Permit -_- -- -- _ - --
CITY OF TIGARD
Aim
DEVELOPMENT �� ����U������
~�n��°�n���u umox�o�n ~�~~"u�x~�n�~� ELECTRICAL PERMIT
13125 SW Hall Blvd., Tigard, OR 97229 (503)639-4171 RESTRICTED ENERGY •
PERMIT •#: ' ELR97-0035 /.
DATE ISSUED: 02/03/97
PARCEL: ' 2S101DB-00100,—
SITE ADDRESS...: 07320 SW HUNZIKER ST #100
SUBDIVISION....: ZONING:C-P
BLOCK..........: LOT -
Project Description: INSTL DATA TELECOMMUNICATION
JOB # 17506
A. RESIDENTIAL B. COMMERCIAL - -
AUDIO & STEREO..,:, AUDIO _ 8i STEREO., : _` . INTERCOM & PAGING..:
BURGLAR ALARM....: BOILER..........: LANDSCAPE/IRRIGAT..:
GARAGE_ OPENER. ^,, : _ _ _ CLOCK. ' MEDICAL... . � . . .
HVAC .............: DATA/TELE COMM'.:X NURSE CALLS........:
'VACUUM SYSTEM..� ,,;' . . . . . . � ' OUTDOOFi LANDSC LITE: ' •
OTHER: HVAC ^ PROTECTIVE SIGNAL..:
, ' INSTRUMENTATION. :^ . -OTHER.. .0
TOTAL # OF SYSTEMS: 1
Owner: FEES -��-
ROBINSON DEVELOPMENT •type amount by date recpt
21360 NW CORNELL RD PRMT $ 40.00 TAT 02/03/97 97-289833
' ' ~ • ~ 5PCT $ 2.00 TAT' 602/03/97 97-289833
BEAVERTON OR 97007
Phone-#: 645-2867 '
Contractor. --------
ESP COMMUNICATIONS, INC. $ 42.00 TOTAL
28170 SW BOBERG RD.
REQUIRED INSPECTIONS
WILSONVILLE OR 97070 Ceiling Cover Elect'l Service
Phone #: 503-682-4195 '' Wall Cover Elect'l Final
Reg #..: 073872
�
This permit is issued subject to the reyulati�y in �e ' r . 144.4. r / "A
Tigard Municipal Code, Ore. SppcialtrGodes Vamther`.. .'. Perm "t '', Sign t
applicable laws. All work will be done in accordance with
approved plams.'` This' permit will'oxpirejf
.• withinA•Wdaysof issuamcu,'mr`'if wmi^'is''sxspemdedfor"mmnt Al -44~4 Or ^ �~��-*�0�� �' ` '
than 180 days.., '� ' Issued By, �(
-- ------ ---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.HELEC' N:. • . . DATE:
LICENSE NO:
• ' /. Call~ fo[ insPect ion 7 63974175,_,
' . ~_�
' - - ---~~-
Job 4 /74-0,6,
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall d. F?(�I� / �Jq7 -t
Tigard, OR 972222 E'i
97223 PERMIT # f / 35
/�iAys Phone (503) 639 -4171 DATE ISSUED �1 2 �
� _� ' Ii FAX (503) 684 -7297 7
,, .:4 -- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address \ RESIDENTIAL — Restricted Energy Fee $40.00
s G C CA
C �0 ---k � (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*
r �- \ ❑ Heating, Ventilation and Air Conditioning System*
Contractorf� Ng•kw N vpe I�� ` V \ �lc_ ❑ Vacuum Systems*
c3 ❑ Other
Address ► la ' \ & 1■. , C
Date \ --- `l� COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner \\OVI∎ Z Check Type of Work Involved:
Contractor's Board Reg. No. b , 316 \ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # (._B ) L k \% ❑ Clock Systems
3. OWNER APPLICATION 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 $ 4 (i 00
authorized to bind the applicant.
y 1/4N. `� - S.' * b. 5% Surcharge (.05 x total above) $ ,1-D
Sig ature
\ TOTAL $ (a , 6b
C , D�C�.1�w.Y �
Authority if applicant d 9-t
PP
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
2� BUP
Date Requested i/eD AM PM BLD
Location 2 ( -�t (V)?./ � Suit`'~ °k MEC
Contact Person �- �lS� Ph 3 -g 9®( PLM
Contractor TL CQ Ph SWR
BUILDING .. Tenant/Owner ELC
Retaining Wall c5 e Cca-w, —
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: e
Slab C. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation p
Drywall Nailing L 6 - . : /
Firewall
Fire Sprinkler 92 ' Oa
Fire Alarm
Susp'd Ceiling f ,
Roof
Misc:
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
B ECTRICAt`7 _
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
ITE
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 / G Inspector - — xt
Other 0J —
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.