Permit ? �, �� ELECTRICAL PERMIT CITY
OF TI GARD RESTRICTED ENERGY
I
DEVELOPMENT SERVICES PERMIT #: ELR1999-00321
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/28/1999
SITE ADDRESS: 07301 SW KABLE LN 300 PARCEL: 2S112AC -01100
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: 021 JURISDICTION: TIG
Project Description: Protective signaling
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:
PACIFIC REALTY ASSOCIATES HONEYWELL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA
PORTLAND, OR 97224 STE 100
PORTLAND, OR 97224
Phone: Phone: 968 - 3300
Reg #: SUP 941 -JLE
LIC 00057824
ELE 26207CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT BON 12/28/199E. $60.00 99- 320712 Elect'l Service
5PCT BON 12/28/199E $4.80 99- 320712 Elect'l Final
Total $64.80
opIrlyit,f
, t, .
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 -0010 t rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246- 1987..
Issued by (9'14,/14/U ' I �_ Permittee Signature v�- Gl , //4 0
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
- I
� .e
F0'd
096T 86S LOS 6V:91 6 0T- TO -lflf
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION . Date Redd: ' l Z �:`'�I
TIGARD D HALL BLVD PRINT OR TYPE
V - 503 �`� l 2
TIGARD OR 97223 permit #:
39 -4171 X304 Cust.Call'd:
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL $60 ONLY
Restricted Energy Fee
L/.hfs•eed Aviation inc.
(FOR ALL SYSTEMS)
JOB
Str t Add ess Ste # Check Type of Work Involved:
ADDRESS 7 • • W JIL I - A ' JO
Zip Phone # ❑ Audio and Stereo Systems
• •• X 00 -.3
Name 2c743).ireOtanTL-
SO-in e c? .s a-b o v C. ❑ Garage Door Opener*
OWNER Mailing Address ❑
Heating, Ventilation and Air Conditioning System
Zip Phone #
❑ Vacuum Systems* •
Name
HONEYWELL ❑ other
CONTRACTOR 5ng Address
15495 #100 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
1 SW - •r • • - • `� • Fee for each system 560.00
Zip Phone #
(Prior of issuance s Portland I : Ex•. Date
are required if Oregon Contr. Brd Lic. # 1 27 Check Type of Work Involved:
expired in C.O.T. 0 � p. Dr` x x
data base). Electrical Contr. Lim # E
26 -2 0_7C 10 1 pQ ❑ Audio and Stereo Systems
C.O.T. or Metro LiC. # Exp. Date
„ ❑ Boiler Controls
Owner's Name '
❑ C lock Systems
OWNER - Mailing Address Zip . ❑ ❑ Data Telecommunication Installation
APPLICANT Phone #
City/State Fire Alarm Installation
This permit is issued under OAE 918 - 320 -370. This applicant agrees to ❑ HVAC
make only restricted energy installations (100 volt amps or less) under this
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 pemiit.are ready for ❑ Medical
inspection at 503- 639.41
3 Purchase ped o separate
when the inspector is out that thistpermit,for an El Nurse Galls
Di Outdoor Landscape Lighting'
4. Assume responsibility for assuring that all corrections required by the
inspector are done, and; rgi Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the Other
corrections are completed.
Permits are non - transferable and non - refundable and expire if work is not Number of Systems
started within 180 days of issuance or if work is suspended for 180 days. �+--- .
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.
/ / t FEES:
e �` C $ 60.00
.-G�"' E TER FEES
Signature g ° 1 c
St: SURCHARGE (.05 X TOTAL ABOVE) E y. 80
TOTAL
Authority if other than Applicant
r%A.t. r ,,., \eseie.doc 9/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 12 ;Z) q9 AM PM BLD
Location 7 S a t K Suite �(:) MEC
•
Contact Person TN /92 aY\A Ph 3 PLM
Contractor // Ph / SWR
Tenant/Owner 2., Ai � c .440 `/ )DYi (14 C, ELC
•
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab �/Y�� . Oh e�/L.! 2.� SIT
Post & Beam 6Z--g 1 I'll -00321
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
•
Fire Alarm
Susp'd Ceiling
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 J(/
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
P ASS PART FAIL
SITE
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: [ able to inspect - no access
ADA
Approach /Sidewalk
Other Date r Inspecto ■ ` ,i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.