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Permit • CITY OF T I G A R D ELECTRICAL PERMIT - RESTRICTED ENERGY l DEVELOPMENT SERVICES PERMIT #: ELR2000 -00005 c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -41eR / DATE ISSUED: 1/6/00 SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 � ARCEL: 2S112DD -01600 SUBDIVISION: NING: I -P BLOCK: LOT: JURISDltTION: 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: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL INC • 15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PORTLAND, OR 97224 STE 100 PORTLAND, OR 97224 Phone: Phone: 968 -3300 Reg #: SUP 941 -JLE LIC 00057824 ELE 26207CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 1/6/00 $60.00 00- 320972 Elect'l Final 5PCT DEB 1/6/00 $4.80 00- 320972 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 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 b , /, / � ,�., Permittee Signature x r e.d , - e? . mdlioz4 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 £0'd 0961 86S £0S 6b:9 666 t0 -1flf RESTRICTED ENERGY ELECTRICAL APPLICATION . Rec'd y: CITY OF TIGARD R ES Date R 'd: / -4 -c, 13125 SW HALL BLVD PRINT OR TYPE C TIGARD OR 97223 Permit #: CLIC'_'t'�- Ct�(.bs F - 503 - 598 - 1960 INCOMPLETE OR ILLEGIBLE A V - 503-639-417 X304 Cust.Call'd: PPLICATIONS WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL $60 ONLY Restricted Energy Fee - (FOR ALL SYSTEMS) C° ,ee eith „,iia,zcr2. • Str Address Step# Check Type of Work Involved: JOB s # ADDRESS 5 Se i Phone # ❑ Audio and Stereo Systems ❑ Burglar Alarm I_ I 0 • • - ❑ Garage Door Opener' OWNER ❑ Heating, Ventilation and Air Conditioning System' City /State ® Phone 0 ❑ Vacuum Systems' • Name. HONEYWELL ❑ Other CONTRACTOR Mailing Address # 100 TYPE OF WORK INVOLV - COMMERCI ONLY 1 SW - •1 • • ' - . • Fee for each system $60.00 Phone # (Prior of all licenses issuance s Portland • : e ' are required Oregon Contr. B Lie. # Ex.. Date i C.O.T. 1 27 00 Check Type of Work Involved: expired n C.O.T. 0 0 ; data base). Electrical Contr. Lic. # Exp. Da � O ❑ Audio and Stereo Systems 26 - 2 0._7 C C.O.T. or Metro Lie, E Date # 1.1 ❑ Boiler Controls Owner's Name 0 Clock Systems • OWNER - 0 Data Telecommunication Installation City/State APPLICANT ® . ❑ Phone # Fire Alarm Installation This permit is issued under OAE 918 -320 -370. This applicant agrees to ❑ HVAC make only restricted energy Installations (100 volt amps or less) under this permit and to do the following: • ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. ❑ Intercom and Paging Systems Certain residential and other eed licensing; Pt from licensing. These have asterisks(')• AO others ❑ Landscape Irrigation Control' 2. Call for inspections when Installation under this permit.are ready for ❑ Medical inspection at 503 - 6394175; 3. ins the inspector Is out installations that arenot inspect under this permit for an ❑ Nurse Calls t Outdoor Landscape Lighting' 4. Assume responsibility for assuring that all corrections required by the Inspector are done, and; rg Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the ❑ Other corrections are completed. Permits are non - transferable and non- refundable and expire if work is not Number of Systems started within 180 days of issuance or if work is suspended for 180 days. lcant or a person • ' No licenses are required. Licenses are required for all other installations The person signing for this permit must be the applicant authorized to bind the applicant. / / : AOOP rte— / $ 60.00 TER FEES Signa ure 9I; SURCHARGE (.05 X TOTAL ABOVE) 5 4 . S' 0 TOTAL Authority if other than Applicant mrho krrvrnavesele.doc 3/98 02/17/2000 Activities for Case #: ELR2000 -00005 3:37:20 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 Application Received 01/06/2000 DEB DONE No Hold DEB 01/06/2000 ELRC003 Permit Created 01/06/2000 DEB DONE No Hold DEB 01/06/2000 ELRC725 Low Voltage Inspection . No Hold DEB 01/06/2000 ELRC799 Elect'I Final 01/06/2000 01/06/2000 02/01/2000 BRP PASS No Hold AKJ 02/02/2000 ELRC500 (F) Issue permit 01/06/2000 DEB DONE No Hold DEB 01/06/2000 ELRC800 Case finaled 02/02/2000 AKJ DONE No Hold AKJ 02/02/2000 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,,c���n BUP Date Requested () AM ,) ( PM, BLD Location I J S7 S segj 464 SuiteC ga MEC Contact Person Q() V) Ph?, j 7— Std ) PLM Contractor Ph SWR BUILDING Tenant/Owner EL& 7 ©0 Retaining Wall ELR I cjq q -06 Z 1 Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: n n n ^° SGN Slab (— „ fi P y� SIT Post & Beam (PIL�i 1i ✓l i L �/ `' Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm r A Susp'd Ceiling R l 4-- / !9 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 T FAIL ECTRICAL Service Rough In C� )/ UG /Slab `I Low Voltage Fire Alarm ASS ' ART FAIL �tTE� Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before n- inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date ') L ©� Ins ector���_.`i I_ _e t . '� Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.