Permit (200) I
t. CITY OF TIGARD
• i ,, , w 11 , l • DEVELOPMENT LOPMEN R SERVI ELECTRCCEL ENERGY
PERMIT #: ELR97 -022 1
DATE ISSUED: 08/04/97
PARCEL: 25115BA -00101
SITE ADDRESS...: 16200 SW PACIFIC HWY #Z-3
SUBDIVISION • ZONING:C -G
BLOCK • LOT • JURISDICTN: TIG
Proj ect De script i on : Installing a data teleccomuncations system and protective
signaling
A. RES I DENT I AL --- B. COMMERCIAL •--
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER • LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER CLOCK • MEDICAL •
HVAC DATA /TELE COMM.. :X NURSE CALLS •
VACUUM SYSTEM FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 2
Owner : - - - - -•- -. .FEES
CONTINENTAL BANK type amount by date recpt
16200 SW PACIFIC HWY PRMT $ 80.00 B 08/04/97 97- 297898
STE Z-3 5PCT $ 4.00 B 08/04/97 97- 297898
TIGARD OR 97224
Phone #:
Contractor: -- -- --
FIBER OPTICS TECHNOLOGIES $ 84.00 TOTAL
14976 NW GREENBRIER PKWY
REQUIRED INSPECTIONS
BEAVERTON OR 9700680111 Ceiling Cover Elect'1 Final
Phone #: 690 -6500 Wall Cover
Reg #..: 001101
This permit 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 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 requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952- 001 -0080. You may obtain copies of
these rules or di ct questioto OUNC at (503)246 -1987. �^ l
Issued by ' 1 --- Permittee Signature \' ,`_
- OWNER INSTALLATION ONLY -- - - - - --
The installation is being made on property I on which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY----•-------------.----_---.-
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++- F++++++++ + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 P.M. for an inspection needed the next business day
++++++++++++++++++++++- F++++++++++++++++- F+++++++++++ + + + + + + + + + + +- F + + + + + + + + + + + + + + + -F+
CITY OF £T IGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: _U /`_'
13125 SW HALL BLVD Date Recd:: p I
V - 503-639-4171 2X304 PRINT OR TYPE Permit #: ELRI 1
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
,,
WILL NOT BE ACCEPTED
Name f Development Pr ' TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS /02i60 S W P0— f4t-hkay Check Type of Work Involved:
S tats _ ,17 El Phone # Audio and Stereo Systems
CI
Name I c •/ ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City /State Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
n l4 ❑ Other
CONTRACTOR Mailing A dyes
t MFR ? s TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a City /State L Zip hone # Fee for each system $40.00
copy of all licenses fe -'...4 -8� C A 700(, (AD-Gs bO (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Epp D to
expired in C.O.T. / 1 0 ( '7 7 f `(t* 141$ Check Type of Work Involved:
data base). Electycal Contr. Lic. # Exp. D to
5 7 - S3 3 c ` t 1011117 / ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT �ata Telecommunication Installation
City/State 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 to bind the applicant. /
v I C� 7 FEES:
/ is of)
•
Signature \ ENTER FEES $
5% SURCHARGE (.06 X TOTAL ABOVE) $
I. 0'
Authority if other than Applicant TOTAL $ i -
i:\resele.doc 12/96 _
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: O - a - ! / A. M. P.M. MST:
Location: 0 _ _, . L/ ' ■ ` . ' BUP:
Tenant: CoCON - r� N 4b. ' N I L Suite: Bldg: z MEC:
Contractor: / Phone: a:73-0705
PLM:
Owner: Phone: ELC: — 1 5
�Yi I AI A ' - , EL : s ile " 0 � �
_— ice...: .8117----1-8 2 I ,
BUILDING � � �!' `a! 't) PLUMBING MECHANICAL _ II; = SITE j I G�j_�
Site • o V :earn Post/Beam Post/Beam Cover . • 'ce Sewer/Storm / J
Footing Roof UndFl/Slab Rough -In 40 0 reT'l� Water Line
Slab Framing Top Out Gas Line_ UG Sprinkler
Foundation • Insulation Sewer Hood/Duct ect Vault
Bsmt Damp • Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Sla
Shear /Sheath Fire Spklr /Alm ' Crawl/Found Dr Heat Pump Low olt
Approved Approved Approved Kpproved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ved Not Approved
FINAL FINAL FINAL r FINAL FINAL
,.--_f_.:7_,› c-t , ,. ./ i vr 1 0 2/ 1 0 Ire e .1 - - - - , E 01
Z1 .__<fl -- (t \ < r7 _ r ,.l ==e4'� S c c_c tom, die • / . r- ry e
i
> .
El Call for reinspection / Reinspection fee of required before next inspection O Unable to inspect
Inspector: _� ( n 472-131 Date: 11 Q, -? "7 Page 1 of /
i