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Permit CITY OF TIGARD ./..,4 J DEVELOPMENT I � SERVICES (503) 639 -41 DATE PERMIT #: ISSUED: E �9�99 9 -00296 SITE ADDRESS: 11308 SW 68TH PKWY PARCEL: 1 S136DA -00100 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of data telecommunication system. Job No. 62297. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: 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: Contractor: BENENSON 68TH PARKWAY OREGON ELECTRIC CONST /GROUP KEY LLC, THE 1010 SE 11TH AVE BY FIRST AMERICAN TAX VALUATIO PORTLAND, OR 97214 WORCESTER, MA 01615 Phone: Phone: 234 -9900 Reg #: LIC 203 SUP 1302S ELE 26-95C FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 12/9/99 $60.00 99- 320314 Elect'I Final 5PCT DEB 12/9/99 $4.80 99- 320314 Total $64.80 This Permit is issued subject 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 . 110 th ,ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1• ;7. • Issue • • y 4 1IL � , !i _ : / ' ! Permittee Signature 1 /, , LL » :' OWNER 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 ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day CEIVED Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. PERMIT # �C.2 // � C�U � 9�O Tigard, OR 97223 //ynm;ei; ►. 1999 Phone (503) 639 -4171 N ry�ilp� l ; I , FAX (503) 684 - 7297 DATE ISSUED /a - 6 - 79 r OPMENT TDD No. (503) 684 -2772 0 CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS . tp 2z9 1 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 11308 SW 68th Parkway Address 9 7 2 2 3 RESIDENTIAL — Restricted Energy Fee $40.00 Tigard OR (FOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems* I5 NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y 180 DAYS. ❑ Burglar Alarm - - ❑ Garage Opener* - 2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System* Contractororegon F1 ectri d!yrrnup Electrical ❑ Vacuum Systems* ❑ Other Address 1010 SE 11 th Ave Date 12/3/99 COMMERCIAL — Fee for each system $40.00 (SEE OAR 918 - 260 - 260) Property Owner Prctvi t9Pnce Check Type of Work Involved: Contractor's Board Reg. No. 2 0 3 ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone# 503 234 - 9900 ❑ 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 Control* City State Zip ❑ Medical This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ❑ Nurse Calls restricted energy installations (100 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 ❑ Protective Signaling residential and other transactions are exempt from licensing. These have ❑ Other asterisks( *). All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503- 639 -4175. IN Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. • No licenses are required. Licenses 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 are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ 4 0 . authorized to bind the applicant. �(} p I b. 8% Surcharge (.08x total above) $ 3.20 lac Signature •fr'tit�d( �! TOTAL $ 43.20 . 1 Authority f other than ap • • ant ENERGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ' 29 - 0 0 AM PM BLD Location // 3 n ) G j - .41- i- 1./G,Jo-y Suite MEC Contact Person Ph PLM Contractor ' Ph SWR BUILDING Tenant/Owner ELC Retaining Wall (✓ /f? — ©Q .4 5 Footing Foundation Access: / � r - . � FPS G �i Ftg Drain ---'� — SGN Crawl Drain Inspection ' otes: ����-++ E(19 � n Slab e..t'1� 77 - T c SIT Post & Beam Ext Sheath /Shear , 1 ,q� Q / 2c �(G� (�' 1 1' c�-4:� i'� , Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler (� Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CTRICAL Rough In UG /Slab Low Voltage Fire Alarm & FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date �� Inspector - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.. 3/6/00 Activities for Case #: ELR1999 -00296 7:50:54 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 Application Received 12/6/99 DEB MAIL No Hold DEB 12/9/99 ELRC003 Permit Created 12/9/99 DEB DONE No Hold DEB 12/9/99 Delay in creating due to waiting for additional fees. ELRC400 (F) Ready to issue 12/9/99 DEB DONE No Hold DEB 12/9/99 ELRC725 Low Voltage Inspection No Hold DEB 3/3/00 ELRC799 Elect'I Final 12/9/99 12/9/99 2/29/00 CD PASS No Hold AKJ 3/1/00 ELRC500 (F) Issue permit 12/9/99 DEB DONE No Hold DEB 12/9/99 ELRC800 Case finaled 3/1/00 AKJ DONE No Hold AKJ 3/1/00 Page 1 of 1