Permit CITY OF TIGARD
.al)� DEVELOPMENT S ELECTRICAL PERMIT — Hall Blvd., Tigard, clu- 13125 RESTRICTED ENERGY
PERMIT #: ELR98 -0201
EXPIRED DATE ISSUED: 07/30/98
PARCEL: 2S113AA -00300
SITE ADDRESS..•:16300 SW 72ND AVE #B -03
SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •00A JURISDICTN: TIG
Project Description : Installation of protective signaling in PacTrust
maintenance shop.
A. RES I DENT I AL 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
PACT RUST type amount by date recpt
11515 SW SEQUOIA PKWY. PRMT $ 40.00 DEB 07/30/98 98- 307833
TIGARD OR 97224 5PCT $ 2.00 DEB 07/30/98 98- 307833
Phone #:
Contractor:
HONEYWELL INC $ 42..00 TOTAL
15495 SW SEQUOIA
STE 100 REQUIRED INSPECTIONS
PORTLAND OR 97224 Ceiling Cover Low Voltage Insp
Phone #: 968 -3333 Wall Cover Elect'1 Final
Reg #.. 000578
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 952-0014080. You may obtain copies of
these rules ire questions to OUNC at (503)246-1987.
�} n
Issued by L �1 4 Permittee Signature a . ,aQ
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
RECEIVED
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLI ATION Rec'd : in�
_
13125 SW HALL BLVD Date Re : - 7 -o -R
TIGARD OR 97223 PRINT OR TYPE JUL 3 0 1998
v- 503 - 639 -4171 X304 Permit #: CLL n-090/
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATION VELOPPvIENT Cust.Call d:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
• Restricted Energy Fee $40.00
• 7L u, , , . , 5, . (FOR ALL SYSTEMS)
JOB Street Address Ste # Check Type of Work Involved:
ADDRESS /6300A S(J 7 nd AIM.
e /State Z ip Phone # ❑ Audio and Stereo Systems
wtla a.L OR 97.2251 (02S
'
Name / �» ❑ Burglar Alarm
GtJ / 1 7La.�a , / l Q f)el- / / � /qm T. 1 ( /v .e ❑ Garage Door Opener'
OWNER Mailing Address / /
1 53.5 0 .S CJ ..SL�
PQoT /.i #-goa ❑ Heating, Ventilation and Air Conditioning System'
-P ity /State t� Zip U u
o r Ha "'/ 0 '` 9 72 2 /
Name 1
El Systems'
H o n ri r,L( ❑ Other
CONTRACTOR Mailin AddrO
15 Y q $ S LJ Se n,n /a, P%ljy # /O0 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a �it to Zi Fee for each system $40.00
copy of all licenses / Or Hem,/ l ie 97,22 y 96g-3300 (SEE OAR 918 - 260 -260)
are required if Oregon Conti Brd Lic. # Exp. Date
expired in C.O.T. (557 S .2. y /7/9 9 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. date
a to -.2o7 et. F la // J 98 10 Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
( n 9 y 1/1//7 ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip I 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;
El 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.
(;)
FEES:
�� // rl �/ � ENTER FEES $ L I O. 0 O
Sl natur
5% SURCHARGE (.05 X TOTAL ABOVE) $ r3 . 0 tr..�
('
Authority if other than Applicant TOTAL 6
i:Vesele.doc 12/96 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM /� PM BLD
Location / � Q O 7/ Suite 6 -6 3 MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC O
Retaining Wall ELR 9 Q b 0d2,C' /
Footing -- -
Foundation A- NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH
Crawl Drain Ir NO INSPECTION(s) IN FILE SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing /.2A
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam �
Under Slab poi
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PAS$ -RT FAIL
4j__ECTRICA')
Service
Rough In
UG /Slab
Low Voltage
Fire larm
nal
SS PART FAIL
SITE
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 Date 3 /2. - 4/6"72 Inspector apote.., � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
02/10/2000 Activities for Case #: ELR98 -00201
3:06:14 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 07/30/1998 DEB MAIL DRA 07/30/1998
ELRC003 Permit Created 07/30/1998 DEB DONE DRA 07/30/1998
ELRC700 Ceiling Cover DRA 07/30/1998
ELRC720 Wall Cover DRA 07/30/1998
ELRC725 Low Voltage Inspection DRA 07/30/1998
ELRC799 Elect'I Final DRA 07/30/1998
ELRC500 (F) Issue permit 07/30/1998 DEB DONE DRA 07/30/1998
ELRA920 Miscellaneous action 02/10/2000 JMT DONE No Hold JMT 02/10/2000 nspection request to Hap
The file for 16300 is being sent
to Records for microfilming(with
the exception of this permit)
ELRA510 (F) Reprint permit 02/10/2000 JMT DONE No Hold JMT 02/10/•000 unable to locate original •
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03/29/2000 Activities for Case #: ELR98 -00201 EXPIRED
10:45:57 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 07/30/1998 DEB MAIL DRA 07/30/1998
ELRC003 Permit Created 07/30/1998 DEB DONE DRA 07/30/1998
ELRC700 Ceiling Cover DRA 07/30/1998
ELRC720 Wall Cover DRA 07/30/1998
ELRC725 Low Voltage Inspection DRA 07/30/1998
ELRC799 Elect'I Final DRA 07/30/1998
ELRC500 (F) Issue permit 07/30/1998 DEB DONE DRA 07/30/1998
ELRA920 Miscellaneous action 02/10/2000 JMT DONE No Hold JMT 02/10/2000 inspection request to Hap
The file for 16300 is being sent
to Records for microfilming(with
the exception of this permit)
ELRA510 (F) Reprint permit 02/10/2000 JMT DONE No Hold JMT 02/10/2000 unable to locate original
ELRA920 Miscellaneous action 02/11/2000 JMT .DONE No Hold JMT 02/11/2000 research inspection request
ELRA580 Expired by limitation 03/28/2000 HAP DONE No Hold AKJ 03/28/2000
•
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