Permit r
CITYOFTIGARD
T % vev i, DEVELOPMENT
325S Fa Tigard, 0 R 97223 (503)639.4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98- 0337
DATE ISSUED: 12/28/98
PARCEL: 2S101DD -00600
SITE ADDRESS...:06700 SW SANDBURG ST
SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING:C —P
BLOCK LOT °003 JURISDICTN: TIG
Pro.j ect De scr i pt ion : Electrical alteration for new commercial office building.
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 •X PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: .•
TOTAL # OF SYSTEMS: 1
Owner: FEES
WESTERN FAMILY FOODS, INC type amount by date recpt
6700 SW SANDBURG PRMT $ 40.00 DLH 12/28/98 98- 311774
TIGARD OR 97223 5PCT $ 2.00 DLH 12/28/98 98- 311774
Phone #: 639 -6300
Contractor:
TEMP CONTROL $ 42.00 TOTAL
4800 N. CHANNEL AVE
REQUIRED INSPECTIONS
PORTLAND OR 97217 Ceiling Cover Low Voltage Insp
Phone #: 285 -9851 Wall Cover Elect'1 Final
Reg #..: 000049
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- %1 -0080. You may obtain copies of
these rules or direct questions to OUNC at (503)246 -1987. '
Issued by r^ v Permittee Signatur /I Aril Lu l V
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent. "'�/
OWNER'S SIGNATURE: N// DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: A/ //9 DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
12/28/98 MON 10:04 FAX 503 598 1960 CITY OF TIGARD 411002
^ IlY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: - 4-/'7'' •
:10J12' HALL BLVD Date Rec'd: /.t/.1,9,P
TIGARD OR 97223 e2 PRINT OR TYPE
V - 503 -639 -4171 X304 1 J 40 71 Permit #: ELi 9(-433 7
F - 503 -684 -7297 2 � ,p p' INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Catl'd:
�a''^' I d WILL NOT BE ACCEPTED •
. Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
W en— - , Restricted Energy Fee $40.00
t`CrRN 111.1 Q(),)5 (FOR ALL SYSTEMS)
JOB Street Addr s Ste # •
ADDRESS Check Type of Work Involved:
•
t- Phone # ❑ Audio and Stereo Systems
Name El Burglar Alarm
A
V K.12. 3 -FAIL 1U4 [ / • El Garage Door Opener
OWNER Mailing Address a
4,10 S
b l SA $ $UQ.G- El Heating, Ventilation and Air Conditioning System*
Ci /State _ Phone*
LI A ' , ! ! - 2 - `y` ❑ Vacuum Systems'
/ 1' N
IU E 111117 i7W1 A f ❑ Other
CONTRACTOR • • r All TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a ►�,. II 11`1"1.` ,,'r„ Fee for each system $40.00
copy of all licenses 1 IA i/ /h� (SEE OAR 910- 260 -260)
are required f expired in C.O.T. ■ .� a 6 ll ✓Check Type of Work Involved: •
data base). p l ? J �,����� .
i �� Audio and Stereo Systems
ii . �5'. -r J at J ❑
a"( J Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT 0 Data Telecommunication Installation
City /State I Zip . I Phone # ❑
Fire Alarm installation
This permit is issued under OAE 918 -320 -370. This applicant agrees to
make only restricted energy installations (100 volt amps or less) under this IA HVAC
permit and to do the following:
El Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. - ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑ Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
Inspection at 503 - 639 -4175; El Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting*
inspector are done. and; ❑
Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the •
corrections are completed. ❑ Other
Permits are non - transferable and non - refundable and expire if work is not J
started within 180 days of issuance or If work Is suspended for 180 days. - 1 Number of Systems
The person signing for this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
a thorized to bind the plicant.
mit-iv, ati\yi FEE$: /�' �
ENTER FEES $ " . .
Signature
5% SURCHARGE (.05 X TOTAL ABOVE) S
•
Authority if other than Applicant TOTAL t
i; dstsresele.doc 7/97 — -
4/24/00 Activities for Case #: ELR98 -00337
2:44:35 PM •
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 12/28/98 DLH RECD DLH 12/28198
ELRC003 Permit Created 12/28/98 DLH DONE DLH 12/28/98
ELRC700 Ceiling Cover DLH 12/28/98
ELRC720 Wall Cover DLH 12/28/98
ELRC725 Low Voltage Inspection 5/5/99 BRP PASS AKJ 5/5/99
ELRC799 Elect'l Final 5/5/99 BRP PASS AKJ 5/5/99
ELRC500 (F) Issue permit 12/28/98 DLH DONE DLH 12/28/98
ELRC800 Case finaled 5/5/99 AKJ DONE No Hold AKJ 5/5/99
•
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G COQ BUP
Date Requested , r� I I AM PM BLD
Location (D - 7Ob Sa,110 S�uittee MEC
Contact Persons G Ph b .S qgS ( PLM
X 320
Contractor Ph SWR
BUILDING Tenant/Owner V ' ✓Y) gq -- yj -(, ELC
Retaining Wall ELR q -o-2- 7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:,,, I `, I �� ,`�
Slab v�V( f� '� S� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing .
Insulation
Drywall Nailing
Firewall /
Fire Sprinkler !/ C s_l
Fire Alarm
Susp'd Ceiling
Roof
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
PASS PART FAIL
ECTRIet1
S
I'
ervice
Rough In
UG /Slab
Fire Alarm
40 PART 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 f
(C--Q17
Other Date Inspector E
Final
PASS PART . FAIL DO NOT REMOVE this inspection record from the job site.