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Permit CITYOFTIGARD ELECTRICAL PERMIT - /r' RESTRICTED ENERGY tvOill� DEVELOPMENT SERVICES PERMIT #: ELR1999 -00317 13125 SW Hall Blvd.. Tisiard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/28/1999 SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 206 PARCEL: 1S134BC -00401 SUBDIVISION: ZONING: C -N BLOCK: LOT: JURISDICTION: TIG Project Description: Nurse calls 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: X VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: SISTERS OF PROVIDENCE IN OREGO OREGON ELECT CONSTRCTN /GRP INC BY STEVE FOSTER 1010 SE 11TH PO BOX 13993 PORTLAND, OR 97214 PORTLAND, OR 97213 Phone: Phone: 234 -9900 Reg #: SUP 2841S LIC 0026 -9 ELE 001302 -S • FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT BON 12/28/199E $60.00 99- 320695 Elect'I Service 5PCT BON 12/28/199E $4.80 99- 320695 Elect Final Total $64.80 ORIGINAL 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 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. g , �] JJil Issued by 1 y .A,��K � Permittee Signature ©V\ I ( C - oculd 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 Di/\ Aff (( (l k ( \ DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION ' 13125 ard OR 9722ECEIVED L 0 (5e PERMIT # Phone (503) 639 -4171 I FAX (503) 684-7 c 21 1999 DATE ISSUED TDD No. (503) 684- 2 CITY OF TIGARD Inspection (503) 639 -417 F3, COMMUNI DEVELOPMENT ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 11 4 4. TYPE OF WORK Address RESIDENTIAL — Restricted Energy Fee $40.00 Tigard OR 97223 (FOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR Y 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* Contractor Oregon Electr p Group Electrical ❑ Vacuum Systems* 1010 SE 1 1 thAve . Portland ❑ Other Address 12Lz2iR9. Date COMMERCIAL — Fee for each system $40.00 (SEE OAR 918 - 260 -260) Property Owner pr _ npra st –Prnv elenrp Srh - )lls Check Type of Work Involved; Contractor's Board Reg. No. 203 ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone # 503 234 9900 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address 0 Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ® Nurse Calls restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting* following: p LI g g Only persons required. (Certain ❑ Protectiv Signaling 1. Onl u se electrical licensed rsons to do installations where g g residential and other transactions are exempt from licensing. These have ❑ Other asterisks(*). All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503 - 639 -4175. ❑ 3. Purchase separate permits for all installations that are not ready for inspection 1 Number of Systems when the inspector is out to inspect under this permit • No licenses are required. Licenses are required for all other installations. 4. Assume responsibility for assuring that all corrections required by the inspector are done, and 5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES are completed. (,(� The person si fling for this permit must be a applicant or a person a. Enter Fees $ 40. lX O authorized t d the a lic.rt „49 .. 8% Surcharge (.09 x total above) $ 3.20 (, l Signature TOTAL $ 43.20 • Authority if o - t . • ' . '.: '. � - 1;\ ��� ENERGAP.CHP 2/16/00 Activities for Case #: ELR1999 -00317 3:10:00 PM Assigned Hold Updated . Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 APPlication Received 12/27/99 BON RECD No Hold BON 12/28/99 Received incorrect fees in the mail. ELRC003 Permit Created 12/28/99 BON DONE No Hold BON 12/28/99 ELRC725 Low Voltage Inspection 12/28/99 BON No Hold BON 12/28/99 ELRC730 Elect'l Service 12/28/99 12/28/99 No Hold BON 12/28/99 ELRC799 Elect'I Final 12/28/99 12/28/99 ' 2/4/00 BRP PASS No Hold AKJ 2/6/00 ELRA500 (F) Issue permit 12/28/99 BON DONE No Hold BON 12/28/99 ELRC700 Ceiling Cover 1/13/00 1/13/00 1/12/00 BRP PASS No Hold AKJ 1/13/00 ELRC720 Wall Cover 1/13/00 1/13/00 1/12/00 BRP PASS No Hold AKJ 1/13/00 ELRC800 Case finaled 2/6/00 AKJ DONE No Hold AKJ 2/6/00 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 i1 BUP Date Requested ©D AM � P e M BLD Location 2 �/ i to // S 4 MEC Contact Person riuty- ()I ✓ � P Z3�! PLM Contractor Ph SWR BUILDING Tenant/Owner VIV.-_ % - 1 ELC /19 - 06' g0 2 Retaining Wall 40 i rq'7 -- a) a/ 7 Footing Access: Foundation FPS Ftg Drain SGN ' Crawl Drain Inspection Notes: Slab - SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear i Framing Insulation 1 Drywall Nailing r V/ Cie go/di /` /0 ICJ 01 / 6 , p r E P Firewall /� / /� (� Fire Sprinkler l Liw h J °� .� q k.?") l/ e C Q / /' -i Fire Alarm / Q / / 5 5 U b 1 V e Susp'd Ceiling ICJ J r� f� u //could Roof Misc: 0 h , Final PASS PART FAIL PLUMBING Post & Beam Under Slab � 144 Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Smoke e Dampers Final PASS PART FAIL Service Rough In UG /Slab Fire Alarm ASS ART FAIL SIT 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: I ] Unable to inspect - no access ADA � Approach /Sidewalk ns D O g-e9 Inspector � / Other P �/1 _' • Xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.