Permit QV
CITY OF TIGARD
1 a,„1'i DEVELOPMENT SERVICES ELECTRICAL PERMIT —
i1+L '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0287
DATE ISSUED: 10/13/98
PARCEL: 29112DD -01600
SITE ADDRESS...:15495 SW SEQUOIA PKWY #100
SUBDIVISION • ZONING:I —P
BLOCK • LOT • JURISDICTN: TIG
Project Description: Alteration to electrical service.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE /IRRIGAT..:
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
PACIFIC REALTY ASSOC type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 40.00 B 10/13/98 98- 309935
STE 300 SPCT $ 2.00 B 10/13/98 98- 309935
TIGARD OR 97224
Phone #:
Contractor:
ALLEN /FALK INC $ 42.00 TOTAL
9020 SW GEMINI GXPIR FD REQUIRED INSPECTIONS
BEAVERTON OR 97008 Ceiling Cover Low Voltage Insp
Phone #: 646 -0533 Wall Cover Elect'l Final
Reg #..: 47238
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 -010 through OAR 952 - 001-6080. You may obtain copies of
these rules or dir ct questions to IIUNC at (503)246 -1987. JJ..
Issued by �--� Permittee Signature k�GtJ _
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:
CONTRAC OR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: V/ DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY. OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLQ kA Rec'd by: 6
131ASW HALL BLVD Date Rec'd: I D -- - 1 25
' 1GARD OR 97223 PRINT OR TYPE OCT 1 3 1998
V - 503 - 639 - 4171 X304 Permit #: El.,R6ict -oyst7
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPUBATIONSPMENT Cust.Call'd: tM
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
N,zxi,,\:? 4 - (lclei YA C Dqv. (FOR ALL SYSTEMS)
JOB Street Address Ste
ADDRESS ESL 5 Sw S ro, p� .w VOD Check Type of Work Involved:
ity /St a hone # ❑ Audio and Stereo Systems
�, hd t o ny
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
(Name Vacuum Systems'
Pt11eJA I V0. \k t i (lc. • ❑ Other
CONTRACTOR Mailing Address aoao SW Gem,n; Dr ■ye. TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a city/State Zip Phone # Fee for each system $40.00
copy of all licenses Q »J (4 OR °Iioprd (,LILQ-O555 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Ex Date
expired in C.O.T. y1 a.'QA A'qq Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
3 1 .1 - a5S( .L... kolg8 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
3555 \\ 1 (V) ❑ Boiler Controls EXPIRED
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT 0 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 ❑ 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.
i/ 9�� 02-__ "
FEES:
Yi f 1 1
S19natUr= ENTER FEES $ 1D•
5% SURCHARGE (.05 X TOTAL ABOVE) $ a.00
11
Authority if other than Applicant TOTAL $ . DO
i:\dsts\resele.doc 7/97 —
191
9-f 9 5 S A.) f
5/17/00 Activities for Case #: ELR98 -00287
4:54:20 PM
•
EXPIRED
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 10/13/98 B RECD BON 10/13/98
ELRC003 Permit Created 10/13/98 B DONE BON 10/13/98 •
ELRC700 Ceiling Cover • BON 10/13/98 •
ELRC720 Wall Cover BON 10/13/98
ELRC725 Low Voltage Inspection BON 10/13/98
ELRC799 .Elect'I Final • JMT NOTE ST 2/17/00 Inspector: before doing final,
• please look at permit
• elc96 -0352 at space #100. Not
sure what the note means.
can't remember. Is it supposed
to be space 100 or 190?
Jeanne T. 12/18/98 above
permit is void, per Chuck
2/17/00- inspection request to
Hap•
ELRC500 (F) Issue permit 10/13/98 B PASS BON 10/13/98
ELRA845 Request inspection research 3/24/00 JMT DONE No Hold JMT 3/24/00
ELRA580 Expired by limitation 4/18/00 • HAP DONE No Hold AKJ 4/18/00 .
•
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