Permit CITY OF TIGARD
A- ,�, DEVELOPMENT SERVI RESTRICTED ENERGY
PERMIT #: ELR97 -0251
DATE ISSUED: 09/02/97
PARCEL: 15134DC -03000
SITE ADDRESS...:1113O SW TIGARD ST
SUBDIVISION -CHERRY HILL ACRE TRACTS ZONING:R -4.5
BLOCK • LOT •1 JURISDICTN: TIG
Project Description : Installing a commercial burglar alarm
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..:
INSTRUMENTATION.: OTHER.. :BURGLAR : :X
TOTAL # OF SYSTEMS: 1
Owner: FEES
TIGARD— TUALATIN SCHOOL DIST type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 40.00 B 09/02/97 97- 298837
TIGARD OR 97223 PRMT $ 40.00 B 09/02/97 97- 298837
5PCT $ 2.00 B 09/02/97 97- 298837
Phone #: 684 -2235 5PCT $ 2.00 B 09/02/97 97- 298837
Contractor:
FIRST RESPONSE SYSTEMS GROUP $ 84.00 TOTAL
4647 SW HUBER ST
REQUIRED INSPECTIONS
PORTLAND OR 97219 Ceiling Cover Low Voltage Insp
Phone ft: 244 -5996 Wall Cover Elect'1 Final
Reg f..: 111713
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 lore 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 952-081 -0010 through OAR 952-01 . You obtain copies of
these rules or dir question t OUNC at (503)246 -1987.
Issued by - 0 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: /V k DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + ++ + + + ++
Call 639 -4175 by 6:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: NJ
1'3125 SW HALL BLVD Date Rec'd: —
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: i_1 q7 -02...S 1
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
N k , , 9 0 Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
� Restricted Energy Fee $40.00
MI ill 3O S. W, r ■ f 6 (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS Check Type of Work Involved:
City /State Phone # ❑ Audio and Stereo Systems
1 _ O 2 2
Name i�1, Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name (� /� ❑ Vacuum Systems*
t eSr RCS POt,42 / t ❑ Other
CONTRACTOR Mailing ` Address
`1 T S. L.), lxc3 14)44 % TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses /%12- T1/4741) 0 2 91 2-17 2 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. 111113 ..-2o 9' Check Type of Work Involved:
data base). �-(ectrical Contr. Lic. # Exp. Date
GCS — 9S'7p C.VE /G- / -77 ❑ Audio and Stereo Systems
C. .T. or Metro Lic. # Exp. Date
311.03- OZ- I a • 31.91 ❑ 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;
❑ 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; ❑
P otective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. Other OW(14
NOT l/Y
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. 6 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
author, d to bind the applicant. ,
' ( , 1 FEES: r �j / CJv �
Signs ure ENTER FEES Pbl,b► p , VI" N $
q tY1
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant
TOTAL $ 94 'O
i Vesele.doc 12/96 _
/ CIT :OF TIGARD BUILDING INSPECTION DIVISION _ O 6 (7
24 -Ho r Inspection Line: 639 -4175 Business Line: 639 -4171 g7 _ Q
? iz-A/ L Date Requested "l
q AM PM BLD
Location \. l L ' L&. \ S-J'dk Suite MEC
Contact Person Ph - ' C 7 - 3.S
Contract• Ph dir 7 — 3 c 3
Tenant/Owner ELC
Retaining Wall � 7 '- �j� S7
Footing Access: Utx.c FPS
Foundation �/ b �� / S V Ftg Drain 1 (� . SGN
Crawl Drain Inspection Notes:
Slab s 7 ^ O QO 6
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear i • / � � ` /'
Framing ' . L/� " C 6%` , ��� Z/' ` "
Insulation X , _ 1
Drywall Nailing 1 0 �� (., �r - C Q g •Nr
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mis
Final
PASS • • RT FAIL
Post & Beam
Under Slab
Top Out \L
V, ` Water Service
Sanitary Sewer
`;. Rain Drains • ., ; ,•
�ana�l
SS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PAS PART FAIL
4
ckfill /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
Ap rSidlk
th oach /
"YO�[ ewa� e.r;. Date - Th/ L Vc Inspector \ Ext
anal ,
■"-)
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
Date: /4 M
C/\ 1 I
N. CRY OF MARC,
•
\ (e) G OREGON
Address J Permit #
To Whom It May Concern: RESEARCH A C/ C
The permit listed above is currently inactive in our file and apparently went un- noticed,
either by never being inspected or it failed and was never re- checked by one of our
inspectors. Whether or not this be another attempt to make the required inspection, or the
first attempt, {or} creating a new permit, it is the responsibility of the owner to make the
necessary arrangements to obtain compliance and complete the inspection process.
Therefore, you are hereby advised to make these arrangements as early as possible, but no
later than 10- working days. I would be most please to assist you in any way that I can,
but you must contact me to do so. You may reach me at 639 -4171 ext. 319 between the
hours of 08:00 through 09:00 and at 3:00 through 4:00. If an emergency should arise you
may page me at 955 -5665 during the remaining hours.
Issue Date: j/k0 7 Original Notice Date: 77/--1/6 (See Inspection Card)
Th following procedure shall apply: This is your-
1/First Notice- Make the necessary arrangements as mentioned above; Call 639 -4175 or
for work without a permit(s) call 639 -4171 Ext. 310 (Jeanne).
Second Notice- Without consideration to the contents of the first notice, a
re- nspection fee shall be assessed in the amount of $ , AND an investigation
°1t) fee shall be assessed in the amount of $ . The investigation fee shall be
100% of the permit fee. All fees shall be thereafter doubled.
TOTAL DUE: $
_ Third Notice- All fees mentioned above are payable before any inspection can be
made. If arrangements are not made within 10- working days from the day of this notice,
the City of Tigard Code Enforcement Agency will be notified and a Civil Infraction
notification will be delivered to the principles in ownership of the above noted address.
All prior fees shall be carried over and doubled and not withstanding any fees assessed by
the Civil Infraction Notice.
2 NOTICE: DUE $ (2) = TOTAL DUE $
It is with my deepest appreciation, that you help in any way that you can to bring closure
to this permit {or} lack of. If you wish to speak with me, please do not hesitate to call.
Thank you for your patience and pro attention regarding this matter.
Rick Bolen
City of Tigard Inspector II
• w •.' 97713 ).639 -4171 TDD
a4f
__
Y ; ±" r