Permit CITY OF TIGARD
m „, DEVELOPMENT SERVICES ELECTRICAL PERMIT —
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 RESTRICTED ENERGY
PERMIT #: ELR98 -0195
DATE ISSUED: 07/28/98
PARCEL: 2S1O1AA -09800
SITE ADDRESS...:1257O SW 69TH AVE #101
SUBDIVISION :PP1996 -024 ZONING:MUE
BLOCK • LOT •002 JURISDICTN: TIG
Project Description: Executrain
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER CLOCK • MEDICAL •
HVAC DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: :: HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: . .
TOTAL # OF SYSTEMS: 1
Owner: FEES
JT ROTH JR type amount by date recpt
12600 SW 72ND AVE PRMT $ 40.00 JSD 07/28/98 98- 307742
STE 200 5PCT $ 2.00 JSD 07/28/98 98- 307742
TIGARD OR 97223
Phone #: 639 -2639
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1975 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Low Voltage Insp
Phone #: 223 -5822 Wall Cover Elect'l Final
Reg #..: 000535
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 188
days of issuance, or if work is suspended f more than 180 days. ATTENTION: Oregon law requires you to follow r a.o.ted by the
Oregon Utility Notification Center. Tho rules are set forth in OAR 952421-0910 through DAR 952 -001 -0080. Y.0 may ain „ es of
these rules or direct question uu )246 -1987.
dissow” -1r
Issued by Permittee Signature
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd i. ■ _
13,125 SW HALL BLVD Date Rec'd: ij(fi1DT
TIGARD OR 97223 PRINT OR TYPE -� %'-'4/9.C.--
V - 503 - 639 -4171 X304 Permit #: i: �-6 / �
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
EX .Q_C. L \ (\ Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address q Ste #
ADDRESS t x5 '10 So (n I 10 \ Check Type of Work Involved:
City /State Phone # El Audio and Stereo Systems
-% Ci f-0 - (k ( 1'� . 1 41 n -3
Name ❑ Burglar Alarm
/ / ❑ Garage Door Opener*
OWNER Maili�g��¢"re / /��',, l �y / 9
City /Scat _.0 �'� P � � '�
Name ( (0 /
El Heating, Ventilation and Air Conditioning System'
� j aec
Vacuum Systems*
Sexl ∎ - \-yo I C). t U ❑ Other
CONTRACTOR M�t'lin Addres 0
"1 S � D — TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a ly /State J Phone # Fee for each sy stem $40.00
copy of all licenses (r' �,� 4� a4I �3 -5$ (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. #
expired in C.O.T. p�( — 310 0 I Q 7 2 ,i Check Type of Work Involved: •
data base). lectrical Contr. Lic. # at
S-3535 Ek 0r0 l ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data 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 bi ., the applicant.
/ i / FEES:
,/ ENTER FEES $
S'• ire
5% SURCHARGE (.05 X TOTAL ABOVE) $ 2..."-/019
Authority if other than Applicant TOTAL $ 1 Z\
i:\dstsvesele.doc 7/97 i lq
VW u 1
•
CITY OF TIGA : ILDING INSPE' ION DIVISION
MST
24 -Hour Inspection in :. 639 -4175 B iness Line: 639 -4171
BUP
5 10c133 Date Re • uested $ - 6 -q ; AM PM BLD
Location 12 570 • � / Suite /0 MEC
Contact Person F���� 7/
Mitko-e Ph 2 Z ?J �J $ Z. Z. PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 9(5)-61q5
Retaining Wall ELR
Footing Access: Q /� �)
Foundation �/r � / I /�� W vl/ FPS
Drain
Ftg Drain ` l wU ^ SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
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 T FAIL
ECTRICAL
Service
Rough In
J(,I Iah
ow Voltage) (S(
o/
PASS PART FAIL
SITE
BackfilllGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin lease call for reinspection RE: CZ f — t919,s [2Jnable to inspect - no access
Fire Supply Line
ADA / �/
Approach /Sidewalk Date e. 6 - ? e Ins �� % Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.