Permit .7 , CITY OF TIGARD
��� ,.� ' , Li , DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: F_LR96- 0264
DATE ISSUED: 09 /17/98
PARCEL: 26113AA -00200
SITE ADDRESS...:16360 SW 72ND AVE #B -08
SUBDIVISION -ROSEWOOD ACRE TRACTS ZONING:I -L
BLOCK........... LOT .............:002 JURISDICTN: TIG
Project Description: PacTrust Bldg #8
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
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKWY #300 PRMT $ 40.00 JSD 09/17/98 98-309241
TIGARD OR 97224 5PCT $ 2.00 JSD 09/17/98 98- 309241
Phone #:
Contractor: - - - - - -- --
HONEYWELL I NC $ 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 if.. : 000578
This per.it 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 perrit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rule adopte. by the
Oregon Utility Notification Center. Those W. are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. You sav obta'n co s of
these rules or direct questions to ''"'" 03)246 - 1987. C
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 O'F'TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd • :?"
13125 SW HALL BLVD RECEIVED Date Rec'd: j j 1V Sys
TIGARD OR 97223 PRINT OR TYPE _,/
V - 503 - 639 -4171 X304 r O i 7 1998 Permit*: CZ -,9 0e10 y
F - 503 - 684 -7297 --% INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
...,,,,m, nt I (1Pr,ENT WILL NOT BE ACCEPTED
Name'of Development Project TYPE OF WORK INVOLVED - RESIDENT! ONLY
Restricted Energy Fee $40.00
"Rac fr'us7' 1?a #8 (FOR ALL SYSTEMS)
JOB Street Address J Ste #
Check Type of Work Involved:
ADDRESS /63 to n set) 7 .2n Ave
City /State Zip Phone # ❑ Audio and Stereo Systems
`Pert /a.nd� ()�e 97.22Y _62V
Name / ❑ Burglar Alarm
W , /; 7QJl2 . / rOper7�f m ❑ Garage Door Opener*
OWNER M ilin Address / J
i -5 S O .SGJ ef t uo.a. kwy ❑ Heating, Ventilation and Air Conditioning System*
Zip
/State Zip U Phone #J
/ or t/an� ()k- 9J .2.2
Name ❑ Vacuum Systems*
_ HO 0 ri i i, i rit) ❑ Other
CONTRACTOR Mailing Address # TYPE OF WORK INVOLVED - COMMERCIAL ONLY
/ 6 9 S• SG I _Se Gtoi2, 73/Cb iv /
(Prior to issuance a City /Stat(e Zip U Phone # j Fee for each system $40.00
copy of all licenses Toriictnc. r7/ 97 .22 y 968 (SEE OAR 918 -260 -260)
are required if Oregon Contr. rd Lic. # Exp. Date
expired in C.O.T. Q 5 7 S .,J/ 1.27 /9 9 Check Type of Work Involved:
data base). Electrical Contr. Lic. # x . Date
1,- 07 eLc /oJiJ9 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
G o 7 9 Vi/77 ❑ 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. 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.
G ` FEES: V
nat C 1 ENTER FEES $ { O • D (�
SI
5% SURCHARGE (.05 X TOTAL ABOVE) $ 02.- O a
Authority if other than Applicant TOTAL $ 4 /02 • 0 73
i:\dsts resele.doc 7/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
- 24 -H8tir Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location /(0 3 b'0 72J Suite 5-0K MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC p� /,,
Retaining Wall ELR gop — o.'� 69 (
Footing -- -- - --
Foundation Ac NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH
Crawl Drain NO INSPECTION(s) IN FILE SGN
Slab SIT -
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler X �, E
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final -
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains trip Final
PASS PART FAIL //k
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CTRICA
Servi
Rough In
UG /Slab
Low Voltage
Fire Alarm
anal
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 D ate 3 24/0-2) Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.