Permit ~_ - _-_ ____--_____-'
ELECTRICAL PERMIT -
CI OF TIGkRD RESTRICTED ENERGY
C PERMIT #: ELR96-0279
���������� DEVELOPMENT DEPARTMENT
DATE ISSUED: 09/11/96
131�sW*�|��.nga�.o��n��°w1� (503) 839
PARCEL: 2S113AA-00900
SITE ADDRESS...: 16530 SW 72ND AVE
SUBDIVISION ^ ROSEWOOD ACRE TRACTS ZONING:I-L
BLOCK • LOT ^D ������
Project Description: Bridgeport Distrib �����~�������
___ _______ _______
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 LP type amount by date recpt
15115 SW SEQUOIA PKWY #200-WMI PRMT $ 40.00 DRA 09/10/96 96-283772
5PCT $ 2.00 DRA 09/10/96 96-283772
PORTLAND OR 97224
Phone #:
Contractor: - .
ADT SECURITY ALARMS $ 42.00 TOTAL
703 NE HANCOCK
REQUIRED INSPECTIONS
PORTLAND OR 97212 Ceiling Cover Elect'l Service
Phone #: 503-284-3265 Wall Cover Elect'l Final
Reg #..: 59944
This p�mit is issued subject to the regulations contained in the __ _____
Tigard Municipal Code, State of Ore. Specialty Codes and all other -rmi = e Signature
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 i� �usponded for more _ _ , � ^L �_ • -
than 180 days. I ssued By
-- OWNER lNSTALLAT Um 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,-s- DATE: ______ ____
LICENSE NO: _______-__' ___
Call for inspection - 639-4175
\~~
-
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• ,-- -- , A
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # eze 76 - d a 7 7
A�,� ;ti� yi �� lA � 1 I ;\ Phone (503) 639 -4171
. I
FAX (503) 684 7297 DATE ISSUED
-- TD D No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
f&5.()s'&
A d ress /J RESIDENTIAL — Restricted Energy Fee $40.00
��/ q 7 a3 (FOR ALL SYSTEMS)
City J D� State Zip Check Type of Work Involved:
PERM S ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractor ADNSE(:10RITY SYSTEM& INC.Type n la rn7 ❑ Vacuum Systems*
703 NE HANCOCK ❑ Other
Address PORTLAND, OR 97212
(503) 2343265
Date g p._? '7 6 COMMERCIAL — Fee for each system $.40.00
(SEE OAR 918- 260 -260)
Property Owner J _ .0 i • / '` _ _ ./�l i _ c97 - Check Type of Work Involved;
Contractor's Board Reg. No. 1 3-- q‘? V ‘tt ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
`J ❑ Fire Alarm Installation
/C ,O�c9 (6 6026 - 4 977 ❑ HVAC
rint42owiter's N Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following: x
1. Only use electrical licensed persons to do installations where required. (Certain p(J Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks( *). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503- 639 -4175. ❑ I Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
The person .. ning for this permit must be the applicant or a person a. Enter Fees $ / 7 41 0 , .
authorize', . bind the, Plicant //
A � � i ��� / � // % " b. 5% Surcharge (.05 x total above) $ 02
Signa' `
TOTAL $ 1 62/
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ,� AM PM BLD
(Co ocation 1 lv 530 � 2,L 1 , 4t.c' Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
2
BUILDING Tenant/Owner 1 �nay/of- 19)^S± • ELC
Retaining Wall D ELR 9co- ooz
Footing
Foundation NOT RE QUESTED FPS
Ftg Drain FOUN DURING RESEARCH
Crawl Drain In NO INSPECTION(s) IN FILE SGN
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 EXP1m'
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 PART FAIL
(€LECTRICAt
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS 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 U?) Ins Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.