Permit CITY OF TIGARD
DEVELOPMENT ���~�=~u~�r" omvu~"� . ~��~"x�"��~~�� � ` ELECTRICAL .PERMIT -
=.1,1■ 18125 SW Hall Blv� Tigard, QR97223 (503)639-4171 RESTRICTED ENERGY
• • PERMIT #: ELR97-0002
DATE ISSUED: 01/03/97
'.pARCEL: 2S101DB-00101
SITE ADDRESS...: 07420 SW HUNZIKER ST #A&D
SUBDIVISION..., : ' . ` . , . . ^ ,ZONING:C7[l '
BLOCK..........: LOT....'..�.�....:
Proje„ct. Description: Installation of, data'jtelecopmunications°
• Av RESIDENTIAL. ^ , �` , B. / ERCIAL~� .
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARK. ~ . : • • 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 ----
RAY HALLBERG ` • • �.^� .? ��ype�^'. amount � • by date �� `^ rec.pt .. .
C/O QUANTUM COMMERCIAL MANAGEMENT PRMT $ 40.00 DRA 01/03/97 97-288418
1111'MAIN; ST' GTE. 306,r • . . PCT $ � ' � 2. 00- DRAY 04103/97 97-288418
VANCOUVER WA 98660
Phone #: 306-699-2333
Contractor: - - --
COMMWORLD OF PORTLAND $ 42.00 TOTAL
ROBERT WARREN OLSEN'
PO BOX 3675 , ' ` - . REQUIRED INSPECTIONS
PORTLAND OR 97208 Wall Cover Elect'l Final
Phone #:: �'�``'� '�, � � �� /��`.' �^` - Elect:', l Service
Reg #..: 103916
- This permit is.i»soedsubjecttntho regulatiun.5containedjpthe .'.`,.
TigardAonicipa} Code Stateo•Orp..Specialtv^CoUes .othe? '' ' Perm itee ,Signature ' applicah e laws. All work will be done in accordance with
approved plansx Thi*permit will expire. if work is not started,. ..
^ . ��
� �r��
within �N days of issoanco or if work .is suspended for muremore..
than � days" � ' / ' ` �' ' '� " - ' � ' , I s����ci By .
• OWNER INSTALLATION ONLY • • '
The installatiun is .being made- on., property^ own, which' is not intended. ,for.
sale, lease, or rent.
OWNER' S SIGNATURE r . � . . . .' DATE; . .
---- - CONTRACTOR INSTALLATION .ONLY --
SIGNATURE-- OF.. SUPR. ELEC' N�' ' '- ' ' ^ � ' 2, • ' ' DATE: � • • '
. ,` ' -
LICENSE NO:
f i 63974175.'
'-- -- --
J i iii_: & P% --a 53
•
CITY OF IIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: a-6
13125 SW HALL BLVD Date Rec'd: /".- 3 -- 7 7
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: e - & 7 0Wd
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Cali'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
Foundation Engineering (FOR ALL SYSTEMS)
JOB Street Address Ste #
Check Type of Work Involved:
ADDRESS 7420 S.W. Hunziker A
City /State Zip 7 2 2 , Phone # ❑ Audio and Stereo Systems
Tigard Ot: 684 -9514
Name ❑ Burglar Alarm
OWNER Mailing Address
El
Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
Name
CommWorld of Portland ❑ Other
CONTRACTOR Mailing Address
5711 1 S.W. Arctic Drive
TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses Beaverton Or. 97005 (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 103916 3 / 9 / 9 7 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
26-890 CLE 10/1/9 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date ❑
1 0 21 3 12 / 31 / 9 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; ❑
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. 1 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.
_A ,A�e ajZie FEES: /
Signature ENTER FEES $ x /0,66
5% SURCHARGE (.05 X TOTAL ABOVE) $ oZ 'L.)
Authority if other than Applicant TOTAL • $ 2 42, O)
is \resele.doc 12/96 —
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: ` _3 LD I / G
I A.M. P.M. Entry:
Address: / Z t /' ,
Tenant: , • Ste: M
r BUP:
Con /Own: f MEC:
PLM:
ELG: %f
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: - a•••••.,..*,_
.....1—.2._t—l • (-7-cp (
---Pcx_5(
Inspector % r ® Date : /i7 % , � 4 „ , ( ,./. APPROVED DISAPPROVED /CALL FOR REINSP. CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: I
Date: 1 114 ` 9 q
7 A.M. P.M. Entry:
Address
Tenant: b �0 8 �` / Ste: MST:
BUP:
Con /Own: 2 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: /7 -
t ■LO! r
eyia d �lP _
IXAPPROVED ns pector:� �+
C'' �' ilk ` _ _: Date: l — Y
_ DISAPPROVED /CALL FOR REINSP. CF CO