Permit f t CITY OF TIGARD
ryn, DEVELOPMENT SERVICES
' !+L ~ ... " 13125 SW Hall Blvd.; Tigard, OR 97223 (503) 639 -4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0232
DATE ISSUED: 08/26/98
PARCEL: 1S135AB -04500
SITE ADDRESS... :10250 SW GREENBURG RD #200
SUBDIVISION.... :PP1991 -055 ZONING :C —P
BLOCK ....... °..: LOT -001 JURISDICTN: TIG
Proj ect Descri pt ion: Installation of data telecommunication for commercial
tenant.
A. RESIDENTIAL B. COMMERCIAL —
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM....: BOILER LANDSCAPE/ IRRI GAT ..;
GARAGE OPENER ° CLOCK ° MEDICAL
HVAC .............. DATA /TELE_ COMM.. :X NURSE CALLS— °°°°..°
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: :: HVAC. ..... ......: PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: .°
TOTAL # OF SYSTEMS; 1
Owner: FEES
NORRIS BEGGS SIMPSON REALTORS type amount by date recpt
10220 SW GREENBURG RD PRMT $ 40.00 DLH 08/26/98 98- 308609
SUITE 225 SPCT $ 2.00 DLH 08 /26/98 98- 308609
PORTLAND OR 97223
Phone # :. 452 -5900
Contractor:
CHRISTENSON ELECTRIC INC $ 42.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Low Voltage Insp
Phone #: 241 -4812 Wall Cover Elect'1 Final
Reg #..: 000458
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 OAR 952- r -0010 through OAR 952 -'vv -0080. You may obtain copies of
these rules or direct questions to OUNC at (503)246 -1987.
Issued by Permittee Signature / c9?LE
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE; AJ//' DATE:
CONTRACTOR INSTALLATION ON LY
SIGNATURE OF SUPR. ELEC' N: f ,'Z/e A / DATE: 672-6/ PCP
LICENSE NO: ///
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APP Rec'd by: .Z 1---,7
13 S� J HALL BLV r ' "n� Date Rec'd: „p /24 /`.e
TI OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 c, AUG 10 1998 'II Permit #: EL 9P -Da.3 z
F - 503- 684 -7297 Cf .' - -. " ,..,.. IN OMP_LETE.OR ILLEGIBL - Z' S Cust.Call'd:
JOB: 509 -6473 WILL NOT BE A E ` � Ftl��'
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
FOREST CITY TRADING GROUP Restricted Energy Fee $40.00
LINCOLN CENTER 2ND FLOOR (FOR ALL SYSTEMS)
JOB Street Address , #
ADDRESS 10250 SW GREENBURG RD .2.0.0 1 Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
PORTLAND 97223 246 - 850(
Name n Burglar Alarm
NORRI.S BEGGS SIMP_SON_REALTORS,. 7
OWNER Mailing- Address ❑ Garage Door Opener*
1 0220 __SW - GREE RD - SU.I.TE 2 ❑ Heating, Ventilation and Air Conditioning System*
City/State Zi ,- Phone_ --
P O _9 7 2 2 3 452-59007
QUESTIONS: Name n Vacuum Systems*
CONTACT RAND' CHRISTENSON ELECTRIC, INC. n
GROSS Other
CONTRACTOR Mailing Address
111 SW COLUMBIA, SUITE 480 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses PORTLAND OR 97201 241 - 4812 (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # -Exp -Date
expired in C.O.T. 458 5 - - -1 / 99 ` #r Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp- Date --
26 - 34C [ 1.0_/_1./_9.8 -✓ ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City /State Zip Phone # 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.
'`'`•-• ' IG := =•__----- Cil. N4S:14: FEES:
Signature ENTER FEES $
8/17/98 2.
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ 42.
is \dsts \resele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
G BUP
Date Requested l ( 1 l / AM PM BLD
Location to Suite c1 O MEC
Contact Person .
Ph PLM
Contractor Ph SWR
BUILDING en t/Owner F61. 4ia v ELC
Retaining Wall ELR),i G1f �f�D7,
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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Fin
Final
nal
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer /� J G / G
Rain Drains L7`` 5.0 {�J e k r
Final /- -- �1 n I G
PASS PART FAIL ,LC C — 7 Z p1)(5 v "- 1 •
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PST FAIL
. 0--k
Service
Rough In F I
UG /Slab
<w Volt r '
Fire Alarm
PASS PART PASS 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: p/ [] Unable to inspect - no access
ADA
Approach /Sidewalk /
Other Date / (-_ ( 9F Inspector •
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site