Permit r.� CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT —
"� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0105
DATE ISSUED: 04/13/98
PARCEL: 1S135DD -03301
SITE ADDRESS...:11945 SW PACIFIC HWY #209
SUBDIVISION •HOFFARBER TRACTS NO.1 ZONING:C —G
BLOCK • LOT •002 JURISDICTN: 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: FEES
RINCONCITO NORTENO type amount by date recpt
11945 SW PACIFIC HWY PRMT $ 40.00 B 04/13/98 98- 304894
STE 209 5PCT $ 2.00 B 04/13/98 98- 304894
TIGARD OR 97223
Phone #: 624 -6194
Contractor:
ADT SECURITY ALARMS $ 42.00 TOTAL
703 NE HANCOCK
REQUIRED INSPECTIONS
PORTLAND OR 97212 Ceiling Cover Low Voltage Insp
Phone #: 284 -3265 Wall Cover Elect'1 Final
Reg #..: 000599
This pernit 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 lore 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 952-511-0810 through OAR 9524101-6680. You say obtain copies of
these rules or dire questions t OUNC at (503)246- 1987.
Issued by Permittee Signature_ AtCOOW11
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 : IJP DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++
• •• CITY Of TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: rP
1 -31Q5 SW HALL BLVD A .J RECEIVED Date Rec'd: -I '
TIGARD OR 97223 l/ WO / PRINT OR TYPE I ��
V - 503 - 639 -4171 X304 �/ efr QQ P 1 � ^ is q8 Permit #: l c - OI bS
F - 503 - 684 -7297 � `" INCOMPLETE OR ILLEGIBLE APPLICKTIONS Cust.Call'd:
WILL NOT BE ACCEPTFEDN nrvcl nwIFlu7
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
aN40441 � .44 k7v (FOR ALL SYSTEMS)
JOB Street Addres . Stee
/Jtf q P A
ADDRESS C- r 41 � T+ 0199 Check Type of Work Involved:
CA/State s � O � Z� Ip�� 1 J P e # `' ❑ Au and Stereo Systems
Name �f •S IGHW /•Y Me Burglar Alarm
/)ELY S4 - 4Pr /s i /d
OWNER Mailing Address ❑ Garage Door Opener'
City /State �` Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name CURITY $EttV'CE3s� t►' DI
Systems'
IAD? S 703 NE HANCOCK ❑ Other
PORTLAND, OR 9721:
CONTRACTOR Mailing Addre$03) Zw•3465
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 Ore r Lic. # Ex D
expired in C.O.T. der
Check Type of Work Involved:
data base). Elecjfil Cgptr.it. # , ❑ as Audio and Stereo Systems
C.O.T. or Metro Lic. # El. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip I 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 ❑ utdoor 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 -ref ndabl:: d expire if work is not
started within 180 days of issuances cr '. / or. suspended for 180 days. Number of Systems
The perso • ning for this per• T T e the applicant or a person • No licenses are required. Licenses are required for all other installations
a zed to • - • he appli • :
FEES:
Signature ' �
���E ENTER FEES $ xit�• od
5% SURCHARGE (.05 X TOTAL ABOVE) $ J.
Authority if other than Applicant TOTAL $ f 2. 0
i:\dsts\resele.doc 7)97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location � G' (q � Suite (-9.6 MEC
Contact Person 4th PLM
Contractor / Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR ? P — Of
Footing Access: `' — � � . / FPS
Foundation �L
Ftg Drain 1it4) SGN
Crawl Drain I pecti Notes: /
Slab — P f'a e ��� �'jt/�- li.✓� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing �► ��-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ' n
Misc: C�
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
BackfilUGrading
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 p�
Other Date J 3 9 Inspector « Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.