Permit CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL
ENERGY Hall Blvd., Tigard,
PERMIT #: ELR98 -0052
DATE ISSUED: 02/19/98
PARCEL: 25112DA -01400
SITE ADDRESS...:O665O SW REDWOOD LN #160
SUBDIVISION •PACIFIC CORPORATE CENTER ZONING:
BLOCK • LOT • JURISDICTN: TIG
Pro .j ect Description : Add data telecommunication installation to a commercial
tenant occpy.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM.. :X NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: :: HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
FIRST DATABANK type amount by date recpt
6650 SW REDWOOD LANE PRMT $ 40.00 GEO 02/19/98 98- 303429
SUITE #160 5PCT $ 2.00 GEO 02/19/98 98- 303429
TIGARD OR 97223
Phone #:
Contractor:
CHRISTENSON ELECTRIC INC $ 42.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Low Voltage Insp
Phone #: 241 -4812 Elect'1 Final
Reg #..: 000004
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 OAR 952-001 -0080. You may obtain copies of
these rules or direct q stio at (503)246 -1987.
Issued by Permittee Signature
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: g
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Id
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• CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 JOB: 509 -5393 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: Fe-Q Q -Od5 f
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
FIRST DATA BANK Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 6650 SW REDWOOD LANE 160 Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
TIGARD OR 9722/ NU
Name ❑ Burglar Alarm
Garage Door Opener'
OWNER Mailing Address
1
City /State Zip Phone # El Heating, Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems*
CHRISTENSON ELECTRIC INC ❑ Other
CONTRACTOR Mailing Address
111 SW COLUMBIA SUITE 480 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Z_ip Phone # Fee for each system $40.00
copy of all licenses PORTLAND 91201 241 - 4812 (SEE OAR 918 - 260 -260)
are required if Qr on Contr. Brd Lic. # Exp. Date
expired in C.O.T. `'�� Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
26 -34C ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT XEI 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
El 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:
k -'" No '4,�a� ENTER FEES $ 40.
Signature N
873S 2/13/98 2.
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ 42.
is \dsts\resele.doc 7/97 —
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,RECEIVED
FEB 1 7 1998
COMMUNITY DEVELOi'iai,l
7/15/99 Activities for Case #: ELR98 -00052
9:39:23 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 2/18/98 GEO RECD PHN 2/18/98
ELRC003 Permit Created 2/18/98 GEO DONE PHN 2/18/98
ELRC725 Low Voltage Inspection 2/18/98 3/9/98 BRP PASS J`H 3/13/98
ELRC799 Elect! Final 2/18/98 3/9/98 BRP PASS J *H 3/13/98
ELRC500 (F) Issue permit 2/19/98 GEO PASS GEO 2/19/98
ELRC800 Case finaled 3/9/98 BRP PASS J *H 3/13/98
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