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12085 SW HALL BLVD STE 140-2 i F- ti 0 00 Ul �n x r � r r c d v� H tiJ �I n i i 12085 SW HALL BLVD, STE 140 1 r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 BL •iness Phone: 639-4171 Forting Rain Drair. Cover/Service FIivAL: I Foundation Nater Linh Ceiling -Plumb. Post/Ea-am Mach. Shear/Choath Framing -Mach. Plbg.Ur.r'/Fir/Slab Plbg.Top Out Insulation �e(4' Post/Beam Struct. Mech. Rough-In Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik, Reins. Other: Date: _� �� --A.M. P.M. Entr Address: — Tenant: �� J- -.-_y f 5ta:--- MST: Con/Own: 'L/s�!YL MEC -- --_ —7" MEC: 1 PLM: ELC: 7,26 J-0 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: In -c"_._._�-�F' _ Dater _ APPROVED DISAPPROVED/GALL FOR REINSP. (, qF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -F1umb. Post/Beam Mach. Shear/Sheath Framing -Mach. FIbg.Und/Flr/Slab Plhg. Top Out Insulation -Elec Pu.,t/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. kuC� Date: A.M. P.M. Entry: -- Address: ►•L _ Tenant: _ _ Ste:./ MST: Cnn/Own: �?�CL n(r-� YL1L. 1 y�'�IGY� MEC: PLM: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: d�7- C� ;pf . r i , �1___ _ Inspector: � Date: APPROVED —_DISAPPROVED/CALL FOR REINSP. F CO CITY OF TIGARD BUILDING INSPECTION NOTICE Irspection Line: 639-4;75 Business Phone: 639 4171 Footing Rain Drain Cover/Service NAL: Foundation Water Line Ceiling Post/Beam Mech. Shear/Sheath Framing ec . Plbg,Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/B+;am Struct, Mach. Rough-in Gyp. Bd. Idg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: ,E7R L_! A.M. —P.M. Entry: Address: �.�11 S G✓ ��/� Tenant: _._. — _ Ste/Ho— MI Con/Own: PLM: __— ELC: THE FOLLOWING CORRECTIONS AHE REQUIRED: ELR: Of Inspe r: _ _ Date: ZA I 7PPROV DISAPPROVED/CALL FOR REINSR Cr CO �1 i 1 CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line (Nec-O-Phone): 639-4175 Business Phone 639.4171 Inspection: I ( U-(0 Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -PI-imb. Alarm Water Line Insulation -Mach. Under'Ir. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_1- Time: AM PM Address: .�Jz, � { Builder:; � � ?�, i It 1 =�j_,Permit THE FOLI,qWiORRECT 6, ,A REQUIRED: , ' no `t Inspector1�e u Dater _ AAPPROVED _DISAPPROVED !APPROVED SUBJECT TO ABOVE _Call For Reinsp. C7 CITY GF TIGARD DEVELOPMENT SERVICES JL 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL PERMIT PERMIT #: ELC95-0614 DATE ISSUED: 02/19/97 1�(� PARCEL.: aS102AA-00490 SITE ADDRESS. . . : i w085_, SW lAALL BLVD -4, SUBDIVISICN. . . . : ZONING:CBD BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . . .. Project Description: One misc. ---RESIDENTIAL UNIT------ ----TEMP ERVC/FEF-DFRS-_-__ ._._.._--MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . .. . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . 1 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 1 LIMITED ENERiY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ ",VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 _SE_RV I s. _./FEEDER--- -----BRANCH CIRCUITS--- - -_ ADD' L INSPECT IONS-.- 0 - 200 amp. . . . . . : 0 W/SE RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . ., . „ 0 EA ADD' L BRNCH CIRC: 0 IN PLAN'T. . . . . . . . . . . . o 601 - 1000 amp. . . . . 0 ___._____.______.__._-r'LAN REVIEW LECTION--- ].000+ amp/volt. -.: 0 ) =4 REQS UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLABG AREA/SPEC OCC. : Owner: ___.______._._. ____._..__..__.____.._._________.____________.__- - FEES SALEM SIGN CO INC type amor_int by date recpt 1825 FRONT ST NE: 1='RMT $ 40. 00 CJS 1.2/08/95 95--273714 5PCT $ x. 00 CJS 12/08/95 `35...273714 SALEM OR 97303 Phone #: 503-371--6362 Contractor: SALEM SIGN CO INC $ 42. 00 TOTAL 1825 FRONT ST REDUIRE.D INSPECTIONS SALEM OR 97303 Ceiling Cover, Elect' I Service Phone #: 503--371-•6362 Wail Cover Elect' 1 Final Reg #. . - 65 :97 This permit is issued subject to the regulations :n.t.ained in the Tigard Mui icipal Code, State of Ore. Specialty Codes and all other Permittee Signatory applicable laws. All work will be done in acrordance wi�� approved plans. This permit will eeplre if wars is not starte,' within 180 days of issuance, or if work is suspended for more than 188 days. Issued By _..._......_ ..__._---_....._...._. ...._...__ ._-...._--OWNER INSTALLATION GINLY__.____.___-_._.___._.____.__.____._..._ The installation is being made on property I own which is not intended for- sale, orsaley lease, cir, rent. OWNER' S SIGNATURE: - _ DATE: INSTALLATION SIGNATURE Or SUF'R. ELECT' N: _.__... � _ DATE: LICENSE NO: Call for- inspection - 639 -4175 M m m rrl m m 0 0' o -4 a o .Z oo O O O O rp W N, y m m N 'J ro ro ro — 07 N T _n : T @ n D CD O 'm o n roa a m O _ a D ' LD fU 2 O v m D 0 la O O O io —t i ELECTRICAL PERMIT (�. CITY OF TIGARD PERMIT #: ELC96-0044 COMMUNITY UEVEI-OPMEN'T DEPARTMENT DATE ISSUED: 01/22', )6 13125 SW Hall Blvd,Tigard,Oregon 97223.IN (503)639-4171 PAr10Ew1-: RS102AA-00490 fiL)1:iF?[S';' . . . : 11.-.065 514 HALL BLVD #140 SUBI,M S I ON. . . . : 7.ON I NG:CBD BLUCK. . . . . . . . . . . LUT. . . . . . . . . . . . . Project Description: Install one ervice or feeder, and six branch circl.iits. -- RESIDENTIAL UNIT---- ---TEMP' SRVC/FEEDERS-.----- -------MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500`aF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT L.INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401. 600 amp. . . . . . . : 0 SIGNAL/P'ANCL. . . . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps- 100Q volts. : 0 MINOR LAPEL ( 10) . . . : 0 CIRCUITS - ADD' L_ INSPFCTIONS- 0 200 ramp. . . . . . : 1 W/SERVICE OR FEEDER: 6 PER INSPE:CTION. .. . . . : 0 201 400 amp. . . . . . : 0 1'st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . s 0 401 600 amp. . . . . . : ki EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . a 0 601 - 1000 amp. . . . . : 0 -- - --_.-----__._-FLAN REJIEW SECT ION___...__..__----_--___. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect- only. . . . . : 0 SVC/f'1)R ) a E._5 AMPS. . : CLASS AREA/SPEC OGG. : Owner: FEES NAPA _______-____.._.__...__.__.._____._----._..._._______�_______'.__._.____ __✓� ype +mount by daterecpt�- ._ 1 085 SW HALL_ BLVD PRN I $ 90- 00 CJS 01/22/96 9E-275177 5PCT 1 4. 50 CJS 01/22/96 96--275177 TIGARD OR 97223 'hone #s Contractor: __.__------__-------------------._-.--------_-___.-----_-_.-.--__---___-.__ NORT14WE GT CONSTRUCTORS `c 94. 50 TOTAL 10180 SW PARK WAY ------ REQUIRED LNSPE"C:71061S - P(:)RTL.AND OR 97225 Wall Cover, Phone #: Elect' 1 Service Reg #. . . This pereit is issued subject to the regulations contained in the Tigard Municipal Code, State of Gre. 5oper.alty Lodes and all other 'm ' pe Sig r e _ applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is not startea within 188 days of issuan^e, or if work is suspendel for sore than 180 days. Issued By ___...___.___._ -OWNER INSTAC_LOT ION ONLY-------------------------.__.-._. 'The installation is being made on property I own which is not intended for, sale, lease, or rent. OWNERS SIGNATUREa __—_—_----------_—_—___--.CONTRACTOR INSTALLATION ONLY---------------_____ _--_—_---_ SI©NATURE OF SUPR. ELEC' N: . �._..._ DATE: LICENSE N0: Call for inspection - 639-4175 0040 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # Date Issued - ? Phone (503) 639-4171 CITY OF TlGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: _ u 4. Complete Fee Schedule Below:�� �I Name of Developmentde/z �e e,� dpi Z C% Number of Inspections pe" permit allowed Address1 '� /1,�- Service included. Items Cost(ea) Sum City/State/Zip /� �� �(� J�, +2 4a. Residential -per unit y/- /,.O 1000 sq. ft or less $11000 4 Name (ol name of business) L<< ���/ Each the elf sq N.or portion on thereof $2500 Commercial �- Residential ❑ I imhed Energy ^_ $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6800 _ 2 2a. Contractor installation only: 4b. Services or Feeders f/�/ / Installation,alteration,or relocation Electrical Contractor�Cir77`l�'{ irKS �' a J 200 Imps or lesr Eso 0o c:._Cy_ Address Ct/F G S i.v�Lr- � 201 a ops to 40( amps $8000 2 Cit 1c+�^ ��• 401,mps to 600 amps $12000 _ 2 y� State__ /� Zip ' 2S g01$;nos to 1000 amps $180 00 _ 2 Phone No. T-0 3 ,Z -7-2— 7(e _ Over 1000 amps or Vohs $34000 _ _ Z .lob NO. Reconnect only $5000 _ contractor's license NO. 9 4 : 9 L 4c.Temporary Services or Feeders Contractor's �upoard Reg. N Installation,alteration or relocation 200 amps or less tI Signature of ra Elec' phone No. 6` 201 amps to 400 amps $5000 ----` 7 License NI -41 401 amps to 600 amps $7500 '-' -- Over 600 amps to 1000 volts $100 uo ------ 2b. For owner h. ;tallations: see"b"above 4d. Branch Circuits Print Owner's Name_ — __ New,alteration at extension per pane Address A)The fee for branch circuits with purchase of service or feeder fee. , City _ _ State Zlp _ Each branch circuit _ $500 Phone No. _ ___ b)The fee for branch circuits withou The installation is being made on property I own which is purchase of service or feederfa+. ` 2 First branch circuit $3S09 not intended for sale, lease or rent Each additional branch circuit __ $5 co Owner's Signature 4e. IVliacellansoLlb (Service or feeder not Included) 3. Plan Review section (if required): Each pump or irrigation tangle $4000 Each sign or outline lighting �- $4000 �_ Signal circuh(s)or a llmltud energy Please check appropriate item and enter fee in section 5R panel,alteration or extension $4000 ` 4 or more residential units in one structure Minor Labels(10) 110000 Service and feeder 225 amps or more _ � I 4/. Each additional inspc!cticn over System over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupancy per inspection $ay 00 c,s described in N.E C Chapter 5 $5500 Per hour $55 00 In Plant S5500 Submit 2 sets of plans with application where any of the above _ Apply. Not required for temporary construction services. 5. Fees: 5a. rneer tot- of above fees $ ya NOTICE 5%Surcharge (05 X total fees) $ y• 5 U PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _ 8b. Enter e A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF vi Plan Reevieww if required (Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. mrom���.r., Trust Account 0 �m sm Balance Due _ �) v._ 1 CITY OF T I GARD ELECTRICAL PERMIT RESTRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR9C-0038 13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (50.1)539.4171 DA 1'E ISSUED: 01/22/96 FT)RCEL- 25112ld-Ar' 00490 SITE ADDRESS. . . : I2'OB5 SW HALL BLVD #140 SUBDIVISION. . . . : ZONING:CBD BLOCV. . . . . . . . . . : LOT. . . . . . . . . . . . . ProJect Descr,ipt i on : LIMITED ENERGY FOR NAPA/HALL STREET CENTER — NO TENANT TENANT IMPROVEMENT ISETWEEN HAIR SALON & CLEANERS A. RESIDENTIAL-- 0. COMMERCIAL..- AUDIO 8, STE=REO. . . : AUDIO & STEREO. . : !NTE RCOM & PAGING. .. : BURGLAR AL..ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT', . . GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . 11 . . . . . . . . HVAC. . . . . . . . I . . . . . DATA/TELE COMM. . . NUP5E CALL_5 . . . . . . . . VACUUM SYb1 EM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE- UJ 1-HE R 1-4VAC. . . . . . . . . . . . : X PROTECT IVE SIGNAL. . INSTRUMENTATION. : OTHER_- TOTAL # OF SYSTEMS,., I PAppl. icant �- --------------- --------------------------------------- FEES NORPAC DEVELOPMENT f*JRP type amount by date t-ecpt 10180 SW PARK WAY PRMT 40. 00 JDA 01/22/96 96—j75177 SPCT $ 2. 00 JDA 01/22/96 96-275177 PORTLAND OR 97225 Phone #: 503-292-7644 NORTHWEST CONSTRUCTO!15/BEARDAL $ 44. 00 TOTAL 10180 SW PARK WAY REQUIRED INSPECT IONS PORTLAND OR 97225 Ceiling Covet- ,:tl I Set-vice F-It-ione #t 292-7644 Wall Co r E ect' I Final Req #. . - 34388C This clermit is issued subject to the regulations contained in the Tigard Kinicipal Code, State of Ore. Fpe ilty Codes and alli other =et 1e 'i t ur,e applicable laws. All work will be done in accordance with approved pins. This pervit will expire if work is not started withir 180 days of issuance, or if work is su,pendee, for tore than 180 days. S _y INSTALLATIZ The instAllatinn is being made on property I own which is not intended for sale, lease, or- rent. OWNER' S SIGNATURE.: DATE: ._.__.._-____CONTRACTOR INSTALLATION SIGNATURE OF! SUVIR. ELECIN.- DATE: 1_.ICENSE NO: Call for inspection - 639-4175 ' Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 3125 SW Hall f / -- Tigard,OR 97223223 7 PERMIT# ��"�!�"C� Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INST TION 4. TYPE OF WORK �ess RESIDENTIAL—Restricted Enemy Fee. . . . . . . . . 140,QQ 710� (FOR ALL SYSTL`MS) State Zip Check Tvn�Qj�york Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK I)NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WO,!K is SUSPENDED FOR ❑ Audio and Stereo Systems E 180 DAYS. IJ Burglar Alarm ❑ 13arage Door Opener' 2. CONTRACTOR APPLICATION fe� Heating,Ventilation and Air Conditioning S sten r e,4. Fb g Sy. Contractor r/a 'I!�c t +SYpe_t7��-1/4--4�- f ❑ Vac,ium Systems" Address /(9rO SW -0 (,� ❑ Other_ ,r Date r2 49 199 COMMERCIAL--Fee for each system . . . . . . . . . $40.00 / (SEE OF,R 918-260260) Property Owner p p u s O.� ,r C/O (SEE -�-" Chet Tyles-lNs2rk lnvoived: Contractor's Board Reg. No, _�/Of. (px.� ❑ Audio and Stereo Systems _ \ El Boiler Controls Phone#�S dJ.- _ " Fr _4 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ fire Alarm Installation ;& HVAC Print Owner's Name phone No ❑ Instrumentation Address El Intercom and Paging Systems ❑ tandscape Irrigation Control' City State Zip ❑ Medical This permit is ic,ued under OAR 91 u•320.170 This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the PJ Outdoor Landscape Lighting* Inllowing 1. Only use electrical licensed persc:ns to do instailitions where required.Wertain C3 Protective Signaling r,sidential and other transactions are exempt from licensing.These have ❑ Other asteriskw).All others rived licensing). 2. (all for an instmclion when all of the installations under this permit are ready for insl t non at 1,01 t0l)-4171. ❑ _�_ Number of Systems 3 I'urrhas+•st,paraty pvanits for all installations that are not ready for Inspection when the ins1w,mr i,t nit to insrwct under this potmit. •No licenses are required. licenses are required for all other Installations. 4. Assume responobifity(or assuring that aft correcit is required by the inspector are done,.md 5. Assume responsibility for calling(or a final inspvc-oon when all of the 5. FEES t orrvctinns art,completed. �( Thr person signing for this permit t st b the applicant or a person a. Enter Fees $ t O' 00 authorized and the applicant., h. 5%Surcharge(05 x total above) $ Sign ur` TOTAL $ x- 06 Authority if othm than applicant ENERGAP.CHP r CITE( OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd,, Tigard,OR 97223 (503)ti39-4 1,'1 CERTIFICATE OF OCCUPANCY PERM IT #. . . . . . . .. 8()Pq6--Q4@,jk?, DATE ISSUEI)t KV06/57 PAPCEI- Ir 2S10.?AA- 00490 ;TTE ADDRESS— i 1,2085 13W HALL BLVD #140 SUBDI V 1 G71 U)N. . . . i 7ON1NGtC8V B1_0 C,K. . . . . . . . . . e LOT. . . . . . . . . . . . . CLASS OF WORK. SALT TYPE OF USE. . . -COM TYPE 'IF (-'ONGTR-5N OCCUPANCY GN;-'. :8 OCCL;PANCY LOAD: 40 TENQNT NAME . . , :NAPA Au ro Rpwrvai'ks : Intet-jow- fiiii shiny tori vacant tenant Space TENANT IMPIRC.)KHENT SETWL.0-4 HAIR SAL-ON & CLEANERS NURPAC DFA)ELOPMENT CORP 10180 SW PriAK WAY POR11.AND nR 97225 Phone #.- 503-292-7644 cont I-or,t or I NOP11-1WL-ST r.DNS 7 RIK'TORS/8EARDAL lfit lt,0 5W PAPP, WAY PORTI-AND OR 97 .25 Reg 34388 Iflit Uevtlfirate p-ants (jac".1panvy of the iibovp ),efoy,eoced building oy, portion thereof' ;-.Avid coy1fiw-m% that the buildiiirj has inspected far- C0M1:01iA,--tt With the '3tate of Or Specialty Co(jes for the c4w,olltp, oqcUpf1n(`r, and t.%se ,nder, -hic-h the t-pfpi-encod pet,mii-. was issued. PI-O(A BUILDING PERMIT CITY OF TIGARD DATEPERMIT ISSUED:. 01/22/966-0040 'COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Crayon 97223*8199 (503)639-4171 PARCEL: 2SI02AP-00490 SITE ADDRESS. . . : 1206': ::;W 1 IA L i- B L V 1) #140 SUBDIVISION. . . . : ZONING:CBD BLOCI... . . . . . . . . . : L "T. . . . . . . . . . . . . ---------------------------- REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION CLASS OF' WORK. :ALT F'TRST. . . . : 1225 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 SF PROTECT OPENINGS?--—-­ TYPE OF CONST. :SN . . . . 0 s N- St WS OCCUPANCY GRPI. :B2 TOTAL--------: 12c"_`5 s ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sF AREA SEP. RATED STOR. : 0 HT: 0 ft GARAGE. . . : 0 5f JCCU SEP. RATED: BGMT? - MEZZ": REOD SETBACKS—---- REQUIRED---_______._..___..___._.. FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKLt SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATIAS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ o 7800 Remay^ks : TENANT IMPROVEMENT BETWEEN HAIR SALON & CLEANERS Owner- : FEES NORPAC DEVELOPMENT CORP type amount by date recpt 101.130 SW PARK WAY FILCK $ 44. 53 01/18/96 96275039 FIRE $ 27. 40 JMH 01/16/96 96 -275039 PORTLAND OR 97225 PRMT $ 68. 50 JMH 1211/22/96 96-275177 Phone #: 503-292-7644 5P-,CT' $ x;. 43 J1111 01 /22/96 96-2`75177 NORTHWEST' CONSTRUCTORS/BEORDAL 10180 SW PARK WAY PORTLAND OR 97.2,'15 __—_________ Phone #: 292-7644 # 143. 86 TOTAL Req #. . : 34388C REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the InsiLilation Irisp Tigard Municipal Code, State of Ore. Specialty Codes aid all other Gyp BOLA)-d Itisp applicabip laws. All work will be done in accordance osith SLtsp Ceilng Insp approved plans. This pirmit will expire if work is not started Final Inspect ion within 180 days of issuance, or if work is suspended for tore than 180 days. Pt-mi t Lee Signat,4 ­;t1s*d By. ...... Call For, inspection 639-4175 Commercial Building-Permit Application City of Tigard " 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 ,- Jobsite Address: _�� - get", Office Use Only G Tenant: �� Suite# / 4 U Valuation: --7 U�, Planck/Rec # � � — f� J Permit � fJ UP q/7— Owner: /7 -Owner: IVe r De-c- (/ t I/e leOQ /'Y ��r( �o�� Map & 'rL # Address: C'r' nn ---- Approvals Roguired 2-ce: � .� �lL /Z 2 Planning Phone: - 41 Jf Engineering Other � � w� 7'Contractor. rG/ Address: 612, r Type of const: L Phare: ..� � , Occupancy class: LS G'�J � olf►- �� " ��. 4�� -- SprinkleredYes 9) Contractor's License # (attach copy of current Oregon license) Sq- ft. of project: /10Z 'IfS _ Contact name & phone: �7 cr�� ,� / E�.•,r Story (1st, 2nd, etc.) l _ 'T► Pep fv1 II Propo: pd use: 7e- ArchitectfEngincer: Address Previous use: Note: Plumbing & mechanical plans mu.,► be submitted at time of building permit application. Phone. JOB DESCRIPTION: Appli nt Suture T' hon"umber —� Received by: ': __ Date Received: / " CITY Q F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT 0 125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC')6--002L,--1 DATE ISSUED: 01 /'23'/S, "HRCEL: 2SI02AP.-00490 ,IT[-.- ADDR':513. . . -. 12085 SW HALL BLVD #140 ,,(-IBDIVISION. . . . '. ZONING: CBD a1. OCK. . . . . . . . . . .. LOI.. . . . . . . . . . . . . . OF WORK. . ,ALT FLOOR FURN. . . . . 0 EVAP COOLERS: 0 I'YPE OF USE. . . . :COM UNIT HEATERS— : 0 VENT FANS. . . : 0 9CCUPANCY ORP. . :B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0 )TORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 1. DOMES. INCIN: 0 : /BAS/ 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTIJ 15-30 HP. . . . 0 REPAIR UNIFI:': 0 FIRE DAMPERS?. . t a'?,-50 HP. . . . 0 WOODSTOVES. . : 171 fjPS PRESSURE. . . .- M F710-V HP. . . . - 0 CLO DRYERS. . : 0 fqO. OF UNITS------------ AIR HANDLING UN ITS OTHER UNITS. : 0 "URN ( 100K BTU: 1 1001-710 r-fill.. 0 GAS OUTLETS. : 1. F'URN ) =100K BTU: 0 > 10000 cfm: 0 Rpmav,ks : mechanical fnt, NAPA r1wnerc FEES --------------- NoRpt-)C type amouknt by date T'ecpt 12085 SW HALL BLVD #140 PRMT $ 36. 00 DRA 01/23/97 97-289405 PLCK $ 9. 00 DRA 01/23/97 97-289405 TIGARD OR 97223 5PCT $ 1. 80 DPq 01/23/97 97-289405 Flhone #-. Contractor-: CARONA TRE, INC ,-.'515 KAUFFMAN AVE VANCOUVER WA 98660 Phone #., 360-696-1604 $ 46. 80 TOTAL Reg #. . : 69548 REQUIRED INSPECTIONS This pprait is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance .pith float ing Unt Insp approved plans. This persit will expire if work is not started Cooling Unt Insp within IN days of issuance, or if work is suspended for #or* DLict Inspection th.a Ill days. Misc. Inspection Fin I Ins,jection Call for- inspection 675-417`, 01 N n ° r, z- 9(% C City of Tigard ECHANICAL PERMIT Planck/Rec. # r 13125 SW,Hall Blvd. / Ve-" PPLICATION Permit # Tigard, OR 97223 k. ' . (503) 639-4171 i , <_ _ � �/ �/17� i4v 6 g 1 Description i� t_ m j�./�Z�1 I Table 3A Mechanical Code QTY PRICE AMT Job7 5 I 1�.1 f` 1) Permii Fee -0- -0• 10.00 Address •• / 1 �43 �-1 � 2) Supplemental Permit 3.00 ■m■ M ■m■, Furnace to 105, 1) incl. ducts &vents 6.00 Q ■•. m• urnace + 2) incl. ducts &vents 7.50 Owner pFloor Furnance 3) incl. vent 6.00 -- • d ■„ ■,... ----Suspended eater, eater 4) or floor mounted hE r 6.00 ■ , - nog inn cl OCCUpant 5) appliance permit 3.U0 - ■. Repair of heating, refrig. j 6) cooling, absorption unit I 6.00 of er or comp, heat pump, air cone 7) to 3 HP; absorp unit to 100K BTU 6.00 „. o 7, Boiler or comp, eat pump, air cond. < I 8) 3-15 HP sore unit to 500K BTU 11.00 Contractor ■. orer or co-mp,Tiat pump, air con 9) 15-30 HP; absorp unit 5-1 mil BTU 15.00 ,�, ■ zz am-r Aer or comp. ea pump, air cond. ca i f 10) 3x-50 HP; abso p unit 1-1.75 mil BTU 22.50 sere y acKnow edge t ave read is app ication, t at the of er or comp, eat pump, air cond. at information given is correct, that I am the owner or authorized 111 > 50 HP: absorp unit 1.75 and BTU 17111 - agent of the owner, that plans submitted are in compliance with a Ian rng unI to 4 50 State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM Heard, that the number given is correct. (It exempt from State Air handTing unit registration, please give reason below.) 13) 10,000 CTM + 750 on portable 14) evaporate cooler 450 -- ent-^fan connect 15) to a single duct 3.00 Ventilation system not 16) included in appliance permit 450 ,,.,..„•.,, .—r s_'� .. -- Hood served by - 17) mechanical exhaust 4 50 r Describe wor new l_ a Ilion 1 a teiation (-J-- repay uommercia or n ustna 30.00 to be done residential Q non-residential Q 18) type ncinerator _ Existing use of tier e., woodstove, water building or property _. 19) heater, solar, clothes dryers. etc 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 -- budding or property _ _ _ -- 21 i More than 4-per outlet (each) 2.00 Type of fuel -oil 0 natural gas 0 LPG () ele 'nc �7 Minimum Fee $25.00 SUBToI!L PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IC 'IOT C0lk"MENCED WITHIN 180 DAYS. OR 5 SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR _ ABANDONED FOR A PERIOD OF 1P0 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL Special Conditions -- Late ssued H 1001M09TSMECHPMT CITY OF TIGARD OREGON January 13, 1997 Norpac Development Corporation 10180 SW Parkway Portland, OR 97225 RE: NAPA Mechanical Plan Review 12085 SW Hall Blvd #140 MEG#: 96-0022 On January 22, 1996, Garonaire of Vancouver, WA submitt=d for a mechanical permit [MEC 96-0022j. Subsequen�ly, we performed a plan review on February 23, 1996, and a lever requesting additional information was mailed. To date, we have had no response and the tenant, Ni'PA Auto, is conducting business. Their building permit [BUP 96-0040] will not be fina!ed nor an occupancy certificate issued until this matter is resolved. We would appreciate your help in finalizing this matter. Please call Jim Funk, Supervising Plans Examiner, at 639-4171, x 390. Sincerely, Jim Fm unk ` PLANS EXAMINER Enclosure c: Garonaire 2515 Kaufman Vancouver, WA 98660 1 kPAWYS0OCUMEN1kMECK-W 22\NORPAC DOC I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 634-4171 TDD (503)684-2772 —J February 23 , 1956 C'rf OF TIGARD OREGON Garonaire 2515 Kauffman Avenue Vancouver, WA 98660 Re: HALL PLAZA 12085 SW Hall PCI-34C MEC96-0022 The plans and specificat'_ons have been reviewed fo conte^nity to applicable codes. Please submit three (3) sets of _evised plaits and specifications incorporating the fallowing requirements: 1. Provide an equipment schedule specifying cfm of total circulated air and amount of introduced outside air. Include weight of AC-1 and AC-2 . A. The heating/ventilation system must provide 5 cubic feet per minute (cfm) of outside air per occupant with a total circulation of not less than 15 cfm per occupant in all portions of the building [UBC Sections 605 and 7051 . 2" Each individual roof-mounted HVAC shall be permanently labeled as to the areas it serves [Section 504 (e) ] . In addition, each unit shall be equipped with a power disconnect and a 120-volt receptacle shall be located within 25' of each unit (Section 509) . � �J ,N Provide ar. analysis of structural requirements prepared by a licensed engineer for supporting the additional. HVAC unit [SSC Section 302 (b) ) . 4 . The attachment of permanent equipment (HVAC) supported by the building' s structural components shall be designed to resist the notal design seismic forces prescribed in Section 2335 (b) of the Structural Specialty Code. Provide an erg'_neer' s design specifying attachment requirements [SSC Section 302 (b) ) . if you wish to discuss any of these items, please give ►ne a call . Sincerely, / ,Jame y Fu::-Ir L Plans Examiner mec96-0022\pc1-34c 312- SW Holl 6Kd., Tigard, OR 47/223 (503) 639.4171 TDD (503) 684-2772 —� CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #i ELC97-.001,0 DATE ISSUED: 01/13/97 PARCEL: 2SI02AA-00490 1rE ADDRESS. . . 12085 SW HOLL. BLVLI ! lBDIVISION. . . . ZONTNG:CBD BLOCK. . . . . . . . . . . . . . . . . . . . . . . .0 Pt-o,ject Descriptio": Job # 70563 instl 2 branch circuits __­1_._.__­------------------------------------------------------------------------ . .,.-..RESIDENTIAL.. --w---TEMP SRVC/FEEDERS------ -------MISCELLANE01.JS-- 1000 SF OR LESS. . . . : 0 0 2`00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . FACH ADD' L 500SP. 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . . 0 LIMITED ENERGY. - . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MPNF'. HM/ SVC ?. . : 0 6014-amps--1000 volts. : 0 MINOR LABEL ( tO) _ . . 0 ---SERV I CE/FL._DER------ ------BRANCH CIRCUITS----- ---ADD' L INSPECTIONS-- 171 ­ 200 amp. . . . . . : 4I W/SERVICE OR FEEDER: 0 PFR INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 1401 61710 Imp. . . . . . : 0 EA ADDIL SRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : v, ("01 1000 amp. . . . . 0 REVIEW SECTION----------------- 1000-1- amp/volt.....: 0 ) =4 RF!3 UNITS. . . . . . . . : ) 600 VOLT NOMINAL_.. . : Reconnect only. . . . . : 0 SVC/FDR >= 2E5 AMPS. . : rs 1EA/SPEC OCC. : Owner,: BOB BRU13ER type amount J)( LIZA%,e r,eept 95 NE BPOADWAY Ppm_r $ 40. 00 TAT '37-28884, 5PCT $ 2. 00 TAT 01/13/97 97-28884;7'1 1,-,ORTI-AND OR 9712-32 Phone #: 281-3083 OREGON ELECTR'X GROUP 42. 00 ram_ 101.0 5E 11TH REDUIRED INSPECTIONS FIORTLAND OR 97214 Ceiling Cover- Underground Cove K"Jhune #: 503--234-9900 Wall Cover- Elect' l Set-vire Rey #. 000002. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit et",S i gnat.uv-.,e applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 180 days. Issued By OWNER I NG I'hp installation is being made on property I own which is not intended for- -;alp, Lease, or^ rent. 'IWNERIS SIGNATURE: DATE: INSTALLATION ONLY--_________-..__--_-______-___ IBNATURE NLY----------------------------- IBNATURE OF 13I1PR. ELECIN: DATE. .T(;ENSF NC)- Call for inspection Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Ball Blvd. Tigard, OR 97223 Planck/Rec. # _ Permit # Phone (503) 639-4171 Date Issued _ CITY OF TIGARD FAX (503) 684 7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 No 1. Job Address: Jo>3 • %�J�" � 4. Complete Fee Schedule Below: Name of Development W Ill tN A uZC _k�pt s' Number of Inspections pet permit allowed Address ( Zo ZS S�,� JA ALL -L4�7�}, Service included Items Cost(ea) Sum City/State/lip�c�rA UIL /z 4a. Residential-per unit 4 1000 aq II or lets $11000 Name (or name of business) ,fit r'1_,' 1 e 1YC Eachrrel 500 sq n or pod,on on f4'rereol $2500 1 Commercial Residential❑ Llmied Energy �— $2500 Each Manurd Home or Modular 2 Dwelling Serving or Feeder _ $(iN 00 2a. Contractor installation only: 4b.Services or rFeeders Imlallation alleration or ralr.noon 7 Electrical ContractorO eV c,ri E I e r•E r i r- C.rn i1 1,_ Zoo amps or lose $60 00 2 Address ; )1 0 _Ut.In A tze__ 201 amps to 400 amps $8000 City__±r) State 0R Zi 97'214 401 amps to 600wnpe $12000 2 �/ ap_ 601 amps to 1000 amps $18000 2 Phone No. 234-9900 Ove. 1000ampaorvolts $34000 - 2 Contractor', license N0. 203 Reconnect only $5000 Contractor's Board Reg. Nor __ _ 4c. Temporary Services or Feeders Autallabon nllerabon or relocalion 2 Signature of Supr. Elec'n / l� 200 amps or less $50 00 2 License No._ .hy C Phone'No. g_9A[1() _ of amps;o46000amp _ $10000 2 Over 600 amps to 1000 volts —' 2b. For owner Installations: see V above 4d. Branch Circuits F riot Owner's Name Now abernl,on or e■Isnsron per panel Addressa)The tee for branch circuits with City State _�_ Zip � purehsss of service or leader W. 2 Each branch circuit $500 Phone No. b)The fee for branch circuIt without The installation is being made on property I own which is purrhna of service or feeder Me. 2 not Intended for sale, lease or rent. ilial branch circuli $3500 Each additional branch circuit —,� $5 00 Owner's Signature Y _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $4000 2 Each sign or outline lighting $40 00 Signal clmult(e)or a limited energy 2 Please check appropriate item and enter fee in sec ion 58. panel,alterstwn or extension $4000 4 or more residential units In one structure Minor I absis(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f.Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.0 Chapter 5 A'""tw"''r'r, $11100 $115 00 Submit 2 sets of plans with application where any of the above 165 0o -- apply. Not required for temporary construction services. 5. Fees: NOTICE So. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH Plan Review if required(Sec B) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account w $ Ell nce Due $ rM1'ccnrM�.Wr{rm spit CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP _ Date Requested V-7/00 AM PM BLD LocationSuiteMEC _ Contact Person If e-V/-1A _ Ph ZC� ' i�f `I PLM Contractor _ ph (1,; SWR r BUILDING_ Tenant/Owne( _ Y)Y11 � T��_ � RELC Retaining VMI ioCc . ODD-3 Footing " Foundation ACCESS: FPS _ Ftg Drain SGN — Crawl Drain Inspection Notes: Slab —.—_ _----_--_-- -- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear - Framing -- — — - --� _ Insulation - Drywall Nailing Firewall -- -- --��-------------- -- i Fire Sprinkler Fire Alarm S!-Sp'd Ceiling Roof Misc: __- --- -- _. -- Final PASS PART FAIL PLUMBING — Post& Beamw ----- --- - .�� Under Slab Top Out ------- Water Service Sanitary Sewer -- --- - Rain Drains ►-rnal - ------- - - PASS PART FAIL MECHANICAL — — Post R Beam -- Rough In Gas Line - Smoke Dampers - Final _ -- --- - --- -- ----- PASS PART FAIL LECTRI — - Service _ Rough In UG/Slab I.ow Voltage ire Alarm _ AS ART FAIL It 3ackfrllf(Urading Sanitary Sewer Storm Drain I j Reinspection fee of!� required before next inspection. Pay at Cr., Hall, 13125 SW ball 6,vd Catch Basin Fire Supply Line ( J Please call for reinspection RE:_ [ )Unable to inspect- no access ADA Approach/Sidewalk Other Date :' ��? Inspector_ / �„� .�L- Ext Final PASS PART FAIL. 00 NOT REMOVE this inspection record from the job Site. ELECTRICAL - CITY OF TIGARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00036 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/15/2f10) SITE ADDRESS: 12085 SW HALL BLVD 14C PARCEL: 2S102AA-70490 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG Proioct Description: Protective signaling A. RESIDENTIAL_ _ B.COMMERCIAL _ AUDIO & STEREO: AUDIO &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DA A/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HV/%C: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 _ Owner: Contractor: ROSENBAUM, LOIS ET AL ADT SECURITY SERVICES, INC C/O 900 SW 5TH AVE #2300 2815 SW 153RD DR PORTLAND, OR 97204 BEAVERTON, OR 97006 Phone: Phone: 503dGJ-7100 Reg #: t_iC 0059944 E_LE 26209C:LE —� FEES A Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT BON 02/15/200C $60.00 00-321713 Elect'I Service 5PCT BON 02/15/2000 $4.80 00-321713 Elect'I Final Total $64.80 i ORIGINAL This Peniiit 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 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by '�1-Lk_./ taf t-- _^ 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 I \ DATE: LICENSE NO: �- -----._� Call 639-4175 by 7:00 P M. for an inspection needed the next business day CITY OF TIGA14D RESTRICTED ENERGY ELECTRICAL APPLICATICN Recd by: I 13125 SW,HAI L BLVD y ��--- TIGARh.p'•:' X7,223 PRINT OR TYPE RECEwFr Date Ree'd._,2-- I`i -Z XV V. 503-639-4171 X304 Permit#:eL L -Cr,3(0 F - 503-598-1960 INCOMPLETE OR ILLEGIBLE A T40p�g Cust.Call'd WILL NOT BE ACCEP � �) Jlfnr' - Name o'Development Project �/OLVED-F :SIDENTIAL ONLY Restric ed nergy Pee... — / $60.00 — / (FOR ALL SYSTEMS) JOB Street Address Sle# ADDRESS <j �;�tl ��A�I I y�) Check Type of Work Involved C y/State Zip Phon # n191A21) �•3 �,�� ❑ Na( udio and Stereo Systems r —l! Ir E] BurglarAlarm _ Opener- zip Pn OWNER Mailing Address ❑ Garage g Door p- ef- CitylSlate ---T zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name Vacuum Systems- AOT SF,;UWTY SERVICES,INC. ❑ Other ;ONTRACTOR Mailing Address _ 3EAVERION.OR 9700( TYPE OF WORK INVOLVED -COMMERCIAL ONLY Prior to issuance aCit lSt�te Y — --------------- y (50 )�p�-7100 Phonu# Fee for each system............................................. $60.00 opy of all licenses (SEE OAR 918.260-260) ` are required if Oregon Contr. Brd I,ic.# _ Exp.Date expired in C O 7 _ 1, y j Check Type of Work Involved data base) Electrical Conif. 4ic # E�7 p. ate �Z)! /10 U 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 � Zi Phane# ❑ __ __ �L` Fire Alarm Installation his permit is issued under OAE 918-320-370 This applicant agrees to ake only restricted energy installations(100 volt amps or less)under this ❑ HVAC �rmit and to do the following Only use electric-ifJ Instrumentation licensed persons to do installations where required. Certain residential and other transactions are exempt from fcensing. Intercom and Paging Systems These have asterisks(') All others need licensing; El Call for inspections when installation under this permit are ready for U Iandscape Irrigation Control' inspection at 503-639-45 75; ❑ Medical Purchase separate permits for all installations that are not ready for an inspection when the in;pector is out to inspect under this permit; EJ Nurse Calls Assume responsibilih for assuring that all corrections required by the ❑ Outdoor Landscape I ighling' inspector are done, nd, Protective Signaling Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Othe, rmits are non-transferable and non-refundable and expire if work is not fled within 180 days of issuance or if work is suspended for 180 days Number of Systems e person signing for this permit must be the applicant or a person No licenses are required Ucenses are required for all other installations horized to bind the applicant _ �.� FEES: atureL � � — ENTER FEES 6^SURCHARGE(.05 X TOTAL ABOVF) 1hority if other than Applicant TOTAL $ lsVormsvesele doc 3/91`1