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ELECTRICAL PERMIT-
CITY OF TIGARD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR21 0-00120
13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/25/2000
SITE ADDRESS: 08838 SW HALL BLVD PARCEL: 1S126BC-00300
SUBDIVISION: PROGRESS SQUARE ZONING: C-G
BLOCK: LOT: JURISDICTION: BE
Proiect Description: Data Telecommunication Installation in existing commercial building
A. RESIDENTIAL _ B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL# OF SYSTEMS: 1
Owner: Contractor: .�
OLSON, PETER G TRUSTEE NETS`NORK
BY PROGRESS SQUARE PARTNERS 6110 SW 111TH
50 S\N PINE ST, STE 200 PORTLAND, OR 97266
PORTLAND, OR 972.04 ORIGINAL
Phone: Phone:
Reg #: W9-76k-`IU >✓LF
LIC 138627
FEES Required Inspections
Type By Date AmountReceipt Elect'I Service
�PRMT KJP 05/25/200C $60.00 0002453 Elect'I Final
5PCT KJP 05!25/2000 $4.80 0002453
Total $64.80
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 it 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
952-001.3010 thro gh AR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
Issued by •D __ 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: OATS:
CONTRACT OR INSTALLATION ONLY
SIGNATURE OF SL1PR. Er_EC'N _ T. _ _ _ _ DATE:—.--.-
LICENSE
ATE:__LICENSE NO:
Call 639-4115 by 7:00 P.M. for an inspection needed the next busiw:!s-, r13y
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd bv: _
13125 SW HALL BLVD Date Recd:
TIGARD OR 97223 PRINT OR TYPE
V-503-639-4171 X304 Permit*E L(� cl,
F- 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.CaII'd._
WILL NOT BE ACCEPTED
Name of Development P oject TYPE OF WORK INVOLVED- RESIDENTIAL ONLY
Restricted Energy Fee....... .....I......................... $60.00
�Z�12//�9i Yi'y Yic y„1T.,, (FOR ALL SYSTEMS)
JOB Street Address Ste#
ADDRESS Check Type of Work Involved
City/State Zip Phone# ❑ Audio and Stereo Systems
/ e/l h _ 7�lL? '_;USS
Nam (�1
Burglar Alarm
OWNER Mailiinngg Address > r4' �� 1 Garage Door Opener-
Heating Stat tip Phone# ❑ Heating,Ventilation and Air Conditioning System'
7 LQ
Name Vacuum Systems'
O`-J�7c3c,io.gk F-1 Other -
CONTRACTOR Malting Address -y —�—
J611,0 S /// TYPE OF WORK INVOLVED ••COMMERCIAL ONLY
(Prior to issuance a Ci /State -- -- --
�/ Zip Phone# Fee for each system...... .. `—
............................... ........ 560.00
copy of all licenses d �' ;� (SEE OAR 918-260-260)
are r(.quired if Oregon Contr Brd Lic.# Ex ppate
-xpirerl in C.O T 11 L-3 Check Type of Work Involved.
data base) Electrical Contr. Lic.# E at
2G --7644 CI �_ ❑ Audio and Stere,Systems
C O.T.or Metro Lia# Fxp DRte
❑ Boiler Controls
Owner's Name J"`
Clock Systems
OWNER - Mailing Address
APPLICANT _ 21 Data Telecommunication Installation
City/State Zip Phone#
❑ .=ire Alarm Installation
This permit is issued under OAE 918320-370 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following.
1 Only use electrical licensed persons to do installations where required. E] Instrumentation
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•F39-4175; ❑
Medical
3 Purchase separate permits for all installations that are not ready for an
inspection when the inspector 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;
5 Assume responsibility for calling for a final inepertlon when all of the Protective Signaling
corrections are completed ❑ Other_
Permits are non-transferable and non-i-ehindable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 claysNumber of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations
authorized to bind the applicant
FEES:
Signature - ENTER FEES f
8%SURCHARGE(,08X TO1 AL ABOVE) $
Authority if other than Appljr,ant -^� — TOTAL 1 ,
\dstsHormekesele doc 3198
CITY OF TIGARD BUILDING INSPEECTION DIVISION MST
24-1-four Inspection Line: G39-4175 Business Line: 639.4171 --
BLIP _
Date Requested_ — d 0 AM` _PM — BLD y
Location �� Q �� Suite _ --_--� �~
I,� _ MEC _
Contact Person 04 1 __ Ph �](�f� �� 0 ,.; PLM
I —
Contractor _� �l,c �hLP SWR --
�BU-I-L.[7�1NG a
Tenant/Owner /1�'f1 __ f ELC J _
Retaining Wall ELR
Footing
Foundation Access:Access: FPS
Fig Drain
Crawl Drain Inspection Notes: � SGN
Slab =fi` SIT
Post& Beam --- - - ---
Ext Sheath/Shear
Int Sheath/Shear ___..-------,.�---
Framing
Insulation - ----.-�_--__.__ _-------------- ------ -- __ __ _
Drywall Nailing - -------- � __� _
Firewall
Fire Sprinkler .---
Fire Alarm
Susp'd CeiG.,g -- ---- - ---- - - - -- -- -- -
Roof
Mise.
Final -
PASS PART FAIL --- -- - --
PLUMBING ------
Post&Beam - -- -- - —--- - - ,
Under Slab
Top Out
Water Service
Sanitary Sewer -- ---
Rain Drains
Final - - - -__ ------W---
PASS PART FAIL
MECHANICAL -- - -----------_
Post& Beam
Rough In
Gas Line - -----
Smoke Dampers -
Final ---- -- - ---
PASS PART FAIL
A TRIC
rvrca
Rough In ---- -----------__ __ _� _-
UG/Slab
Low Voltage — - —'
Fire Alarm
Fi - - -
AS 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 far reinspeetioe RE' _ ( J Unable tc inspect-no access
ADA
Approach/Sidewalk
Other Date ) rel% _Inspector__ _ �_-C_- C�_� Ext
Final -
PASS PART FAIL DO NOT REMOVE this Inspection record) from the job site.