Permit CITY OFTIGARD
-" ^w , g l � i ' l DEVELOPMENT LOPMEN R SERVICES RESTRICTED ENERGY
PERMIT #: ELR98 -0058
DATE ISSUED: 02/23/98
PARCEL: 1S134BC -00200
SITE ADDRESS...:12186 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G
BLOCK • LOT JURISDICTN: TIG
Pro ect Description : Installing protective signaling
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:
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
PGE type amount by date recpt
121 SW SALMON PRMT $ 40.00 B 02/23/98 98- 303498
PORTLAND OR 97201 5PCT $ 2.00 B 02/23/98 98- 303498
Phone #: 464 -8000
Contractor:
ENTRANCE CONTROLS INC $ 42.00 TOTAL
2910 1ST AVE SO
REQUI RED INSPECTIONS
SEATTLE WA 98134 Ceiling Cover Low Voltage Insp
Phone #: 2832533 Wall Cover Elect' 1 Final
Reg #..: 000655
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 -rA10 through OAR 952 -001 -0080. You may obtain copies of
these rules or di ct questions o OUNC at (503)246 -1987.
Issued by F'ermittee Signatur f
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: Kl f-1/2 ' - DATE :
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Id
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: , ,
13125 tW HALL BLVD Date Rec'd: - — _,.t
' TIGARD OR 97223 PRINT OR TYPE ,� /� _
V - 503 - 639 -4171 X304 Permit #: I�L1�.- �g'(,}�5 •
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
/ - Restricted Energy Fee $40.00
�C� /
C/rs7/i _., Cc 57v. w . i of (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS /2 / ?e .S4/,S, , /‘�,iy Check Type of Work Involved:
City /State Z�,iiDP Phone # ❑ Audio and Stereo Systems
Tie -d ...7.€ 77.42 _
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name / A. ❑ Vacuum Systems'
�rYie 6 A. ❑ Other
CONTRACTOR Mailing Address
/16o 6 N �s 1 / TYPE OF WORK INVOLVED - COMMERCIAL ONLY
� s C- idu
(Prior to issuance a City /State I Zip Boffre # Fee for each system $40.00
copy of all licenses fo„(✓Y✓e £ 1c- d/eS 2 2A-1 -�y?4 (SEE OAR 918 - 260 -260)
are required if Oregon Con r rd Lic # Exp. D to
expired in C.O.T. (,jS �i, Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp
'37 - 3( / o% to
❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Ex ate
5 / l . X19 ❑ 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 El Outdoor Landscape Lighting'
inspector are done, and; .
ix 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. I 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:
Signature
ENTER FEES $ �`� `
5% SURCHARGE (.05 X TOTAL ABOVE) $ 2 • 0"b
Authority if other than Applicant TOTAL $ ' da
is \dsts\resele.doc 7/97 —
1427
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 2 — .27 — q8 A.M. P.M. MST:
Location: ..2/ 8 CO s % i '. 1 � ...,./
BUP:
Tenant: G Suite: Bldg: MEC:
Contractor: �4. A _ , . / i1L_A _ Phone: pa. PLM:
Owner: Phone: ELC:
• ELR: 9Y '005
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service • MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump .w Volt ��46 C� &r 9 k
Approved Approved Approved Approv Approved ((/�
Appr /Sdwlk Not Approved Not Approved Not Approved • . • 'proved Not Approved
FINAL FINAL FINAL FINAL FINAL
Z o e V6 /P( /( sS
O Call for reinspection lion fee of $ required before next ' tion O Unable to inspect
!
Inspector: Date: P Pa g e of
•