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Permit CITY OF TIGARD ELECTRP RESTRICTED ICAL ENERG Y PERMIT #: ELR2000 -00061 �r� DEVELOPMENT SERVICES ' - � � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ADATE ISSUED: 3/20/00 SITE ADDRESS: 07180 SW SANDBURG ST 100 PARCEL: 2S101 DC -03800 SUBDIVISION: `� ZONING: I -P BLOCK: LOT: �� JURISDICTION: TIG Project Description: Installation of protective signaling. 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: MCCORMACK, WILLIAM L + DARLENE ^ PROTEC INC 7415 FAIRWAY LOOP 720 NE FLANDERS WILSONVILLE, OR 97070 PORTLAND, OR 97232 Phone: Phone: 235 -4000 Reg #: LAC 00055414 ELE 34 -215CL FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 3/20/00 $60.00 0000790 Elect'l Final 5PCT DEB 3/20/00 $4.80 0000790 Total $64.80 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 requireou follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95010 thro • OAR 9001 -0080. You may obtain copies of these rules or direct question to OUNC at (503) 2 (e el.? 987. I ed by .../..., ? %ife / ) % , Permittee Signature 4Z_ . 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 Z0'd XL6 096T 96S cos Bt':TT -- -T -bO- flf CITY OF"TIGARD 'RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd y: % ' 11i25 SW HALL BLVD RECEIV Date Rec'd: _ -A9 ''r • TIGARD OR 97223 PRINT OR TYPE V - 503- 639 - 4171.X304 MAR 2 0 2000 Permit #: F/d� - 00t42� F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: CINVIIIINFIY COMP WILL NOT BE ACCEPTED • Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY t Restricted Energy Fee $60.00 C 1 . Ca.ci r`+ I '00 i "► q (FOR ALL SYSTEMS) ? JOB - Street Address Ste # 1 . • ADDRESS 7180 Sv S4-.c1 1 o r7 Check Type of Work Involved: N +"y City /State Zip 1 Phone . Audio end Stereo Systems - TrsA —di I 0 1 172 . Name ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener' • City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System' • Name �^ ❑ Vacuum Systems' ,tiej �ro-4:; c. ' `� ` • ❑ Other . CONTRACTOR Mailing Address • • 772.0 IV 2: 'F)u cia-4, -5 TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City/State Zip Phone # • Fee for each system $60.00 copy of all licenses ' o '-4-1 4-+3 b e- z.3.5- 9- . (SEE OAR 918- 260 -260) are required if Oregon Contr. Brd li.c. # Exp. Date expired in C.O.T. S54 IA— 2 eve 144 4 Type of Work Involved: data base). Electrical Contr. Lic. # ' • Exp. Date I -- I 34 2 15 . L '� ' ° //ice I 1 Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date • 42_4 0 4/ 0 ❑ Boller 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 603 - 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 1 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: �-_ "i`_. Lillet _ _._ ENTER FEES $ 6 0 • o D • •� - ure � 1 7 L SURCHARGE (.05 X TOTAL ABOVE) S i Authority if other than Applicant TOTAL 5 (,4 a I:1dstsformstresele.doc 3198 „ • Z 0 I j alIVTI.L dO ALI0 0961 865 £05 Xdd LZ:TT I A 66/170/90 A-. CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 9eI DEVELOPMENT SERVICES PERMIT #: ELR2000 -00061 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/20/00 SITE ADDRESS: 07180 SW SANDBURG ST 100 PARCEL: 2S101 DC -03800 SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of 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: UTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: CCORMACK, WILLIAM L + DARLENE ROTEC INC 415 FAIRWAY LOOP 20 NE FLANDERS ILSONVILLE, OR 97070 ORTLAND, OR 97232 Phone: Phone: 235 -4000 Reg #: LAC 00055414 ELE 34 -215CL FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 3/20/00 $60.00 0000790 Elect'I Final 5PCT DEB 3/20/00 $4.80 0000790 EXPIRED Total $64.80 f Pr.% 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 A. 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. 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: LICENSE NO: l b \ Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day BUP - Building Permit EL C - Electrical Permit Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Per ' Roof nailing 4 Inspection Description D , Passed Firewall Low voltage EXPIRE! Tilt -up panel Electrical final Masonry/Reinforcement /,z /aZ µF- Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Drywall nailing -4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line • Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit II Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested - 12 ' AM PM BUP Location l J 6 0 S 0643 zq Suite MEC Contact Person Ph ( ) PLM Contractor fZk5" ' Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR o . boc — £ b e. Crawl Drain Slab Inspection Notes: � \ o � . g CA SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final EXPIRED PASS PART FAIL / PLUMBING 3� Post & Beam / Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL