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Permit 2. A ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY lli DEVELOPMENT SERVICES PERMIT #: ELR1999 -00271 A.191 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/1999 SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 PARCEL: 2S112DD -01600 SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG Project Description: Data Telecommunication installation. • 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: Contractor: PACIFIC REALTY INFRARED TECHNOLOGIES • 15350 SW SEQUOIA PKWY 465 NE 181ST AVE SUITE 300 STE 471 TIGARD, OR 97223 PORTLAND, OR 97230 Phone: Phone: 800 - 552 -8100 Reg #: LAC 00072535 ELE 34352CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DST 11/18/199E $60.00 99- 319857 Elect'I Final 5PCT DST 11/18/199E $4.80 99- 319857 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 ' 52- 001 -0080. You may obtain copies of these rules or direc questions to OUNC at (503) 246 -1987. / i Issued by 4 ` /� % � ��� Permittee Signature , - 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: //11//--- /• DATE: LICENSE NO: • Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day (L►? 1 4'55 -e a7/ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION . Rec'd by: 13125 3�W HALL BLVD Date Rec'd: TIOARD OR 97223 PRINT OR TYPE V - 503 - 639 -4171 X304 Permit #: F - 503 - 598 -1960 . INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $60.00 A UT Contnre aT it. (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS AS .S` &(4. &t/0 164- / Yv Check Type of Work Involved: C b State c/ Zia ? —6 /0 y ❑ Audio and Stereo Systems lacj Nan'fe ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener* City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* Name -Lk 4 /�G4 140 /Of ii.x [ Other lifieli CONTRACTOR Mailing Address 96s xi - C 18'1 sT s¢ ) / TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a ,.9{ty /State ' Zip Phone # Fee for each system $60.00 copy of all licenses 1 ct o Z 3f-2 (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Exqq. Date • expired in C.O.T. 7 Z. f31" 3/21, NJ Check Type of Work Involved: data base). Electrical Contr. Lic. # ,_ Exp Date 34 35 G L E rOl t(60 ❑ 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 1 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. FEES: I nat rue ENTER FEES $ (/ 9 8-'11a obi$ ✓ SURCHARGE (A9 X TOTAL ABOVE) $ Authority if other than Applicant TOTAL $ 6 g C-) i:\dsts \forms\resele.doc 3/98 02/17/2000 Activities for Case #: ELR1999 -00271 • 3:37:09 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 Application Received 11/18/1999 . GEO RECD No Hold DST 11/18/1999 ELRC003 Permit Created 11/18/1999 GEO DONE No Hold DST 11/18/1999 ELRC725 Low Voltage Inspection No Hold DST 11/18/1999 ELRC799 Elect'l Final 02/01/2000 BRP PASS No Hold AKJ 02/02/2000 ELRC500 (F) Issue permit 11/18/1999 GEO DONE No Hold DST 11/18/1999 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 BUP Date Requested O f t J(J AM PM, BLD Location I S S-7 S Se I o suiteCiga MEC Contact Person f V1 Ph? 7- S2 PLM Contractor Ph SWR BUILDING Tenant/Owner EL& 725t1)-0000 OO Retaining Wall ELR t g ° q D(3 Z? Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: C „ n n �° SGN Slab �J�C SIT Post & Beam 6/ 1 )I1 /id e Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm / 71-4 ye,, R Susp'd Ceiling r ( � , , l 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 UG /Slab Low Voltage Fire Alarm `ART FAIL 'FE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before n- 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 Date�� ` © � Inspector/ _ei . I Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.