Permit n... CITY OF TIGARD
, DEVELOPMENT SERVICES ELECTRICAL PERMIT —
Blvd., 9 RESTRICTED ENERGY
PERMIT #: ELR98 -0148
DATE ISSUED: 06/05/98
PARCEL: 1S136AD -06200
SITE ADDRESS...:11420 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTN: TIG
Project Description: Electrical TI
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: FEES •-
ADAMS LUMBER type amount by date recpt
11420 SW PACIFIC HWY PRMT $ 40.00 B 06/05/98 98- 306316
TIGARD OR 97223 5PCT $ 2.00 B 06/05/98 98- 306316
Phone #:
Contractor:
ADT SECURITY ALARMS $ 42.00 TOTAL
703 NE HANCOCK
REQUIRED I NSPECT IONS
PORTLAND OR 97212 Ceiling Cover Low Voltage Insp
Phone #: 284 -3265 Wall Cover Elect'1 Final
Reg #..: 000599
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- 001 -0010 through ORR 952 - 001 -0080. You may obtain copies of
these rules or dir t questions OUNC at (503)246 -1987. ,-���,,,,„„-�
I ssued by F'ermittee Signature 0.-,
a I (L��U�Un �d
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 y
CITY,OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICAREAL- Rec'd by:
104'26 HALL BLVD n / Date Rec'd: -4 7
TIGARD OR 97223 Y:I%j' 0/WC! g PRINT OR TYPE 5 V - 503 - 639 -4171 X304 dg 3 _ /Q _ p 1 JUN 0 5 1998 r ermit #: , p ett 6t q
F - 503 - 684 -7297 O PLET OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED COMMUNITY DEVELOPMENT
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
ad X /r � e /J (FFOri R ALL S SYSTE Fee $40.00
�/ ,L� (O AYSTEMS)
JOB Street Address Ste #
ADDRESS 1 l %ao 50 y? .,/v... Check Type of Work Involved:
Cit State ,A i ne Audio and Stereo Systems
�tf�t � Q OA '
7?-
Burglar Alarm
OWNER Mailing Address
❑ Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems'
AD1 SECURITY SERVICES. INC.
703 NE HANCOCK ❑ Other
CONTRACTOR Mailing AddrRTLAND, OR 97212
15031 284-3265 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 5f f iii Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date I -- I
- 0 1 'd 9 I I 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 I 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. I--I I
Certain residential and other transactions are exempt from licensing. I 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 no' - f. ndable and expire if work is not
started within 180 days of issua • - or • work is suspended for 180 days. Number of Systems
The person signing fo 4 must be the applicant or a person • No licenses are required. Licenses are required for all other installations
authorized to bind t - • • I . t.
F EES:
. •natur •
�� 7 g 3 J T LE ENTER FEES $ V
5% SURCHARGE (.05 X TOTAL ABOVE) $ a
Authority if other than Applicant TOTAL $ Cl a
i:\dststresele.doc 7/97 —
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0148
ADAMS LUMBER
11420 SW PACIFIC HWY
07/06/98
Action Description Req/ Solid/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
ELRC001 Application Received / / / / 06/05/98 RECD B 06/05/98 BON
ELRC003 Permit Created / / / / 06/05/98 DONE B 06/05/98 BON
ELRC500 (F) Issue permit / / / / 06/05/98 PASS B 06/05/98 BON
ELRC725 Low Voltage Inspection / / / / 06/16/98 alarm PASS CD 06/16/98 CD
ELRC725 Low Voltage Inspection / / / / 06/29/98 res. for 6/30/98 FAIL CD 06/29/98 CD
ELRC799 Elect'l Final / / / / 06/16/98 PASS CD 06/16/98 J *H
ELRC800 Case finaled / / / / 06/16/98 PASS CD 06/16/98 J *H
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
//'� BUP
,-0 /D/02-3 Date Requested (Q " q - [ c� ? AM PM BLD
Location 11 SW ?H U Suite MEC
Contact Person Ph PLM
Contractor - DT - Ph 460 -,138 SWR
BUILDING Tenant/Owner
V" / /./A } ELC
Retaining Wall �r:i ___ ELR 7f)/4
Footing Access: P
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 ��IV Eff l 0
Fire Alarm I
Susp'd Ceiling / Roof �n/a Lem
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
FAIL
- .ELECTRICA
Service
Rough In
UG /Slab
ftLnw V
&larm
PASS 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: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.