Permit (276) • L Community Development RESTRICTED ENERGY ELECTRICAL APPLICATIO
13125 SW Hall Blvd. PERMIT # EELR IS 0 ill
Tigard, OR 97223
■ /4m, j�I,
Phone
FAX (503) 6847 297 DATE ISSUED ID- l`� -4.. � `- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY --- , KA,Uktetir t...
PLEASE COMPLETE ALL SECTIONS .
1. LOCATI • OF IN ALLATION 4. TYPE OF WORK
g W 4 c W3e3 5W 77 o 4✓c
A�ddr ss RESIDENTIAL — Restricted Energy Fee $40.00
Cv , Citn-' 97ZZ, (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning System*
Contractor&DAO. LAtt/45640f Type oscarAf ❑ Vacuum Systems*
Address / f Su) YA- 7, ❑ Other
Date /6---/7-90" COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner POO4 A-11-12e-0 Check Type of Work Involved:
Contractor's Board Reg. No. 6-843 . ❑ Audio and Stereo Systems*
'/ ❑ Boiler Controls
Phone # 608'30/ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address
❑ tercom and Paging Systems
Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks('). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready /
for inspection at 503- 639 -4175. em
Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ i30
au o . ze to bind the a icant.
b. 5% Surcharge (.05 x total above) $ T
Sig ature
TOTAL $84' i
bid - /14‘k.
.
Authority if other than applicant
ENERGAP.CHP
Page No. 1 CASE HISTORY FOR CASE NO.: ELR95 -0177
CEDAR LANDSCAPE
09438 SW TIGARD ST
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRA003 Application received / / / / 10/18/95 RECD BON 01/02/96 TMP
ELRA010 Permit created / / / / 10/18/95 PEND BON 01/02/96 TMP
ELRA500 (F) Issue permit / / / / 10/18/95 PASS BON 01/02/96 TMP
ELRA700 Ceiling Cover 10/18/95 / / / / 01/02/96 TMP
ELRA720 Wall Cover 10/18/95 / / / / 01/02/96 TMP
ELRA730 Elect'l Service 10/18/95 / / / / 01/02/96 TMP
ELRA799 Elect'l Final 10/18/95 / / 06/25/96 grade level plugs to be gfci DIS GS 06/25/96 GES
ELRA799 Elect'l Final 11/17/98 / / 11/18/98 inspection request (research) sent to PASS CDT 11/18/98 CD
chuck d.
ELRA800 Case finaled / / / / 11/18/98 PASS CD 11/18/98 J *H
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested c � AM PM BLD
Location ? �-� I 3g .� Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC C�
Retaining Wall ELR % 5 7 7
Footing /
Foundation AC J FPS
Ftg Drain NOT REQUESTED SGN
Crawl Drain In FOUND DURING RESEARCH
Slab NO INSPECTION(s) IN FILE SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 4
Firewall
Fire Sprinkler ,/mss i
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
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
cE PAT FAIL
CTRIC
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fir PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk ///19, t
7 Inspector Ext
x
Other D p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.