Permit 4 REST CITY OF TIGARD ELECTRICAL PERMIT -
RICTED
� n ENERGY
,1�; DEVELOPMENT SERVICES , r / PERMIT #: ELR2000 -00057
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 /' Y / DATE ISSUED: 3/16/00
SITE ADDRESS: 10751 SW 130TH AVE Y PARCEL: 1S133AC -08001
SUBDIVISION: KNOWLEDGE BEGINNINGS DAYCARE C ZONING: R -25
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: Installation of protective signaling. Job No. 083 - 12218 -01
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:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
KNOWLEDGE BEGINNINGS ADT SECURITY SERVICES, INC
10751 SW 130TH AVE 2815 SW 153RD DR
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: Phone: 503469 -7100
Reg #: LIC 0059944
ELE 26209CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 3/16/00 $60.00 0000691 Elect'I Final
5PCT DEB 3/16/00 $4.80 0000691
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 you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 • i 1 ' ough OAR 952 - 001 -0080. You may obtain copies of these rules or direct ques . ons to OUNC at (503)
246 -19:7.
Issued .y , !., .���_ Permittee Signature, JJ .._+4 Q./
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
l;l I Y OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by �? /,41,
13125 SW HALL BLVD 0 A,v4 -0/ a 3 ( ,( Da Reed: ,3 - /z/- -00
TIGARD OR 97223 PRINT OR TYPE `(
V 51 3 - 639 - 4171 X304 . 3/(0/( q c.p
F - 503 - 598 -1960 INC MPLETE OR ILLEGIBLE APPLICATIONS Permit ter — _2�D5
WILL NOT BE ACCEPTED Cust.Call'd:
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
" N Q /dLEZ 6E &e./ / Restricted Energy Fee $60.00
I Ste # (FOR ALL SYSTEMS) RECEIVED
JOB Street t Address
ADDRESS , 7.5 , '4)/34 4 Check Type of Work Involved:
DV / SI ate Zip ', 2 Phone # f � 2000
L ! Leb�7 I A udio and Stereo Systems MAR 1 4
Name &.11idi n Burglar Alarm COMMUNITY DEVELOPMENT
i i/O&L !�]j6E IJ AS
OWNER Mailing Address f n 1 Garage Door Opener'
City /State Zip Phone # ` I H eating, Ventilation and Air Conditioning System*
Name Li Vacuum Systems*
ADT SECURITY SERVICES, INC. n O ther
=ON T RACTOR Mailing Address 2815 S.W. 153rd DR.
BEAVERTON, OR 9700 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Prior to issuance a City /State (5011)409-7100 Phone # Fee for each system
:opy of all licenses 444.7/60 (SEE OAR 918-260 -260) - - 560.QQ
are required if Oregon Contr. Brd Lic. # Exp. Da e
expired in C.O.T. -e/9W -• //7 )/ Check Type of Work Involved:
data base). Electrical Co. rc. # EX ate
9 49 2490 n Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
ri Clock Systems
OWNER - Mailing Address
•
APPLICANT n Data Telecommunication Installation
City /State { Zip I Phone # n
Fire Alarm Installation
tis permit is issued under OAE 918- 320 -370. This applicant agrees to
ake only restricted energy installations (100 volt amps or less) under this n HVAC
:rmit and to do the following:
Only use electrical licensed persons to do installations where required. n Instrumentation
•
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
Call for inspections when installation under this Li Landscape Irrigation Control`
inspection at 503 - 639 -4175; pertnrt.are ready for
•
❑ Medical
Purchase separate permits for all installations that are not ready for an r �
inspection when the inspector is out to inspect under this permit; I I N urse Calls
Assume responsibility for assuring that all corrections required by the n O utdoor Landscape Lighting*
inspector are done, and;
Assume responsibility for calling for a final inspection when all of the Protective Signaling
corrections are completed. n Other
rmits are non - transferable and non - refundable and expire if work is not
led within 180 days of issuance or if work is suspended for 180 days.
Number of Systems
person signing for this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
horized to bind the applicant.
i ./P"'"" FEES:
- Ure ENTER FEES $ (D ' 00
oY% g o
606 SURCHARGE (.05 X TOTAL ABOVE) $ ,
thority if other than Applicant TOTAL $ �� 0
svormskesele.doc 3/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested Lt/2Y AM PM BLD
Location 1 0 - 7C1' / 3 )4 - Suite MEC
Contact Person 10-PA in ( S Ph S90 -0 rWO PLM
Contractor Ph SWR
,' Tenant/Owner ELC
- etaining Wall ELR V)0 2 S S
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath/Shear
Framing E` A- it??? _ 662,5y
Insulation 6
Drywall Nailing EL2 / f - 00 3/0
Fire wall ELjZ Z ` d00 j (i4 Fire S ri ler / 7
u •' • Ceiling E L2 - tf) d " ar9
Roof e 61Z 2-
Misc: e 6V0_5 f/
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
CECTRICAl)
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PRCSS 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 Date Other D a — _ - Inspector
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.
04/28/2000 Activities for Case #: ELR20O0 -00057
8:46:18 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 03/14/2000 DEB RECD No Hold DEB 03/16/2000
ELRC003 Permit Created 03/16/2000 DEB DONE No Hold DEB 03/16/2000
ELRC725 Low Voltage Inspection No Hold DEB 03/16/2000
ELRC799 Elect'I Final 04/26/2000 CD PASS No Hold AKJ 04/26/2000
ELRC500 (F) Issue permit 03/16/2000 DEB DONE No Hold DEB 03/16/2000
ELRC800 Case finaled 04/26/2000 AKJ DONE No Hold AKJ 04/26/2000
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