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Permit ELECTRICAL PERMIT - CITY TIGARD RESTRICTED ENERGY ij�, DEVELOPMENT SERVICES PERMIT #: ELR1999 - 00281 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/23/99 SITE ADDRESS: 15875 SW 74TH AVE j) PARCEL: 2S112DC 01400 SUBDIVISION: CREEKVIEW INDUSTRIAL PARK �Q ZONING: I -P BLOCK: LOT: 004 �� lI /n JURISDICTION: TIG Project Description: Installation of data telecommunication system. V / eq)/ A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC AMERICAN PROPERTY EXCH GREENLINE INC PACIFIC SANTA FE CORP PO BOX 230755 17700 SW UPPER BOONES.FERRY RD TIGARD, OR 97223 PORTLAND, OR 97224 Phone: Phone: 968 - 1978 Reg #: LIC 103033 ELE 34 -397CL • FEES Required Inspections • Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 11/23/99 $60.00 99- 319990 Elect'I Final 5PCT DEB 11/23/99 $4.80 99- 319990 Total $64.80 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 o follow ru adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0 -0010 through OAR 952 00 . You may obtain copies of these rules or direct questio to OUNC at (503) 246 987. -0 I Iss ed by 1 ,i . I�; l�I� � �i Permittee Signature II, / ;,, 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 RECFPIrr /�� CITY TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b 13125 SW HALL BLVD NOV 2 2 1999 PRINT OR TYPE Date Rec'd: / / .-a-95" TIGARD OR 97223 V - 503 - 639 -4171 VW. Permit #: Ea /9y% - o0'k/ F - 503- 684 -7297 UNITY utvt.L.u, :;.INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY C,E -eeK. V t E W ' ,O ' 1 NE Restricted Energy Fee $40.00 9A-R-g... (FOR ALL SYSTEMS) JOB Street Address Ste # n'v Check Type of Work Involved: ADDRESS 154X15 5111 9` 1-[ -- City /State Zip Phone # ❑ Audio and Stereo Systems 1 OiZ 97 aa3 Name ❑ Burglar Alarm OWNER Mailing Address El Door Opener* City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System* Name r , ❑ Vacuum Systems* __ l �E��, Li n e , T�Lcs . ❑ Other CONTRACTOR Mailing Add . o. max x155 TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City /State Z ip Phone # Fee for each system $40.00 copy of all licenses "r�64N-(Z,Q ) 0R G 9 2$ i 616a- ! gra (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Ex D to expired in C.O.T. 1 O 3ip3� (I � 8 �D© Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. D to 4� \,v 3q-- 3ci r] �E io I 0 ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # tell - TL4 #$D Ef o/co . Date A LI-2l 1 2.O - q ❑ Boiler Controls `� Owner's Name , 4. r ❑ Clock Systems A OWNER - Mailing Address 2 APPLICANT p Data Telecommunication Installation O 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: El // 11 Instrumentation O 1. Only use electrical licensed persons to do installations where required. Q Certain residential and other transactions are exempt from licensing. El 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; n 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 El 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. ./ FEES: (P ENTER FEES $ „ Signature ' / $D g X% SURCHARGE (.05 X TOTAL ABOVE) $ 7 Authority if other than Applicant TOTAL • $ A. 6e i:\dsts \resele.doc 7/97 :\__ L. qii..)1.,„4...A—. 0 -- - �� C , lea CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 �1 BUP Date Requested 1 1 /7 (q AM PM BLD Location iSg7S 7qf 00-e, Suite MEC Contact Person 5 C- Ph PLM Contractor Ph SWR BUILDING Tenant/Owner Gedlti ELC Retaining Wall ELR ( : / , - 600 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing • Insulation - Drywall Nailing I v >^ ■ Firewall Fire Sprinkler r " L5 d 0 Fire Alarm Susp'd Ceiling Roof 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 PASS PART FAIL ELECTRICAL v L� Service + * Rough In � UG/_Slat�G2 ✓�Y Low Voltage) �� ire Alarm FAIL 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 Date /2 — / �7 C,�c / - l 7 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site,