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Permit — A Y CITYOFTIGARD ELECTRICAL PERMIT - 4- a , DEVELOPMENT SERVICES PERMIT #: ELR2001 -00034 ..44. " „� � r RESTRICTED ENERGY 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 2/12/01 SITE ADDRESS: 12615 SW 72ND AVE PARCEL: 2S101AC -01900 SUBDIVISION: LOWE'S HIW, INC ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Sprinkler Monitoring and Security - Job #30442 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: : X TOTAL # OF SYSTEMS: 2 Owner: Contractor: LOWE'S HIW, INC CHRISTENSON ELECTRIC HWY 268 EAST DBA INTEGRATED ELECTRONIC SYS NORTH WILKESBORO, NC 28659 P.O. BOX 708 EUGENE, OR 97440 Phone: 336 - 658 -7519 Phone: 541 - 486 -4456 Reg #: LIC 458 ELE 26 -34C SUP 3289S FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 2/12/01 $150.00 2720010000 Wall Cover Elect'I Final 5PCT CTR 2/12/01 $12.00 2720010000 Total $162.00 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 OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by 7 Q j rn Permittee Signature 41 /} A jai 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 Sent by: CHRISTENSON ELECTRIC 5032056721; 02/08/01 3:58PM;JetFax #288;Page 1/1 Electrical P �► =r. :';. . Datcgeceived - ••---.- • •- • Permit ta :f • • 4.'•I i _ Of •,6a+a.s Projewapplato.: • Expire date: .. • CryofTtgard Address: 13125 SW Hall Blvd, Tigard, OR 9722 _.r.. Phone: (5(13) 639.4171 Dateissuod B 1 Receipt no,: - . . - - -- Fax: (503) 598 -1960 Case file no.: -. - • • pa .— —` ytnegt type: . .. „ • JOB:80 -00201 .- • . • .. I1I'J:01 l'l:lt\lll' 01 & 2 rankly dwelling or c i r " : o[ Cociitietoialfcndtlstgial • `:'•' ... wit °''° Q New uueoion Multi-family -- 0 ,...;-,.• .� ns '� O M famil Tenant unptovcridait' 1 ,.,,, • .. i �ckligop/alterarion/teplaoement 0 Other' 0 Partial ...,:; :; s it )Ii si i 1: I\'1 Olt '1 10N Job address: 1261•5•••• SW - 72ND `AVE'' 4 '-': - ';• 1 ••:.1::... •• Bldg. oa: { Suite no :: env ••. Ta*'mapfax Iot/axourii no.; 1 : ; Lot Block: Subdivision: .,: .. .. i _ -- •7'ci z z ..._� Project name: LO . S Descriptioniod location of idol* on • rem ,' ises: LV .: SPR- NKLER • a T . r ' 1 TY Fstimated daze of • edam/Inspection: ... QUESTIONS? CONTACT BETH . t 5 ,1/485 -- 45= I.E., ....`,t E "' . - (()\ I It'(I0It :11'I,l.l(,1TIO1' 1.1.1.: 5( 111•;1)1.1.1: , • . j no; 30442 ='• •- - _ .,, ., . , • Business oame:CHRISTENSON ELECTRIC, INC. Address; 111 SW COLUMBIA, SUITE 480 N "' "�deOrm� �'pa City: PORTLAND ? ZIP: • I dadeck 3a c�dg�Iragle. � sQ.fae toduded: Phone503 2414812 Fa:603241051 IM11.111111.111111111 1000sq. 11_oricas 4 aCB no.. 8 ` , Each additional 500 sq. ft. or portion thereof ME _ Limited energy. residential City /meuo 5 46 / ��� 2 ,� 7�� ff/ f/ timiredeoergy.non- 7esiaauis! • �� 2 /! _ _ each manufactured home at modulardawJling ■■ ' -' uird) Dare 219/DI Service and/or feeder 2 Sup. elem. nome(Friatk BRIAN CHRISTOPHER uomse 8 73S &nicer orfeeden- boa, alteration or relocation: . t'KO1'l It 11' O11` \1 200snimps paor . . 2 Name (print): LOWE' S HIW INC . 201 amps to 400 amps _ IMI _ 2 Mailing address: RIVER RD BUILDING A PO BOX 1112 401 amps to600 MEM 2 City: 2IP:28659 601 amps to 1000 am• `�_ 2 Over 1000 , ••, or volts _E_ 2 Phone :3 • .5: 7 :3 Fax: E-mail: Rome= only MN _ I Owner installations The installation is being made on property I own Temporatyserite= or feeders - . - • which is not intended for sale, lease, tzar, or exchange according to host Midas. lrlo rasion,orrelocat ORS 447, 455, 479, 670. 701. 200 amps of toss IIIII 2 • 201 am • 3 to 400 amps Min _IMI 2 Owner's signature: . Dares 40t to 600 . , .. ME M . 2 EN(:1N'E:Elt Branch &nits - new, aleendion. Name: or exteosion per posh A. Fee for branch circuits with purchase of, Address: service or feeder foe, each blanch crams ill Ell 2 City: P h o n e Fax: state ZIP B. and for branch e d std. without purchase circuit: ■■ 2 E-mail: .• IliglImr, lMINIMII 1' 2 2 5 a It F tai e reia l . c1 eah :J11 c l:I t ry � 11 J.1 � 1 ■■ 2 O Servtae over 225 0 HeslllhfJ[C fagll . 0Savite ova 320 =piquing ofld•2 0 Hazardous kemion Each sign or *Wine li_Axing 2 familydw& sings 0 Building over 10,000agoate Asst your or Signet circuit() or s limited energy panel, o Systemovcr6W volts nominal roore�iden•ialunits In WIC maegrm alteratioa,orextension* ©� 150 2 0 Buildingovezdute marks Q Feeders, 400 amps or =ft rt)eaeri• S I LER Q Occupant load over 99 persons 0 Manufactured strumares or RV park Eacb additional Inspection over the allowable bt any of the above: 0 Bhti(t8p1en D Other: Per inspection _ MUM MEI sobs* , sets of plans with coy of tire above. Investigation fee • The shave we not applicable to temporary construction service. Gear . Na all jarialialcar accept awls ease. please di Jutindictiao for mem io( f Notice: This pctmit apptieation Permit fee $ 150 . l7 Viss 0 MasterCard . expires if a permit is not obtained Plan review (at _ %) $ • t= dgOgO / / . within 180 days alter it has been State surcharge (8%) .... $ 17 _ / Name al el m =dig as moon dir aged Expires accepted es complete. TOTAL $ 16?_nn Cardholder vat $ Amount _ TRUST ACCOUNT DEDUCT * * * * * * * ** 4404613 (I.VWCOM I OCT.2000 +FEES ON BACK OF FORM CAIN OF TIGARD BUILDING INSPECTION DIVISION . ‘ ''24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested _ (( ° ( AM PM BLD Location /2_ h(5 5-u1 -7 2. #4-v' . Suite MEC Contact Person n Ph PLM Contractor 6_4( sr�/ r '�-e�. Ph SWR BUILDING Tenant/Owner 1 4 "j 2190 — 000 Retaining Wall ci r Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam / Ext Sheath /Shear - A N JL /-ems �O iif r /A y f t) v, Int Sheath /Shear / Framing Insulation Drywall Nailing Firewall Fire Sprinkler zd_Z Fire Alarm Susp'd Ceiling Roof r 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 PART FAIL ECTRICA ervice Rough In UG /Slab Low Voltage Fire Alarm Fi 412/ ART 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 l Date ~ //-- 0/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.