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Permit (202) . . • - A CITYOFTIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 44 1 , 001 & DEVELOPMENT SERVICES PERMIT #: ELR1999 -00254 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/27/1999 SITE ADDRESS: 16200 SW PACIFIC HY Z PARCEL: 2S115BA -00100 W SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Add intercom and paging system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X 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: INSTRUMENTATION: OTHER: . TOTAL # OF SYSTEMS: 1 Owner: Contractor: ALBERTSON'S ENTOUCH SYSTEMS 250 PARK CENTER BLVD 3732 SW MOODY O BOISE, ID 83726 PORTLAND, OR 97201 Phone: 208 - 395 -6283 Phone: 223 -2060 Reg #: LIC 69287 ELE 26 -687CL FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DST 10/27/199c. $60.00 99- 319367 Elect'l Final 5PCT DST 10/27/199E $4.80 99- 319367 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 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 thr ugh OAR 952 -00 0080. You may obtain copies of these rules or direct ques'ons o OUNC at (503) 246 -1987. �� / / Issued by ` Az 1 Permittee Signature r e,_ L 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: "VP DATE: j - - '7 LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. ,r / Q 9_ 00 ® cf Tigard, OR 97223 PERMIT # �` 4 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. L ATION OF INSTALLATION 4. TYPE OF WORK GAS i6Z6 i�c� //Guy Address Z RESIDENTIAL —Restricted ALL SYSTEMS) Energy Fee $40.00 iMz4 6( 2 97 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 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* L ❑ Heating, Ventilation and Air Conditioning System* Contractor E/ /71(/G / -i Type G T J A'�-L7 y ❑ Vacuum Systems* /- €4i CA9-L Address 3 73 2 > (/iJ gi6A c/y . POfLT-. orz ci 7 Za Date f - 21 " 1 I COMMERCIAL — Fee for each system (SEE OAR 918- 260 -260) / Property Owner Check Type of Work Involved: 10 Contractor's Board Reg. No. 6`i 2 ❑ Audio and Stereo Systems ❑ Boiler Controls Phone # 50 22 3 `2d 26 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address Intercom 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. ❑ 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 5. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ authorized to bind the applicant. b. 5% Surcharge (.05 x total above) $ 4 Signature TOTAL $ Authority if other than applicant ENERCAP.CHP 04/17/2000 Activities for Case #: ELR1999 -00254 9:15:29 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • ELRC001 Application Received 10/27/1999 GEO RECD No Hold DST 10/27/1999 ELRC003 Permit Created 10/27/1999 GEO DONE No Hold DST 10/27/1999 ELRC725 Low Voltage Inspection No Hold DST 10/27/1999 ELRC799 Elect'I Final 03/03/2000 CD PASS No Hold AKJ 03/05/2000 ELRC500 (F) Issue permit 10/27/1999 GEO DONE No Hold DST 10/27/1999 • ELRC800 Case finaled 03/05/2000 AKJ DONE No Hold AKJ • 03/05/2000 • • • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 J BUP Date Requested . 3 /� /t� AM r PM BLD Location /(�,'t,0 p Qa.Q, r Suite Z J MEC Contact Person Ph PLM Contractor , Ph SWR 1 94-t V 1�A'f:C���/I — E �0"C � BUILDING Tenant/Owner t O —� Retaining Wall ELR -( �} q prJ -oo25 Footing Foundation ACC � o ss: oQ s (ti /.Z 3/cC I FP Ftg Drain J SIT SGN Crawl Drain Inspection Notes: Slab Post & Beam Ext Sheath /Shear Int Sheath /Shear /� \ Framing .. 1' / V ° �JJA4'{ C61f, /iA/a- 4- F�cl "..12 At6- /n/ eJ Insulation Drywall Nailing f�► r GGt� PP017/,./7 " 2n/7 JJ v c�, Sy S / e.+1s� Firewall / Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ar�i9-7� —� Misc: Final PASS PART FAIL PLUMBING _ Fv / 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 ESCTRICA Service Rough In UG /Slab Low Voltage Fire Alarm S 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 for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date _ 3 ©i Inspector Eat Final PASS PART FAIL D NOT REMOVE this inspection record from the job site.