Permit CITY OF TIGARD
. /- _114 DEVELOPMENT SERVICES ELECTRICAL
ENERGY
PERMIT #: ELR98 -0189
DATE ISSUED: 07/22/98
PARCEL: 251O3BD -06800
SITE ADDRESS. — :12548 SW 116TH AVE
SUBDIVISION °HUNTER'S GLEN ZONING:R -4.5 PD
BLOCK LOT.. °... ° °. -024 JURISDICTN: TIG
Pro.j ect Description : Installation of residential landscape irrigation control.
A. RES I DENT I AL B. COMMERCIAL----- -
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM ° BOILER LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER....: CLOCK MEDICAL
HVAC DATA /TELE COMM...: NURSE CALLS •
VACUUM SYSTEM ° FIRE ALARM OUTDOOR LANDSC LITE:
OTHER:IRR CONTRL::X HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Owner: FEES
CONRAD BRETTSCHNEIDER type amount by date recpt
12548 SW 116TH AVE PRMT $ 40.00 DLH 07/22/98 98- 307573
TIGARD OR 97223 5PCT $ 2.00 DLH 07/22/98 98- 307573
Phone #:
Contractor:
OWNER $ 42.00 TOTAL
REG?UIRED INSPECTIONS
Low Voltage Insp
Phone #: Elect' 1 Final
Reg #.. .
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 DAR 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 701- -e-____. Permittee Signatur
OWNER INSTALLATION ONLY
The installation is bein mad n property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: -�Gl _ DATE: 2 _ 2 ?
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 OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd: 7r&
TIGARD OR 97223 PRINT OR TYPE p
V - 503 - 639 -4171 X304 �I/ Permit #: 6-Z -/Z9O - z947 9
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED P • ---= ' 4 y2,
Name of Development Project TYPE OF WORK INVOLVED - - ESIDENTIA ONLY
Restricted Energy Fee $40.00
/. ,J c,(S 6(- c,J,A) (FOR ALL SYSTEMS)
JOB Street Address Ste #
S f c. //6 T'� /1•�C Check Type of Work Involved:
ADDRESS 1 z
City /State Zip Phone # El Audio and Stereo Systems
// - Z
7762 v2 F 27 3 STO -60 _
Name ❑ Burglar Alarm
ON ,',.. /1 �� L ✓
/� n Garage Door Opener*
OWNER Mailing Address
/ z 5 y f c_-L) X76 / ,4426 n Heating, Ventilation and Air Conditioning System*
City /State Zip Phone #
• 776 - O c7' P7 -Y .s9 -6 62 ❑
Name Vacuum Systems*
(' o),e4 7 -, /7Cs77,✓C/ k [ Other 1./9- /VES - C9f j, //9 CONTLd L,
CONTRACTOR Mailing Address
/ Z J 4 , ) //� � ° --e-r- .,/ J ^ TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses 7 U 2 97Z25' S7(7 u %' (SEE OAR 918 - 260 -260) .
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
n Boiler Controls
Owner's Name _
( /e TTSCl7�✓r��e ❑ Clock Systems
OWNER - Mailing Address
APPLICANT (z S" J // ❑ Data Telecommunication Installation
City /State Zip Phone #
7 e 9772... 5—Pa -669 n 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; n Medical
3. Purchase separate permits for all installations that are not ready for an n Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the n 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 applicant.
f FEES:
(.;;;;;;ietilf" ENTER FEES $ L /D .Di
Signature {�
5% SURCHARGE (.05 X TOTAL ABOVE) $ _ Z ..o
Auth if other than Applicant • TOTAL $ q2 `0D
is \dsts \resele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Re �� ,� AM PM BLD
Location /25 "1 K "� Ave, Suite MEC
Contact P rson 2 Ph PLM q -(y)2,44 Con tra C on I� rzfro- G &-- Ph ,S'76' 29 ? SWR
BUILDING : Tenant/Owner ELC
Retaining Wall ELR q -0/ r
Footing Access:
Foundan FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall on OM 9 (� D
Drywall Nailing f -
Firewall
Fire Sprinkler
Fire Alarm E-/ L i 9f - 0/g9
Susp'd Ceiling
Roof
Misc:
Final Ca7E0
PASS PART FAIL
PI�VIBI�
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
- 0 PART FAIL
HANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTR C
Se ce
Rough In
UG /Slab
Low Voltage
Fir- larm
S PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: ' Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date . Z Inspector � — Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
05/30/2000 Activities for Case #: ELR98 -00189 ,
10:29:23 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 07/22/1998 DLH RECD DLH 07/22/1998
ELRA010 Permit created 07/22/1998 DLH DONE DLH 07/22/1998
ELRA725 Low Voltage Inspection 07/22/1998 07/22/1998 DLH 07/22/1998
ELRA799 Elect'I Final 07/22/1998 05/12/2000 CD PASS AKJ 05/15/2000
ELRA500 (F) Issue permit 07/22/1998 DLH DONE DLH 07/22/1998
ELRA845 Request inspection research 03/27/2000 JMT DONE No Hold JMT 03/27/2000
ELRA800 Case Finaled 05/15/2000 AKJ DONE No Hold AKJ 05/15/2000
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