Permit CITYOFTIGARD
4, „,, „ i ,•,\ DEVELOPMENT SERVICES
' ' � 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-0171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0115
DATE ISSUED: 04/21/98
PARCEL: 2S113AD -01900
SITE ADDRESS...:1664O SW 72ND AVE #B -10
SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •009 JURISDICTN: TIG
Project Description: Installing fire alarm
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 •X OUTDOOR LANDSC LITE:
OTHER: :: HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 40.00 B 04/21/98 98- 305132
STE 300 5PCT $ 2.00 B 04/21/98 98- 305132
TIGARD OR 97224
Phone #: 624 -6300
Contractor:
METRO SAFETY AND FIRE INC $ 42.00 TOTAL
7055 NE GLISAN
REQUIRED INSPECTIONS
PORTLAND OR 97213 Ceiling Cover Low Voltage Insp
Phone #: 231 -2999 Wall Cover Elect'l Final
Reg #..: 63651
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 -2910 through OAR 952-001-4080. You may obtain copies of
these rules or dir questions t OUNC at (503)246 -1987.
Issued by • f L-_ Permittee Signatur ��l... ./. .`_._ . .
OWNER INSTALLATION ONLY i
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: 0 F 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 by: e
13125 SW HALL BLVD Date Rec'd: 4
TIGARD OR 97223 PRINT OR TYPE /
V - 503 - 639 -4171 X304 Permit #: - 1Z1 Dil"
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
Restricted Energy Fee $40.00
Ro(3q0 cSCA> — 7 Z (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS igk4letro ) ,, 02.• 7 y Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
(ot6 -7IV
Name ❑ Burglar Alarm
P, , 'vs7
❑ Garage Door Opener*
OWNER Mailing Address
S3 'S't.a v' ❑ Heating, Ventilation and Air Conditioning System'
Ci}y /St a A Zi Phone #
/ ooli "w� / . 0 i `y7 Z7/ (92� -
Name ❑ Vacuum Systems'
•
/ 4 y r c S Fe.41 c n
Fl 2 �Nt_ E] Other
CONTRACTOR Mailing Address I
- dos /U 6. s, i» TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a lty /State Phone # Fee for each system $40.00
copy of all licenses Rif .4.4./L DR . 7 a.3f Z (SEE OAR 918-260-260)
are required if Oregon Con Brd Lic. # Exp Date
expired in C.O.T. (O osa! / / Z4X0 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
V.1.3 ET 49? ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
eta S e` J- 99 ❑ 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:
❑ I nstrumentation
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 bind the appli • - .
, FEES: 00
, s Z./
. / 4 • ENTER FEES $ 0
Signature / o0
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ y 0 00
i:tdststresele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION /0 - v v
- 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 5 -.5 - 9 . P.M. MST:
Location: ii ,(r c- /' g . BUP:
Tenant: PP (-(:S 10 tirc-ecaiN EC- Suite: 1 �� Bldg: B I0 MEC:
Contractor: ` �'r a
- n 2 2 I i ne9ei 3 1- 9 PLM:
Owner. Phone: ELC:
0/15
• I ' SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ' LECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam 'overlservice Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab� )//ff��
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump . w 1 6; `� ,; e al et4- rye.
Approved Approved Approved • ppro'ved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved • . - . .roved Not Approved
FINAL FINAL FINAL FINAL
ION/ S 2 ) — S
1
A/ 4.-4.-- Cf--_____
O Call for reinspec 'on 0 Re' 1 . - '.n fee of $ required before next inspection 0 Unable to inspect
In spector: / Date: S /,S 9/ Page of
8/26/99 Activities for Case #: ELR98 -00115
9:26:44 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 APPlication Received 4/21/98 B RECD BON 4/21/98
ELRC003 Permit Created 4/21/98 B DONE BON 4/21/98
ELRC725 Low Voltage Inspection 5/5/98 CD PASS J'H 5/5/98 Ion detectors (2) passed
ELRC799 Electl Final 5/5/98 CD PASS J'H 5/5/98
ELRC500 (F) Issue permit 4/21/98 B PASS BON 4/21/98
ELRC800 Case finaled 5/5/98 TLP PASS J'H 5/5/98
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