Permit �,.. CITY OFTIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT.
PERMIT #: ELR98 -0261
DATE ISSUED: 09/17/98
PARCEL: 2S1O1DC -03900
SITE ADDRESS... :07150 SW SANDBURG ST
SUBDIVISION.... „SALEM FREEWAY, SUBDIVISION ZONING :C -P
BLOCK..........: LOT... °.. °...... :004 JURISDICTN: TIG
Project Description: Progressive Insurance TI - card access system
A. RES I DENT I AL B. COMMERCIAL --
AUDIO & STEREO...: AUDIO & STEREO.. INTERCOM & PAGING— :
BURGLAR ALARM BOILER LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER ° CLOCK. .... ° °. ° ° °° MEDI CAL ...... ° °.°°°.
HVAC DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM FIRE ALARM ..... °: OUTDOOR LANDSC LITE:
OTHER: ° ° HVAC PROTECTIVE SIGNAL..
INSTRUMENTATION.: OTHER.. :CARD ACCES : :X
TOTAL. # OF SYSTEMS: 1
Owner: ---------- _.____ ------ ___..__-- .----- ____ -• FEES _ -._
PROGRESSIVE INSURANCE type amount by date recpt
PO BOX 94568 PRMT $ 40.00 JSD 09/17/98 98- 309235
CLEVELAND OH 44101 SPCT $ 2.00 JSD 09/17/98 98- 309235
Phone #:
Contractor: - -- - - - - -- - -- -- ENTRANCE CONTROLS INC $ 42.00 TOTAL
2910 1ST AVE SO
-- • - - -•- REQUIRED INSPECTIONS ---
SEATTLE WA 98134 Ceiling Cover Low Voltage Insp
Phone #: 2832533 Wall Cover Elect' 1 Final -
Reg #..: 000655
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 r'.e ado ed by the
Oregon Utility Notification Center. Those % s are set forth in OAR 952 -001 -0010 through OAR 952-001-0080. Yo may o tain c ies of
these rules or direct questions to OU . '� , )246 -1987. (12/0
Issued by / 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: DATE:
LICENSE NO:
+ ++++++• f++±++-+.-+- h+ +++-- + ++*++ +++ + + + + + +++ + + + + + + + ++ f+ + +± + + + + ++ + + + + + + + + + ++ +.+ + ++ +± + + ++
Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day
+ ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + ++ ++ ++ + + ++ + + + ++ + + ++ ++ + + ++
r ^r " j
�\Y J
T1' * O TIGARD ¢ RES.TFICTED ENERGY ELECTRICAL APPLICATION ec'd by:
13125 SW HALL BLVD (_C 0 ° ID Date Rec'd:_ /99/
TIGARD OR 97223 . PRINT OR TYPE g�, 6 ��/
V - 503- 639 -4171 X304 �.��� ., ". 0 � Permit #:6��
F - 503 - 684 -7297 �� INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: ,.r,r
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
Pr o6 (2 Sal u Z jV5c✓IA-146E" (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 7150 S1,v. SAK S£i i Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
fl Or q-722 5
Name ❑ Burglar Alarm
P rO - 0751 ✓ C ZNsv/ C,E ❑ Garage Door Opener'
OWNER Ma)ly dre„
ar l ��� Q p +CC �D LZi / Phone # ❑ Heating, Ventilation and Air Conditioning System'
`� ( ❑ Vacuum Systems'
Name
" `^ '
Ej171 - v /E C Oh l-5 J st'c ❑ Other
CONTRACTOR Mailing Address 2 c� ivC 40 5 v �t� too TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a tty /State Zip Phone # Mpg Fee for each system $40.00
copy of all licenses V A{tiCODUU - (..00 • R ebeL Z$x -Zss) (SEE OAR 918 - 260 -260)
are required if Orego Con44rd Lic. # Exp. 7te
expired in C.O.T. 5 5711 Check Type of Work Involved:
data base). Electrical Contr. Licit_ Exp, t
3 7.- 365 CL-- icy‘ g n 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 I 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. Vi Other /1 n y sV�i � c 4 2� � /
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 thi rmit must be the applicant or a person • No licenses are required Licenses are required for all other installations
authorized bi the applica .
FEES:
�- ��� 4/0- -'
1g4 Lure ENTER FEES $ PO
5% SURCHARGE (.05 X TOTAL ABOVE) $ 4-
Authority if other than Applicant thAr% (TOTAL $ �24
i tdststresele doc 7/97 v C'z
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p BUP
l - 1 Q 4,57 Date Requested f! Z0 o AM PM BLD
Location 7/50 G�/ Suite MEC
Contact Person (� Ph PLM
Contractor Eft.tiLaAGQ, Ph 2g3-2 533 SWR
BUILDING Tenant/Owner P V-0C712-ESS I v E ( S , ELC ,� /�'
Retaining Wall ELR ''�4
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:0_4� �C SIT
Slab
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
P FAIL
ELECTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire -Alarm
F 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
Other Date / //� / 5 Inspector Ext
Final
PASS PART FAIL DO NOT.REMOVE this inspection record from the job site.