Permit ELECTRICAL PERMIT -
CITY TIGARD RESTRICTED ENERGY
i DEVELOPMENT SERVICES PERMIT #: ELR1999 -00255
5 ' -- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/01/1999
SITE ADDRESS: 10751 SW 130TH AVE PARCEL: 1S133AC -KNOW1
SUBDIVISION: KNOWLEDGE BEGINNINGS DAYCARE C ZONING: R -25
BLOCK: LOT: 001 JURISDICTION: TIG
Proiect Description: Install protective signaling /burglar alarm and close circuit TV.
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: CCTV: X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
ADT SECURITY SERVICES, INC
2815 SW 153RD DR
BEAVERTON, OR 97006
Phone: Phone: 503469 -7100
Reg #: EL E 262094 9CLE ORIGINAL
EL 2620
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 11/01/199 $120.00 99- 319444 Elect'I Final
5PCT KJP 11/01/199c. $9.60 99- 319444
Total $129.60
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 throu h OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by Permittee Signature `?'Yt ccd..Le1-
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: 7L / � DATE: / / ///9 9
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
RECEIVED
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD /1 OCT 2 I 3 1999 Date Rec'd:
TIGARD OR 97223 / /Z`� T9 PRINT OR TYPE
V - 503 - 639 -4171 X304 693- Hs - d /[ 0? pp µµUUNISI( DE VEL OP MENT Permit #: e L R 19y9- 002..5
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBL��EnPPLIC Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
r Restricted Energy Fee $60.00
K/LlY 13 / (FOR ALL SYSTEMS)
ADDRESS
JOB Street Address y Ste #
/0 7G/ t) / 30 i Check Type of Work Involved:
,t, 7/State n D ^ Q 97423 Phone # ❑ Audio and Stereo Systems
Nary 11/ ❑ Burglar Alarm
OWNER Mailing
Address ❑ Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
ADT SECURITY SERVICES, INC ❑ Other
9 8 1 5 S.W. 153rd DR.
CONTRACTOR Mailing Address
BEAVERTON, OR 97006 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State (1Y,) 4G9- 70/ Phone # Fee for each system $60.00
copy of all licenses (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic # E p at
expired in C.O.T. 5 i t)t SJr]. / e I Check Type of Work Involved:
data base). Electrical Contr lc # Exp D to
o�P � 9 �0 / loo6 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # x ate
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data 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: ❑
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; ❑ 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;
4 Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the /� /� e 0 C-r,
corrections are completed. 5 Other ' �I.LI/1tel.A., l 7 fa,L, D., V
Permits are non - transferable and = -ref dable and expire if work is not
started within 180 days of iss - • - or' work is suspended for 180 days. Number of Systems
The person signing for - , ermi ust be the applicant or a person * No licenses are required. Licenses are required for all other installations
authorized to bind th7 -.p ca . A FEES:
SI•natU �
A 4Adair ` L 78
ENTER FEES $ IaD 00
� /o
j7/o SURCHARGE (.05 X TOTAL ABOVE) $ 9, 6 D
Authority if other than Applicant TOTAL $ / 0 7 ?. (p d
i:\dsts \forms \resele.doc 3/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 - Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP
Datte Requested � OO AM PM BLD
Location 1 I S I / - 1 J , Suite MEC
Contact Person a( Vl ( S Ph Sqo o � C ' o "� O PLM
Contractor Ph SWR
1:0,14la % Tenant/Owner ELC �^
' etaining Wall ELR B " an .> S
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Framing th /Shear L L. n I qq _ 6 6 2cc
Insulation ,`
Drywall Nailing EL2 /9'? y - 310
Firewall 1\
Fire S • ri ler �-�- 7,49 00 Ra / tZ.,"":4a
. s_[aiT,•. EL2 2d — t) O�VS' u •' • Ceiling
Roof e Ld, ZED!) -- 6190 ��
Misc: 0
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
CVTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
a\
• SS 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk _
Other D ,./ Inspector
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.
04/28/2000 Activities for Case #: ELR1999 -00255
8:45:29 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 10/28/1999 KJP RECD No Hold KJP 11/01/1999
ELRC003 Permit Created 11/01/1999 KJP DONE No Hold KJP 11/01/1999
ELRC725 Low Voltage Inspection 11/01/1999 No Hold KJP 04/18/2000
ELRC799 Elect'I Final 11/01/1999 11/01/1999 04(26/2000 CD PASS No Hold AKJ 04/26/2000
ELRC500 (F) Issue permit 11/01/1999 KJP DONE No Hold KJP 11/01/1999
ELRC700 Ceiling Cover 02/21/2000 02/21/2000 02/18/2000 BRP PASS No Hold AKJ 02/21/2000
ELRC720 Wall Cover 02/21/2000 02/21/2000 02/18/2000 BRP PASS No Hold AKJ 02/21/2000
ELRC720 Wall Cover 02/24/2000 02/24/2000 02/24/2000 CD PASS No Hold AKJ 02/24/2000
ELRC700 Ceiling Cover 02/24/2000 02/24/2000 02/24/2000 CD PASS No Hold AKJ 02/24/2000
ELRC800 Case finaled 04/26/2000 AKJ DONE No Hold AKJ 04/26/2000
•
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