Permit ,i CITY OF TIGARD
^ �� hi DEVE SERVICES ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98 -0333
DATE ISSUED: 12/17/98
PARCEL: 2S112DD -01600
SITE ADDRESS.•.:15495 SW SEQUOIA PKWY #150
SUBDIVISION • ZONING:I —P
BLOCK • LOT • JURISDICTN: TIG
Pro.j ect Description : Installation of protective signaling system. Inst
12/28/98, 083 - 10996 -01.
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
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKWY #300 PRMT $ 40.00 DEB 12/16/98 98- 311571
PORTLAND OR 97224 5PCT $ 2.00 DEB 12/16/98 98- 311571
Phone #:
Contractor:
ADT SECURITY SERVICES, INC $ 42.00 TOTAL
703 NE HANCOCK
REQUIRED INSPECTIONS
PORTLAND OR 97212 Ceiling Cover Low Voltage Insp
Phone #: 503 - 284 -3265 Wall Cover Elect'l Final
Reg #..: 005994
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 Utilit otification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0080. You say obtain copies of
these rule or direct questions to OUNC at (503)246 -1987.
Issued by i, cic)(1.AAAxAk..),_ Permittee Signature A.",. il,,,„ _y ., ,
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
l_ , l.2- a 9 r� '3 On =
r ITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b : •
13125 SW HALL BLVD
, ! Date Recd: /a /(o
TIGARD OR 97223 PRINT OR TYPE U I" (73 -0) n
v_ 503 - 639 -4171 X304 Permit #: EL2 98'0333
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
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 5`/95'5 _) A vis - 0 Check Type of Work Involved:
CisylSta // ZiR �Pho ❑ Audio and Stereo Systems
N �/ 7 ❑ Burglar Alarm
g.�J 10-ad d 1 ❑ Garage Door Opener'
OWNER Mailing Address
City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
ADT SECURITY SERVICES, INC. ❑ Other
701 NF HANCOCK
CONTRACTOR Mailing AdcPOINLAND. OR 97212
15031284 265 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 5981/5 Check Type of Work Involved:
data base). Electrical Contr. Lic # w Exp. Date ❑
y Audio and Stereo Systems
C.O.T. or Metro Lic. Exp. Date
❑ 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;
O 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 fi - ' spection when all of the
corrections are completed. ❑ Other
Permits are non - transfer- . : non- - undable and expire if work is not
started within 180 days • * n : . r if work is suspended for 180 days. Number of Systems
The person signing f . '�" ! rmit must be the applicant or a person • No licenses are required. Licenses are required for all other installations
au orized to bi d t = p ! cant.
/
41/ �_—.
1--� ENTER FEES $ r
Si • nature �1
5% SURCHARGE (.05 X TOTAL ABOVE) $ O` I
Authority if other than Applicant TOTAL $
i:\dsts\resele.doc 7/97 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/i.'),pDate Requested � / /h l AM PM BLD
Location �� � Suite /2) MEC
Contact Person � Mc. YeAJ / Ph d7 /` ' - 7/4/ PLM
Contractor Ph 0P71a✓ 02 _Ware SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 33
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
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
ELECTRICAL
Service
Rough In
UG /Slab
GCow Voltage
Fire Alarm
in
AS 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/ ��
Other Date / / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
7/27/99 Activities Case #: ELR98 -00333
5:02:35 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 APPlication Received 12/16/98 DEB MAIL DRA 12/16/98
ELRC003 Permit Created , 12/16/98 DEB DONE DRA 12/16/98 •
ELRC700 Ceiling Cover DRA 12/16/98
ELRC720 Wall Cover DRA 12/16/98
ELRC725 Low Voltage Inspection - 12/18/98 CD FAIL CD 12/18/98 installation not made yet
ELRC799 Elect'I Final JMT HOLD JT 12/17/98 hold final until EIc96 -0352 is
finaled. e-mail to Chuck. and
inspection request for
e1c96 -0352. Jeanne T. 12/17/98
ELRC500 (F) Issue permit 12/17/98 DEB DONE DRA 12/17/98 Per Jeanne T, okay to issue at '
this time.
ELRC799 Elect'I Final 1/11/99 CD PASS CD 1/11/99
ELRC920 Miscellaneous action 1/11/99 CD VOID CD 1/11/99 permit e1c96 -0352, see entry on •
12/18/98
ELRC800 Case finaled • 1/20/99 JT 1/20/99
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