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Permit • CITY OF TI GARD ELECTRICAL PERMIT - RESTRICTED ENERGY Jr.) A1 DEVELOPMENT SERVICES PERMIT #: ELR1999 - 00129 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21/99 SITE ADDRESS: 14703 SW 109TH AVE B. 1 PARCEL: 2S110AC - 00500 SUBDIVISION: ZONING: R - BLOCK: LOT: JURISDICTION: TIG Project Description: Landscape irrigation control A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: X GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: SECURITY CAPITAL PACIFIC TRUST HIGHRIDGE CORPORATION, THE 330 112TH AVE NE 21480 NW CORNELL RD BELLEVUE, WA 98004 HILLSBORO, OR 97124 Phone: Phone: 629 - 0193 Reg #: LAC 00006221 FEES Required Inspections Type By Date Amount Receipt Elect'I Final '() kkA � PRMT BON 5/21/99 $40.00 99- 315590 00 5PCT BON 5/21/99 $2.00 99- 315590 Total $42.00 n ( A I OR S ' _ 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 you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by - (A/( j j t r Permittee Signature `y / C A( . 4. 21 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: , A 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: 11125 SW HALL BLVD Date Rec'd: TIGARD OR 97223 PRINT OR TYPE V - 503 - 639 -4171 X304 Permit #: L &t' 'Y WI 7 #1 F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY /� ,� Restricted Energy Fee $40.00 771)1 J f2U/NE AlD 5 . (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS / 57.k.) y799 S /o9 Check Type of Work Involved: City /State Phone # El Audio and Stereo Systems Name ❑ Burglar Alarm .0 . e1, - ;fry a#1*4G geir /C - ILS P ---- ❑ Garage Door Opener* OWNER Mailing Adorress 3j30 / N6' Ell Heating, Ventilation and Air Conditioning System* City/State // Zip Phone # 'EitEUat A04 9 7co I I V acuum Systems* Name Ake /aE ❑ Other CONTRACTOR Mailin Address ,iii /t/A) efAnB Gt- 494e-- TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a gate Zip Phone # Fee for each system $40.00 copy of all licenses kep ©-, 1 Zit' !,'2`1.0(93 (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Exp. Date expired in C.O.T. a Z21 Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date n A udio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date n B oiler Controls Owner's Name ❑ C lock Systems OWNER - Mailing Address APPLICANT ❑ D ata 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: n Instrumentation 1. Only use electrical licensed persons to do installations where required. 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 M edical 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 ❑ O utdoor 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 s' i g for this permit must be the applicant or a person * No licenses are required. Licenses are required for all other installations authorize. o b d the applicant. FEES: � !-_•....."...-.....,...-_ _, „��� D ENTER FEES $ 6 : ignature 0 0 5% SURCHARGE (.05 X TOTAL ABOVE) $ Z Authority if other than Applicant TOTAL $ i-f z . 00 i:\dsts \resele.doc 3/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 01/Z AM PM BLD Location ///2D 3D Suite MEC Contact Person � :/l.4rV /.S Ph s _7—O9 — 72,0 PLM Contractor Ph SWR BUILDING Tenant/Owner / ELC Retaining Wall 4 " /999 —00 izi? Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ,, � C Slab / 1 C SIT Post & Beam / /, / Ext Sheath /Shear (' -r C�l�l C y . UQ 510 Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler 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 FAIL Service Rough In UG /Slab Low Voltage Fir- -rm 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 Date co-/7- 9 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ('� qG'J BUP Date Requested '�E' -- 1 ( a ' ( r AM PM BLD Location 1 I O1 *tie Suite 611 MEC Contact Person Vtril 1 S Ph 7.1)q-- PLM Contractor Ph SWR BUILDING Atir Owner '1 oA\Q,i1 l A /' -Q. S1 J ELC Ogg - 7 Q Retaining Wall ELR 9 - 00 I / Footing Access: Foundation FPS Ftg Drain h' J d -s'e4� it -1 n4na eoday SGN Crawl Drain Inspection Notes: / Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation / Drywall Nailing _ �,� _ Ai . _le _ . . J 0 [ _ L_ Firewall Fire Sprinkler 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 E,CTE Service Rough In UG /Slab Low Voltage Fir- Alarm PASS PART � 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 7 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.