Permit p••••••••••••••••••••••■••••••■••••••••••••••••••
CITY OF TIGARD
. �'1
DEVELOPMENT SERVICES S RESTR ENERGY —
^2 ^
PERMIT #: ELR97 -0123
DATE ISSUED: 04/21/97
PARCEL: 1S135AB -04500
SITE ADDRESS...:1O25O SW GREENBURG RD #1STF
SUBDIVISION ZONING:C —P .
BLOCK LOT JURISDICTN: TIG
Project Description : instl protective signaling for 1st floor of building
A. RESIDENTIAL -- 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 L-ANDSC LITE:
- OTHER: • :: HVAC ............: PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
LINCOLN CENTER PARTNERSHIP type amount by date recpt.
10250 SW GREENBURG RD • PRMT $ 40.00 TAT 04/21/97 97- 293523
TIGARD OR 97223 5PCT $ 2.00 TAT 04/21/97 97 -29352
3
Phone #:
Contractor:
SELECTRON INC $ 42.00 TOTAL
7225 SW BONITA RD
REQUIRED INSPECTIONS
TIGARDND OR 97224 Ceiling Cover Elect'l Service
Phone #: 639 -9988 Wall Cover Elect'l Final
Reg #..: 000643
This permit is issued subject to the regulations contained in the _ �,, . ` / // ,__
T igard Municipal Code, State of Ore. Specialty Codes and all other Per;' i. l ee Si lat ure
applicable laws. All work will be done in accordance with /
app roved plans. This permit will expire if work islnot started
within 180 days of issuance, or if work is suspended for more A.LyL.4 A 0
than 180 days. Issued B
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 for inspection — 639 -4175
... , n
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
. A 13125 SW Hall Blvd. �_ ��
Tigard, OR 97223 PERMIT # i (L Z
Si Phone (50 3) 639 -4171
FAX (503) 684 -7297 DATE ISSUED 4` 21 -9 7
- TDD No. (503) 684 -2772 `/
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY ll
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
7/4 _5 .L .I/_./ /,L_/ . s Z// / ,I ,
Addre , 4 C � � 677, 3 RESIDENTIAL — Restricted Energy Fee $40.00
/ / /lJJ (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
A ❑ Heating, Ventilation and Air Conditioning System*
Contract & ) Ty. " , /, / ' ❑ Vacuum Systems*
A ❑ Other
Address „..,c2 / I /�,Iv .i�1 .. �--W
Date [ //q7 COMMERCIAL — Fee for each system $40.00
I / � (SEE OAR 918 - 260 -260)
Property Owne . r_ 1. " , / or ' , ,C Check Type of Work Involved;
n
Contractor's Board Reg. No. (�Co'/7C: n or -Z-G ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # id 3 -9 WS' ❑ Clock Systems
3. OWNER APPLICATION El Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State - - Zip, ❑ Medical
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following: ^
,Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks( *). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503 - 639 - 4175. ❑ / Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. * No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed. �
The person signing for this permit must be the applicant or a person a. Enter Fees $ / /C! }
author' •d to bind the applica.
� `_ /ALL b. 5% Surcharge (.05 x total above) $ ,7
Signature - f / - �
TOTAL $ 6 /� ` _,L
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / '// Z. / f 5 AM PM BLD
Location `O A 0 Vic,/, Suite / b� � i MEC
Contact Person Ph PLM
Contractor 6_Jeci YDh / 1 C. Ph SWR
BUILDING, Tenant/Owner ELC
Retaining Wall ELR L ` - d1 /oZ 3
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 Prkc'h �7 /c)'IQ' /' cSy Ie» / 5 � r
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ��// ,(
Misc: Ail Are_ S�/S CMS �SeC'U Y/ $/ 9( CIe n4
Final !! /
PASS PART FAIL c,Q� Ps Y / ( »1 / L/ A C
UM
PLBING / l !J
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
ART FAIL
ELECTRICAr
ervice
Rough In
UG /Slab
1'ow VoI ate •
ir- arm
• 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 Date / G Inspector 4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.