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^\ ELECTRICAL PERMIT-
/ CITY OF TIGARD RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR1999-00165
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/2.9/99
PARCEL: 2S101 DB-00101
SITE ADDRESS: 07440 SW HUNZIKER ST A
SUBDIVISION: HUNZIKER PROF. CENTER ZONING: C-P
BLOCK: LOT: ORIGINAt RISDICTION: TIG
Proiect Description: Installation of protective signaling.
A.RESIDENTIAL_ B.COMMERCIAL.
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK. IM'EDICAL:
HVAC: DATA11 ELE COMM: NURSE CALLS: t
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
— -- — INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1______
Owner: Contractor:
HALLBERG, KAY C PROTEC INC
c/o HALLBERG, RAY C TRUST 720 NE FLANDERS
327n I AKEVIEW BLVD PORTLAND, OR 97232
LAKE OSWEGO, OR 97035
Phone: Phone: 235-4000
Reg #: LIC 00055,'14
ELE 34-215CL
FEES Required Inspections
Type By Date Amount Receipt _ Low Voltage Inspection
PRMT DEB 6/29199 $60.00 99-316474 Elect') Final
5PCT DEB 6/29/99 $3.00 99-316474 x
Total $63.00 EXPIRED
This Permit 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 160 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 01-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct que 3tions to OUNC at (503)
246- 987.
Issue .by f> �• i(,+�Q.-�'K,�l Permittee Signature
OWI.ER INSTALLATION ONLY
The installation is being made on property I own which is not Intended for sale. iease, 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 dry
z0 d RECEIVED %L6 0961 e6S ZOS er:tt t;-VO-,Nnr
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b
13125 SW HALL 13LOUN 2 8 199S' Date Recd: �—
TIGARD OR 97223 PRINT OR TYPE
V-503-639.4171 GQM)VIUNI(Y DEVELOPMENT Permit#; l
F-503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Restricted Energy Fee....................................... $60.00 �—
r.`: (FOR AL L SYSTEMS)
.108 -Ireet Address Sto N Check Type of Work Involved:
ADDRESS 'F �U t N lA v,
City/State Zip Phone N ❑ Audio and Stereo Systema
Nam b ❑ Burglar Alarm
Int'' 14�' ❑ Garage Door Opener'
OWNER rai' gnAdity/Sdress
tate Zip Phone N ❑ Heating,Ventilation and Air Conditioning System'
dame ❑ Vacuum Systems'
, r� r, r +,I(7 , ❑ Other
CONTRACTOR Mailing Address
it 1 TYPE OF WORK INVOLVED -COMMERCIAL ONLY
—--- - -
(Prior to Issuance a City/State Zip Phone N Fee for-each system.......................................... $60.00
copy of all Iicenses , r I )-.r\,kr, t' r' I i z 23 s-11 , (SEE OAR 918.260-260)
are required if Qtegon Contr.Brd Lic.N E p. gate
expired in C.O T. J C L r'i Check Typo of Work Involved:
data base). Electrical Contr.Lie.N Exp. ate
3 Z I i-r r^ i , ❑ Audio and Stereo Systema
C O.T.or Metro Lic.N E .Oats
L,�. _ ,a r ❑ Boiler Controls
Owner's Name
❑ Clock Systems
nWNER- Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zlp Phone N ❑
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 otl er transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑
2. Call for inspections when Installation under this permit are ready i'or Landscape Irrigation Control'
Inspectlon at 603-639-4176; ❑ Medical
3. Purchase separate permits for all Installations that are not ready for an ❑ Nurse Cells �
Inspection when the inspector is out to Inspect under this permit; .7
x[��
RE
�
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' 11
Inspector are done,and;
U Protective Signaling
5 Assume resoonsibihty for calling for a final inspection when all of the
corrections are completed. Other
Permits are non-transferable and non-refundable and expire If work is not
started within 180 days of Issuance or if nark is susrended for 180 days __Number of Systems
The person signing for this permit must be the applicant or a person • No licenses are revered. I:oenses are required for all other Installations
out rized to bind the applicant.
I EES:
ENTER FEES
igaturB :
( 4 5%SURCHARGE 1.05 X TOTAL ABOVE) :
Authority
Ur if other than Applicant -- TOTAL : 3
I%dshlformsVesels doc 3/98
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,Off 97223 (503)639.4171 ELECTRICAL FSE.AM;:T -
RESTRICTED ENERGY
F'F'RMIT #: EI_R97-0299
DATE I55UED: 1O/27'0/97
PARCEL:: 2S 1 Qi 1 DLA--00101
':::iITE ADDRES,rr. . , :07440 SW I-iL1NZIKr�R ST #DRIB �
rUBDI V ISION. . . . : 7-ONING:C'--F'
BLOCK. . . . .. 1_OT. . . . . . . . .. . . . . j11RISDICTN: TIG
Pt-o,ject Desr_ril.7tion : Install commercia! garage door opener to an existing
commercial building.
A. RESIDENTIAL --- --- - B- COMIslF`RrI.AL..
AUDIO R STEREO AUn I O & STEREO. . : INTERCOM R F,AG I.NG. . :
BIJRIaI_AR nl_.ARM. . . . : BOIL.ER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE: OFTENER. . . . . CLOCK. . . . . . . . . . . .. MEDT CAL. . . . . . . . :
HVAC. . . . . . . . . . . . . . DATA/TL=LE COMM. . : NURSE CALLS. . '
VArUUM SYFTEM, . . . : 71 PE ALARM. . . . . . : OUTDOOR LANDSCLTTE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL— :
TNSTRUMENTnT ION. : OT[AFR. . :CAR/DR/OPN: :Y,
TOTAL # OF SYSTEMS:
FEES
CSF NORTHWEST type amol-Ent by date r-ecpt_._.__..._
7440 JW HUN7TKER ST EXP I[�� RMT 4 40. 00 GEO 1.0/x'0/'•97 '97---700:'18
TIGARD OR 97223 /'�'6 6;PCT $ 2. 00 GEO 10/20/97 97--3Q00218
Phone #:
Contrac:tor; _.._.____.__.._....._-..-__._._.__..__....__.....-------_..... ...
1''HTLLIPS ELECTRONICS # 42. O0 TOTAL
(DBA FOR MASTER ALARM I.. . L. C. )
11. 10 NW FLANDERS _--._____ REQUIRED INSPECTIONS -- --.__
PORTLAND OR 97i-209 Low Voltage Insp
_'hone #« 227--0571 Flec-t' 1 Final.
Rei 4 it. . . 001,95 3
This permit is issued subject to the regulations contained in the Tigard Municipal Cone, Stote 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 :80
lays of issuance, or if work is suspended for more than 100 days. ATTENTION: Oregon law requires ou to follow rule adopted by the
Oregon Utility Notification Center. These rules arf set forth in OAR 95i-001-001t through OAR 952-001-9080. You may obtain copies o`
these rules or direct uestio t C 1503)246-1987.
1Cis Lied by �
P'e r m i t t e e
_.... .. ._..-..__..__.___...__ OWNER INSTAI_L-ATTON ONL`f--- -- - - -• ___._'----.____._.___._..._..__
The installation is being made rrn property I own which is not intended for
-;ale, lease, or rent.
OWNER' S SSONATUREa DATE:
INSTALLATION
131 GNATURE OF SUPR. EI_.EC' N: _ _ DATE:
ITCENSE NO:
f F-1 ++++++++++•h+++++++++++++++++•F+++++++-1-1-++++.++ ' V+ F+++++++-1-++-f++++-f+++i ++-t-+-I-+++4
Call 63 )- 4175, by 7:00 F. M. for- an insper-tion needed the neat bi-rsiness clay
1--1 +++++++•++++++++-I4+i+++++++•4+++++++++++4-+++,+++++4-F++++++4•F++++++++++++++++-h E+
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall B — _G` _� /
Tigard,OR 9722323 PEkMIT#_
Phone(503)639-4171
FAX(503)684-7297 I..1TE ISSUED_.
TDD No. ':03) 684-2772
CITY OF TIGARD Inspection (: 13)639-4175 ISS()ED BY _
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
AddressC.r RESIDENTIAL—Restricted
st Al S )
Energy Fee. . . . . . . . . 540.00
r,rd� nc� f7zZ3
(FORCity Stale Zip Check Tyne of_ Work In -Wed:
PERMITS ARE NON-TRANSFERAf1LE AND NON-REFI,INDARLI AND EXPIRE IF WORM. EJ Audio and Starer)Systems"
IS NOT STARTED WITHIN 1110 DAYS()I ISSUANCE OR IF WORK IS SUSPENDED FOR
1110 DM'S ❑ Burglar Alarm
2. CONTRACTOR APPLICATION Garage Dour Opener'
l ' I�'� ,l ❑ I sealing,Venti4it-,)n ,end Air Conditioning System"
Contractor Pill',I - ' Type. A-1 Ar,.,�y sk"^ ❑ Vacuum Systems'
G7Lv9 ❑ Other
Date I /( 3I47 COMMERCIAL—Fee for each system . . . . . . $Qq,QQ
(SEE OAR r)111-26(1-260)
C S M,4 Nay
Property Owner Check lype of Work Involved:
Contractor's Boatel Reg. No. ( 2 5 3 G Y_ ❑ Audio and Stereo Systems"
❑ Boiler Controls
Phone# 2 7 -05'-7 ❑ Cw(k Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ f ire Alarm Installation
El HVAC � ,'�� rift
Owner's Name Thune No [3 Instrumental on t�
Address — ❑ Intercom arc Paging Systems
❑ landst ape Iri gation Control'
City Slab— ❑ Medical
El Nurse Calk,
This terne k Issued under OAR 4111-1.111.i'n I his yq.hi am at;r... to make•(illy
restricted energy irwalLgions(100 volt amps m less)coder the,peouil and It,in Ih•• ❑ Out(kor Lands(a )a I fighting'
following:
1. Only use electrical li(enwrl persons to do installations where required,(r orlain n Prrtaclivc'Signaling
residentlal and other transaction.art,exempt from licensing. Then•have ❑ ()1her
asterisks(').All others neer)lice(sing).
2. Call for an inspection when all of the installations undrr This permit are madv
for inspn•tion at',113-6:1'1.4175.
❑ _ _____ Number of Systems
3. Pun haze separate Teo lits for all installations that are nut ready for inspection
when the inspector Is out to inspect under Ihn permit N.,hr crews are required Lirenws are required for all other Installations,
4. Assume rvillonsihility(of astoring that all corrections reclined hr the inslin for
are door,and
5. Assurer ry poiwhihty for calling for a final inmpe.t,on when all of the r orrer lions 5. FEES
are r ompteu•d.
The person signing for This permit must he the applicant or a person a. Enter Fees $
authorized to bind the applicant.
h. :5% Surcharge(.05 x total above) $`'2 -
Signature �
TOTAL $ L4 Z-�'V
Authority if other than applicant
ENERGAP.CHP
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
2.4-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: � —�l--T_ A.M. P.M. MST
1
Location: � J � /• i 1 $UP:
Tenant: CL Suite: _ Bldg: MEC:
Contractor: I'jtoneSj `.7 _ter cc<��- l�7�) PLM:
Owner: �.�(�(hF,^,^'�_�—� '' Phone;
-- —
Lit: _
srr:
BUILDING BLDG(con't) PLUMBING MECHANICAL r�� tLECTRICA SITE
Site Post/Beam Post/Beam Post/Beam Cove!ferotc a Sewer/Storm
Footing Roof llndFVSlab Rough-!n Ceiling Water Line
Slab Framing Top Out Oas Line Rough-In UO Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace "temp Service MISC.
Masonry Ceiling Rain Thain A/C Ucl Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I leat Ptunp Low Volt 09:*L
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved WT14Voved Not Approved
FINAL FINAL FINAL FINAL FINAL.
4;7-
0 Call for reinspection t /eryeinspection tee of S _rley before nevt inspection C3 unable to inspect
�
page
Inspector: / — Date: of
CITY OF TIGARD
-�-�<
DEVELOPMENT SERVICES ELECTRICAL_ PERMIT
13125 SW Hall Blvd., Tigard,OR 972.213 (503)639.4171 RESTRICTED ENF-RrY
PERMIT #: c-L.R97-0142
DATE ISSUED: O5/23/97
VARCEL. : 2,61.011)B•-r 0101
SITE CiDDRE:SS. . . :07440 5W HUNZIKER ST #C.:
5 U B D I V IS 10N. . . . : 7OIVING:C---P
BLOCi.. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG
Dr,o.ject Desc:l^iption: instl protective signaling
A. RESIDENTIAL-- --_ -- B. COMMERCIAL.----
AUDIO 8 aTEREO. . . : AUDIO R STEREO. . : INTE14COM R PAGING- -
BURGLAR
AGING. . :BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OFTENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . .. DATA/TELE Cn1,1M. . : X NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : F=IRE ALARM. . . . . . : OUTDOOR I_.ANDSC LITE.,
DT14E:R: : : HVAC. . . . . . . . . . . . : PROTECJ I VE S I GNAL.. .
INSTRUMENTAT I ON. : OTHER. . : . .
TOTAL_ # OF SYSTEMS: 1
Owner, . _._.____.._.__.---..____ _________.._.___..._._._.___....____._________..__..____._.. FEES
PROVIDENT7.A tt BOEKEHEIDE type amoi.tnt by date r-ecpt
7440 SW HIANZ IKER PRMT $ 40. 00 TAT 05/22/97 97-294983
STEL C 5PCT $ 2. 00 TAT O5/22/97 07--0,94985
T I GARD OR 972,-,
Phone #: 968--ic'7O
Contractor-:
ADT SECURITY ALARMS $ 4`'. 00 TOTAL-
703
OTAL70? NE HANCOCK
REQUIRED I NSPEC'T I ONS
PORTLAND OR 97LIE., Ceiling Cover Elect' l ,vier^vice
Phcne #: 1"84--3265 Wall Covar F_'lect' i Final
Reg 4. . : 0005199
This permit is issued sublact to the regulations contained in the
Tigard fiunicipal Code, State of Ore. Specialty Codes and all other Ret- it•e SiOnatu, l
applicable laws. All world 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. I s,5A(L-d By
INSTALLATION
The installation is being nide on property I own which is not intended for
sale, lease, or tent.
OWNER' S SIGNATURE: _ _ DATE:
INSTALLATION
SIGNATURE OF' SUPR. ELEC' N: ��� _ DATE:
LICENSE NO:
Call for inspection .- 639•-4175
CITY OF TIGARD RES rRICTED ENERGY ELECTRICAL APPLICATION Recd tv:
13125 SW HAI_I_ BLVD DateRec'd:�
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 Permit# Z,
F-503-684-7 97 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd:
/
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WCRK INVOLVED - RESIDENTIAL
Restricted Energy Fee........................................ 540.00
, (FOR ALL SYSTEMS)
,JOB Street Address � St #
ADDRESS � C) �� �l Check Type of Work Involved:
L r'L' Y.. l..
0-
.y State Pone ` [j Audio and Stereo Systems
Burglar Alarm
OWNER Meiling Address — ❑ Garage Door Opener'
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System*
-�— Name ❑ Vacuum Systems-
ADI SECURITY SYSifM$,Ill ❑ Other
CONTRACTOR Mailing AddresR 9ANO ?It — v
TYPE nF WORK INVOLVED-COMMERCIAL
(Prior to issuance a CitylSlate Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses (SEE OAR 916-260-260)
are required if Oregon Contr. Bird Lic.# Exp. Date
expired In C.O.T. Check Type of Work Involved.
data base). Electrical Contr.Lic. Exp.Date
�.•).�JC' 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 Phone# Fire Alarm Installation
This permit is issued under OAE 916-320-370 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following: A
Instrumentation F1.
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;
2. Call for Inspections when installation under this permit are ready for Landscape Irrigation Control'
inspection at 503-6294175; ❑
Medical
3 Purchase separate permits for all installations that are not ready for an I-1
inspection when the inspectul Is out to Inspect under this permit, Nurse Calls❑
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;or a final inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable a on-refundable and expire if work Is not
started within 180 days f is ar�ce or if work is suspended for 160 days Number of Systems
The person signin r t ermit must be the applicant or a person No licenses are required Licenses are required for all other Installations
authorized to hi ,he pl cant.
` EFE4:
gnature ENTER FEES f 1
5%SURCHARGE..(05:C TOTAL.ABOVE) f ^�
Authority if other than Applicant _ TOTAL f
I ueaele doc 12/96 —_�