Permit ELECTRICAL PERMIT -
C I TY OF TIGARD
RESTRICTED ENERGY
Y I • DEVELOPMENT SERVICES PERMIT #: ELR1999 -00195
J ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/13/99
SITE ADDRESS: 12559 SW 69TH AVE PARCEL: 2S101AA -09108
'SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 030 d 'JURISDICTION: TIG
Project Description: Installation of protective signaling ()RIO
L
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & 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:
PORTER, DENISE/ BENNETT, SUE SONITROL PACIFIC
7991 SW MOHAWK ST 1975 SW 6TH AVE
TUALATIN, OR 97062 PORTLAND, OR 97201
Phone: Phone: 223 -5822
Reg #: LIC 00053535
ELE 26370CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 8/13/99 $60.00 99- 317647 Elect'l Final
5PCT DEB 8/13/99 $4.20 99- 317647
Total $64.20
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
require • • ' • low rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-S1-0010 thro ' h OAR 952 - 001 -0080. You may obtain copies of these rules or 'rect questions to OU Cat 503)
246 1987. - •
Iss ed by I �;1 .� ' "it � � Permittee Signature ►/ ,% 1 _ r ,05
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
CITY OF TIGARD > REBENBIZTED ENERGY ELECTRICAL APPLICATION Rec'd CDOG / M1j
131,25:SWHALL BLVD 6019S Date Recd:t 5 -1Z -q 9
TIGARD OR 97223 AUG 1 2 1999 PRINT OR TYPE uP(0) -
V- 503 -639 -4171 X304 Permit #'. t G e- I r c 00195
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPL CATIONS Cust.Call'd:
COME. WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
F- _ 1 � PQ 3u Restricted Energy Fee WPM
�N (FOR ALL SYSTEMS) it/ O -e0
JOB Street Address Ste # `�
ADDRESS - I w O (Qq 1I Check Type of Work Involved:
CitAtet � to red Zip 0g. �tl e - # I10 -I El Audio and Stereo Systems
Phon
Name ❑ Burglar Alarm
OWNER Mailing Address
El
Door Opener'
City/State I Zip I Phone #
El Heating, Ventilation and Air Conditioning System*
Name • l ❑ . Vacuum Systems*
1 \` ❑ Other
CONTRACTOR ;iling5 drs� 041 �t Uth TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Ity /S ( Phone # Fee for each system piedi0
copy of all licenses a'`()► \Or 1 El O')3-51' (SEE OAR 918- 260 -260) /o
are required if bbrego�C000n B Ic. # Exp. Date `' to
expired In C.O.T. tam Check Type of Work Involved:
data base). Elea C3 r �Li ei # ^ . Exp. Date ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # mac Exp. Date
❑ Boller Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
CIty/State I Zip ` Phone # ❑
I 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 other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks(*). All others need licensing;
Landscape Irrigation Control*
2. Call for Inspections when Installation under thie permit are ready for t ' I •
Inspection at 503- 839.4176; • El Medical
3. Purchase separate permits for all Installations that are not ready for en ❑ Nurse Calls
inspection when the Inspector Is out to Inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
inspector are done, and;
V :1 Protective Signaling
5. Assume responsibility 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 work Is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person * No licensee are required. Licenses are required for all other Installations
authorized to • Ind the applicant.
• FEES:
././...- 411.- // ENTER FEES $ (DO m C>
SI• =• ure -- /\
SURCHARGE (.05 X TOTAL ABOVE) $ -v
Authority if other than Applicant TOTAL 01 $ la a0
1:1dst5Vesele.doo 7/97 • 1 V — 0 6), fy