Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
A'P'4 DEVELOPMENT I Tigard, OR SERVICES 2 CES 1639 -4171 DATEESSU E X229 9990277
SITE ADDRESS: 12259 SW 69TH AVE PARCEL: 2S101AA -TTOOB
SUBDIVISION: TIGARD TRIANGLE OFFICE COMPLEX ZONING: MUE
BLOCK: LOT: 00B JURISDICTION: TIG
Project Description: Install landscape irrigation control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: X
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD CORPORATE CENTER LP NORTHWEST LANDSCAPE INDUSTRIES
15400 SW MILLIKAN WAY 16075 SW UPPER BOONES FERRY RD
BEAVERTON, OR 97006 TIGARD, OR 97224
Phone: Phone: 684 -1450 ORIGINAL
Reg #: uC 7030L
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 11/22/199c $60.00 99- 319955 Elect Final
5PCT KJP 11/22/199 $4.80 99- 319955
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 - 001 -0010 through O 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
Issued / 87.
Issued by Permittee Signature - 7 - 7 1 - 0 - 4 -/&e.€
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: • 7 DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
II 3 o 4 C WA 0O s9
• CITY OF TIGARD •RECEIVV TRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
_13125 SW HALL BLVD Date Rec'd:
' TIGARD OR 97223 NOV 1 91999 PRINT OR TYPE
V - 503-639 -4171 X304 . Permit #: E L e 1999 -Up), 3 3.
F - 503 - 598-1960 COMMUNITY DEVELOPIII COMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
-r . _ �] � gy p_ Dc (! I -�,1 Restricted Energy Fee...._..__._...... -- .„..... 560.00
1 /v�. (FOR FOR ALL SYSSTEMS)
� 1 CJ� l!2
JOB Address Ste #
ADDRESS 225 $ u1 t" 44 Abe
Type of Work Involved:
City/State 0R� Mu Phone # ❑ Audio and Stereo Systems
Name i 17,723
❑ Burglar Alarm
1 a CD AA
OWNER Mairt Address ❑ Garage Door Opener
122 54 3 W 6 Av.(
City/State Ns ❑ Heating, Ventilation and Air Conditioning System'
T t 0 (t 1'412.23 l P #" Vacuum Systems*
1-am rl < C tl/Y'1t 1i f.IAltO ❑ Other
CONTRACTOR Mailing Address
/' D7S SW G2ty344 Gov u fe rry IV TYPE OF WORK INVOLVED ONLY--- (Prior to Issuance a City/State P n # Fee for each system..__....._- __....
... »___........... $80.00
copy Dieu licenses T'l 9 QA OR '] �{�! (SEE OAR 918. 260 -260)
are required if Oregon Contr. Brd Lic. If
expired in C.O.T. 7 030 y/ Q0 -r Check Type of Work Involved:
data base). Electrical Contr. Uc. # � p�
❑ Audio and Stereo Systems
C.O.T. or Metro Uc. # Exp. Date
❑ Boiler Controls
• Name
OWNER - Mailing Address 12 Clock Systems
APPLICANT ❑ Data Telecommunication Installation
City/S 1 Zip I P • _ ❑ Fire Alann 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 0 HVAC
permit and to do the fotowing:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residenttal and other transactions are exempt from licensing. D • Intercom and Paging Systems
These have asterisks('). All others need licensing;
® Landscape Irrigation Control• L O tA) V6-4.
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
Inspection when the inspector is out to inspect under this permit: El Nurse Calls
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* •
inspector are done, and;
❑ Protective Signaling
5. Assume responsibdity 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. 1 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
FEES:
Signatu ENTER FEES $ G 0 QtJ
SURCHARGE (I05 X TOTAL ABOVE) $ _ i
Authority if other than Applicant TOTAL $ ____GS R
i:ndstsIformslresele.doc 3/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 71
BUP
Q
Date Requested 0 / 7/'C AM PM BLD
Location / ' 2 '' Z,S9 .SLc1 CAL l - Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC �y�
Retaining Wall ELR /92 - 6992:2,7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: �� � 'G �
Slab ` SIT
Post & Beam S9,2-.23-4/1 /Vl'(�
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ‘c-
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
P FAIL
LCTRC
Service
Rough In _
UG/ I
Fire Alarm
AS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D ate 2-/7.- 0.0 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.