls
Phone# - — — — ❑ Clack 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 Control*
City State Zip ❑ Medical
This permit iv Issued under OAR 918-320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy Installations(MI volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks('i.All others need licensing). — --
2. Call for an inspection when all of the installations wider this permit are ready
for inspection at 503-639.4175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect tinder this permit. •No licenses are required. Licenses are reeluired for all other installations.
4. Assume reslxmsihility 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 5. FEES
corrections are completed.
1 he Pierson signing for this permit must he the applicant or a person a. Enter Fees $
authorized to hind the applicant.
b. 5%Surcharge(05 x total above) $
TOTAL
Authority if other than applicant ____ �i"ru�t f. 1 -?q332
ENERGARCHP
r
RECEIVED
SEP 0 3 1997
COMMUNITY OEVELOPMENI
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125SWHall Blvd., Tigerd, OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: ELR97-0261
DATE ISSUED: 09/12:/97
PARCEL: 2SIOIAD-00400
SITE: ADDRESS. . . :06655 SW HAMPTON ST #2210
SUBDIVISION. . . . :WEST PORTLAND HEIGHTS 7..ONING:MUE
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :34 JURISDICTN: TTG
Pro.j ect De sc^r i pt i on: Add data telecommunication installations,
A. RE:SIDENTIAL---------- B.
AUDIO & STEREO. . . ,UDIO & STEREO. . : INTERCOM & PAGING. .
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEBICAI.. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE: CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL.. . .
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 1
Owner. -•----------------------------------------------------- FEES
NATIONAL_ INSURANCE PROTECTION type amo+.tr►t by date recpt
6655 SW. HAMPTON PRMT $ 40. 00 GEO 09/12/97 97-299181
SUITE 220 SPCT s 2. 10 GEO 09/12/97 97-299181
T I GARD OR 97223
Phone #:
Contractor: ---------------------------------------- •---------------------------
WESTERN TELEPHONE CORPORATION f 42. 10 TOTAL
7600 SW BRIDGEPORT RD
---- -- REDO I RED INSPECTIONS
-- --- --
DURHAM OR 97224 Low Voltage Insp
Phone #: 624--600 Elect' 1 Final
Req #. . : 000699
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Rye. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mark is not started within 188
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 rules are set forth in OAR c 901 0010 through OAR 952-901-098x. You may obtain copies of
these rules or direct stionsto a 15931246-1987.
Issl_red Uy Permittee Si n�.tr.ir e
INSTALLATION ONLY--_-_-_-_------___-----------___
The installation is being made on property I own which is not intended for
Sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
--_--_-.-----_------.___--_CONTRACTOR INSTALLATION
E;I GNATURE OF SUPR. E1_EC' N:
--_ `... _ _ DATE: �e�Ji1
I- ICENSE NO:
++++-+++++++++-4++f++-1-+++++++.F+++++++++++++++++i•+++++++++.+.....+++++++++++++++++++
Call 639-4175 by 6:00 P. M. for an inspection needed the next bi.Isiness day
++++++.++++++++-F++ 4'+++++'+-F•++4'++++++++++4'++++++++++++++++++++i-++++++++++++++++++
iu• IV 4a+)VJ uoi r tar X111 ul• ll(.,AX! ig002,p02
aw Cil al
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT#
Phone(503) 639-4171
FAX(503) 684-7297 DATE 155UED
TDD No. (503) 684-2772 - --
CITY OF TIGARD Inspection (503) 639-4175 155UED BY
PI-[ASE COMPLETE ALL SECTIONS
I. LOCATION OF INSTALLATION 4. TYPE OF WORK
(-1 ^ ` f Jl 11� r1 YYy7j �V1#� f� J�c(4 U
Address ._..�T RESIDENTIAL—Restricted Energy Fee. .
Y l�I �i ` 2-3 (FOR All SYSTEMS)
OILY 7 State Zip Chj"k TXpeof Wnrk IaWjUd:
PERMITS ARE NON-TRAN09RABLE AND NON•REFUNDABLI AND EXPIRE IF WORK
15 NOT STARTED WITHIN 190 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR ❑ Audio and Stereo Systems of
lea DAYS. ❑ eurglar Alarm
2. CONTRACTOR APPLICATION ❑ Garagr Door Opener"
❑
Head..,,ContractorctorCimVentilation and Air Conditioning Syste •
f J �(�'
-�— ❑ Vacuum Systems•
Address _ i) ,xiY ❑ Other-
Date
COMMERCIAL—Fee for each system .
`�•�-� ,r,4,(�La„F� f P T if)t` 1.- 1 Arti r`r (SEE OAR 91 B-260.260)
Property Owner 1 `tee t 'iZr r i G i�1 deck T e of Vyar�jnvolved
t ri
Contractor's Board Reg. No. �Lfi_ vl '� C L 1 ❑ Audio and Stereo Systems
Phone# ��� ❑ Boiler Controls
—r�.�-.
-- ❑ Clock Systems
3, OWNER APPLICATION )4 Oat,Telecommunication Installations
LJ Fire Alaml Installation
❑
Print Owner's Name ----_.,—. HVAC
Phone No
❑ Instrumentation
Address ❑ ,ntercom and Paging Systems
❑ Landscape Irrigation Control• -
City State Zip _ ❑ Medical
T:,„parmir Is;clued under OAR 918.320.370.Th)s applicant agrees to maks only ❑ Nurse Calls
n•strieted onorty instRIledant 000 volt amps or lase under this pmmit and to do the
fallowins; 11 Outdoor Landscape lighting•
1. Only we electrical I' :used perong to(10 installations where required.(Certain ❑ Protective Signaling
residential and other transactions arc exempt from licensing.These have ❑ Other
asterlrksi•).All others need licensing).
2 Call for Inspection when all of the Installations under this permit an ready
for inspection at$03-6394175, ❑
3. Purchase separate permits for all installations that are not ruddy for Inspection Number of Systems
when the Imper;tor is out to Impact undo this parmit.
4. Auume responsibility for aasurina that all corrections regwrrd by the inspector '"Ganset ere required, licenses are required for all other Imollations.
are done,and -- -
5. Assume responsibility for calling fat a final Inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a, Enter Fees 5 4
authorized to bind the applicant.
b. 5% Surcharge(.CS x total above) $ 1�1
Signature —
TOTAL 5
Authority if other then applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection %ine: 639-4175 Business Phone. 639-4171
Date Requested: "(,5 (_2 AM
P.M._
MST:
Location:
r `�"—
Tenant: V DUP:
– Suite: Bldg: MEC:
Contncctor: Phone: 7d 3 PLM:
Owner: ✓Vel Phone:
ELC:
EZ4:BUILDING BLDG(con't) PL TNG MECHANICAL LF.C'TRICAL STT. SITE
Site Post'Beam Post/Beam
Footing Roof Post/Beam ,ervjce Sewer/Storm
UndFI/Slab Rough-In
Slab Framing To Out � Ceiling Water Line
P Gas Line Rough-In UO Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Tr rrup Service MISC.
Masonry Ceiling Rain Drain A/C �t
m�Risk
Sheer/Sheath Fire Spklr/Alm CrawVFotmd Ih I feat Pwnh
Approved Approved Approved Approved A rove d
FAp /Sdwlk Not Approved Not Approved Not Approved A roved pp
FINAL FINAL " Not Approved
MnaFINAL ,t FINAL FINAL
Sk,
D Call for reinspection '
Reinspection of S� required before next in
Ntion
O Unable to inspect
Inspector: 4-
; C.. _
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