Permit CITY TI GAR ELECTRICAL PERMIT - AL RE STRICTED ENERGY
ywl DEVELOPMENT SERVICE RIG 1 1. A PERMIT #: ELR1999 -00159
s ' - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/23/99
SITE ADDRESS: 11945 SW PACIFIC HWY 208 PARCEL: 1S135DD -03301
SUBDIVISION: HOFFARBER TRACTS s ZONING: C -G
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Installation of protective signaling. Job No.083- 11395 -01.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD PROPERTIES INC ADT SECURITY SERVICES, INC
2106 SE OCHOCO ST 703 NE HANCOCK
MILWAUKIE, OR 97222 PORTLAND, OR 97212
Phone: Phone: 503 - 284 -3265
Reg #: LIC 005994
ELE 26209CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 6/23/99 $60.00 99- 316366 ,Elect'I Final
5PCT DEB 6/23/99 $3.00 99- 316366
Total $63.00
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 -00 :. • • ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1.' 87. - _
Issue by ,L , I aOc _4 Permittee Signature �� / 1 1 . _ ,! 1 / , _ �, ; -
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
CITY OF TIGARD RECE 1 I ,E R ESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b /)
13125 SW HALL BLVD QQ Date Recd: to -a 3 �-9
TIGARD OR 97223 JUN 2 1 1999 PRINT OR TYPE'�4fJ 5S �/
V - 50e- 639 -4171 X304 u u rIA" i 6 o ( /7 1 j f Permit #: EG2 /M -60is9
F - 503 - 598 -1960 COMMUNITY DEVELOPME#ICOMPLETE OR ILLEGIBLE APP ICA NS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $60.00
(FOR ALL SYSTEMS)
JOB Street Address , # ,,,,,,///
ADDRESS , J / Lf 5 Sid PAC/FIC Phone O ff / y Check Type of Work Involved:
Ci State Zip one # 0 ❑ Audio and Stereo Systems
Name
N,.4 * Burglar Alarm
J O Aid Al S o az-s ktga 7 ❑ Garage Door Opener*
OWNER Mailing Address
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
Ant SECURITY SYSTEMS ❑ Other
CONTRACTOR Mailing Add fros N.E Hancock
_ TYPE OF WORK INVOLVED - COMSCol.
(Prior to issuance a City /Slat Phone # Fee for each system $60.00
copy of all licenses (SEE OAR 918- 260 -260)
are required if Oregon on Brd Lic. # Ex a •
expired in C.O.T. .sq Tw r� Check Type of Work Involved:
data base). Electrical Contr. ic. # Ex
o? �o —020 � ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Ex/ Date
❑ 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;
r 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 app 'cant or a person • No licenses are required. Licenses are required for all other installations
authorized to bind the applicant. / (/ r
• Q ele J � FEES: 60• � �
ENTER FEES ft
Si nature $
U
5% SURCHARGE (.05 X TOTAL ABOVE) �' $
Authority if other than Applicant TOTAL $ f°7-416--
i:\dsts \forms\resele.doe 3/98 it v • c)0
(-1 g.i.t
7/25/99 Activities for Case #: ELR1999 -00159
6:22:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 6/21/99 DEB MAIL No Hold DEB 6/23/99
ELRC003 Permit Created 6/23/99 DEB DONE No Hold DEB 6/23/99 Delay in creating due to waiting
for additional check to cover fee
increase.
ELRC725 Low Voltage Inspection 6/23/99 DEB No Hold DEB 6/23/99
ELRC799 Elect'I Final . 6/23/99 6/23/99 6/29/99 BRP PASS No Hold AKJ 6/29/99 •
ELRC500 (F) Issue • 6/23/99 DEB DONE No Hold DEB 6/23/99
ELRC800 Case finaled 6/29/99 AKJ DONE No Hold AKJ 6/29/99 •
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
( p - Zc'' BUP
Date Requested AM , P y� M BLD
Location 11/ 19 r -�( .1) 7 Suite ,0 g MEC
Contact Person Ph qtcao -F./E / q PLM
Contractor Al7r Ph SWR
BUILDING Tenant/Owner ELC � r�/�
Retaining Wall ELR i' % p q — w/ Sq
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 1/1-S
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
Smoke e Dampers
D
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
'F 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 1 �J
Other oach/Sidewalk Date � ` 9- G Inspector / . el, A. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.