9416 SW WASHINGTON SQUARE ROAD 3
ADDRESS:
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CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: 3~� _ ! '� _ A. . Y.M. _ MST:
Location: BUP:
Tenant: FOO77-0t� i L Suite: �Blldg: MEC:
Contractor: _ / � Phone: —G PLM:
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Owner: Phone: �'' ELC: _
767��' — �._ EI,R:��1
SIT: _
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam T-0-i—ammme-'"- Sewer/Stonn
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer flood/Duct Rmonnect. Vault
Bsnit Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C -- — I1ETfilet`�
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih Ileat Pump ,ow o
Approved Approved Approvedpprovlql� Approved
Appr/Sdwlk Not Approved Not Approved Not Approved o pproved Not Approved
FINAL FINAL FINAL FINAL FINAL,
-_z_2k' 4 4 _------- -
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C7 Call lot reinspection Reinspection fee of$ _ required before next inspection C7 unable to inspect
Inspector: _..___.___- -_- -___-- Date: =_�_ `-_ G-_ Page —of-
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 9727.3 (503)639-4171 ELECTRICAL PERMIT — `
RESTRICTED ENERGY
PERMIT #: ELR98-0048
DATE ISSUED: 0;x/13/98
PARCEL: 1SI26CO-01107
SITE ADDRESS. . . :09416 SW WASHINGTON SQUARE RD
SUBDIVISION. . . . : ZONING:C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDICTN: TIG
Pro Ject Description: Add protective signaling to an existing tenant occpy.
A. RESIDENTIAL----------- B.
AUDIO & STEREO. . . : AUDIO & STEREO;. . : INTERCOM & PAGING. . .
BURGLAR ALARM. . . . : BOT!ER. . . . . . . . . . . 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: I
Owner: --------------- ------------------ --------------------- FEES
KINNEY SHOE CORP type amol-tnt by date reept
233 BROADWAY PRMT $ 40. 00 GEO 02/13/96 98-303283
NEW YORK NY 10018-0000 5PCT $ 2. 00 GEO 02/13/98 38-303283
Phone #: 000-000-0000
Contractor: ------------------------------------------------------------------------
ADT SECURITY ALARMS t 42. 00 TOTAL
703 NE HANCOCK
REQUIRE[) INSPECTIONS -------
PORTLAND OR 97212 Low Voltage Tnsp
Phone #.- 284---3265 Elert' l Final
Reg #. . : 000599
This pprsit 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 peroit will expire if work is not started within 180
days of issuance, -r if work is suspended for sore than 180 days. ATTFNTICN,. Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through DAR 952-001 -0080. You say obtain copies of
these rules or direr ',-at (503)246-1987,
lcisLted b Permittee Si gnat k(re_
----_.--_----------.-.--_---_—_—OWNER INSTALLATION ONLY—
IT!fe installation is be,'.rig made on property I own which is not intended for
sale, ) t:-ase, or rent.
OWNER' S SIGNATURE: DATE:
----------------------- ---CONTRACTOR INSTALI ATION
Q3
LU SIGNATURE OF SUPR. ELECIN: DATE:
LICENSE NO%
..........................4-+++++,,-+++-V....4............+......4............ .......
Call 639-4175 by 7:00 P. M. for- an inspection needed the next bLISiness day
.....................4.........................4.......................4..........
,--- &_ ,-1,, /,,��y S 0 93-1I`J ff�, 6 - C'
CITY Or TIGARD ' RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13,125 SW HALL BLVD Date Recd: _
TI ;ARD'OR 97223 PRINT OR TYPE
V - 503-639-4171 X304 Permit#: Ezj�q� _'To
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
_»
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
JOB Street Address ! Ste#
, -<-0) �t��,ti Check Type of Werk Involved:
ADDRESS 9`f/
Ci /StMe Zi Pho # F] Audio and Stereo Systems
Na ❑ Burglar Alarm
OWNER Mailing Address __ ❑ Garage Doo, Opener'
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
Name ~� ❑ Vacuum systems-
ADT SECURITY SY9,TEMS,1K ❑ Other_
ma ItANCOCK ---
CONTRACTOR Mailing Address poRTI AND.OR 91212
,03 284:1265 TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to issuance n City/State Zip Phone# Fee for each system.......................................... ... $40.00
copy of all licenses I (SEE OAR 918-260-260)
are required if Oregon Contr. Brd Lic.# Exp. Date
expired in C G.T. T Check Type of Work Involved:
6ata base) Electrical Conkk L c # Exp Date
❑ Audio and Stereo Systems
C.O.T. or Metro Lic.#V Exp. Date
❑ Boiler Controls
Owner';;Na�e r yy77 /
/T.CL lir //444- (-`7 $2Sy y 3 ❑ Clock Systems
OWNER - Mailing Address
F-1APPLICANT Data Telecommunication Installation
CitylState y 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 E] 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 installatior-ander 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 Assumt responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
r.L inspector are done,and;
Ce14Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
_ corrections are completed. ❑ Other
i--
J Permits are non-transferable and non un able and expire if work is not
started within 180 days of is uan�cP r if rk is suspended for 180 days Number of System
The person signing for / per ft t be the appliccnt or a person No licenses are required Licenses are required for all other in,,tallations
r�r li
authorized to bind th pcan
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FEES:
f ENTER FEES $_ V r
Si nature
5%SURCHARGE(.05 X TOTAL ABOVE) $ c7<
Authority if other than Applicant TOTAL
i.wstsuesele.doc 7/97 —— —
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