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7100 SW HAMPTON STREET (2) J 1-' O O 4I� H I _ - /10(? SW llampt on Street — n CITY A(`./]F T'G A R D ---- ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT ELR2001-00088 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 03/2.9/2001 PARCEL: 2S101 AC-01600 SITE ADDRESS: 07100 SW HAMPTON S r 130 SUBDIVISION: 'ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Proie,,# Description: Burglar Alarm A. RESIDENTIAL — B.COMMERCIAL AUDIO & STEREO_ AUDIO & STEREO: 114TERCOM & 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.: X INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 Owner: _—'—^-- -�—_�- --- Contractor. _� ---- _.�—_--- NEIMEYER, JOHN ADT SECURITY SEF,VICES, INC 25 82ND OR STE 200 2815 SW 153RD DR GLADSTONE, OR 97027 BEAVERTON, OF, 97006 Phone: Phone: 503-469-7100 Req #: LIC 59944 ELE 26-209CLE _ FEES Required Inspections Type By Date Amount _Receipt — Low Voltage Inspection PRN11 CTR 03/29/2001 $75.00 2720010000 Elect'I Final 5PCT CTR 03/29/2001 $6.00 2720010000 Total $81.00 This Permit is issued .,object to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. A;I o,ork 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 fo:law 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 .Ct,1.�C-r1 �� c,f Permittee Signature ,�,Aj OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. O'04NER'S SI SNATURE. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE.---..- LICENSE ATE _LICENSE NO' Call 639-4115 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application - — Date received: ` Permit no.: City of Tigardt•-. Project/appl.no.: Expire date: - Cityof/7gad Address: 13125 SW Hall Blvd,TigAteV3i21 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval TYPE Ot PERMIT U I &2 family dwelling or accessory U Commercial1industrial U MUlti-family U Tenant improvement U New construction U Addition/alteration/rrplarrnrcnt U Other: U Partial .1011 SITE INFORNIA1 ION Jab address: - Bldg, no.: Suite no. C)I Tax map/tax lot/account no.: Lot: I Block. Subdivision: Project name: - / Dcsrtipn0 n mid ]-)c mien of wtlrk on premises.,'��r_6�„}u t Istinnncd Elate of Coniplc n1/ins t^ct in: Job no: Priv ntax Business name. � OVA. 0 Description Vly. (ea.) Intel nu.tnsp New residential-single.rmuld fandh Per Address: r•_ dvvellingunk.Includes Winched ganege. City: Beavfa<vil 11,9700611': Serviceincruded: Phonc• Ly11--ax: V I E-snail: luau sq It_t less — 4 _ �/^�� C.�� Each additional 51)U sq.ft.or portion thcteot CCB Ito,: L' rlec.bU�,IiC.Oo W Limiiedenergy,residential 2 Cit /metro lic.no.: Y I.tmitedenergy,non-residential 2 �(� / t)j_ F.nch manufactured home or nodular dwelling ignalure of supervising clod•i,inn(required_)__ Dat t”– Service and/or feeder 2 Sup.elect.name(nriuH: Lfccosc 11(1:-v 9:6ej Services orfeeders–installation, alteration or relocation: it 1111"U1101 R 200 amps or less 2 Name(print): 201 amps to 400 amps 2 ----- ----- 401 amps to 600 amps 2 Mailingaddress: 6111 amps to 1000 amps 2 City: State: LIP: 0%er I01x1 umps or volts_ 2 Phone: V X: L.-mail: Reconnectonly _ I Owner installation:The installation is being made on property I vwn Temporary services or feeders which is not intended for sale,lease,rent,or exchange according to Installation,alteration orrelocation: ORS 447,455,479,670,701. _2(x1 amps of less 2 201 amps to 400 amps 2 Owner's si mature: _ Date: 401 t.601 amps 2 Branch circutU-new,alteration. or extension per panel: LAd A. ',cc for hrancn circuits with purchase of service or feeder fee,each branch circuit 2 State: ZIP: B. Fee for branch circuits without purchase or service or feeder fee,first branch circuit:i I ax: E-mail Each additional branch circuit: Misc.(.Service or feeder not Included): U Service liver 225 snip-. "nuuercial U Health-co--facility Each pump or irrigation circle 2 U Service over 120 amps-i acting of 1&2 U Hazardous location Each sign or outline lighting family dwellings U Building over 10,000 square feet four or Signal circuil(s)or a limited energy panel. U System over 6(x)volts nominal more residential units in one structure alteration.orexteusion' _ 2 U Building over three stories U Feeders,400 amps or more *Description: _ U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egress/lightingplati U Other: -- -- Per inspection Submit__rets of plans with any of the above. Investigation fee the above are not applicable to temporary construction service. Other NM all jurisdictions accept credit cards,please call Jurisdiction for mom information Notice:This pernift application Permit fee.....................$ L1 U Visa U MasterCard expires if a permit is not obtained Plan review(at ` i $ Credit card number: _ _L�— within 180 days afler it has been State surcharge(8%).... Expires accepted as complete. TOTAL . .........$ _. Name of cardholder as shown on credit card _ S Cardholdet&4_natum ____-_ Antiouni 4.1(1d615(6A)WOMI Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: Restricted OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee............................ .... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work involved Residential-per unit 1000 sq It or less - $145 15 .1 ❑ Audio and Stereo Systems E-ach additional 500 sq-ft.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $9090 { Services or Feeders [] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 7 El201 amp3 to 400 amps _ _ $106.85 2 Vacuum Systems` 401 amps to 600 snips $160.60 2 ❑ 601 amps to 1000 amps �_�_ $240.60 2 Other Over 1000 amps or volts $454.65 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation, .Iteration,or relocation 200 amps or less $66.85 1 Fee for each system.......................................................... $75 00 201 amps to 400 amps _ $10 .30 (SEE OAR 918.260-260) 401 amps to 600 amps _ $1..3.75 Over 600 amps to 1000 volts, Check Type of Work Involved: see"b"above. [� Audio and Stereo Systems Branch Circuits New,alteration or extension per panel F-1a)1 he fee for branch circults Boller Controls with purchase of service or feeder fee. ❑ Clock Systems Each hranch circuit $661, b,The'ee for branch circuits ❑ Data Telecommunication Installation wr'.;rout purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $4685 _ Each additional branch circuit $6.65 ❑ HVAC Mlscellancol!s (Service or feeder not Included) ❑ Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighth Ig $53.40F-1 Signal circuits)or a Ilmi:ed energy - L_ Intercom and Paging Systems panel,alteration or extenslon $75.00 _ Minor Labels(10) $125.00 ❑ Landscape Irrigation Control' Each additional inspection over u Medical the allowable In any of the above Per inspection _ $62.50 KIvr.^,e Calls Per Hour $62.50 _- In Plant _ $73.75 ❑ Outdoor Landscape Lighting' Fees: ® Protective Sfgna rng Enter total of above fees $ _ [❑ Other_ 8%State Surcharge $ _ --------__ ..---___---_�-------_-_ -- 25%Plan Review Fee _-._____.__Plumber of Systems See"Plan Review"sectiun on $ front of application No licenses are required licenses are reqjlred for all other Installations Total Balance Due s Fees: ❑ Trust Account f! _ Enter total of above fees CIO - --__-_ _,-___- -- --_- --�--- _-_ Sia State Surcharge S � Total Balance Due uists\forms\eIc-fees,doc to 09/00 CITY OF TiGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.417'1 --- --- -- BUP _Date Req-jested­ ' AM-- ____PM — BLD Location. O 14m f l-, -)/ 13 6 Suite v MEC Contact Person _ —__ / =* Ph 6; 7 Z Y/ PLM _ Contractor Ph __— SWR — BUILDING Tenant/Owner ELC Retaining Wall — ELR '?/y 1�_ vff_ 6_ Footing Access: _ Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — --- --- Slab SIT Post&Beam --�- -- ---- Ext Sheath/Shear Int Sheath/Shear i Framing Insulation Insulation ---- ---- -- ---- __ ___ , Drywall Nailing Firewall - - Fire Sprinkler / _C Fire Alarm Susp'd Ceiling Roof --- -- - - -- - - Misc Final PASS FART FAIL --__-_-- PLUMBING Post& Beam - — ---V Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line — Smoke Dampers Final ---- — PASS PART FAIL ,ervi� Rough In - `r UG/Slab -fxrrn; P %PART FAIL SITE Backfill/Grading - -- — Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pa. at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE Fire Supply Line ( p ( J Unable to inspect-no access ADA Approach/Sidewalk s r. Other late U / T' Inspector _Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD PLUMBING FERMI T DEVELOPMENT SERVICES DEV PERMIT #. . . . . . . .. PLM98-0065 13125 SW,'iall Blvd, Pgard,OR 97223 (503)639.4171 DATE ISSUED: 03/12/98 PARCEL : 2SIOIAC-01600 5111-: ADDRE15S. . . : 07117117.1 SW HAMPTON 131 fl 1 1, 1 'SUBDIVISION. . . . : ZONING: MUE BLOCK. . . . . . . . . . . LOT. . . . . . . . . . .. . .. . JURISDICTION: TIG ------------------------------------------------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. ., 0 MOB Ii_E HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVN-IRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . .. . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 F I XTURES---------.------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . * * * " . . . . : 01 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . :: 0 TUB/SHOWERS. . . 1 0 SEWER I INE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . 1 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 1 0 Remarks: Installing a water heater OvIller: ----------------------------------------------------- FEES --------------- DORENE THOMAS type amount by date recpt -1 —304032 -7100 SW HAMPTON VRMI $ 25. 00 B 03/12/98 98 GTE III 5PCT 1. 125 B 03112198 98-304032 TIGARD OR 972c!3 Phone #: Ccintr-a^-far------------------------------- GEORGE MORLAN PLUMBING & APLIANCES 9806 SW TIGARD STREET CCB (EXP 6/2002) 'TIGARD OR 97223 --------------------------_----__..___--_. Phone #: 624--6895 $ 26. 25 TOTAL Reg #. . : 000027 REQUIRED INSPECrIONS This permit is issued subject to the regulations contained in the Top—out Insp Tigard Municipal Code, State of Ore. Specialty Cude3 and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This per,vil will expire if work is not started within 180 days of issuanre, or if work is suspended for more than 180 days. AIT410N: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. those rules are set forth in OAR 952-000I-0010 through OAR 952-MI-0089. You may obtain copies of these rules or direct questions to OLW. by calling 1503)246-1987. Issued B y Permittee Signature ..................................IL .I......... ............I+ +++ Call 639-4175 by 7e00 p. m. for an inspection needed the next business day ..........................4......4................................4++.+++++4......4-+ MPR-12-199e 07: 12 GEORGE MORLRN P 02 Plumbing Permit Application ""°ey '� -) :lTY OF TIGARD 9Data Rated I Z 3-425 5W HALL BLVD. Commercial and Residential oats le P.E. ]GARD, OR 97223 041910 -� — 503) 639.4171 Permit n : ►'�"q ;VAS Print or Type Routed SWR s Incomplete or illegible applications will not be accepted Called- — --- Name of DaveroPMenVPrvlakl— On tack maleate,Wort Perfotsred try f{atLn. Job L 1 MTURE3:(Ind'Mdual) PAiCI� ANT. .� Address Straa1 Addmsa • ' Sulle I Slnk 9.00 Bldgs Cttyfstate Zlp Tub or TublSndwer Comb. 9.Otl l 6Afe o Z2. Shower Only Nam „ ,- yyadpr 61-02 at 9.00 Owner Mating i AddG Suss Dlahwacn r _ C�.Vwgs Disposal 9.00 Gtyrstale LP ne Wat:ning MacMne — 9.00 4. Floor Dram 2• 9.00 Ne 3. 9.00 Occupant Malting Suite _ 4' 9-00 ter Master O oonvers on O like hind 9.00 Wa City/State ZIP Phone laundry Room Tray p 00 Name --- Urinal 9.00 Ho other -Mural(Speufy) goo Contractor 2 + s il, �' -� w, - 9.00 A. Wy *T ALL o0 Prior to parmlI CltyfSate tJp Phrnne -- ---- - - -- 8.00 rswsnk:e,a Copy ` _ Z (- - 9.00 of air ucxnses are Oregon Gonat.Cont_Board Lica Exp.Dau+ _r 30.0 required It 2 Savwt►. It 100' 0 explred In COT Plumbing tJr->r J D�ab� Sewer-e ch additional 100' 25.00 database &0 P13 �J—_1_9 _ waw Sarncs-1st too' 30.00 Name -- — Water Service-each additions!200' 25.00 Architect storm s Rauh Drain-tat 100' 70 00 _ Mal'mg Address Suite 25.00 or storm d Raln Dnin each aodctional 100' _ CI ISWs Zq - Phone Mobile Nome Soma — 23.00 Engineer ti — z�oo' __ Commerdal ea naFlaw Prevention Devlas or And- Describe work New O Addition O Allerafion O Repair O Puuutlon Device _ 15.00 to be done: Residential 0 Nuc n-residential O kinsg. ntial Bse:Ikfow Prevention Device' Additional description of work ap or Wasls Not Convected to a f=u L” 9.00 _ Basin 9 00 f Eslating Illumbing x0.00 arRhr 40 5peuauy Repuerttad Inspections A0 Esilthhy use of budding or Pmpsrh_.---- Rain Drain,sktpkt hmdy dnellbip ✓-- 70.00 Proposed use of Grease Trtpa -- — 9.00 building or property allANTM TOTAL I hereby acknowledge that I have read this appllcmlon.Ihal the Information Immtvtc or raw jWjrxm.t rsqukw 4 OurUy Tool I. �1 given is Correct.that I am the owner or authorized agent of the ownfr,and 'SU1310TAL 1Mt plans submitted are W commslance w.lh OreVan Stats Laws. Slgna el owner(A It r, D —�' 5%SURCHARGE c rte' = PLAN REVIEW 2155'f4 OF SIIB,OTAL -•f;f '�.y� �=' tin on llama �� Phone urrsd an IilMs Qty.tolar la,a _ S, R K(= QA TOTAL l 'lntnlrttum permit fate is 325•516 sharharpe,swept Reafdarttiat Backflow Prevenllon Dense,whlch 4 315 '%lundlar9e cvtsavh*awrdoc&V Zoo(Pj nVr-)I.L d0 A,LI3 0961 969 foe Av3 11 Z1 a-U 05/1iico CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -.----�- ---- - E3UP _ ~ Date Requested � � �' " ��,_AMPM BLD 7 _ Location 1106) V Suite MEC Contact Person _ rte I�12� �7 /��1 Ph PLM Contractor Ph SWR BUILDING Tenant/Owner1� ELC Retaining Wall ELR _ Footing Access: �� %� �j.'Bn ,, Foundation de f?�1 ��:t--/1-�� �I�`C-G'• "'(.I'�i�Av� FPS -_---------- Fig Drain Crawl Drain Inspection Notes: sGlu - --- Slab ---- SIT Post&Beam ----� _---- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - Fire Sprinkler -- - - Fire Alarm Susp'd Ceiling -- - . --- - Roof � v Misc: - - - - --- -- Final — S-_15XT FAIL -- -- ----- _--- --- P UMBING i Under Slab Top Out Wa►er Service Sanitary Sewer Rain Drains FAIL ------ `—---- -- — MECHANICAL Rough In Gas Line ------------- Smoke Dampers P.P,SS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS DAR'T' FAIL. —_--SITE RackfilUUrading - -----` —` Sanitary Sewer Storm Drain ( J Reinspection fee of E required before next inFppction. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:_ _ ( J Unable to inspect-no access ADA .-Approach/Sidewalk Other Date -_ Inspector Ext Final C'ASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Linc;: 639-4171 -- � —" 8UP Date Requested �` AM PM _ BLD Location 1�� Sl�l) � . 7�•` Alt. Suite ME C Contact Person _ �� a Ph _ �� G:` PLM Contractor Ph SWR BUILDING _ Tenant/Owner ELC Retaining Wall ELR Footing Access ,i /� T Foundation � �/� �J C �f) FPS FtgDrain n Crawl Drain Inspection Notes Slab Post - -- Post&Beam SIT- - -- Ext Sheath/Shear Int Sheath/Shear ��- '— ----- -- Framing ------- -------_-.. __ Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ___-_-- ------_---_----_—` Roof Misc: - - ------- -- — -- Final PASS PART FAIL --- - ----_---�— __. Fru-MBINO Pos -S10 -- -- ----- ----- ----- ------ Under Slah Top Out ---_ Water Service Sanitary Sewer -- rains Fina - — "�- ASS PART FAIL __— MECHANICAL - — Post&Beam - --- Rough In Gas Line ---- --------- Smoke Dampers Final --------__----____ __ PASS PART FAIL ELECTRICAL Service Rough In UG/Slab _ Low Voltage — r7ire Alarm Final �- PASS PART FAILSITE Backfill/Grading - ----- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ —required before next inspection. Psy at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reins Action RE: Fire Supply Line ( ] p _ _ ( ]Unable to Inspect-no access ADA f d Otheoach/Sidewalk Date _ /�G Inspector! __— Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ^- BUP Date Requested ��" �' __ _AM, �PM ^V_ BLD Location 7/ 0� Suite ZZO MEC Co•(tact Person C-A rl" Ph -57 3 -6 j -/ 71 PLM Contractor T Ph -7 13 ye-- Z,/ SWR BUILDING — Tenant/Owner EL C Retaining Wall ELR Footing Access: Foundation ,Q L FPS Fig Drain _ 5-& CGr/w-�.1 _'J(/U skJ / lei /�," uGN Crawl Drain Inspection Notes: Slab -- _ ------ — sN l i�� �OS 6V C&, 141 X lir. SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Ndiiing Firewall Fire Sprinkler ---.- _��-------.-----_-_-- __ _ Fire Alarm / Susp'dCeiling Roof ----_.-------—-- - --_ -- — Misc: --- Final — - -- PASS PART FAIL - — - -- ------ PL.UMBING 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 PASS PART FAIL Service Rough In UG/Sla - c fire Alarm !19z��ART FAIL SITE Backfill/Grading -- - Sanitary Sewer Storm Drain [ )Reinspection fee of$_ required before next inipection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE Fire Supply Line [ [ p —� [ ]Unable to inspect no access ADA Approdch/Sidewalk Date/l�- - �"-"Qv Inn pector _ —Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL MIT CITY OF TIGARD RESTRICTEDE ER RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT#: ELR2000-00240 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 10/17/2000 SITE ADDRESS: 07100 S'JV HAMPTON ST 110 PARCEL: 25101 AC-01600 SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of burglar alarm. N.RESIDENTIAL _ B.COMMERCIAL _ AUDIO & iTEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSJAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL.: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: BURG ALARM X TOTAL# OF SYSTEMS: _ Owner: Contractor: NEIMEYER, JOHN ADT SECURITY SERVICES, INC 25 82ND DR STE 100 2815 SW 153RD DR GLADSTONE, OR 97027 BEAVERTON, OR 97006 Phone: Phone: 503469-7100 Reg #: LIC 0059944 ELE 26-209CLE _ FEES _ _ Required Inspections _ Type By Date Amount_Receipt Low Voltage Inspection PRMT CTR 10/17/2000 N^ $75.00 2720000000 Elect'l Finel 5PCT CTR 10/17/200C $6.00 2720000000 Total $81.00 This Perrnit 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 byPermittee Signature C'.-, 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: - Call 639.4175 by 7:00 P.M. for an inspection needed the next business day Q002 13125 SW NArFL BLVD �FCII Y OF: TIGk\RD �(�Rest {ated Energy Electrical Application Recd by: "AiL � � Date Recd: io 1IGARi� OR 97223 till OT V -5fT?-Cs9-4171 X304 ,�1t1*1%1plete or Illegible applications Permit#: I-' - 503-591f-1960 �ypwill not be accep(ed Cust.Call'd: Name of Develo ro)ect TYPE OF WORK 7NVOL.VED -RESIDENTIAL ONLY Res(rlraod Enc: F e.......... '�`- gY a .............................. 175.00 JOR trent Ad�tross S1e 8 (FOIL ALL SYSTEMS) ADDRESS W c) y,- t r, C /State Chock Type of Ywotk Involved } Phone No ❑ Audio and Stereo Systems ri- A Burglar Alarm OWNER Mailing Address --- r Gatage Door Opener' City/Slate Zip Phone+4 ❑ Healing,Ventilation and Air(;cndiliunirg System' Name ADT Security Services ❑ Vacuum Systems' S W .1,53 RD C;ONTRACTOIR Malting dress L Other___ ___ B av n OR 9700E ---- - J,tor to Issuance a Cfty/State lip u P n u TYPE OF WORK INVOLVED - COMMERCIAL ONLY copy of all licenses 1I (1 �u _ _are required required if Ore on �--.Y/ _ Oregon r.�1d � Eyp.Dale Fee for each t sysem..................•.... — expired in C.O.T. 576.00 database) Eleclr' + �"" V (SEE OAR 918.260-200) I Contt Lin, Exp.Date �C C;•eck Type of Work involved C.O.T.or Metro Lic.N i Ezp.Dale - -- Owner's ae ❑ Audio and Stereo Systems Nrn OWNER- Mailing Address ❑ Boiler Controls APPLICANT _ (� clock Systems City/State �^ Zip Phone Ar _ Cf Data Telecommunication InstalLih„n 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 ❑ Fire Alarm Installahnn permit and to do the following: 1 Only use electrical licensed persons to do installations where required. HVAC Certain residential and other transactions are exempt from licensing. ❑ Instrumentation These have asterisks(') All others need licensing; 2. Call for inspections when Installation under thispemail are ready for ❑ Intercom and Paging Systems inspection at 503-639-4176; ❑ Landscape litigation Control' 3 Purchase separate permits for all installations that are not ready for an inspection when the Inspector is out to Inspect under this permit; 1J Medical 4. Assume responsibility for assuring that all corrections required by the ❑ Nurse Calls Inspector are done,and; ❑ 5. Assume responsibility for calling for a final inspection when all of the Outdoor Landscape Lighting' corrections are completed. ❑ Protective Signaling Permits are non-transferable and non-refundable and expire if work is not Other started within 180 days of Issuance or if work is suspended for 180 days. -- The person signing for this permit must be the applicant or a person -- Number of Systems authorized M bind the applicant. No licenses art reQulred. Licenses are req•dred ro,nit other installations ' FEES: ENTER FEES $ 00 8%SURCHARGF(.08 X TOTAL.AROVF) TOM Authority if other than Applicant - vlsrsvonnsvesete doe aroo