Permit A.. CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
Ti a DEVELOPMENT SERVICES PERMIT #: ELR1999 -00089
l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/21/99
SITE ADDRESS: 11945 SW PACIFIC HY104
PARCEL: 1S135DD-03301
W
SUBDIVISION: HOFFARBER TRACTS N . ZONING: C -G
BLOCK: LOT: 002 JURISDICTION: TIG
Proiect Description: Commercial electrical alteration
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD PROPERTIES INC ALLTEC SECURITY
2106 SE OCHOCO ST PO BOX 55310
MILWAUKIE, OR 97222 PORTLAND, OR 97238 -5310
Phone: Phone: 331 -2620
Reg #: LIC 001188
ELE 26- 307CLE
FEES Required Inspections
Type By Date Amount Receipt Wall Cover c_
PRMT BON 4/21/99 $40.00 99- 314729 �1 , ca ` . v / l t
5PCT BON 4/21/99 $2.00 99- 314729 L(edC'd r i ^-
Total $42.00
•
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. 81A.-
Issued by `�- Permittee Signature vevdel
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: 1 V\ \( CC DATE:
LICENSE NO: ��
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
REC EIVED b-1* 3202__
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: I
13125 SW HALL BLVD i 9 1999 Date Rec'd: '1 2- 0--.11
TIGARD OR 97223 ri PRINT OR TYPE o �
V - 503 - 639 -4171 X304 DE VELOPMENT Permit #: I` i' are
F - 503 - 684 -7297 Gowan— INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Fe
►3ean I e- (. bL (A-caU RF FOOR R A LL LL SYSSTETE MS S SY) $40.00
A
JOB Street Address Ste #
ADDRESS \ 9 Li- S W
Pa C4 Nt,l) L, St- Type of Work Involved:
City/,State Zip n 1' hone # ❑ Audio and Stereo Systems
Q I (1 c -
Name � ..� T % Burglar Alarm
M ' I } ' ` " r co o ❑ Garage Door Opener'
OWNER Ming QS coon v __,
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems'
PkiWk -2C � ,e� J t ❑ Other
CONTRACTOR Mang Addres
i U , � �� (� TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a y /Sta le �1 � Zi Phone # Fee for each system $40.00
copy of all licenses &A (1.A a 0 g . - 261-1-1-7,0 (SEE OAR 918-260-260)
are required if Oregon Coptr. Brd Lic. # 97Z3� Exp. D to
expired in C.O.T. j ( J ? /2/3)100 Check Type of Work Involved:
data base). Electrical Con Lic. # Exp. Date
2_(D - 6 0'3 CI-L / WO t /q9 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. #
V Exp. Date
G/ ❑ 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. 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.
FEES: r�l
ENTER FEES $ l I lJ '.°°
Signature 2 6°
5% SURCHARGE (.05 X TOTAL ABOVE) $ '
Authority if other than Applicant TOTAL $ 4 Li 0 d
is \dsts \resele.doc 7/97 —
7/26/99 Activities for Case #: ELR1999 -00089 Li
2:10:30 PM `
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 4/21/99 BON DONE No Hold BON 4/21/99
ELRC003 Permit Created 4/21/99 BON DONE No Hold BON 4/21/99
ELRC720 Wall Cover 4/21/99 4/21/99 No Hold BON 4/21/99
ELRC730 Elect'I Service 4/21/99 4/21/99 No Hold BON 4/21/99
ELRC731 Elect'I Service 4/21/99 4/21/99 No Hold BON 4/21/99
ELRC500 (F) Issue permit 4/21/99 BON DONE No Hold BON 4/21/99
ELRC799 Elect'I Final 7/22/99 7/22/99 7/22/99 CD PASS No Hold AKJ 7/22/99
ELRC800 Case finaled - 7/22/99 AKJ DONE No Hold AKJ 7/22/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested -2Z AM G l
PM BLD
BLD
Location I 1 S eCLC,. Suite 1 0 MEC
Contact Person Ph (02-0'7 3g 1 PLM
Contractor Q • Ph SWR
BUILDING Gf(',t�r Owner j � ELC /� �}
Retaining Wall J ELR ctqci -IJLl6 ?S 9
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
Misc:
Final i/
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 •
LECTRICAt)
Seivice
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fir
- ART 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: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D
Other 97 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.