Permit ` ~ CITY OF TIGARD ELECTRICAL PERMIT -
.RESTRICTED ENERGY
° iIl& DEVELOPMENT SERVICES PERMIT #: ELR98 -00312
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/11/99
SITE ADDRESS: 11130 SW TIGARD ST PARCEL: 1 S134DC -03000
SUBDIVISION: CHERRY HILL ACRE TRACTS ZONING: R -4.5
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: Installation of data telecommunication.
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:
NEW TECH ELECTRIC
1400 NE 48TH AVE
HILLSBORO, OR 97124
Phone: Phone: 503 - 648 -1900
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'l Final
PRMT DLH 11/12/98 $40.00 98- 310755
5PCT DLH 11/12/98 $2.00 98- 310755
Total $42.00 ORIGINAL
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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. p J / `
Issued by 0, IL L— �il � Permittee Signature, \ / / lCAien'l —
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: 1 t DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
.5T(30 5 .
CITY.OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: .2=
13125 SW HALL BLVD Date Rec'd: ii/ /Z/97
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: CZ-2 . ?? . 1:53/0 2 - ,
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS ,,f
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
N Restricted Energy Fee $40.00
Ota if 0/17.-M5
(Jt&J . Re t J gsb, (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS l 1 130 6 1 / Check Type of Work Involved:
Cf y /State L Zip Phone # ❑ Audio and Stereo Systems
' ►v c ( q7L?
Na •
❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
N -C" l £ifdyz__ ❑ Other
CONTRACTOR Mailing Address
I '4no MA. [{gam- Nme-- TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a CV /State Zip Phone # Fee for each system $40.00
copy of all licenses tWfj l7 1 Y gip 41p ea C/a) (SEE OAR 918 - 260 -260)
are required if Oregon Contr. B d Lic. # Exp. D to
expired in C.O T. 21 18( /Z9 Q7 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
(I Ig G ,/o/07 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
O 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;
❑ 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. I 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.
EES: �/ uV /�,
Signature
/�> ENTER FEES $ / 0 '
5% SURCHARGE (.05 X TOTAL ABOVE) $ -D0
Authority if other than Applicant TOTAL $ 4a .6-61
i \resele doc 12/96 —
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location /// 30 1'i4 / X71 Suite MEC
Contact Person Ph PLM
Contractor A k, v - Feevl 5b-e- r(� Ph '7 /qDO SWR
BUILDING Tenant/Owner 9e/4d1--e , J ELC
Retaining Wall ELR 15?" 29' la_,
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: p
� �
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling Y.S e Yyj ^- 4 S S
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
PA RT FAIL
TRIO
Service \I
Rough
UG /Slab In
�o�ge
Fi - Alarm
PASS 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 Q
Other oach /Sidewalk Date OW < 99 Inspector ,R,_4iht1Z4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
4 111 11111 kITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -41775 Business Line: 639 -4171 97-- DO 7 v
ate Requested
J\ AM PM
/ �1 BLD
v
Location / G 1 3 Sly(/ l l �i�- - Suite MEC /�
Contact Person Ph 4x. ` 7— 00
ContracjQr Ph SVVR
j3 1i1C6 TR G Tenant/Owner ELC Q
e all <L9 / ,F- 03/ X
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ 006 ,6
SR
Post & Beam
Ext Sheath /Shear
Ina Sheath/Shear te — o 641
_ . r , r
Framing `"
inulati
D on SL OS , . W/7/99 5 �
Drywall Nailing r` 9 T_
Firewall CKg — /f7 /y % G
C�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mist
�anal��
SASS ART FAIL
Post & Beam
Under Slab
Top Out G�
Water Service 1 A
Sanitary Sewer
Rain Drains
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS P T FAIL
ECTRIC
Service ,
Rough In
UG /Slab at' _
Low Voltage
Fire Alarm t1/4,5
in
PASS PART 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: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
0th- Date Inspector Ext
S PART FAIL DO NOT REMOVE this inspection record from the job site.