Permit CITY OF TIGARD
; „ DEVELOPMENT SERVICES RESTRI I CTED ENERGY
PERMIT #: ELR98 -0322
DATE ISSUED: 11 /24/98
PARCEL: 2S1O1AD -02600
SITE ADDRESS...:12625 SW 69TH AVE
SUBDIVISION :WEST PORTLAND HEIGHTS ZONING:MUE
BLOCK • LOT -031 JURISDICTN: TIG
Project Description : Installation of commercial landscape irrigation control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER . LANDSCAPE /IRRIGAT..:X
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: FEES
JOHN MCCROSKEY type amount by date recpt
14125 SW FARMINGTON PRMT $ 40.00 DLH 11/24/98 98- 311059
BEAVERTON OR 97005 5PCT $ 2.00 DLH 11/24/98 98- 311059
Phone #: 646 -9157
Contractor:
PRO LANDSCAPE INC $ 42.00 TOTAL
3045 SE 61ST
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Low Voltage Insp
Phone #: 642 -5969 Elect'1 Final
Reg #..: 7013
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State 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 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- %1 -0080. You may obtain copies of
these rules or direct questions to OUNC at 1503)246 -1987. /
Issued by ��t� — Permittee Signature 6'7. /9 - 4 °4 / 641-- 7 70 ^/
/`Igi 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 : A.09 DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +=
11/24L1998 14: 35 5036494621 PRO LANDSCAPE PAGE 01 •
'f O F TIGARD RES TRfC1 ENERGY ELECTRICAL APPLICATION Recd by
`- ';,.4 . SW HALL BLVD
°''' ' Date Recd:
•' .'D OR 97223 . PRINT OR TYPE~
03839 -4171 X304 Permit #:
.'` 03.4 -297 INI{ E'#g :OILILLEGIBLEAPPLICATIONS Permit
Y 687 r :. :.•.. OT BE ACCEPTED
�., "r: - ' �' ACCE
` { .:,"
• Name of Develo ,.,..1.2-7,4s1:-.' . , . ........._.` .�� ,..� • ;, :; TYPE OF WORK INVOLVED - RESIDENTIAL
P: • /� �� ` '_ : Restricted d Energy Fee $40 -00
f , 1 v ` CO) ,(0S
, :JOB Street Address �, � i�,f nA ( " (FOR ALL SYSTEMS) • .. 1 a @RES$ _ , Check Type of Work Involved: • i :.:.t.. City /State t. �Z/J : .
• FtAone•11
N ❑
Audio and Stereo Systems
4 :;.,'.:;,:., ' ❑ Burglar Alarm
'sOWPIER Mailing Address ❑ Garage Door Opener"
I. c ' City/State kip • - - ,..phoned ❑ Heating, Ventilation and•Air Conditioning System' •
Name ❑ Vacuum Systems'
4;;'s • '� 4 — / 0 . , S.'.•''''''' I:3 Other
iuYq'1. ' r : I CTOR Mar'ng Addres '•'... - . . • '
' : i . �_ .� ` , TYPE OF WORK INVOLVED - COMMERCIAL
.), luissauanca a /State
aa . . ';: ' : :::', " One Yl ' Fee for each system <: • ;t. 'a 'Iieenses L t (S6 /IY� 251 l (SEE OAR 918 -260 -260 S40.00
' ; : . °hired If ' Oregon Contr. B►d ic. d • `' 7 " 1 7.' )
"'` i n C.O.T. f7a e
- >• ;" 12 l � / :I Check Type of Work Involved:
;, -i• :. ,, .pise1. Electrical Contr. Uc. 0 - • • to ".. . ❑ Audio and Stereo Systems
;, :, .. C . O.T, or Metro Lie, A'
:.k:• � '+-► .. , ' ❑ Boiler Controls
. Owner's Name
,, Clock Systems
:: - ; , •' ER Malting ...
%`'!',.UCANT . . .. • ❑ data Telecommunication Installation
:._; y, , '• CIty/Stata 1 -:~ :111ttotte g ❑ Fire Alarm Installation
,: •.„.,',_ r t la Issued under OAe 915-320-370, VMS • to:
;F IY'restrtcted energy installations (100 volt aln 'sil<' • ' )'. roger this C:1 HVAC
.. !®nd`to do the following:
P't' Instrumentation
e. ! y .
3 . .. : : 44e: electrical licensed persons to do inste ;regUirad.
1.•'; ` '' .`•' restdential and other transactions ar ea ' .. �' heap. 1::::1 intercom and Paging Systems
; - :' asterisks('). All others need Ilcertsih . 12 `' : forkeep: talonswhenInstallationunderthisper, t..:pl .hbalftyfor
Landscape Irrigation Control'
a ' - '- ...n'at. 639-4175: • ' • ' . ❑
'' ' Medical
ase separate permits :
��;,,> parole arrnits for all Instaitatior�4itHlp ! {�ie'�¢Rf,� ; fof an
0:• : *� • • when the Inspector is out to inspect u'rrd . t( pe ttnit; E:::1 Nurse Calls
'
❑ Outdoor Landscape Lighting
,y -" .,, Me.responslbility for assuring that ail coast i e d.by the "
',•!•..'',, . dor are done, and;
',.. ... . ❑ Protective Signaling
=`'-, ...- the fesponsibility for calling fora final inspai rat! itatief the
.ns are completed. 0 Other •
are. non transferable and non - refundable e� elx j twort.i's net
.,,
avMlrin 180 days of issuance or if work is eW!`78 says. ./ Number of Systems
=1"(•.;..5'.;:.::.• '.. .. . '
.• n•signing for this permit must be the appficae4 pgt$en - No licenses are required. Licenses are required for of other Installations
;. to•bind the Applicant. •
tr . . i�•: . ■• ENTER MS S 4b • i7 ' 5% SURCHARGE (.05 X TOTAL ABOVE) $ 2.. 0 •
'..j. -- �: ity If • other than Applicant ' ' . :•..' TOTAL $
,dce 12/6e ..'...:.;.re./N:; —
-L
RECEIVED
4
CITY OF TIGARD NOV 2 4 1998 RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 2
13:25 SW HALL BLVD Date Rec'd: /0 4P / f
TIGARD OR §7mNITY DEVELOIIK:EIVT PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit*: EGR 5 P — 03.?..2.
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Cali'd:
610'9 2 - 0 5Z5 WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
�
I V ` S �o ClA -t. (FOR ALL SYSTEMS)
JOB Street Address / 1 " i Ste #
ADDRESS S�(,J l.l� 7' Check Type of Work Involved:
1 n v e /�5 /St ate Zip Phone # ❑ Audio and Stereo Systems
N ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State I Zip 1 Phone # El Heating, Ventilation and Air Conditioning System*
I ❑ Vacuum Systems*
N Na am / e � / YAW /�
I K 1 5 - Q Y X/r��V /7Y)c, ❑ Other
CONTRACTOR Mailing Ad res
`- 1 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a i /State Zip Ph Fee for each system $40.00
copy of all licenses / 'it S /iJ'(L) G 7/ 23 (/72 # 51,74 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exp . Da e
expired in C.O.T. ("L ` — 1 (4 V,/ 3 J 1 , Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date ❑
Boiler Controls
Owner's Name
le Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State I Zip I Phone # ❑
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 this permit are ready for
inspection at 503 - 639 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ 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; ❑
Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. 0 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 licenses are required. Licenses are required for all other installations
authorized to bind the applicant.
FEES• lib
Scr /9 P,49 f�PPL ico�
ENTER FEES $
Signature 7 i
• 5% SURCHARGE (.05 X TOTAL ABOVE) $ 0
Authority if other than Applicant TOTAL $
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